2026/2027 – VERIFIED ANSWERS, DETAILED
RATIONALES & EXAM PREP
CNA PRACTICE MULTIPLE-CHOICE TEST 2026/2027 – VERIFIED ANSWERS,
DETAILED RATIONALES & EXAM PREP
• This comprehensive practice exam contains 300 verified questions with detailed
rationales designed to strengthen clinical knowledge and test-taking strategies for
CNA certification success.
• Study this material by reviewing each question carefully, attempting to answer
before reviewing the rationale, and focusing on areas of weakness to improve exam
readiness.
QUESTION 1
When assisting a patient with activities of daily living, a CNA should prioritize which
action first?
A) Completing the task as quickly as possible
B) Washing hands and maintaining standard precautions
C) Asking the patient about their comfort level
D) Documenting the activity after completion
E) Using only non-latex gloves
CORRECT ANSWER: B) Washing hands and maintaining standard precautions
Infection control is the foundation of all patient care. Hand hygiene and standard
precautions must be performed before any direct patient contact to prevent the
transmission of microorganisms and protect both the patient and healthcare
worker. This is a fundamental principle in all healthcare settings and is emphasized
in every CNA curriculum.
QUESTION 2
,A patient is experiencing confusion and disorientation. What is the most
appropriate initial response by a CNA?
A) Leave the patient alone to prevent agitation
B) Speak in loud voice to improve comprehension
C) Reorient the patient using calm, clear communication and call light within reach
D) Administer medications to calm the patient
E) Restrain the patient to prevent falls
CORRECT ANSWER: C) Reorient the patient using calm, clear communication
and call light within reach
Reorientation using calm, clear communication is a therapeutic nursing
intervention for confused patients. CNAs should speak clearly and slowly, use the
patient's name, state the date and location, and ensure safety by keeping the call
light accessible. This approach reduces anxiety and helps maintain patient dignity
while promoting safety without unnecessary restraints.
QUESTION 3
Which of the following is the proper technique for turning a patient in bed?
A) Use only arm strength to roll the patient quickly
B) Position yourself on the side the patient will turn toward, use proper body
mechanics, and keep the bed at waist level
C) Have the patient turn independently without assistance
D) Turn the patient rapidly to complete the task quickly
E) Use a slide sheet but no other body mechanics
CORRECT ANSWER: B) Position yourself on the side the patient will turn
toward, use proper body mechanics, and keep the bed at waist level
Proper body mechanics protect both the patient and the CNA from injury. The CNA
should position on the turning side, use legs rather than back muscles, keep the
,bed at waist level to reduce strain, and move smoothly and slowly. This prevents
back injury to the caregiver and ensures patient comfort and safety during
repositioning.
QUESTION 4
A patient with an indwelling urinary catheter reports no urine output in the past 8
hours. What should the CNA do?
A) Document this as normal
B) Immediately notify the nurse
C) Clamp the catheter
D) Increase fluid intake without reporting
E) Remove the catheter
CORRECT ANSWER: B) Immediately notify the nurse
Absence of urine output over an 8-hour period may indicate urinary retention,
catheter obstruction, or other medical complications. This must be reported to the
nurse immediately so appropriate assessment and intervention can be provided.
The CNA should never take independent action but must communicate findings to
the nursing staff promptly.
QUESTION 5
When collecting a urine specimen from a catheter, which technique is correct?
A) Collect urine from the drainage bag
B) Use sterile technique to collect from the catheter sampling port
C) Disconnect the catheter from the drainage bag
D) Collect urine directly into any clean container
E) Allow urine to sit in the bag before collection
, CORRECT ANSWER: B) Use sterile technique to collect from the catheter
sampling port
To maintain the sterile closed system of a catheter and prevent infection,
specimens must be collected from the designated sampling port using aseptic
technique. The catheter should never be disconnected from the drainage bag, and
the specimen should never be taken from the drainage bag where bacteria may
proliferate. This procedure prevents urinary tract infections and maintains the
integrity of the catheter system.
QUESTION 6
A patient refuses to bathe. What should the CNA do?
A) Force the patient to bathe
B) Respect the patient's refusal and document it
C) Tell the patient they will become ill if they don't bathe
D) Call security to assist with bathing
E) Bathe the patient during sleep
CORRECT ANSWER: B) Respect the patient's refusal and document it
Patient autonomy and right to refuse care must be respected. A competent patient
has the right to refuse any procedure. The CNA should acknowledge the refusal,
document it accurately including the reason if stated, and report to the nurse. The
nurse may then discuss the importance of hygiene and explore reasons for refusal.
Forcing care violates patient rights and consent laws.
QUESTION 7
Which vital sign should be taken first when assessing a patient?
A) Blood pressure
B) Temperature