CNA WRITTEN EXAMINATION
Prometric Practice Test
2026/2027
Comprehensive Nurse Aide Competency Assessment
State Nurse Aide Registry / Prometric Testing Services
60 Multiple-Choice Questions with Detailed Rationales
Exam-Style Practice | 100% Verified | Graded A+
Total Questions: 60 MCQ
Testing Time: 90 Minutes
Format: Computer-Based | Proctored at Prometric Centers
Passing Score: 70-75% (42-45/60 Correct)
Content Domains: Basic Nursing/ADLs | Safety & Emergency | Communication | Resident Rights |
Mental Health | Restorative Services
Aligned with OBRA '87 Regulations and Prometric CNA Testing Standards
, TABLE OF CONTENTS
Domain 1: Basic Nursing Skills & Activities of Daily Living (ADLs) (Q1 – Q15) [25%]
Personal Care: Bathing/Oral Care/Dressing/Grooming (Q1 – Q5)
Mobility Assistance: Transfer/Positioning/ROM (Q6 – Q10)
Nutrition Support: Feeding/Aspiration Precautions/I&O (Q11 – Q13)
Elimination Care: Bedpan/Catheter/Incontinence (Q14 – Q15)
Domain 2: Safety & Emergency Procedures (Q16 – Q27) [20%]
Infection Control: Standard Precautions/PPE/Isolation (Q16 – Q20)
Fall Prevention: Risk Assessment/Bed Alarms (Q21 – Q23)
Fire Safety: RACE/PASS Protocols (Q24 – Q25)
Emergency Response: Choking/CPR/Calling for Help (Q26 – Q27)
Domain 3: Communication & Interpersonal Skills (Q28 – Q35) [13%]
Therapeutic Communication: Active Listening/Validation (Q28 – Q31)
Reporting & Documentation: Objective Data/SBAR/Incident Reports (Q32 – Q34)
Resident & Family Interaction: Cultural Humility/Privacy (Q35)
Domain 4: Resident Rights & Ethical Practice (Q36 – Q45) [17%]
OBRA '87 Resident Rights: Dignity/Choice/Privacy/Restraint-Free (Q36 – Q39)
Abuse/Neglect Recognition & Mandatory Reporting (Q40 – Q42)
Informed Consent & Advance Directives (Q43 – Q44)
Professional Boundaries: Gifts/Social Media/Dual Relationships (Q45)
Domain 5: Mental Health & Cognitive Support (Q46 – Q53) [13%]
Dementia Care: Validation/Redirection/Sundowning (Q46 – Q49)
Behavioral Interventions: De-escalation/Trigger Identification (Q50 – Q52)
Emotional Support: Active Listening/Referral to Nurse (Q53)
Domain 6: Basic Restorative Services & Observation (Q54 – Q60) [12%]
Skin Integrity: Pressure Injury Prevention/Skin Assessment (Q54 – Q56)
Vital Signs: Temperature/Pulse/Respiration/BP (Q57 – Q58)
Pain Observation: PAINAD/Non-Verbal Cues (Q59)
End-of-Life Care: Comfort Measures/Post-Mortem Care (Q60)
, ━━━ DOMAIN 1: BASIC NURSING SKILLS & ACTIVITIES OF DAILY LIVING (ADLS) ━━
━
Q1 – Q15 | 25% of Examination
▸ Personal Care: Bathing, Oral Care, Dressing & Grooming
1. Mrs. Jenkins, a 78-year-old resident, has limited mobility in her right arm due to a
recent stroke. When assisting her with a partial bath, which approach best promotes her
independence while ensuring cleanliness?
A. A) Wash her entire body yourself to ensure she is thoroughly cleaned
B. B) Allow her to wash her left side independently while you assist with the right side
C. C) Skip bathing the right arm since she cannot reach it herself
D. D) Have her watch you bathe her so she can learn the technique for next time
Correct Answer: B
Rationale: Person-centered care under OBRA '87 requires the nurse aide to promote the resident's
highest level of independence. Allowing Mrs. Jenkins to wash the side she can reach independently
while assisting with the affected side preserves her dignity, maintains function, and ensures
complete hygiene. Skipping body parts or doing everything for the resident does not support
rehabilitation or autonomy.
