NEW YORK CNA MOCK LICENSING EXAM | PRACTICE EXAM | STUDY GUIDE |
TESTBANK | LATEST UPDATE 2026/2027 | 100% CORRECT ANSWERS
Table of Contents
Introduction
Section I: Patient Rights, Communication, and Legal/Ethical Issues (Questions 1-20)
Section II: Infection Control, Safety, and Emergency Procedures (Questions 21-40)
Section III: Basic Nursing Skills, Vital Signs, and Measurement (Questions 41-60)
Section IV: Personal Care, Hygiene, and Mobility (Questions 61-80)
Section V: Nutrition, Elimination, and Fluid Balance (Questions 81-100)
Section VI: Mental Health, Cognitive Impairment, and Special Needs (Questions 101-
120)
Section VII: Rehabilitation, Restorative Care, and Professional Development
(Questions 121-140)
Section VIII: Advanced Comprehensive Scenarios and Integrated Decision-Making
(Questions 141-150)
INTRODUCTION
This comprehensive practice examination is designed for candidates preparing for the
New York State Certified Nursing Assistant (CNA) licensing exam. It represents a
rigorous, advanced-level study tool that goes beyond basic recall, focusing on the
critical thinking, clinical judgment, and application of standards required for safe,
competent practice in long-term and acute care settings. The questions are structured
to mirror the complexity of the official exam, covering resident rights, safety protocols,
infection control, restorative care, and the psychosocial aspects of aging. This
testbank, updated for the latest 2026/2027 standards, requires you to analyze
scenarios, interpret regulations, and apply professional best practices to ensure the
highest quality of care.
Question 1
A resident with dementia continually asks for her deceased husband. Which response
by the CNA demonstrates the most therapeutic and empathetic approach?
A. "Your husband passed away ten years ago. Please try to remember that."
B. "Don't worry, he will be here to visit you later."
C. "Tell me about your husband. What was he like?"
D. "I know you miss him. Let's look at some photos of your family."
, Correct Answer: D
Explanation: This response validates the resident's feelings while redirecting her to a
positive, present-focused activity that acknowledges her reality. Option C is also
empathetic but does not provide the same level of redirection or affirmation, which
can be more effective in managing distress in dementia.
Question 2
A CNA observes a colleague taking a photograph of a resident on her personal phone
without consent to show her family. What is the CNA's most appropriate initial action?
A. Ignore it, as no harm was intended.
B. Report the colleague to the Charge Nurse immediately.
C. Tell the colleague to delete the photo and not do it again.
D. Ask the resident's family if they gave permission.
Correct Answer: B
Explanation: This is a clear violation of HIPAA and resident confidentiality. The CNA
has a duty to report such breaches immediately to the supervisor, who will then
initiate the appropriate investigation and disciplinary action. The CNA should not
attempt to handle this independently beyond reporting.
Question 3
A resident tells the CNA that she was sexually harassed by a staff member last night.
What is the CNA's priority action?
A. Ask the resident for all the details of the event.
B. Report the allegation to the Charge Nurse per facility policy.
C. Reassure the resident that it was likely a misunderstanding.
D. Document the statement exactly as told in the resident's chart.
Correct Answer: B
Explanation: The CNA's duty is to report allegations of abuse, neglect, or harassment
immediately to the supervisor. The CNA should not investigate, analyze, or document
the event in detail; the priority is to ensure a formal investigation is initiated by a
qualified individual.
Question 4
In the context of a CNA's duties, what is the primary legal purpose of an incident
report?
,A. To create a record for potential lawsuits.
B. To protect the facility from liability.
C. To identify and correct system errors to prevent future occurrences.
D. To document the event in the resident's permanent medical record.
Correct Answer: C
Explanation: The primary purpose of an incident report is risk management and
quality improvement. It is a confidential internal document used to review what
happened and implement changes to prevent recurrence. It is not placed in the
resident's chart and is not primarily for litigation.
Question 5
A resident has a Do Not Resuscitate (DNR) order. The resident begins to choke on a
piece of food. What action should the CNA take?
A. Begin CPR immediately as it is an emergency.
B. Do nothing, as the DNR order prohibits any intervention.
C. Call for help and perform the Heimlich maneuver.
D. Ask the family if they want the CNA to intervene.
Correct Answer: C
Explanation: A DNR order specifically addresses cardiopulmonary resuscitation (CPR)
in the event of cardiac or respiratory arrest. It does not preclude other life-saving
interventions, such as the Heimlich maneuver for choking, which are considered
comfort and safety measures.
