CNA Fundamentals Midterm Exam Prep Document |
2026/2027 Edition | 150 Verified Questions - 150 Questions
with Answers
CNA Exam 1 (Chapters 1-8, 13, 25) 2026-150 QUESTIONS AND ANSWERS ALREADY GRADED A+. 100%
Verified Solutions | Updated Per Latest Guidelines | Graded A+
This comprehensive exam preparation document is meticulously crafted for nursing and allied health
students preparing for the CNA Exam 1, covering Chapters 1-8, 13, and 25. It includes 150 verified
questions and answers that span four core domains: roles and responsibilities, communication and
safety, patient care procedures, and legal/ethical issues. Each question is designed to reinforce key
concepts and ensure readiness for the 2026/2027 academic year. The content is aligned with current
CNA guidelines and standards, providing a reliable study resource.
Key Features:
Chapter 1: Roles and Responsibilities of the Nursing Assistant
Chapter 2: The Healthcare System and Care Settings
Chapter 3: Legal and Ethical Issues in Healthcare
Chapter 4: Communication and Interpersonal Skills
Chapter 5: Infection Control and Standard Precautions
Chapter 6: Safety and Emergency Procedures
Chapter 7: Basic Patient Care: Hygiene, Grooming, and Dressing
Chapter 8: Vital Signs and Measurements
Chapter 13: Nutrition and Hydration
Chapter 25: Restorative Care and Rehabilitation
Core Domain 1: Roles and Responsibilities (Chapters 1-2)
Core Domain 2: Communication and Safety (Chapters 4-6)
Core Domain 3: Patient Care Procedures (Chapters 7-8, 13)
Core Domain 4: Legal, Ethical, and Restorative Care (Chapters 3, 25)
Updates for 2026:
- Updated to reflect the latest 2026-2027 CNA curriculum standards
- Incorporated new guidelines on infection control and safety protocols
- Enhanced rationales for each answer to deepen understanding
- Added more scenario-based questions to simulate real-world situations
- Aligned with current legal and ethical standards in healthcare
Abstract:
This exam preparation document is an essential resource for nursing and allied health students aiming to excel in
the CNA Exam 1. It covers the foundational chapters (1-8, 13, 25) and is structured around four core domains:
roles and responsibilities, communication and safety, patient care procedures, and legal/ethical issues. The 150
verified questions are distributed to reflect the emphasis of each domain, with detailed rationales and distractors
to enhance critical thinking. The content is updated for the 2026/2027 academic year, ensuring alignment with
current standards and practices. This document not only tests knowledge but also reinforces application, making it
a valuable tool for exam preparation and clinical readiness.
Keywords:
CNA Exam Prep, Certified Nursing Assistant, Fundamentals of Nursing, Patient Care Procedures, Infection
Page 1
,Control, Legal and Ethical Issues, Vital Signs, Restorative Care
Answer Format:
Each question is followed by the correct answer, a detailed rationale explaining why it is correct, and an analysis of
incorrect options to clarify common misconceptions. The format is designed to promote active learning and
retention, with clear explanations that align with current CNA guidelines.
Compliance Checklist:
Aligned with 2026-2027 CNA curriculum standards
Covers all required chapters and domains
Includes verified questions and answers with rationales
Updated to reflect latest healthcare guidelines
Suitable for self-study and exam review
Content Area Overview:
Content Area Questions Key Topics Weight
Roles and Responsibilities 1-30 Nursing assistant roles, healthcare system, 20%
care settings
Communication and Safety 31-60 Communication skills, infection control, 20%
safety procedures
Patient Care Procedures 61-120 Hygiene, vital signs, nutrition, hydration 40%
Legal, Ethical, and Restorative 121-150 Legal issues, ethics, restorative care, 20%
Care rehabilitation
Page 2
,Q1. A patient with a history of recurrent urinary tract infections is on a bladder
training program. Which action by the CNA best supports the patient's continence
and reduces infection risk?
