TEXAS Prometric CNA
3 WRITTEN EXAMS
Questions with Verified Answers
Pass the Exam with Confidence
What You Will Get:
➢180 Questions w/ Answers
➢Expert Rationales included.
➢ Ideal for exam preparation and concept
reinforcement.
,Table of Contents
Texas CNA Prometric Exam Set 1 .......................................... 2
Texas CNA Prometric Exam Set 2 ........................................ 27
Texas CNA Prometric Exam Set 3 ........................................ 53
Texas CNA Prometric Exam Set 1
1. A nurse aide is asked to provide post-mortem care to a resident who died of
natural causes. Which of the following is the most appropriate practice to follow
when providing postmortem care? (Promotion of Safety)
A. Use strict isolation precautions throughout care
B. Wear gloves and follow Standard Precautions
C. Use a full gown, mask, and eye protection
D. No special precautions are needed for natural death
Correct Answer: B
Rationale: Standard Precautions (wearing gloves) are appropriate for postmortem care.
Strict isolation precautions are not necessary unless the resident had a known
infectious disease requiring transmission-based precautions. Body fluids may still be
present, so gloves protect the caregiver.
2. The first step the nurse aide should take when discovering a fire is to
(Promotion of Safety)
A. Remove any residents near the fire
B. Call the fire department
,C. Attempt to extinguish the fire
D. Pull the fire alarm
Correct Answer: A
Rationale: The RACE protocol for fire safety prioritizes Rescue (removing residents
from danger) as the first step. The safety of residents is always the top priority. After
rescuing residents, the aide should Activate the alarm, Confine the fire, and Extinguish if
appropriate.
3. It is most important for the nurse aide to check the temperature of the water
before (Promotion of Safety)
A. Soaking the resident's feet for foot care
B. Washing the resident's hands
C. Filling the water pitcher
D. Mopping the floor
Correct Answer: A
Rationale: Checking water temperature before soaking a resident's feet is critical
because elderly residents and those with decreased sensation (such as diabetic
neuropathy) are at high risk for burns. Water that feels comfortable to the nurse aide
may be too hot for a resident with impaired sensation.
4. The goal when removing gloves that are soiled is to (Promotion of Safety)
A. Avoid contact with the outside of the gloves
B. Remove them quickly to save time
C. Turn them inside out to reuse them
D. Place them in the resident's trash can
Correct Answer: A
Rationale: The proper technique for removing soiled gloves involves grasping the
outside of one glove near the wrist, peeling it off while turning it inside out, then using
the fingers of the bare hand inside the removed glove to peel off the second glove. This
prevents the bare hands from touching the contaminated outer surface, maintaining
Standard Precautions.
,5. The use of a physical restraint helps (Promotion of Safety)
A. Protect the resident from injury
B. Keep the resident in bed for convenience
C. Punish the resident for wandering
D. Reduce the need for staff supervision
Correct Answer: A
Rationale: Physical restraints should only be used as a last resort when less restrictive
interventions have failed, and their sole purpose is to protect the resident from harm to
themselves or others. Restraints require a physician's order, must be the least restrictive
option, and cannot be used for staff convenience or punishment.
6. What should a nurse aide do with a used disposable razor? (Promotion of
Safety)
A. Place the razor in a sharps container
B. Dispose of it in the regular trash
C. Rinse it and reuse it for the same resident
D. Wrap it in a paper towel and throw it away
Correct Answer: A
Rationale: Used disposable razors are considered sharps and must be disposed of in a
sharps container to prevent injury and potential bloodborne pathogen exposure. Sharps
containers are puncture-resistant and designed to safely contain sharp objects.
7. The purpose of a gait or transfer belt is to (Promotion of Safety)
A. Help steady and support a resident when transferring or walking
B. Restrain the resident in a wheelchair
C. Measure the resident's waist circumference
D. Hold the resident's clothing in place
Correct Answer: A
,Rationale: A gait belt (transfer belt) is a safety device worn around the resident's waist
that provides the nurse aide with secure handholds during transfers and ambulation. It
helps prevent falls by giving the aide better control and support while maintaining the
resident's dignity and mobility.
8. A resident has a urinary catheter connected to a drainage bag. Which action by
the nurse aide shows correct handling of the catheter and the urinary drainage
bag while the resident is in bed? (Promotion of Safety)
A. Wear gloves when emptying the urinary drainage bag
B. Place the drainage bag on the bed next to the resident
C. Disconnect the catheter from the drainage bag to reposition the resident
D. Hang the drainage bag above the level of the resident's bladder
Correct Answer: A
Rationale: Wearing gloves when handling the drainage bag protects the nurse aide
from exposure to body fluids, following Standard Precautions. The drainage bag should
always be kept below the level of the bladder to prevent backflow of urine, should never
be placed on the bed, and the catheter should never be disconnected from the bag.
