CNA COMPREHENSIVE ALL-CHAPTER
CERTIFICATION EXAM 2026
QUESTIONS AND ANSWERS
1. A Nursing Assistant is caring for a resident with a suspected C. difficile infection. Which
hand hygiene method is mandatory?
A. Using alcohol-based hand rub for 20 seconds
B. Washing hands with soap and water
C. Applying a hydrogen peroxide solution
D. Double-gloving and removing them before leaving the room
Answer: B
Conceptual Explanation: C. difficile spores are resistant to alcohol-based sanitizers;
physical friction with soap and water is required to remove them from hands.
2. When a resident is experiencing orthostatic hypotension, what should the CNA do first
during the transfer process?
A. Transfer the resident quickly to reduce the duration of standing
B. Allow the resident to dangle their legs on the side of the bed
,C. Take the resident’s blood pressure while they are lying flat
D. Apply a gait belt tightly around the upper chest
Answer: B
Conceptual Explanation: Dangling allows the blood pressure to stabilize and prevents
dizziness or fainting when transitioning from lying to standing.
3. A resident has a diagnosis of ‘Aphasia.’ Which communication technique is most effective?
A. Speaking loudly to ensure the resident can hear
B. Using open-ended questions to encourage long answers
C. Providing a communication board or using simple gestures
D. Avoiding communication to reduce resident frustration
Answer: C
Conceptual Explanation: Aphasia affects the ability to understand or express speech;
visual aids and gestures bridge the communication gap.
4. Which of the following describes the ‘R’ in the RACE fire emergency acronym?
A. Rescue residents in immediate danger
B. Run away from the fire source
C. Report the fire to the charge nurse
D. Relocate to the nearest exit
, Answer: A
Conceptual Explanation: RACE stands for Rescue, Alarm, Confine, and
Extinguish/Evacuate. The first priority is the safety of the residents.
5. A resident with Type 2 Diabetes is found confused, sweaty, and pale. These are signs of:
A. Hyperglycemia
B. Hypertension
C. Congestive heart failure
D. Hypoglycemia
Answer: D
Conceptual Explanation: Confusion, diaphoresis (sweating), and pallor are classic
indicators of low blood sugar (hypoglycemia).
6. In what order should Personal Protective Equipment (PPE) be removed (doffed)?
A. Gloves, Goggles, Gown, Mask
B. Goggles, Gown, Mask, Gloves
C. Mask, Gloves, Gown, Goggles
D. Gown, Gloves, Mask, Goggles
Answer: A
CERTIFICATION EXAM 2026
QUESTIONS AND ANSWERS
1. A Nursing Assistant is caring for a resident with a suspected C. difficile infection. Which
hand hygiene method is mandatory?
A. Using alcohol-based hand rub for 20 seconds
B. Washing hands with soap and water
C. Applying a hydrogen peroxide solution
D. Double-gloving and removing them before leaving the room
Answer: B
Conceptual Explanation: C. difficile spores are resistant to alcohol-based sanitizers;
physical friction with soap and water is required to remove them from hands.
2. When a resident is experiencing orthostatic hypotension, what should the CNA do first
during the transfer process?
A. Transfer the resident quickly to reduce the duration of standing
B. Allow the resident to dangle their legs on the side of the bed
,C. Take the resident’s blood pressure while they are lying flat
D. Apply a gait belt tightly around the upper chest
Answer: B
Conceptual Explanation: Dangling allows the blood pressure to stabilize and prevents
dizziness or fainting when transitioning from lying to standing.
3. A resident has a diagnosis of ‘Aphasia.’ Which communication technique is most effective?
A. Speaking loudly to ensure the resident can hear
B. Using open-ended questions to encourage long answers
C. Providing a communication board or using simple gestures
D. Avoiding communication to reduce resident frustration
Answer: C
Conceptual Explanation: Aphasia affects the ability to understand or express speech;
visual aids and gestures bridge the communication gap.
4. Which of the following describes the ‘R’ in the RACE fire emergency acronym?
A. Rescue residents in immediate danger
B. Run away from the fire source
C. Report the fire to the charge nurse
D. Relocate to the nearest exit
, Answer: A
Conceptual Explanation: RACE stands for Rescue, Alarm, Confine, and
Extinguish/Evacuate. The first priority is the safety of the residents.
5. A resident with Type 2 Diabetes is found confused, sweaty, and pale. These are signs of:
A. Hyperglycemia
B. Hypertension
C. Congestive heart failure
D. Hypoglycemia
Answer: D
Conceptual Explanation: Confusion, diaphoresis (sweating), and pallor are classic
indicators of low blood sugar (hypoglycemia).
6. In what order should Personal Protective Equipment (PPE) be removed (doffed)?
A. Gloves, Goggles, Gown, Mask
B. Goggles, Gown, Mask, Gloves
C. Mask, Gloves, Gown, Goggles
D. Gown, Gloves, Mask, Goggles
Answer: A
