Illinois CNA State Ultimate Exam
**Question 1.** Which of the following is the most appropriate way to perform a
bed bath for a resident with limited mobility on the left side?
A) Wash the right side first, then the left side
B) Wash the left side first, then the right side
C) Wash only the right side to avoid discomfort
D) Use a single washcloth for the entire body
Answer: B
Explanation: Starting with the weaker or limited side (left) prevents the resident
from becoming fatigued before the more demanding tasks are completed.
**Question 2.** When assisting a resident with perineal care, the CNA should:
A) Apply soap directly to the resident’s skin
B) Use a clean, damp washcloth for each stroke
C) Perform a vigorous scrub to ensure cleanliness
D) Use the same washcloth for the entire perineal area
Answer: B
Explanation: A damp washcloth reduces friction and skin irritation; each stroke
should use a clean portion of the cloth to maintain hygiene.
**Question 3.** The best technique for denture cleaning is:
A) Rinsing with hot water only
B) Brushing with regular toothpaste and a hard brush
C) Soaking in a denture cleanser and brushing with a soft brush
, Illinois CNA State Ultimate Exam
D) Scrubbing with a metal brush
Answer: C
Explanation: Denture cleansers are formulated for acrylic material; a soft brush
prevents damage while cleaning.
**Question 4.** When assisting a resident with shaving, the CNA should:
A) Use a single blade for the entire session
B) Shave against the grain to achieve a closer shave
C) Apply a warm, moist towel to the area before shaving
D) Shave quickly to minimize time
Answer: C
Explanation: Warm, moist towels soften hair and skin, reducing irritation and risk
of cuts.
**Question 5.** A resident has a right-sided weakness after a stroke. Which
dressing technique promotes independence?
A) Dress the left side first, then the right side
B) Dress the right side first, then the left side
C) Use a full-body gown that requires no arm movement
D) Allow the resident to dress completely unaided
Answer: B
Explanation: Dressing the weaker side first ensures the resident can use the
stronger side to pull garments over the weaker side.
, Illinois CNA State Ultimate Exam
**Question 6.** The CNA notices a resident’s lips are dry during a feeding assist.
The most appropriate action is:
A) Offer a sip of water if the resident is able to swallow
B) Apply petroleum jelly to the lips immediately
C) Ignore it; it is not a medical issue
D) Stop the feeding and call the RN
Answer: A
Explanation: Offering water (if safe) can alleviate dryness; petroleum jelly may
cause aspiration if the resident is not fully alert.
**Question 7.** Which of the following is a common choking hazard for residents
receiving pureed diets?
A) Soft bread cubes
B) Small pieces of fruit
C) Thickened liquids
D) Whole grapes
Answer: D
Explanation: Whole grapes can obstruct the airway; pureed diets should avoid
whole grapes.
**Question 8.** When documenting fluid intake, the CNA should:
A) Record only the total volume of water consumed
B) Include all oral fluids, IV fluids, and tube feedings
, Illinois CNA State Ultimate Exam
C) Estimate intake if the resident cannot report
D) Document only the fluids the resident refuses
Answer: B
Explanation: Accurate I&O includes all sources of fluid intake to assess hydration
status.
**Question 9.** The most appropriate method for emptying a bedside commode
after use is:
A) Pour the contents into the sink
B) Use a disposable liner, seal it, and place it in a biohazard bag
C) Flush the contents directly down the toilet
D) Transfer the waste to a larger container for later disposal
Answer: B
Explanation: A disposable liner protects staff and prevents cross-contamination; it
must be sealed and disposed of according to facility policy.
**Question 10.** A resident reports mild pain after a repositioning maneuver.
The CNA should:
A) Give the resident an over-the-counter pain medication
B) Document the pain level and notify the RN immediately
C) Ignore the complaint if the resident appears calm
D) Continue repositioning to avoid further pain
Answer: B
**Question 1.** Which of the following is the most appropriate way to perform a
bed bath for a resident with limited mobility on the left side?
A) Wash the right side first, then the left side
B) Wash the left side first, then the right side
C) Wash only the right side to avoid discomfort
D) Use a single washcloth for the entire body
Answer: B
Explanation: Starting with the weaker or limited side (left) prevents the resident
from becoming fatigued before the more demanding tasks are completed.
**Question 2.** When assisting a resident with perineal care, the CNA should:
A) Apply soap directly to the resident’s skin
B) Use a clean, damp washcloth for each stroke
C) Perform a vigorous scrub to ensure cleanliness
D) Use the same washcloth for the entire perineal area
Answer: B
Explanation: A damp washcloth reduces friction and skin irritation; each stroke
should use a clean portion of the cloth to maintain hygiene.
**Question 3.** The best technique for denture cleaning is:
A) Rinsing with hot water only
B) Brushing with regular toothpaste and a hard brush
C) Soaking in a denture cleanser and brushing with a soft brush
, Illinois CNA State Ultimate Exam
D) Scrubbing with a metal brush
Answer: C
Explanation: Denture cleansers are formulated for acrylic material; a soft brush
prevents damage while cleaning.
**Question 4.** When assisting a resident with shaving, the CNA should:
A) Use a single blade for the entire session
B) Shave against the grain to achieve a closer shave
C) Apply a warm, moist towel to the area before shaving
D) Shave quickly to minimize time
Answer: C
Explanation: Warm, moist towels soften hair and skin, reducing irritation and risk
of cuts.
**Question 5.** A resident has a right-sided weakness after a stroke. Which
dressing technique promotes independence?
A) Dress the left side first, then the right side
B) Dress the right side first, then the left side
C) Use a full-body gown that requires no arm movement
D) Allow the resident to dress completely unaided
Answer: B
Explanation: Dressing the weaker side first ensures the resident can use the
stronger side to pull garments over the weaker side.
, Illinois CNA State Ultimate Exam
**Question 6.** The CNA notices a resident’s lips are dry during a feeding assist.
The most appropriate action is:
A) Offer a sip of water if the resident is able to swallow
B) Apply petroleum jelly to the lips immediately
C) Ignore it; it is not a medical issue
D) Stop the feeding and call the RN
Answer: A
Explanation: Offering water (if safe) can alleviate dryness; petroleum jelly may
cause aspiration if the resident is not fully alert.
**Question 7.** Which of the following is a common choking hazard for residents
receiving pureed diets?
A) Soft bread cubes
B) Small pieces of fruit
C) Thickened liquids
D) Whole grapes
Answer: D
Explanation: Whole grapes can obstruct the airway; pureed diets should avoid
whole grapes.
**Question 8.** When documenting fluid intake, the CNA should:
A) Record only the total volume of water consumed
B) Include all oral fluids, IV fluids, and tube feedings
, Illinois CNA State Ultimate Exam
C) Estimate intake if the resident cannot report
D) Document only the fluids the resident refuses
Answer: B
Explanation: Accurate I&O includes all sources of fluid intake to assess hydration
status.
**Question 9.** The most appropriate method for emptying a bedside commode
after use is:
A) Pour the contents into the sink
B) Use a disposable liner, seal it, and place it in a biohazard bag
C) Flush the contents directly down the toilet
D) Transfer the waste to a larger container for later disposal
Answer: B
Explanation: A disposable liner protects staff and prevents cross-contamination; it
must be sealed and disposed of according to facility policy.
**Question 10.** A resident reports mild pain after a repositioning maneuver.
The CNA should:
A) Give the resident an over-the-counter pain medication
B) Document the pain level and notify the RN immediately
C) Ignore the complaint if the resident appears calm
D) Continue repositioning to avoid further pain
Answer: B
