CNA COMPREHENSIVE FINAL EXAM
2026 QUESTIONS AND ANSWERS
1. A CNA is asked by a nurse to administer a medication through a gastric tube. Which action
is most appropriate?
A. Refuse the task and explain it is outside the scope of practice
B. Perform the task under the nurse’s direct supervision
C. Perform the task if the resident provides consent
D. Ask another CNA who has experience with this task to help
Answer: A
Conceptual Explanation: Administering medications through any route, including gastric
tubes, is outside the scope of practice for a CNA. One must refuse the task even if requested
by a supervisor.
2. When removing Personal Protective Equipment (PPE) after caring for a resident on contact
precautions, which item should be removed first?
A. Goggles or face shield
B. Gown
,C. Gloves
D. Mask or respirator
Answer: C
Conceptual Explanation: According to CDC guidelines, the most contaminated items
should be removed first. Gloves are considered the most contaminated and are removed
first to prevent contaminating the body or the environment during the removal of other
PPE.
3. An ombudsman’s primary responsibility is to:
A. Manage the facility’s budget and staffing levels
B. Investigate and resolve resident complaints regarding care and rights
C. Provide clinical oversight for nursing assistants
D. Conduct annual state inspections of the facility
Answer: B
Conceptual Explanation: An ombudsman is a legal advocate for residents who helps
resolve grievances and ensures that resident rights are protected.
4. While performing passive Range of Motion (ROM) exercises, the CNA notes the resident is
grimacing. The CNA should:
A. Continue the exercises but move more slowly
B. Stop the exercise and notify the nurse immediately
, C. Apply a warm compress to the joint and continue
D. Tell the resident that some pain is expected during therapy
Answer: B
Conceptual Explanation: ROM exercises should never be forced or performed past the
point of pain or resistance. Grimacing is a non-verbal sign of pain, requiring the CNA to stop
and report to the nurse.
5. Which of the following is an example of objective data?
A. The resident says they have a headache
B. The resident reports feeling nauseated
C. The resident’s blood pressure is 142/88 mmHg
D. The resident states they are feeling lonely
Answer: C
Conceptual Explanation: Objective data (signs) are measurable or observable facts, such
as vital signs or rashes. Subjective data (symptoms) are what the resident tells you they
feel.
6. A resident with Alzheimer’s disease becomes increasingly restless and agitated in the late
afternoon. This is known as:
A. Validation therapy
B. Catastrophic reaction
2026 QUESTIONS AND ANSWERS
1. A CNA is asked by a nurse to administer a medication through a gastric tube. Which action
is most appropriate?
A. Refuse the task and explain it is outside the scope of practice
B. Perform the task under the nurse’s direct supervision
C. Perform the task if the resident provides consent
D. Ask another CNA who has experience with this task to help
Answer: A
Conceptual Explanation: Administering medications through any route, including gastric
tubes, is outside the scope of practice for a CNA. One must refuse the task even if requested
by a supervisor.
2. When removing Personal Protective Equipment (PPE) after caring for a resident on contact
precautions, which item should be removed first?
A. Goggles or face shield
B. Gown
,C. Gloves
D. Mask or respirator
Answer: C
Conceptual Explanation: According to CDC guidelines, the most contaminated items
should be removed first. Gloves are considered the most contaminated and are removed
first to prevent contaminating the body or the environment during the removal of other
PPE.
3. An ombudsman’s primary responsibility is to:
A. Manage the facility’s budget and staffing levels
B. Investigate and resolve resident complaints regarding care and rights
C. Provide clinical oversight for nursing assistants
D. Conduct annual state inspections of the facility
Answer: B
Conceptual Explanation: An ombudsman is a legal advocate for residents who helps
resolve grievances and ensures that resident rights are protected.
4. While performing passive Range of Motion (ROM) exercises, the CNA notes the resident is
grimacing. The CNA should:
A. Continue the exercises but move more slowly
B. Stop the exercise and notify the nurse immediately
, C. Apply a warm compress to the joint and continue
D. Tell the resident that some pain is expected during therapy
Answer: B
Conceptual Explanation: ROM exercises should never be forced or performed past the
point of pain or resistance. Grimacing is a non-verbal sign of pain, requiring the CNA to stop
and report to the nurse.
5. Which of the following is an example of objective data?
A. The resident says they have a headache
B. The resident reports feeling nauseated
C. The resident’s blood pressure is 142/88 mmHg
D. The resident states they are feeling lonely
Answer: C
Conceptual Explanation: Objective data (signs) are measurable or observable facts, such
as vital signs or rashes. Subjective data (symptoms) are what the resident tells you they
feel.
6. A resident with Alzheimer’s disease becomes increasingly restless and agitated in the late
afternoon. This is known as:
A. Validation therapy
B. Catastrophic reaction
