NEW YORK REHABILITATION CNA CERTIFICATION EXAM | PRACTICE EXAM |
STUDY GUIDE | TESTBANK | LATEST UPDATE 2026/2027 | QUESTIONS | 100%
CORRECT ANSWERS
TABLE OF CONTENTS: I. Rehabilitation & Restorative Nursing Principles — Person-
Centered Rehabilitation; Functional Independence; Interdisciplinary Care. II. Mobility
& Transfer Skills — Transfers; Ambulation; Assistive Devices; Fall Prevention. III. Range
of Motion & Physical Function — Active/Passive ROM; Positioning; Contracture
Prevention. IV. ADLs & Adaptive Techniques — Dressing; Grooming; Eating; Toileting.
V. Cognitive, Psychosocial & Communication Needs — Dementia; Motivation;
Behavioral Support; Communication. VI. Safety, Infection Control & Emergency
Response — Standard Precautions; Falls; Aspiration; Emergency Reporting. VII.
Documentation, Ethics & Professional Practice — Care Plans; Documentation;
Delegation; Resident Rights. VIII. Discharge & Continuity of Care — Home Readiness;
Equipment; Care Transitions.
INTRODUCTION
This practice examination focuses on rehabilitation-oriented CNA practice in New
York nursing-home settings, emphasizing restorative nursing, functional
independence, safe mobility, activities of daily living, communication, resident
rights, documentation, and interdisciplinary care. New York’s approved nurse aide
curriculum specifically includes basic restorative services, alongside basic nursing
skills, personal care, mental-health and social-service needs, cognitive impairment,
and resident rights. The questions are intentionally application-heavy and require
judgment rather than simple memorization. Expect realistic clinical scenarios
involving changing functional status, transfers, assistive devices, rehabilitation goals,
safety risks, documentation, and appropriate escalation to licensed professionals.
The questions also reflect the distinction between CNA responsibilities and services
requiring licensed rehabilitation professionals.
QUESTION 1
A resident recovering from a cerebrovascular accident has a care plan requiring
assistance with ambulation using a walker. During today's rehabilitation session, the
resident demonstrates improved balance and begins reaching for the walker
independently. What is the CNA's BEST action?
,A. Remove the walker because the resident appears capable of walking
independently.
B. Encourage the resident to continue according to the established care plan and
report the observed improvement.
C. Increase the resident's walking distance substantially without consulting the
rehabilitation team.
D. Tell the resident to walk without assistance to promote independence.
Correct Answer: B
Explanation: The CNA should support independence within the established plan
while communicating meaningful functional changes to the nurse or
rehabilitation team. The CNA should not independently modify rehabilitation
goals or discontinue prescribed safety measures.
QUESTION 2
A resident with hemiparesis is being transferred from bed to wheelchair. The
wheelchair is positioned beside the resident, but its brakes are not locked. What
should the CNA do FIRST?
A. Ask the resident to stand while the CNA stabilizes the wheelchair.
B. Lock the wheelchair brakes before beginning the transfer.
C. Move the wheelchair farther away to create more transfer space.
D. Complete the transfer quickly before the resident becomes fatigued.
Correct Answer: B
Explanation: Wheelchair brakes must be secured before a transfer to prevent
movement and reduce the risk of a fall. Transfer safety takes priority over speed.
QUESTION 3
During passive range-of-motion exercises, a resident suddenly reports sharp pain in
the shoulder. The CNA observes resistance that was not present during previous
sessions. What is the MOST appropriate response?
A. Continue slowly because resistance is expected during rehabilitation.
B. Apply additional pressure to overcome the resistance.
,C. Stop the movement and report the pain and change in tolerance to the nurse.
D. Complete the exercise on the opposite extremity and disregard the complaint.
Correct Answer: C
Explanation: New sharp pain and unexpected resistance may indicate injury or
another clinically significant change. The CNA should stop the activity and
promptly report the finding rather than attempting to diagnose or treat it.
QUESTION 4
A resident's rehabilitation plan emphasizes maximizing independence with dressing.
The resident can put on a shirt independently but needs assistance with fastening
buttons. Which intervention BEST promotes the rehabilitation objective?