2. While providing oral care for Mr. Torres, who is unconscious, the nurse aide notices he
begins to cough and sputter. Which action should the nurse aide take FIRST?
A. A) Turn Mr. Torres onto his side to allow fluid to drain from his mouth
B. B) Suction his airway using the wall-mounted suction device
C. C) Raise the head of his bed to a 90-degree angle
D. D) Continue oral care but use less water on the swab
Correct Answer: A
Rationale: When an unconscious resident shows signs of aspiration during oral care, the
immediate priority is to turn the person onto their side to allow fluids to drain from the mouth and
prevent further aspiration into the lungs. The nurse aide should stop the procedure, position the
resident safely, and then notify the nurse. Raising the head of bed is appropriate for feeding but not
sufficient when aspiration is actively occurring in an unconscious person.
3. Ms. Patel has severe arthritis in both hands and struggles with buttons and zippers.
Which dressing adaptation is MOST appropriate for the nurse aide to recommend to
promote her independence?
A. A) Dress Ms. Patel completely each morning to save her time and frustration
B. B) Suggest clothing with elastic waistbands and Velcro closures instead of buttons
and zippers
C. C) Tell Ms. Patel she must learn to manage buttons on her own to maintain finger dexterity
D. D) Remove all challenging clothing from Ms. Patel's wardrobe and replace it with hospital gowns
Correct Answer: B
Rationale: Adaptive clothing such as elastic waistbands and Velcro closures allows residents with
arthritis to dress more independently while maintaining dignity and personal choice. This approach
aligns with OBRA's emphasis on promoting self-care and person-centered care. Dressing the
resident completely removes independence, while hospital gowns are inappropriate for daily wear
and undermine dignity.
Prometric Practice Test
2026/2027
Comprehensive Nurse Aide Competency Assessment
State Nurse Aide Registry / Prometric Testing Services
60 Multiple-Choice Questions with Detailed Rationales
Exam-Style Practice | 100% Verified | Graded A+
Total Questions: 60 MCQ
Testing Time: 90 Minutes
Format: Computer-Based | Proctored at Prometric Centers
Passing Score: 70-75% (42-45/60 Correct)
Content Domains: Basic Nursing/ADLs | Safety & Emergency | Communication | Resident Rights |
Mental Health | Restorative Services
Aligned with OBRA '87 Regulations and Prometric CNA Testing Standards
, TABLE OF CONTENTS
Domain 1: Basic Nursing Skills & Activities of Daily Living (ADLs) (Q1 – Q15) [25%]
Personal Care: Bathing/Oral Care/Dressing/Grooming (Q1 – Q5)
Mobility Assistance: Transfer/Positioning/ROM (Q6 – Q10)
Nutrition Support: Feeding/Aspiration Precautions/I&O (Q11 – Q13)
Elimination Care: Bedpan/Catheter/Incontinence (Q14 – Q15)
Domain 2: Safety & Emergency Procedures (Q16 – Q27) [20%]
Infection Control: Standard Precautions/PPE/Isolation (Q16 – Q20)
Fall Prevention: Risk Assessment/Bed Alarms (Q21 – Q23)
Fire Safety: RACE/PASS Protocols (Q24 – Q25)
Emergency Response: Choking/CPR/Calling for Help (Q26 – Q27)
Domain 3: Communication & Interpersonal Skills (Q28 – Q35) [13%]
Therapeutic Communication: Active Listening/Validation (Q28 – Q31)
Reporting & Documentation: Objective Data/SBAR/Incident Reports (Q32 – Q34)
Resident & Family Interaction: Cultural Humility/Privacy (Q35)
Domain 4: Resident Rights & Ethical Practice (Q36 – Q45) [17%]
OBRA '87 Resident Rights: Dignity/Choice/Privacy/Restraint-Free (Q36 – Q39)
Abuse/Neglect Recognition & Mandatory Reporting (Q40 – Q42)
Informed Consent & Advance Directives (Q43 – Q44)