A. Offer the bedpan every 4 hours regardless of the patient's usual voiding pattern.
B. Limit fluid intake in the evening to reduce nighttime voiding.
C. Encourage the patient to attempt voiding at scheduled times and when they feel the
urge.
D. Use a catheter to drain urine at regular intervals to ensure complete bladder
emptying.
Correct Answer: C. Encourage the patient to attempt voiding at scheduled times and
when they feel the urge.
Rationale: Bladder training requires scheduled toileting and responding to urge cues,
which helps re-establish normal voiding patterns and reduces stasis, a key factor in UTIs.
Offering the bedpan on a fixed schedule that ignores the patient's pattern (A) is less
effective. Limiting fluids (B) can concentrate urine and increase infection risk.
Catheterization (D) is not part of bladder training and increases infection risk.
Why Wrong:
A - Fixed 4-hour toileting does not accommodate the patient's individual pattern and
may miss natural urges.
B - Fluid restriction can lead to concentrated urine, increasing infection risk and
defeating bladder training.
D - Catheter use is an infection risk and not a bladder training technique; it bypasses
natural voiding.
Reference: Sorrentino & Remmert (2026). Mosby's Textbook for Nursing Assistants, 10th
Ed., Ch. 25
Q2. A nursing assistant is assigned to care for a patient who is post-operative day 2.
The patient's vital signs are: BP 98/64, HR 112, RR 22, Temp 38.2°C (100.8°F). Which
assessment finding should be reported to the nurse immediately?
A. Blood pressure of 98/64
B. Heart rate of 112
C. Respiratory rate of 22
D. Temperature of 38.2°C
Correct Answer: D. Temperature of 38.2°C
Rationale: A temperature of 38.2°C (100.8°F) on post-operative day 2 may indicate a
wound infection or other complication and must be reported promptly. The BP is slightly
low but within acceptable range; HR and RR are elevated but often compensatory. While
all vital signs should be reported, the temperature is the most concerning for a potential
infection.
Page 3
, Why Wrong:
A - BP of 98/64 is slightly low but not immediately critical; it may be due to pain or
medication.
B - HR of 112 is elevated but often expected post-op due to pain, anxiety, or mild
dehydration.
C - RR of 22 is mildly elevated but not alarming without other signs of distress.
Reference: Sorrentino & Remmert (2026). Mosby's Textbook for Nursing Assistants, 10th
Ed., Ch. 13
Q3. A CNA is caring for a patient who has just returned from physical therapy. The
patient reports feeling dizzy. Which action should the CNA take first?
A. Help the patient sit down and assess for other symptoms.
B. Take the patient's blood pressure in standing and lying positions.
C. Walk the patient slowly to the room to prevent falls.
D. Notify the nurse immediately and document the episode.
Correct Answer: A. Help the patient sit down and assess for other symptoms.
Rationale: The immediate priority is patient safety; assisting the patient to sit or lie down
prevents falls. After ensuring safety, the CNA can measure orthostatic BP (B) and report t
o
the nurse (D). Walking the patient (C) is contraindicated while dizzy. The CNA should not
leave the patient unattended.
Why Wrong:
B - Assessing orthostatic BP is important but not the first action; safety takes
precedence.
C - Walking a dizzy patient increases fall risk; should be avoided.
D - Notifying the nurse is necessary but should occur after ensuring patient safety.
Reference: Sorrentino & Remmert (2026). Mosby's Textbook for Nursing Assistants, 10th
Ed., Ch. 8
Q4. A patient with a new colostomy is learning to manage the appliance. The CNA
observes the patient struggling to attach the pouch. Which response by the CNA best
promotes the patient's independence and dignity?
A. Take over the task to save time and reduce frustration.
B. Provide step-by-step guidance while allowing the patient to do as much as possible.
C. Tell the patient that practice will make it easier and leave them to try alone.
D. Ask the patient if they would prefer to have a nurse do it instead.
Correct Answer: B. Provide step-by-step guidance while allowing the patient to do as
much as possible.
