PROMETRIC CNA ACTUAL EXAM & PRACTICE
GUIDE QUESTIONS COMPLETE WITH 100%
VERIFIED ANSWERS
1. A resident has a urinary catheter connected to a drainage bag. Which action
by the nurse aide shows correct handling of the catheter and the urinary
drainage bag while the resident is in bed?
A. Hang the urinary drainage bag higher than the level of the resident’s bladder.
B. Use the measurements on the drainage bag to measure urine output.
C. Raise the bed to the highest position for better urine drainage.
D. Wear gloves when emptying the urinary drainage bag.
Correct Answer: D. Wear gloves when emptying the urinary drainage bag.
Explanation: Standard infection control practices require wearing gloves when
handling body fluids, including urine from a drainage bag. The bag must hang
below the bladder to prevent backflow, and bed height does not improve drainage.
2. A resident wears a hand splint. Which observation should the nurse aide
report to the nurse immediately?
A. The resident's fingers are cold and blue in color.
B. The splint was removed as scheduled in the care plan.
C. The resident asks to have the splint removed for a few minutes.
D. The resident asks the nurse aide to reposition the arm with the splint.
Correct Answer: A. The resident's fingers are cold and blue in color.
Explanation: Cold, blue fingers indicate poor circulation or nerve damage, which is
an emergency requiring immediate nursing notification.
,3. Which statement is true about the effects of aging?
A. The aging process can be reversed with good health care.
B. Bladder incontinence is a normal part of aging.
C. Joints tend to be less flexible as a person ages.
D. Sensitivity to pain increases with age.
Correct Answer: C. Joints tend to be less flexible as a person ages.
Explanation: Loss of cartilage and joint stiffness are normal age-related changes.
Incontinence is not normal and should be evaluated; aging cannot be reversed;
pain sensitivity often decreases.
4. A resident is restrained. What observation should the nurse aide report to the
nurse immediately?
A. The resident states, "I do not like this thing."
B. The resident's position needs to be adjusted.
C. The resident has suddenly become very agitated.
D. The restraint was removed according to the care plan schedule.
Correct Answer: C. The resident has suddenly become very agitated.
Explanation: Sudden agitation may indicate a medical issue (e.g., hypoxia, pain, or
injury) or restraint complication requiring urgent assessment.
5. While feeding a resident, the nurse aide notices that the resident is coughing
a lot after each drink of fluid. What is the appropriate response by the nurse
aide?
A. Allow the resident more time to swallow.
B. Use a straw when giving the resident fluids.
C. Stop feeding and assess for choking or aspiration.
D. Thicken the fluids without consulting the nurse.
Correct Answer: C. Stop feeding and assess for choking or aspiration.
Explanation: Coughing after each drink is a sign of dysphagia or aspiration risk;
,feeding should stop, and the nurse should be notified. Thickening requires a
physician’s order.
6. A resident with diabetes complains of feeling shaky and weak. What is the
nurse aide’s priority action?
A. Give the resident orange juice immediately.
B. Check the resident’s blood sugar if trained.
C. Report the symptoms to the nurse.
D. Encourage the resident to rest for 15 minutes.
Correct Answer: C. Report the symptoms to the nurse.
Explanation: Shakiness and weakness may indicate hypoglycemia; the nurse must
assess and direct treatment. The aide should not give food or drink without a
specific care plan order for hypoglycemia.
7. Which of the following is the best way to prevent the spread of infection
when providing perineal care?
A. Use the same washcloth for the entire perineal area.
B. Wear gloves and wash from front to back.
C. Use hot water to kill germs on the skin.
D. Reuse the towel after drying the resident’s face.
Correct Answer: B. Wear gloves and wash from front to back.
Explanation: Front-to-back cleaning prevents introducing fecal bacteria into the
urinary tract; gloves are required for body fluid contact.
8. A resident who is on bed rest complains of calf pain and swelling in one leg.
What should the nurse aide do?
A. Massage the leg to relieve discomfort.
B. Apply a warm compress to the area.
C. Elevate the leg on two pillows.
D. Report the finding to the nurse immediately.
, Correct Answer: D. Report the finding to the nurse immediately.
Explanation: Calf pain and swelling suggest deep vein thrombosis (DVT); massage
can dislodge a clot, so the nurse must evaluate first.
9. When assisting a resident with denture care, what should the nurse aide do?
A. Clean dentures with hot water to sterilize them.
B. Store dentures in a dry, labeled cup.
C. Use a soft toothbrush and cool water to clean dentures.
D. Leave dentures in the mouth while brushing natural teeth.
Correct Answer: C. Use a soft toothbrush and cool water to clean dentures.
Explanation: Hot water can warp dentures; they should be stored moist, and
removed for cleaning.
10. A resident has an order for a mechanical soft diet. Which food item is
appropriate?
A. Steak with gravy.
B. Mashed potatoes and ground meat.
C. Whole nuts and seeds.
D. Raw carrots.
Correct Answer: B. Mashed potatoes and ground meat.
Explanation: Mechanical soft diets include foods that are easy to chew and
swallow, such as ground or mashed items.
11. When using a gait belt to transfer a resident, where should the belt be
placed?
A. Around the resident’s chest.
B. Over the resident’s clothing, around the waist.
C. Under the resident’s arms.
D. Around the resident’s thighs.
Correct Answer: B. Over the resident’s clothing, around the waist.