Professional Boundaries: Gifts/Social Media/Dual Relationships (Q45)
Domain 5: Mental Health & Cognitive Support (Q46 – Q53) [13%]
Dementia Care: Validation/Redirection/Sundowning (Q46 – Q49)
Behavioral Interventions: De-escalation/Trigger Identification (Q50 – Q52)
Emotional Support: Active Listening/Referral to Nurse (Q53)
Domain 6: Basic Restorative Services & Observation (Q54 – Q60) [12%]
Skin Integrity: Pressure Injury Prevention/Skin Assessment (Q54 – Q56)
Vital Signs: Temperature/Pulse/Respiration/BP (Q57 – Q58)
Pain Observation: PAINAD/Non-Verbal Cues (Q59)
End-of-Life Care: Comfort Measures/Post-Mortem Care (Q60)
, ━━━ DOMAIN 1: BASIC NURSING SKILLS & ACTIVITIES OF DAILY LIVING (ADLS) ━━
━
Q1 – Q15 | 25% of Examination
▸ Personal Care: Bathing, Oral Care, Dressing & Grooming
1. Mrs. Jenkins, a 78-year-old resident, has limited mobility in her right arm due to a
recent stroke. When assisting her with a partial bath, which approach best promotes her
independence while ensuring cleanliness?
A. A) Wash her entire body yourself to ensure she is thoroughly cleaned
B. B) Allow her to wash her left side independently while you assist with the right side
C. C) Skip bathing the right arm since she cannot reach it herself
D. D) Have her watch you bathe her so she can learn the technique for next time
Correct Answer: B
Rationale: Person-centered care under OBRA '87 requires the nurse aide to promote the resident's
highest level of independence. Allowing Mrs. Jenkins to wash the side she can reach independently
while assisting with the affected side preserves her dignity, maintains function, and ensures
complete hygiene. Skipping body parts or doing everything for the resident does not support
rehabilitation or autonomy.
2. While providing oral care for Mr. Torres, who is unconscious, the nurse aide notices he
begins to cough and sputter. Which action should the nurse aide take FIRST?
A. A) Turn Mr. Torres onto his side to allow fluid to drain from his mouth
B. B) Suction his airway using the wall-mounted suction device
C. C) Raise the head of his bed to a 90-degree angle
D. D) Continue oral care but use less water on the swab
Correct Answer: A
Rationale: When an unconscious resident shows signs of aspiration during oral care, the
immediate priority is to turn the person onto their side to allow fluids to drain from the mouth and
prevent further aspiration into the lungs. The nurse aide should stop the procedure, position the
resident safely, and then notify the nurse. Raising the head of bed is appropriate for feeding but not
sufficient when aspiration is actively occurring in an unconscious person.
3. Ms. Patel has severe arthritis in both hands and struggles with buttons and zippers.
Which dressing adaptation is MOST appropriate for the nurse aide to recommend to
promote her independence?
A. A) Dress Ms. Patel completely each morning to save her time and frustration
B. B) Suggest clothing with elastic waistbands and Velcro closures instead of buttons
and zippers
C. C) Tell Ms. Patel she must learn to manage buttons on her own to maintain finger dexterity
D. D) Remove all challenging clothing from Ms. Patel's wardrobe and replace it with hospital gowns
Correct Answer: B
Rationale: Adaptive clothing such as elastic waistbands and Velcro closures allows residents with
arthritis to dress more independently while maintaining dignity and personal choice. This approach
aligns with OBRA's emphasis on promoting self-care and person-centered care. Dressing the
resident completely removes independence, while hospital gowns are inappropriate for daily wear
and undermine dignity.