Page 4
2026/2027 Edition | 150 Verified Questions - 150 Questions
with Answers
CNA Exam 1 (Chapters 1-8, 13, 25) 2026-150 QUESTIONS AND ANSWERS ALREADY GRADED A+. 100%
Verified Solutions | Updated Per Latest Guidelines | Graded A+
This comprehensive exam preparation document is meticulously crafted for nursing and allied health
students preparing for the CNA Exam 1, covering Chapters 1-8, 13, and 25. It includes 150 verified
questions and answers that span four core domains: roles and responsibilities, communication and
safety, patient care procedures, and legal/ethical issues. Each question is designed to reinforce key
concepts and ensure readiness for the 2026/2027 academic year. The content is aligned with current
CNA guidelines and standards, providing a reliable study resource.
Key Features:
Chapter 1: Roles and Responsibilities of the Nursing Assistant
Chapter 2: The Healthcare System and Care Settings
Chapter 3: Legal and Ethical Issues in Healthcare
Chapter 4: Communication and Interpersonal Skills
Chapter 5: Infection Control and Standard Precautions
Chapter 6: Safety and Emergency Procedures
Chapter 7: Basic Patient Care: Hygiene, Grooming, and Dressing
Chapter 8: Vital Signs and Measurements
Chapter 13: Nutrition and Hydration
Chapter 25: Restorative Care and Rehabilitation
Core Domain 1: Roles and Responsibilities (Chapters 1-2)
Core Domain 2: Communication and Safety (Chapters 4-6)
Core Domain 3: Patient Care Procedures (Chapters 7-8, 13)
Core Domain 4: Legal, Ethical, and Restorative Care (Chapters 3, 25)
Updates for 2026:
- Updated to reflect the latest 2026-2027 CNA curriculum standards
- Incorporated new guidelines on infection control and safety protocols
- Enhanced rationales for each answer to deepen understanding
- Added more scenario-based questions to simulate real-world situations
- Aligned with current legal and ethical standards in healthcare
Abstract:
This exam preparation document is an essential resource for nursing and allied health students aiming to excel in
the CNA Exam 1. It covers the foundational chapters (1-8, 13, 25) and is structured around four core domains:
roles and responsibilities, communication and safety, patient care procedures, and legal/ethical issues. The 150
verified questions are distributed to reflect the emphasis of each domain, with detailed rationales and distractors
to enhance critical thinking. The content is updated for the 2026/2027 academic year, ensuring alignment with
current standards and practices. This document not only tests knowledge but also reinforces application, making it
a valuable tool for exam preparation and clinical readiness.
Keywords:
CNA Exam Prep, Certified Nursing Assistant, Fundamentals of Nursing, Patient Care Procedures, Infection
Page 1
,Control, Legal and Ethical Issues, Vital Signs, Restorative Care
Answer Format:
Each question is followed by the correct answer, a detailed rationale explaining why it is correct, and an analysis of
incorrect options to clarify common misconceptions. The format is designed to promote active learning and
retention, with clear explanations that align with current CNA guidelines.
Compliance Checklist:
Aligned with 2026-2027 CNA curriculum standards
Covers all required chapters and domains
Includes verified questions and answers with rationales
Updated to reflect latest healthcare guidelines
Suitable for self-study and exam review
Content Area Overview:
Content Area Questions Key Topics Weight
Roles and Responsibilities 1-30 Nursing assistant roles, healthcare system, 20%
care settings
Communication and Safety 31-60 Communication skills, infection control, 20%
safety procedures
Patient Care Procedures 61-120 Hygiene, vital signs, nutrition, hydration 40%
Legal, Ethical, and Restorative 121-150 Legal issues, ethics, restorative care, 20%
Care rehabilitation
Page 2
,Q1. A patient with a history of recurrent urinary tract infections is on a bladder
training program. Which action by the CNA best supports the patient's continence
and reduces infection risk?