GUIDE QUESTIONS COMPLETE WITH 100%
VERIFIED ANSWERS
1. A resident has a urinary catheter connected to a drainage bag. Which action
by the nurse aide shows correct handling of the catheter and the urinary
drainage bag while the resident is in bed?
A. Hang the urinary drainage bag higher than the level of the resident’s bladder.
B. Use the measurements on the drainage bag to measure urine output.
C. Raise the bed to the highest position for better urine drainage.
D. Wear gloves when emptying the urinary drainage bag.
Correct Answer: D. Wear gloves when emptying the urinary drainage bag.
Explanation: Standard infection control practices require wearing gloves when
handling body fluids, including urine from a drainage bag. The bag must hang
below the bladder to prevent backflow, and bed height does not improve drainage.
2. A resident wears a hand splint. Which observation should the nurse aide
report to the nurse immediately?
A. The resident's fingers are cold and blue in color.
B. The splint was removed as scheduled in the care plan.
C. The resident asks to have the splint removed for a few minutes.
D. The resident asks the nurse aide to reposition the arm with the splint.
Correct Answer: A. The resident's fingers are cold and blue in color.
Explanation: Cold, blue fingers indicate poor circulation or nerve damage, which is
an emergency requiring immediate nursing notification.
,3. Which statement is true about the effects of aging?
A. The aging process can be reversed with good health care.
B. Bladder incontinence is a normal part of aging.
C. Joints tend to be less flexible as a person ages.
D. Sensitivity to pain increases with age.
Correct Answer: C. Joints tend to be less flexible as a person ages.
Explanation: Loss of cartilage and joint stiffness are normal age-related changes.
Incontinence is not normal and should be evaluated; aging cannot be reversed;
pain sensitivity often decreases.
4. A resident is restrained. What observation should the nurse aide report to the
nurse immediately?
A. The resident states, "I do not like this thing."
B. The resident's position needs to be adjusted.
C. The resident has suddenly become very agitated.
D. The restraint was removed according to the care plan schedule.
Correct Answer: C. The resident has suddenly become very agitated.
Explanation: Sudden agitation may indicate a medical issue (e.g., hypoxia, pain, or
injury) or restraint complication requiring urgent assessment.
5. While feeding a resident, the nurse aide notices that the resident is coughing
a lot after each drink of fluid. What is the appropriate response by the nurse
aide?
A. Allow the resident more time to swallow.
B. Use a straw when giving the resident fluids.
C. Stop feeding and assess for choking or aspiration.
D. Thicken the fluids without consulting the nurse.
Correct Answer: C. Stop feeding and assess for choking or aspiration.
Explanation: Coughing after each drink is a sign of dysphagia or aspiration risk;
,feeding should stop, and the nurse should be notified. Thickening requires a
physician’s order.
6. A resident with diabetes complains of feeling shaky and weak. What is the
nurse aide’s priority action?
A. Give the resident orange juice immediately.
B. Check the resident’s blood sugar if trained.
C. Report the symptoms to the nurse.
D. Encourage the resident to rest for 15 minutes.
Correct Answer: C. Report the symptoms to the nurse.
Explanation: Shakiness and weakness may indicate hypoglycemia; the nurse must
assess and direct treatment. The aide should not give food or drink without a
specific care plan order for hypoglycemia.
7. Which of the following is the best way to prevent the spread of infection
when providing perineal care?
A. Use the same washcloth for the entire perineal area.
B. Wear gloves and wash from front to back.
C. Use hot water to kill germs on the skin.
D. Reuse the towel after drying the resident’s face.
Correct Answer: B. Wear gloves and wash from front to back.
Explanation: Front-to-back cleaning prevents introducing fecal bacteria into the
urinary tract; gloves are required for body fluid contact.
8. A resident who is on bed rest complains of calf pain and swelling in one leg.
What should the nurse aide do?
A. Massage the leg to relieve discomfort.
B. Apply a warm compress to the area.
C. Elevate the leg on two pillows.
D. Report the finding to the nurse immediately.
, Correct Answer: D. Report the finding to the nurse immediately.
Explanation: Calf pain and swelling suggest deep vein thrombosis (DVT); massage
can dislodge a clot, so the nurse must evaluate first.
9. When assisting a resident with denture care, what should the nurse aide do?
A. Clean dentures with hot water to sterilize them.
B. Store dentures in a dry, labeled cup.
C. Use a soft toothbrush and cool water to clean dentures.
D. Leave dentures in the mouth while brushing natural teeth.
Correct Answer: C. Use a soft toothbrush and cool water to clean dentures.
Explanation: Hot water can warp dentures; they should be stored moist, and
removed for cleaning.
10. A resident has an order for a mechanical soft diet. Which food item is
appropriate?
A. Steak with gravy.
B. Mashed potatoes and ground meat.
C. Whole nuts and seeds.
D. Raw carrots.
Correct Answer: B. Mashed potatoes and ground meat.
Explanation: Mechanical soft diets include foods that are easy to chew and
swallow, such as ground or mashed items.
11. When using a gait belt to transfer a resident, where should the belt be
placed?
A. Around the resident’s chest.
B. Over the resident’s clothing, around the waist.
C. Under the resident’s arms.
D. Around the resident’s thighs.
Correct Answer: B. Over the resident’s clothing, around the waist.