A. Dress the resident completely to save time.
B. Perform the difficult steps while allowing the resident to complete the portions
they can safely manage.
C. Tell the resident that dressing independently is mandatory.
D. Ask another resident to assist with the buttons.
Correct Answer: B
Explanation: Restorative care emphasizes maintaining and improving functional
ability. The CNA should provide only the assistance necessary while allowing the
resident to perform safely achievable portions of the task.
QUESTION 5
A resident recovering from hip surgery is prescribed ambulation with a walker.
While walking, the resident repeatedly places the walker too far ahead and leans
forward. What should the CNA do?
A. Pull the walker backward while the resident is standing.
B. Ignore the technique because the resident is technically ambulating.
C. Reinforce the established safe technique and report persistent difficulty to the
appropriate licensed professional.
D. Tell the resident to walk without the walker to improve balance.
, Correct Answer: C
Explanation: Incorrect walker positioning can compromise balance and increase
fall risk. The CNA should reinforce established instructions within their role and
report persistent problems rather than independently redesigning the
rehabilitation program.
QUESTION 6
A resident participating in restorative walking becomes pale, diaphoretic, and
unusually fatigued. The resident says, "I feel like I'm going to faint." What is the
CNA's PRIORITY?
A. Encourage the resident to finish the prescribed distance.
B. Continue walking but reduce the pace.
C. Stop the activity, protect the resident from falling, and immediately notify the
nurse.
D. Give the resident food and resume walking after five minutes.
Correct Answer: C
Explanation: Sudden pallor, sweating, severe fatigue, and near-syncope are
warning signs requiring immediate safety intervention and nursing assessment.
Completing the rehabilitation target is secondary to preventing injury and
responding to a possible acute change.
QUESTION 7
A resident with Parkinson's disease freezes while attempting to walk through a
doorway. The resident remains upright but cannot initiate the next step. Which
response is MOST appropriate?
A. Pull the resident forward by the arms.
B. Push the resident from behind.
C. Maintain safety, remain calm, and use the established cueing technique in the
care plan.
D. Tell the resident to hurry before the freezing worsens.
STUDY GUIDE | TESTBANK | LATEST UPDATE 2026/2027 | QUESTIONS | 100%
CORRECT ANSWERS
TABLE OF CONTENTS: I. Rehabilitation & Restorative Nursing Principles — Person-
Centered Rehabilitation; Functional Independence; Interdisciplinary Care. II. Mobility
& Transfer Skills — Transfers; Ambulation; Assistive Devices; Fall Prevention. III. Range
of Motion & Physical Function — Active/Passive ROM; Positioning; Contracture
Prevention. IV. ADLs & Adaptive Techniques — Dressing; Grooming; Eating; Toileting.
V. Cognitive, Psychosocial & Communication Needs — Dementia; Motivation;
Behavioral Support; Communication. VI. Safety, Infection Control & Emergency
Response — Standard Precautions; Falls; Aspiration; Emergency Reporting. VII.
Documentation, Ethics & Professional Practice — Care Plans; Documentation;
Delegation; Resident Rights. VIII. Discharge & Continuity of Care — Home Readiness;
Equipment; Care Transitions.
INTRODUCTION
This practice examination focuses on rehabilitation-oriented CNA practice in New
York nursing-home settings, emphasizing restorative nursing, functional
independence, safe mobility, activities of daily living, communication, resident
rights, documentation, and interdisciplinary care. New York’s approved nurse aide
curriculum specifically includes basic restorative services, alongside basic nursing
skills, personal care, mental-health and social-service needs, cognitive impairment,
and resident rights. The questions are intentionally application-heavy and require
judgment rather than simple memorization. Expect realistic clinical scenarios
involving changing functional status, transfers, assistive devices, rehabilitation goals,
safety risks, documentation, and appropriate escalation to licensed professionals.
The questions also reflect the distinction between CNA responsibilities and services
requiring licensed rehabilitation professionals.
QUESTION 1
A resident recovering from a cerebrovascular accident has a care plan requiring
assistance with ambulation using a walker. During today's rehabilitation session, the
resident demonstrates improved balance and begins reaching for the walker
independently. What is the CNA's BEST action?
