CNA COMPREHENSIVE FINAL EXAM
2027 QUESTIONS AND ANSWERS
1. A nursing assistant is caring for a resident with C. diff. Which of the following actions is
strictly required to prevent the spread of spores?
A. Using alcohol-based hand sanitizer after removing gloves
B. Wearing a surgical mask during routine morning care
C. Washing hands with soap and water after providing care
D. Keeping the room door closed at all times for airborne precautions
Answer: C
Conceptual Explanation: C. diff spores are resistant to alcohol-based sanitizers; physical
friction and rinsing with soap and water are necessary to remove them from hands.
2. Which stage of a pressure injury is characterized by full-thickness skin loss with visible
adipose tissue and epibole?
A. Stage II
B. Stage III
C. Stage IV
,D. Unstageable
Answer: B
Conceptual Explanation: Stage III involves full-thickness skin loss where fat (adipose) is
visible, but bone, tendon, or muscle are not exposed.
3. A resident is experiencing orthostatic hypotension. What should the nursing assistant do
first when assisting the resident to ambulate?
A. Check the resident’s blood pressure while they are lying down
B. Have the resident sit on the side of the bed and dangle their legs
C. Apply a gait belt tightly around the resident’s chest
D. Encourage the resident to take deep, rapid breaths
Answer: B
Conceptual Explanation: Dangling allows the blood pressure to stabilize when moving
from a lying to a standing position, preventing falls due to sudden drops in pressure.
4. When performing passive range of motion (PROM) on a resident’s shoulder, the nursing
assistant notes resistance and the resident grimaces. The NA should:
A. Push slightly past the point of resistance to increase flexibility
B. Stop the movement and notify the nurse
C. Apply heat to the joint and continue the exercise
D. Ask the resident to perform the exercise themselves
, Answer: B
Conceptual Explanation: Range of motion should never be forced. Pain or resistance
indicates a potential injury or limit that requires nursing or physical therapy assessment.
5. A resident with Type 1 Diabetes is found sweating profusely, acting confused, and is shaky.
What is the most likely cause?
A. Hyperglycemia
B. Ketoacidosis
C. Hypoglycemia
D. Transient Ischemic Attack
Answer: C
Conceptual Explanation: Sweating, confusion, and shakiness are classic signs of
hypoglycemia (low blood sugar), which is a medical emergency.
6. What is the correct procedure for measuring a resident’s height who is confined to bed?
A. Use a tape measure to follow the curves of the body from head to toe
B. Measure from the top of the head to the heels in a straight line with the resident supine
C. Estimate based on the resident’s arm span
D. Height cannot be measured once a resident is bed-bound
Answer: B
2027 QUESTIONS AND ANSWERS
1. A nursing assistant is caring for a resident with C. diff. Which of the following actions is
strictly required to prevent the spread of spores?
A. Using alcohol-based hand sanitizer after removing gloves
B. Wearing a surgical mask during routine morning care
C. Washing hands with soap and water after providing care
D. Keeping the room door closed at all times for airborne precautions
Answer: C
Conceptual Explanation: C. diff spores are resistant to alcohol-based sanitizers; physical
friction and rinsing with soap and water are necessary to remove them from hands.
2. Which stage of a pressure injury is characterized by full-thickness skin loss with visible
adipose tissue and epibole?
A. Stage II
B. Stage III
C. Stage IV
,D. Unstageable
Answer: B
Conceptual Explanation: Stage III involves full-thickness skin loss where fat (adipose) is
visible, but bone, tendon, or muscle are not exposed.
3. A resident is experiencing orthostatic hypotension. What should the nursing assistant do
first when assisting the resident to ambulate?
A. Check the resident’s blood pressure while they are lying down
B. Have the resident sit on the side of the bed and dangle their legs
C. Apply a gait belt tightly around the resident’s chest
D. Encourage the resident to take deep, rapid breaths
Answer: B
Conceptual Explanation: Dangling allows the blood pressure to stabilize when moving
from a lying to a standing position, preventing falls due to sudden drops in pressure.
4. When performing passive range of motion (PROM) on a resident’s shoulder, the nursing
assistant notes resistance and the resident grimaces. The NA should:
A. Push slightly past the point of resistance to increase flexibility
B. Stop the movement and notify the nurse
C. Apply heat to the joint and continue the exercise
D. Ask the resident to perform the exercise themselves
, Answer: B
Conceptual Explanation: Range of motion should never be forced. Pain or resistance
indicates a potential injury or limit that requires nursing or physical therapy assessment.
5. A resident with Type 1 Diabetes is found sweating profusely, acting confused, and is shaky.
What is the most likely cause?
A. Hyperglycemia
B. Ketoacidosis
C. Hypoglycemia
D. Transient Ischemic Attack
Answer: C
Conceptual Explanation: Sweating, confusion, and shakiness are classic signs of
hypoglycemia (low blood sugar), which is a medical emergency.
6. What is the correct procedure for measuring a resident’s height who is confined to bed?
A. Use a tape measure to follow the curves of the body from head to toe
B. Measure from the top of the head to the heels in a straight line with the resident supine
C. Estimate based on the resident’s arm span
D. Height cannot be measured once a resident is bed-bound
Answer: B
