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Texas CNA State Certification Exam Questions and Correct Answers with Rationales

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This Texas CNA State Certification Exam review provides comprehensive practice questions with correct answers and detailed rationales focused on patient care, vital signs, infection control, mobility assistance, hygiene care, safety procedures, and basic nursing skills. It is designed to strengthen caregiving competence, improve clinical confidence, and support successful CNA certification exam preparation in Texas.

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Institution
Texas CNA State Certification
Course
Texas CNA State Certification

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Texas CNA State Certification Exam Questions
And Correct Answer with Rational (100%
verified answer) Q & A 2026 /
Instant download PDF



1. What is the primary purpose of hand hygiene in healthcare?
A. To remove visible dirt only
B. To prevent spread of infection
C. To make hands smell better
D. To replace gloves
Correct Answer: B
Rationale: Hand hygiene reduces microorganisms and prevents the spread of
infection.


2. A CNA should wash hands for at least:
A. 5 seconds
B. 10 seconds
C. 20 seconds
D. 40–60 seconds
Correct Answer: D
Rationale: Proper handwashing requires 40–60 seconds for effectiveness.


3. What is the normal adult pulse range?

,A. 40–60 bpm
B. 60–100 bpm
C. 100–140 bpm
D. 120–160 bpm
Correct Answer: B
Rationale: Normal adult pulse is 60–100 beats per minute.


4. Which position is used for a female genital exam?
A. Sims’ position
B. Supine position
C. Fowler’s position
D. Prone position
Correct Answer: A
Rationale: Sims’ position provides access for rectal or vaginal procedures.


5. The best way to prevent pressure ulcers is:
A. Massage reddened areas
B. Keep patient dry and reposition regularly
C. Limit fluid intake
D. Use hot compresses
Correct Answer: B
Rationale: Frequent repositioning and keeping skin dry prevent breakdown.


6. Normal respiratory rate for adults is:
A. 8–10
B. 12–20
C. 22–28
D. 30–40

, Correct Answer: B
Rationale: Normal adult respiration is 12–20 breaths per minute.


7. What is the first step before providing care?
A. Put on gloves
B. Check care plan
C. Give medication
D. Take vital signs
Correct Answer: B
Rationale: The care plan guides all safe CNA actions.


8. When a resident refuses care, the CNA should:
A. Force care
B. Report to nurse
C. Ignore refusal
D. Ask another CNA
Correct Answer: B
Rationale: Refusals must be reported to the nurse immediately.


9. Standard precautions apply to:
A. Only infected patients
B. All patients
C. Only elderly patients
D. Only ICU patients
Correct Answer: B
Rationale: Standard precautions are used with all patients.

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Institution
Texas CNA State Certification
Course
Texas CNA State Certification

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Uploaded on
May 19, 2026
Number of pages
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Written in
2025/2026
Type
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