CNA COMPREHENSIVE EXAMINATION
2026/2027 QUESTIONS AND ANSWERS
1. According to the Omnibus Budget Reconciliation Act (OBRA), what is the minimum number
of training hours required for a Certified Nursing Assistant?
A. 40 hours
B. 75 hours
C. 100 hours
D. 120 hours
Answer: B
Conceptual Explanation: OBRA mandates a minimum of 75 hours of training, although
many states require more.
2. Which of the following acts by a CNA would be considered ‘malpractice’?
A. Shouting at a resident for being slow
B. Performing a task outside the scope of practice that results in injury
C. Forgetting to lock the wheels on a bed during a transfer
D. Stealing money from a resident’s nightstand
,Answer: B
Conceptual Explanation: Malpractice involves professional misconduct or lack of skill in
performance of professional duties, often involving tasks outside the scope of practice.
3. A resident is diagnosed with Clostridioides difficile (C. diff). Which infection control
measure is mandatory for the CNA?
A. Using alcohol-based hand rub after care
B. Wearing a surgical mask only
C. Washing hands with soap and water after care
D. Limiting the resident’s fluid intake
Answer: C
Conceptual Explanation: C. diff spores are resistant to alcohol-based sanitizers; physical
friction with soap and water is required to remove them.
4. What is the first sign of a developing pressure injury in a light-skinned resident?
A. A blister or broken skin
B. A cool, purple area of skin
C. Yellow drainage from a wound
D. Non-blanchable redness
Answer: D
, Conceptual Explanation: Stage 1 pressure injuries are characterized by non-blanchable
erythema (redness that does not turn white when pressed).
5. A resident has a right-sided weakness (hemiparesis). When assisting the resident to dress,
which side should the CNA dress first?
A. The left side
B. It does not matter
C. The stronger side
D. The right side
Answer: D
Conceptual Explanation: When dressing a resident with one-sided weakness, always
dress the weak (affected) side first to reduce strain.
6. What is the specific term for a pulse rate that is consistently over 100 beats per minute?
A. Tachycardia
B. Hypertension
C. Bradycardia
D. Arrhythmia
Answer: A
Conceptual Explanation: Tachycardia is defined as a heart rate greater than 100 beats per
minute in an adult.
2026/2027 QUESTIONS AND ANSWERS
1. According to the Omnibus Budget Reconciliation Act (OBRA), what is the minimum number
of training hours required for a Certified Nursing Assistant?
A. 40 hours
B. 75 hours
C. 100 hours
D. 120 hours
Answer: B
Conceptual Explanation: OBRA mandates a minimum of 75 hours of training, although
many states require more.
2. Which of the following acts by a CNA would be considered ‘malpractice’?
A. Shouting at a resident for being slow
B. Performing a task outside the scope of practice that results in injury
C. Forgetting to lock the wheels on a bed during a transfer
D. Stealing money from a resident’s nightstand
,Answer: B
Conceptual Explanation: Malpractice involves professional misconduct or lack of skill in
performance of professional duties, often involving tasks outside the scope of practice.
3. A resident is diagnosed with Clostridioides difficile (C. diff). Which infection control
measure is mandatory for the CNA?
A. Using alcohol-based hand rub after care
B. Wearing a surgical mask only
C. Washing hands with soap and water after care
D. Limiting the resident’s fluid intake
Answer: C
Conceptual Explanation: C. diff spores are resistant to alcohol-based sanitizers; physical
friction with soap and water is required to remove them.
4. What is the first sign of a developing pressure injury in a light-skinned resident?
A. A blister or broken skin
B. A cool, purple area of skin
C. Yellow drainage from a wound
D. Non-blanchable redness
Answer: D
, Conceptual Explanation: Stage 1 pressure injuries are characterized by non-blanchable
erythema (redness that does not turn white when pressed).
5. A resident has a right-sided weakness (hemiparesis). When assisting the resident to dress,
which side should the CNA dress first?
A. The left side
B. It does not matter
C. The stronger side
D. The right side
Answer: D
Conceptual Explanation: When dressing a resident with one-sided weakness, always
dress the weak (affected) side first to reduce strain.
6. What is the specific term for a pulse rate that is consistently over 100 beats per minute?
A. Tachycardia
B. Hypertension
C. Bradycardia
D. Arrhythmia
Answer: A
Conceptual Explanation: Tachycardia is defined as a heart rate greater than 100 beats per
minute in an adult.
