CNA EXAM 2026 PROFESSIONAL
COMPETENCY TEST QUESTIONS AND
ANSWERS
1. A resident who has suffered a cerebrovascular accident (CVA) has difficulty speaking and
understanding language. This condition is known as:
A. Dysphagia
B. Ataxia
C. Aphasia
D. Apnea
Answer: C
Conceptual Explanation: Aphasia is the loss of ability to understand or express speech,
often caused by brain damage such as a stroke. Dysphagia refers to difficulty swallowing.
2. When performing range of motion (ROM) exercises, the nursing assistant moves the
resident’s arm away from the midline of the body. This movement is called:
A. Adduction
B. Flexion
,C. Abduction
D. Extension
Answer: C
Conceptual Explanation: Abduction is moving a body part away from the midline;
adduction is moving it toward the midline.
3. Which of the following is the correct order for removing personal protective equipment
(PPE) after caring for a resident in isolation?
A. Goggles, mask, gown, gloves
B. Mask, gown, goggles, gloves
C. Gown, mask, gloves, goggles
D. Gloves, goggles, gown, mask
Answer: D
Conceptual Explanation: The standard sequence for removing PPE is gloves, followed by
goggles/face shield, then gown, and finally the mask/respirator to minimize self-
contamination.
4. A resident is on a restricted fluid diet and is allowed 1200 mL in 24 hours. If the resident
drinks two 8-ounce glasses of water, how many milliliters (mL) have they consumed?
A. 240 mL
B. 360 mL
, C. 600 mL
D. 480 mL
Answer: D
Conceptual Explanation: One ounce is equivalent to 30 mL. Two 8-ounce glasses equal 16
ounces. 16 x 30 = 480 mL.
5. What is the first sign of a developing pressure ulcer?
A. Non-blanchable skin redness
B. Open sore with drainage
C. Bleeding skin
D. Blackened, dead tissue
Answer: A
Conceptual Explanation: Stage 1 pressure ulcers are characterized by intact skin with
non-blanchable redness, meaning the skin does not turn white when pressed.
6. A resident who is unconscious requires oral care. What is the safest position to place the
resident in during this procedure?
A. Supine
B. Lateral (side-lying)
C. High-Fowler’s
COMPETENCY TEST QUESTIONS AND
ANSWERS
1. A resident who has suffered a cerebrovascular accident (CVA) has difficulty speaking and
understanding language. This condition is known as:
A. Dysphagia
B. Ataxia
C. Aphasia
D. Apnea
Answer: C
Conceptual Explanation: Aphasia is the loss of ability to understand or express speech,
often caused by brain damage such as a stroke. Dysphagia refers to difficulty swallowing.
2. When performing range of motion (ROM) exercises, the nursing assistant moves the
resident’s arm away from the midline of the body. This movement is called:
A. Adduction
B. Flexion
,C. Abduction
D. Extension
Answer: C
Conceptual Explanation: Abduction is moving a body part away from the midline;
adduction is moving it toward the midline.
3. Which of the following is the correct order for removing personal protective equipment
(PPE) after caring for a resident in isolation?
A. Goggles, mask, gown, gloves
B. Mask, gown, goggles, gloves
C. Gown, mask, gloves, goggles
D. Gloves, goggles, gown, mask
Answer: D
Conceptual Explanation: The standard sequence for removing PPE is gloves, followed by
goggles/face shield, then gown, and finally the mask/respirator to minimize self-
contamination.
4. A resident is on a restricted fluid diet and is allowed 1200 mL in 24 hours. If the resident
drinks two 8-ounce glasses of water, how many milliliters (mL) have they consumed?
A. 240 mL
B. 360 mL
, C. 600 mL
D. 480 mL
Answer: D
Conceptual Explanation: One ounce is equivalent to 30 mL. Two 8-ounce glasses equal 16
ounces. 16 x 30 = 480 mL.
5. What is the first sign of a developing pressure ulcer?
A. Non-blanchable skin redness
B. Open sore with drainage
C. Bleeding skin
D. Blackened, dead tissue
Answer: A
Conceptual Explanation: Stage 1 pressure ulcers are characterized by intact skin with
non-blanchable redness, meaning the skin does not turn white when pressed.
6. A resident who is unconscious requires oral care. What is the safest position to place the
resident in during this procedure?
A. Supine
B. Lateral (side-lying)
C. High-Fowler’s
