Exam 2026/2027 | Verified Questions
National Network of Career Nursing Assistants (NNAAP) /
State Boards of Nursing | Verified Q&A | Professional Nursing
Assistant Candidates
Comprehensive 70-Question Original Actual Exam Set | 60 standard
items and 10 reading-comprehension items | 2026/2027
Introduction
This 2026/2027 comprehensive 70-question actual exam set provides original questions covering Safety and
Infection Control, Basic Nursing Skills and Personal Care, Restorative and Psychosocial Care, and Role of the
Nurse Aide and Legal/Ethical Issues. The set includes 60 standard items and 10 reading-comprehension items
and is designed to reinforce official GNA certification objectives for actual exam readiness and clinical competency
by strengthening resident safety, infection control, personal care, vital signs, mobility assistance, restorative
support, dementia communication, resident rights, reporting duties, and ethical nurse aide boundaries. Each item
includes Verified Questions with concise rationales grounded in NNAAP examination guidance, CDC infection
control standards, and state nurse aide regulations.
Domain: Safety and Infection Control
1. When should a geriatric nursing assistant perform hand hygiene?
A. Before and after resident contact and after removing gloves
B. Only at the beginning of the shift
C. Only when hands look dirty
D. Only after meals
Correct Answer: A
Rationale: Hand hygiene before and after care and after glove removal is a core infection-control measure
that reduces transmission.
2. Which action is correct when using gloves for perineal care?
A. Wash gloves for reuse with the next resident
B. Remove gloves and perform hand hygiene immediately after the task
C. Touch clean supplies with contaminated gloves
D. Keep gloves on for hallway charting
Correct Answer: B
Rationale: Gloves do not replace hand hygiene and must be removed after contaminated care to prevent
cross-contamination.
3. A resident is on contact precautions. Which PPE is commonly required before entering for
direct care?
A. Sunglasses only
B. No PPE if the visit is short
C. Gown and gloves as posted or directed
D. Sterile surgical gown for all contact
Correct Answer: C
GNA Geriatric Nursing Assistant Actual Exam 2026/2027 | Verified Questions
, Rationale: Contact precautions typically require gown and gloves for direct resident or environmental
contact as indicated by facility policy.
4. Which action helps prevent falls when assisting a resident to the bathroom?
A. Leave bed in the highest position
B. Rush the resident to avoid delay
C. Turn off the bathroom light
D. Ensure nonskid footwear, clear path, and call light within reach afterward
Correct Answer: D
Rationale: Fall prevention includes footwear, environmental safety, adequate lighting, and access to help.
5. Which resident should be reported immediately to the nurse?
A. A resident with sudden confusion and recent weakness
B. A resident requesting a sweater
C. A resident asking for television volume change
D. A resident preferring tea over coffee
Correct Answer: A
Rationale: Sudden confusion or weakness may indicate stroke, infection, hypoglycemia, or another urgent
change requiring nurse assessment.
6. What is the safest way to transfer a weak resident from bed to chair?
A. Pull the resident by both arms
B. Use a gait belt and follow the care plan with proper body mechanics
C. Let the resident hold the rolling bedside table
D. Lift alone even if help is required
Correct Answer: B
Rationale: A gait belt, care-plan directions, and proper mechanics reduce injury risk for resident and
assistant.
7. Which action is appropriate if a spill occurs in a hallway?
A. Walk away until housekeeping arrives
B. Cover it with paper only and leave
C. Block or mark the area and clean it promptly according to procedure
D. Tell residents to step around it without signage
Correct Answer: C
Rationale: Spills create slip hazards and require immediate warning and cleanup or proper notification.
8. Which procedure is safest for handling soiled linens?
A. Shake linens to remove crumbs
B. Place linens on the floor
C. Carry linens against the chest
D. Hold linens away from the uniform and place them in the correct hamper
Correct Answer: D
Rationale: Soiled linens may contain microorganisms; keeping them contained and away from clothing
reduces spread.
9. Which action is correct when a resident uses oxygen?
A. Keep smoking materials and open flames away from oxygen equipment
B. Apply petroleum jelly near the cannula
C. Turn oxygen flow up without permission
D. Store oxygen tubing under heavy furniture
Correct Answer: A
Rationale: Oxygen supports combustion, so flame and smoking precautions are essential.
10. A nursing assistant sees frayed wiring on a resident’s electric blanket. What should be done?
A. Tape the wire and continue using it
B. Remove it from use and report it to the nurse
C. Hide the blanket in the closet
GNA Geriatric Nursing Assistant Actual Exam 2026/2027 | Verified Questions