9. To prevent skin tears or shearing when moving the resident, the nurse aide
should (Promotion of Safety)
A. Avoid pulling or sliding the resident when moving
B. Move the resident quickly to minimize friction
C. Use a drawsheet to drag the resident across the bed
D. Pull the resident up in bed by their arms
Correct Answer: A
Rationale: Elderly residents have fragile skin that is prone to tears and shearing
injuries. The nurse aide should use a lift sheet/turning sheet, lift rather than drag, and
use proper body mechanics. Pulling or sliding creates friction and shear forces that
damage skin, increasing the risk of pressure injuries and infection.
,10. To help prevent residents who are confused from accidentally leaving the
nursing home, the nursing home may (Promotion of Safety)
A. Place large stop signs on doors
B. Lock all residents in their rooms
C. Use physical restraints on all confused residents
D. Post guards at every exit
Correct Answer: A
Rationale: Environmental modifications like stop signs on doors are a non-restrictive
intervention to help prevent elopement (wandering out) by confused residents. This is a
person-centered approach that maintains resident dignity and autonomy while
enhancing safety. Restraints and locked rooms violate resident rights.
11. A resident is being showered while sitting in a shower chair. The resident
says, "I feel weak. I think I am going to faint." The nurse aide's immediate
concerns are calling for help and (Promotion of Safety)
A. Keeping the resident safe and comfortable
B. Finishing the shower quickly
C. Telling the resident to stand up slowly
D. Giving the resident a cold drink
Correct Answer: A
Rationale: When a resident reports feeling faint, the nurse aide's priority is safety. This
includes calling for help, supporting the resident to prevent falls, and ensuring the
resident is in a safe position (sitting or lying down). The aide should never leave the
resident alone or rush to finish care.
12. To help prevent burns to residents during meals, the nurse aide should
(Promotion of Safety)
A. Let residents know which foods and beverages are hot
B. Serve only cold foods and beverages
C. Test all food temperatures with a thermometer
,D. Remove all hot beverages from the dining room
Correct Answer: A
Rationale: Informing residents which foods and beverages are hot allows them to make
informed decisions and take appropriate precautions. Many elderly residents have
decreased sensation and may not perceive temperature accurately. This is a simple,
effective safety measure that respects resident autonomy.
13. A resident must have assistance to walk. When leaving the resident in the
resident's room, what must the nurse aide do before leaving the room? (Promotion
of Safety)
A. Place the call light where the resident can reach it
B. Lock the resident's wheelchair wheels
C. Turn off all the lights in the room
D. Close the door completely
Correct Answer: A
Rationale: Ensuring the call light is within the resident's reach is essential for safety. If
the resident needs assistance while alone, they must be able to summon help
immediately. This prevents falls and other emergencies that could occur if the resident
attempts to get up without assistance.
14. A nurse aide enters a room to help the resident to the bathroom. A trash can in
the room is on fire. What should the nurse aide do first? (Promotion of Safety)
A. Remove the resident from the room
B. Pour water on the fire
C. Pull the fire alarm
D. Call the fire department
Correct Answer: A
Rationale: Following the RACE protocol (Rescue, Alarm, Confine, Extinguish), the first
priority is always rescuing the resident from danger. The nurse aide must ensure the
resident's safety before taking any other action. After removing the resident, the aide
should activate the alarm, confine the fire, and extinguish if safe to do so.
,15. A resident is restrained. What observation should the nurse aide report to the
nurse immediately? (Promotion of Safety)
A. The resident has suddenly become very agitated
B. The resident is sleeping peacefully
C. The resident is watching television
D. The resident is eating lunch
Correct Answer: A
Rationale: Sudden agitation in a restrained resident may indicate pain, discomfort,
circulation problems, or psychological distress. Restrained residents require frequent
monitoring (at least every 15 minutes) for signs of injury, impaired circulation, breathing
difficulties, or behavioral changes. Any sudden change must be reported immediately.
16. When moving a resident in bed, a lift or a turning sheet may be used to help
prevent (Promotion of Safety)
A. Shearing and friction injuries to the skin
B. The resident from feeling cold
C. The bed linens from getting wrinkled
D. The resident from talking during the move
Correct Answer: A
Rationale: Lift sheets (turning sheets) and mechanical lifts reduce friction and shear
forces on the resident's skin during repositioning. These forces are major contributors to
pressure injuries, especially in elderly residents with fragile skin. Proper transfer
techniques protect both the resident and the caregiver from injury.