Question 6
A CNA is assigned to care for a resident who is HIV-positive. Which of the following
demonstrates the correct application of Standard Precautions?
A. Wearing a gown, gloves, and a mask for all care.
B. Using gloves only when contact with body fluids is expected.
C. Placing the resident in a private room.
D. Using dedicated equipment only for this resident.
Correct Answer: B
Explanation: Standard Precautions apply to all residents, regardless of their diagnosis.
Gloves are required when there is a potential for contact with blood, body fluids, or
non-intact skin. A mask and gown are not necessary for basic care unless splashing is
anticipated. Isolation for HIV is not indicated.
, Question 7
While a CNA is ambulating a resident, the resident grabs the CNA's arm and says "I
feel like I'm going to fall." What is the CNA's best immediate response?
A. Tell the resident to hold onto the CNA more tightly.
B. Widen the CNA's base of support and lower the resident's center of gravity.
C. Use a gait belt to pull the resident upright.
D. Call for help immediately and wait for assistance.
Correct Answer: B
Explanation: The priority is to prevent the fall. By widening the base of support and
lowering the center of gravity, the CNA provides the most stable platform for the
resident. The CNA can then slowly lower the resident to the nearest chair or the floor
if necessary. Calling for help is important but not the immediate priority; the CNA
must take action to stabilize the resident first.
Question 8
A resident is on a 1500 mL fluid restriction per day. The resident has consumed 800
mL from 7 AM to 3 PM. If the resident must receive 40% of the remaining fluid
allowance during the evening shift, how many mL should the resident receive?
A. 280 mL
B. 300 mL
C. 420 mL
D. 480 mL
Correct Answer: A
Explanation: The remaining fluid allowance is 1500 mL - 800 mL = 700 mL. 40% of
700 mL is 0.40 x 700 = 280 mL.
Question 9
A resident with a urinary catheter has a drainage bag that is nearly full. What is the
correct technique for emptying the bag?
A. Empty the bag by pouring the urine into the toilet, ensuring the measuring
container does not touch the bag's spout.
B. Empty the bag into a pitcher and then record the output.
C. Disconnect the bag from the catheter to empty it more easily.
D. Empty the bag using the same gloves as when providing perineal care.
Correct Answer: A
Explanation: The drainage bag should be emptied by opening the spout and allowing
TESTBANK | LATEST UPDATE 2026/2027 | 100% CORRECT ANSWERS
Table of Contents
Introduction
Section I: Patient Rights, Communication, and Legal/Ethical Issues (Questions 1-20)
Section II: Infection Control, Safety, and Emergency Procedures (Questions 21-40)
Section III: Basic Nursing Skills, Vital Signs, and Measurement (Questions 41-60)
Section IV: Personal Care, Hygiene, and Mobility (Questions 61-80)
Section V: Nutrition, Elimination, and Fluid Balance (Questions 81-100)
Section VI: Mental Health, Cognitive Impairment, and Special Needs (Questions 101-
120)
Section VII: Rehabilitation, Restorative Care, and Professional Development
(Questions 121-140)
Section VIII: Advanced Comprehensive Scenarios and Integrated Decision-Making
(Questions 141-150)
INTRODUCTION
This comprehensive practice examination is designed for candidates preparing for the
New York State Certified Nursing Assistant (CNA) licensing exam. It represents a
rigorous, advanced-level study tool that goes beyond basic recall, focusing on the
critical thinking, clinical judgment, and application of standards required for safe,
competent practice in long-term and acute care settings. The questions are structured
to mirror the complexity of the official exam, covering resident rights, safety protocols,
infection control, restorative care, and the psychosocial aspects of aging. This
testbank, updated for the latest 2026/2027 standards, requires you to analyze
scenarios, interpret regulations, and apply professional best practices to ensure the
highest quality of care.
Question 1
A resident with dementia continually asks for her deceased husband. Which response
by the CNA demonstrates the most therapeutic and empathetic approach?
A. "Your husband passed away ten years ago. Please try to remember that."
B. "Don't worry, he will be here to visit you later."
C. "Tell me about your husband. What was he like?"
D. "I know you miss him. Let's look at some photos of your family."
, Correct Answer: D
Explanation: This response validates the resident's feelings while redirecting her to a
positive, present-focused activity that acknowledges her reality. Option C is also
empathetic but does not provide the same level of redirection or affirmation, which
can be more effective in managing distress in dementia.
Question 2
A CNA observes a colleague taking a photograph of a resident on her personal phone
without consent to show her family. What is the CNA's most appropriate initial action?
