CNA STATE EXAM PRACTICE TEST
BANK CERTIFIED NURSING
ASSISTANT COMPREHENSIVE
CERTIFICATION EXAMINATION 100
PRACTICE QUESTIONS WITH
DETAILED RATIONALES
DOCUMENT DESCRIPTION
The CNA State Exam Practice Test Bank is designed to prepare candidates for successful
completion of the Certified Nursing Assistant (CNA) State Certification Examination. The
examination reflects the knowledge and skills commonly tested on state CNA competency
evaluations, emphasizing patient safety, infection control, communication, basic nursing care,
resident rights, personal care skills, and observation and reporting responsibilities.
This comprehensive examination includes foundational nursing assistant concepts frequently
encountered in long-term care facilities, hospitals, rehabilitation centers, assisted living
environments, and home health settings.
Content areas covered include:
• Infection Prevention and Control
• Hand Hygiene
• Standard Precautions
• Personal Protective Equipment (PPE)
• Resident Rights
• Communication Skills
• Safety and Emergency Procedures
,• Vital Signs
• Personal Care and Hygiene
• Nutrition and Hydration
• Mobility and Positioning
• Elimination Needs
• Skin Integrity
• Restorative Care
• Mental Health and Social Needs
• Documentation and Reporting
• End-of-Life Care
• Dementia and Alzheimer's Care
• Ethical and Legal Responsibilities
• CNA Professional Practice
, PRACTICE QUESTIONS
Question One
A nursing assistant should perform hand hygiene at which time?
A. Only after providing care
B. Only before providing care
C. Before and after resident contact
D. At the end of the shift only
Correct Answer: C. Before and after resident contact
Rationale: Hand hygiene is the most effective method of preventing the spread of infection
and should be performed before and after every resident interaction.
Question Two
A nursing assistant enters a resident's room to provide care. What should the nursing assistant
do first?
A. Begin the procedure
B. Introduce themselves and identify the resident
C. Lower the bed
D. Gather supplies after starting care
Correct Answer: B. Introduce themselves and identify the resident
Rationale: Proper identification and introduction promote resident safety, communication,
and respect.
Question Three
, Which personal protective equipment (PPE) should be worn when contact with blood is
anticipated?
A. Gloves
B. Shoe covers only
C. Hair net only
D. Face shield only
Correct Answer: A. Gloves
Rationale: Gloves provide protection from exposure to blood and body fluids and are
required under standard precautions.
Question Four
A nursing assistant observes a resident suddenly become short of breath. What action should
be taken first?
A. Document the finding
B. Notify the nurse immediately
C. Finish other assigned tasks
D. Offer additional food
Correct Answer: B. Notify the nurse immediately
Rationale: Shortness of breath may indicate a serious medical condition requiring prompt
nursing assessment.
Question Five
Which vital sign measures the force of blood against arterial walls?
A. Pulse
B. Respirations
C. Temperature
D. Blood pressure
BANK CERTIFIED NURSING
ASSISTANT COMPREHENSIVE
CERTIFICATION EXAMINATION 100
PRACTICE QUESTIONS WITH
DETAILED RATIONALES
DOCUMENT DESCRIPTION
The CNA State Exam Practice Test Bank is designed to prepare candidates for successful
completion of the Certified Nursing Assistant (CNA) State Certification Examination. The
examination reflects the knowledge and skills commonly tested on state CNA competency
evaluations, emphasizing patient safety, infection control, communication, basic nursing care,
resident rights, personal care skills, and observation and reporting responsibilities.
This comprehensive examination includes foundational nursing assistant concepts frequently
encountered in long-term care facilities, hospitals, rehabilitation centers, assisted living
environments, and home health settings.
Content areas covered include:
• Infection Prevention and Control
• Hand Hygiene
• Standard Precautions
• Personal Protective Equipment (PPE)
• Resident Rights
• Communication Skills
• Safety and Emergency Procedures
,• Vital Signs
• Personal Care and Hygiene
• Nutrition and Hydration
• Mobility and Positioning
• Elimination Needs
• Skin Integrity
• Restorative Care
• Mental Health and Social Needs
• Documentation and Reporting
• End-of-Life Care
• Dementia and Alzheimer's Care
• Ethical and Legal Responsibilities
• CNA Professional Practice
, PRACTICE QUESTIONS
Question One
A nursing assistant should perform hand hygiene at which time?
A. Only after providing care
B. Only before providing care
C. Before and after resident contact
D. At the end of the shift only
Correct Answer: C. Before and after resident contact
Rationale: Hand hygiene is the most effective method of preventing the spread of infection
and should be performed before and after every resident interaction.
Question Two
A nursing assistant enters a resident's room to provide care. What should the nursing assistant
do first?
A. Begin the procedure
B. Introduce themselves and identify the resident
C. Lower the bed
D. Gather supplies after starting care
Correct Answer: B. Introduce themselves and identify the resident
Rationale: Proper identification and introduction promote resident safety, communication,
and respect.
Question Three
, Which personal protective equipment (PPE) should be worn when contact with blood is
anticipated?
A. Gloves
B. Shoe covers only
C. Hair net only
D. Face shield only
Correct Answer: A. Gloves
Rationale: Gloves provide protection from exposure to blood and body fluids and are
required under standard precautions.
Question Four
A nursing assistant observes a resident suddenly become short of breath. What action should
be taken first?
A. Document the finding
B. Notify the nurse immediately
C. Finish other assigned tasks
D. Offer additional food
Correct Answer: B. Notify the nurse immediately
Rationale: Shortness of breath may indicate a serious medical condition requiring prompt
nursing assessment.
Question Five
Which vital sign measures the force of blood against arterial walls?
A. Pulse
B. Respirations
C. Temperature
D. Blood pressure
