Louisiana Certified Nursing Assistant (CNA)
Comprehensive Practice Examination (2026
Edition) | Latest U.S. CNA Standards | High-
Difficulty Multiple-Choice Questions |
Verified Answers | Detailed Rationales in
Italics | Comprehensive Louisiana CNA
Exam Preparation
Question 1
A CNA is preparing to assist a resident with breakfast. Which
action should be performed first?
A. Position the resident upright
B. Wash the resident's hands
C. Place the meal tray on the over-bed table
D. Cut the resident's food
Answer: B. Wash the resident's hands
Rationale: Proper hand hygiene before eating reduces the
transmission of microorganisms and is an essential infection
prevention measure.
Question 2
,Standard Precautions require gloves when:
A. Entering every resident room
B. Touching intact skin
C. Contact with blood or body fluids is anticipated
D. Serving food
Answer: C. Contact with blood or body fluids is anticipated
Rationale: Gloves are worn whenever exposure to blood, body
fluids, mucous membranes, or non-intact skin is expected.
Question 3
Which resident is at the greatest risk for developing pressure
injuries?
A. Ambulatory resident
B. Resident with seasonal allergies
C. Bedbound resident unable to reposition independently
D. Resident who wears glasses
Answer: C. Bedbound resident unable to reposition
independently
Rationale: Immobility significantly increases pressure injury
risk because prolonged pressure decreases tissue perfusion.
Question 4
,A resident begins choking during lunch and cannot speak or
cough. The CNA should first:
A. Offer water
B. Perform abdominal thrusts if indicated
C. Call family
D. Lay the resident flat
Answer: B. Perform abdominal thrusts if indicated
Rationale: A conscious adult with severe airway obstruction
requires immediate abdominal thrusts according to current
emergency guidelines.
Question 5
The best way to prevent the spread of infection is:
A. Wearing gloves all day
B. Frequent hand hygiene
C. Wearing two masks
D. Cleaning only at the end of the shift
Answer: B. Frequent hand hygiene
Rationale: Hand hygiene remains the single most effective
method for preventing healthcare-associated infections.
Question 6
When transferring a resident using a gait belt, the CNA should:
, A. Pull on the resident's arms
B. Twist while lifting
C. Bend at the knees and keep the back straight
D. Lift without assistance if in a hurry
Answer: C. Bend at the knees and keep the back straight
Rationale: Proper body mechanics reduce injury to both the
caregiver and resident.
Question 7
Which observation requires immediate reporting?
A. Resident slept well
B. Blood in the urine
C. Resident requested a blanket
D. Resident watched television
Answer: B. Blood in the urine
Rationale: Hematuria may indicate infection, kidney disease, or
bleeding and requires prompt reporting.
Question 8
A resident refuses a bath. The CNA should:
A. Force the bath
B. Document refusal and notify the nurse
Comprehensive Practice Examination (2026
Edition) | Latest U.S. CNA Standards | High-
Difficulty Multiple-Choice Questions |
Verified Answers | Detailed Rationales in
Italics | Comprehensive Louisiana CNA
Exam Preparation
Question 1
A CNA is preparing to assist a resident with breakfast. Which
action should be performed first?
A. Position the resident upright
B. Wash the resident's hands
C. Place the meal tray on the over-bed table
D. Cut the resident's food
Answer: B. Wash the resident's hands
Rationale: Proper hand hygiene before eating reduces the
transmission of microorganisms and is an essential infection
prevention measure.
Question 2
,Standard Precautions require gloves when:
A. Entering every resident room
B. Touching intact skin
C. Contact with blood or body fluids is anticipated
D. Serving food
Answer: C. Contact with blood or body fluids is anticipated
Rationale: Gloves are worn whenever exposure to blood, body
fluids, mucous membranes, or non-intact skin is expected.
Question 3
Which resident is at the greatest risk for developing pressure
injuries?
A. Ambulatory resident
B. Resident with seasonal allergies
C. Bedbound resident unable to reposition independently
D. Resident who wears glasses
Answer: C. Bedbound resident unable to reposition
independently
Rationale: Immobility significantly increases pressure injury
risk because prolonged pressure decreases tissue perfusion.
Question 4
,A resident begins choking during lunch and cannot speak or
cough. The CNA should first:
A. Offer water
B. Perform abdominal thrusts if indicated
C. Call family
D. Lay the resident flat
Answer: B. Perform abdominal thrusts if indicated
Rationale: A conscious adult with severe airway obstruction
requires immediate abdominal thrusts according to current
emergency guidelines.
Question 5
The best way to prevent the spread of infection is:
A. Wearing gloves all day
B. Frequent hand hygiene
C. Wearing two masks
D. Cleaning only at the end of the shift
Answer: B. Frequent hand hygiene
Rationale: Hand hygiene remains the single most effective
method for preventing healthcare-associated infections.
Question 6
When transferring a resident using a gait belt, the CNA should:
, A. Pull on the resident's arms
B. Twist while lifting
C. Bend at the knees and keep the back straight
D. Lift without assistance if in a hurry
Answer: C. Bend at the knees and keep the back straight
Rationale: Proper body mechanics reduce injury to both the
caregiver and resident.
Question 7
Which observation requires immediate reporting?
A. Resident slept well
B. Blood in the urine
C. Resident requested a blanket
D. Resident watched television
Answer: B. Blood in the urine
Rationale: Hematuria may indicate infection, kidney disease, or
bleeding and requires prompt reporting.
Question 8
A resident refuses a bath. The CNA should:
A. Force the bath
B. Document refusal and notify the nurse