,A. Remove the walker because the resident appears capable of walking
independently.
B. Encourage the resident to continue according to the established care plan and
report the observed improvement.
C. Increase the resident's walking distance substantially without consulting the
rehabilitation team.
D. Tell the resident to walk without assistance to promote independence.
Correct Answer: B
Explanation: The CNA should support independence within the established plan
while communicating meaningful functional changes to the nurse or
rehabilitation team. The CNA should not independently modify rehabilitation
goals or discontinue prescribed safety measures.
QUESTION 2
A resident with hemiparesis is being transferred from bed to wheelchair. The
wheelchair is positioned beside the resident, but its brakes are not locked. What
should the CNA do FIRST?
A. Ask the resident to stand while the CNA stabilizes the wheelchair.
B. Lock the wheelchair brakes before beginning the transfer.
C. Move the wheelchair farther away to create more transfer space.
D. Complete the transfer quickly before the resident becomes fatigued.
Correct Answer: B
Explanation: Wheelchair brakes must be secured before a transfer to prevent
movement and reduce the risk of a fall. Transfer safety takes priority over speed.
QUESTION 3
During passive range-of-motion exercises, a resident suddenly reports sharp pain in
the shoulder. The CNA observes resistance that was not present during previous
sessions. What is the MOST appropriate response?
A. Continue slowly because resistance is expected during rehabilitation.
B. Apply additional pressure to overcome the resistance.
,C. Stop the movement and report the pain and change in tolerance to the nurse.
D. Complete the exercise on the opposite extremity and disregard the complaint.
Correct Answer: C
Explanation: New sharp pain and unexpected resistance may indicate injury or
another clinically significant change. The CNA should stop the activity and
promptly report the finding rather than attempting to diagnose or treat it.
QUESTION 4
A resident's rehabilitation plan emphasizes maximizing independence with dressing.
The resident can put on a shirt independently but needs assistance with fastening
buttons. Which intervention BEST promotes the rehabilitation objective?
A. Dress the resident completely to save time.
B. Perform the difficult steps while allowing the resident to complete the portions
they can safely manage.
C. Tell the resident that dressing independently is mandatory.
D. Ask another resident to assist with the buttons.
Correct Answer: B
Explanation: Restorative care emphasizes maintaining and improving functional
ability. The CNA should provide only the assistance necessary while allowing the
resident to perform safely achievable portions of the task.
QUESTION 5
A resident recovering from hip surgery is prescribed ambulation with a walker.
While walking, the resident repeatedly places the walker too far ahead and leans
forward. What should the CNA do?
A. Pull the walker backward while the resident is standing.
B. Ignore the technique because the resident is technically ambulating.
C. Reinforce the established safe technique and report persistent difficulty to the
appropriate licensed professional.
D. Tell the resident to walk without the walker to improve balance.
, Correct Answer: C
Explanation: Incorrect walker positioning can compromise balance and increase
fall risk. The CNA should reinforce established instructions within their role and
report persistent problems rather than independently redesigning the
rehabilitation program.
QUESTION 6
A resident participating in restorative walking becomes pale, diaphoretic, and
unusually fatigued. The resident says, "I feel like I'm going to faint." What is the
CNA's PRIORITY?
A. Encourage the resident to finish the prescribed distance.
B. Continue walking but reduce the pace.
C. Stop the activity, protect the resident from falling, and immediately notify the
nurse.
D. Give the resident food and resume walking after five minutes.
Correct Answer: C
Explanation: Sudden pallor, sweating, severe fatigue, and near-syncope are
warning signs requiring immediate safety intervention and nursing assessment.
Completing the rehabilitation target is secondary to preventing injury and
responding to a possible acute change.
QUESTION 7
A resident with Parkinson's disease freezes while attempting to walk through a
doorway. The resident remains upright but cannot initiate the next step. Which
response is MOST appropriate?
A. Pull the resident forward by the arms.
B. Push the resident from behind.
C. Maintain safety, remain calm, and use the established cueing technique in the
care plan.
D. Tell the resident to hurry before the freezing worsens.