A. Ignore it, as no harm was intended.
B. Report the colleague to the Charge Nurse immediately.
C. Tell the colleague to delete the photo and not do it again.
D. Ask the resident's family if they gave permission.
Correct Answer: B
Explanation: This is a clear violation of HIPAA and resident confidentiality. The CNA
has a duty to report such breaches immediately to the supervisor, who will then
initiate the appropriate investigation and disciplinary action. The CNA should not
attempt to handle this independently beyond reporting.
Question 3
A resident tells the CNA that she was sexually harassed by a staff member last night.
What is the CNA's priority action?
A. Ask the resident for all the details of the event.
B. Report the allegation to the Charge Nurse per facility policy.
C. Reassure the resident that it was likely a misunderstanding.
D. Document the statement exactly as told in the resident's chart.
Correct Answer: B
Explanation: The CNA's duty is to report allegations of abuse, neglect, or harassment
immediately to the supervisor. The CNA should not investigate, analyze, or document
the event in detail; the priority is to ensure a formal investigation is initiated by a
qualified individual.
Question 4
In the context of a CNA's duties, what is the primary legal purpose of an incident
report?
,A. To create a record for potential lawsuits.
B. To protect the facility from liability.
C. To identify and correct system errors to prevent future occurrences.
D. To document the event in the resident's permanent medical record.
Correct Answer: C
Explanation: The primary purpose of an incident report is risk management and
quality improvement. It is a confidential internal document used to review what
happened and implement changes to prevent recurrence. It is not placed in the
resident's chart and is not primarily for litigation.
Question 5
A resident has a Do Not Resuscitate (DNR) order. The resident begins to choke on a
piece of food. What action should the CNA take?
A. Begin CPR immediately as it is an emergency.
B. Do nothing, as the DNR order prohibits any intervention.
C. Call for help and perform the Heimlich maneuver.
D. Ask the family if they want the CNA to intervene.
Correct Answer: C
Explanation: A DNR order specifically addresses cardiopulmonary resuscitation (CPR)
in the event of cardiac or respiratory arrest. It does not preclude other life-saving
interventions, such as the Heimlich maneuver for choking, which are considered
comfort and safety measures.
Question 6
A CNA is assigned to care for a resident who is HIV-positive. Which of the following
demonstrates the correct application of Standard Precautions?
A. Wearing a gown, gloves, and a mask for all care.
B. Using gloves only when contact with body fluids is expected.
C. Placing the resident in a private room.
D. Using dedicated equipment only for this resident.
Correct Answer: B
Explanation: Standard Precautions apply to all residents, regardless of their diagnosis.
Gloves are required when there is a potential for contact with blood, body fluids, or
non-intact skin. A mask and gown are not necessary for basic care unless splashing is
anticipated. Isolation for HIV is not indicated.
, Question 7
While a CNA is ambulating a resident, the resident grabs the CNA's arm and says "I
feel like I'm going to fall." What is the CNA's best immediate response?
A. Tell the resident to hold onto the CNA more tightly.
B. Widen the CNA's base of support and lower the resident's center of gravity.
C. Use a gait belt to pull the resident upright.
D. Call for help immediately and wait for assistance.
Correct Answer: B
Explanation: The priority is to prevent the fall. By widening the base of support and
lowering the center of gravity, the CNA provides the most stable platform for the
resident. The CNA can then slowly lower the resident to the nearest chair or the floor
if necessary. Calling for help is important but not the immediate priority; the CNA
must take action to stabilize the resident first.
Question 8
A resident is on a 1500 mL fluid restriction per day. The resident has consumed 800
mL from 7 AM to 3 PM. If the resident must receive 40% of the remaining fluid
allowance during the evening shift, how many mL should the resident receive?
A. 280 mL
B. 300 mL
C. 420 mL
D. 480 mL
Correct Answer: A
Explanation: The remaining fluid allowance is 1500 mL - 800 mL = 700 mL. 40% of
700 mL is 0.40 x 700 = 280 mL.
Question 9
A resident with a urinary catheter has a drainage bag that is nearly full. What is the
correct technique for emptying the bag?
A. Empty the bag by pouring the urine into the toilet, ensuring the measuring
container does not touch the bag's spout.
B. Empty the bag into a pitcher and then record the output.
C. Disconnect the bag from the catheter to empty it more easily.
D. Empty the bag using the same gloves as when providing perineal care.
Correct Answer: A
Explanation: The drainage bag should be emptied by opening the spout and allowing