A. Offer the bedpan every 4 hours regardless of the patient's usual voiding pattern.
B. Limit fluid intake in the evening to reduce nighttime voiding.
C. Encourage the patient to attempt voiding at scheduled times and when they feel the
urge.
D. Use a catheter to drain urine at regular intervals to ensure complete bladder
emptying.
Correct Answer: C. Encourage the patient to attempt voiding at scheduled times and
when they feel the urge.
Rationale: Bladder training requires scheduled toileting and responding to urge cues,
which helps re-establish normal voiding patterns and reduces stasis, a key factor in UTIs.
Offering the bedpan on a fixed schedule that ignores the patient's pattern (A) is less
effective. Limiting fluids (B) can concentrate urine and increase infection risk.
Catheterization (D) is not part of bladder training and increases infection risk.
Why Wrong:
A - Fixed 4-hour toileting does not accommodate the patient's individual pattern and
may miss natural urges.
B - Fluid restriction can lead to concentrated urine, increasing infection risk and
defeating bladder training.
D - Catheter use is an infection risk and not a bladder training technique; it bypasses
natural voiding.
Reference: Sorrentino & Remmert (2026). Mosby's Textbook for Nursing Assistants, 10th
Ed., Ch. 25
Q2. A nursing assistant is assigned to care for a patient who is post-operative day 2.
The patient's vital signs are: BP 98/64, HR 112, RR 22, Temp 38.2°C (100.8°F). Which
assessment finding should be reported to the nurse immediately?
A. Blood pressure of 98/64
B. Heart rate of 112
C. Respiratory rate of 22
D. Temperature of 38.2°C
Correct Answer: D. Temperature of 38.2°C
Rationale: A temperature of 38.2°C (100.8°F) on post-operative day 2 may indicate a
wound infection or other complication and must be reported promptly. The BP is slightly
low but within acceptable range; HR and RR are elevated but often compensatory. While
all vital signs should be reported, the temperature is the most concerning for a potential
infection.
Page 3
, Why Wrong:
A - BP of 98/64 is slightly low but not immediately critical; it may be due to pain or
medication.
B - HR of 112 is elevated but often expected post-op due to pain, anxiety, or mild
dehydration.
C - RR of 22 is mildly elevated but not alarming without other signs of distress.
Reference: Sorrentino & Remmert (2026). Mosby's Textbook for Nursing Assistants, 10th
Ed., Ch. 13
Q3. A CNA is caring for a patient who has just returned from physical therapy. The
patient reports feeling dizzy. Which action should the CNA take first?
A. Help the patient sit down and assess for other symptoms.
B. Take the patient's blood pressure in standing and lying positions.
C. Walk the patient slowly to the room to prevent falls.
D. Notify the nurse immediately and document the episode.
Correct Answer: A. Help the patient sit down and assess for other symptoms.
Rationale: The immediate priority is patient safety; assisting the patient to sit or lie down
prevents falls. After ensuring safety, the CNA can measure orthostatic BP (B) and report t
o
the nurse (D). Walking the patient (C) is contraindicated while dizzy. The CNA should not
leave the patient unattended.
Why Wrong:
B - Assessing orthostatic BP is important but not the first action; safety takes
precedence.
C - Walking a dizzy patient increases fall risk; should be avoided.
D - Notifying the nurse is necessary but should occur after ensuring patient safety.
Reference: Sorrentino & Remmert (2026). Mosby's Textbook for Nursing Assistants, 10th
Ed., Ch. 8
Q4. A patient with a new colostomy is learning to manage the appliance. The CNA
observes the patient struggling to attach the pouch. Which response by the CNA best
promotes the patient's independence and dignity?
A. Take over the task to save time and reduce frustration.
B. Provide step-by-step guidance while allowing the patient to do as much as possible.
C. Tell the patient that practice will make it easier and leave them to try alone.
D. Ask the patient if they would prefer to have a nurse do it instead.
Correct Answer: B. Provide step-by-step guidance while allowing the patient to do as
much as possible.
Page 4