17. Which of the following describes an important requirement when providing
colostomy care? (Promotion of Safety)
A. Wear gloves for Standard Precautions
B. Use sterile technique for all care
C. Remove the colostomy bag only once per week
,D. Clean the stoma with alcohol
Correct Answer: A
Rationale: Standard Precautions require wearing gloves when providing colostomy
care because the procedure involves contact with body fluids (stool). Sterile technique
is not required for routine colostomy care. The bag should be emptied when one-third
full and changed as needed. Alcohol should never be used on the stoma as it causes
tissue damage.
18. A resident who is in isolation needs a temperature taken several times a day.
Where is the appropriate place for the thermometer to be kept? (Promotion of
Safety)
A. In the resident's room
B. In the nurse's station
C. In a central supply closet
D. In the medication room
Correct Answer: A
Rationale: Equipment used for residents in isolation should remain in the resident's
room to prevent cross-contamination. This includes thermometers, blood pressure cuffs,
and other reusable items. If dedicated equipment is not available, equipment must be
thoroughly disinfected before use with other residents.
19. Before helping a resident to stand who has been lying in bed, the nurse aide
needs to (Promotion of Safety)
A. Allow time for the resident to adjust to sitting at the edge of the bed
B. Immediately help the resident to stand up
C. Give the resident a large glass of water
D. Raise the head of the bed to 90 degrees quickly
Correct Answer: A
Rationale: Residents who have been lying down may experience orthostatic
hypotension (a drop in blood pressure when standing), which can cause dizziness and
, falls. Allowing the resident to sit at the edge of the bed for a few minutes helps their
cardiovascular system adjust to the position change before standing.
20. When helping a resident transfer from a bed to a chair, which of the following
best demonstrates appropriate safety techniques? (Promotion of Safety)
A. Follow the transfer technique as described in the care plan
B. Use the technique that is fastest for the aide
C. Have the resident pull themselves up using the bed rail
D. Lift the resident without any assistive device
Correct Answer: A
Rationale: The care plan specifies the appropriate transfer technique based on the
resident's abilities, limitations, and safety needs. Following the care plan ensures
consistency, prevents injury to both the resident and the aide, and complies with facility
policies. Each resident's transfer needs are individualized.
21. While receiving personal care in bed, a resident begins to have a seizure. The
nurse aide should (Basic Nursing Care)
A. Call the charge nurse and remain with the resident
B. Place a tongue depressor in the resident's mouth
C. Restrain the resident's limbs
D. Move the resident to the floor immediately
Correct Answer: A
Rationale: During a seizure, the nurse aide should call for help, note the time the
seizure started, protect the resident from injury by clearing the area of hazards, and stay
with the resident until help arrives. Never place objects in the mouth (risk of breaking
teeth or aspiration) or restrain limbs (risk of fracture).
22. A resident who must stay in bed is at risk for developing (Basic Nursing Care)
A. Footdrop
B. Hypertension
3 WRITTEN EXAMS
Questions with Verified Answers
Pass the Exam with Confidence
What You Will Get:
➢180 Questions w/ Answers
➢Expert Rationales included.
➢ Ideal for exam preparation and concept
reinforcement.
,Table of Contents
Texas CNA Prometric Exam Set 1 .......................................... 2
Texas CNA Prometric Exam Set 2 ........................................ 27
Texas CNA Prometric Exam Set 3 ........................................ 53
Texas CNA Prometric Exam Set 1
1. A nurse aide is asked to provide post-mortem care to a resident who died of
natural causes. Which of the following is the most appropriate practice to follow
when providing postmortem care? (Promotion of Safety)
A. Use strict isolation precautions throughout care
B. Wear gloves and follow Standard Precautions
C. Use a full gown, mask, and eye protection
D. No special precautions are needed for natural death
Correct Answer: B
Rationale: Standard Precautions (wearing gloves) are appropriate for postmortem care.
Strict isolation precautions are not necessary unless the resident had a known
infectious disease requiring transmission-based precautions. Body fluids may still be
present, so gloves protect the caregiver.
2. The first step the nurse aide should take when discovering a fire is to
(Promotion of Safety)
A. Remove any residents near the fire
B. Call the fire department
,C. Attempt to extinguish the fire
D. Pull the fire alarm
Correct Answer: A
Rationale: The RACE protocol for fire safety prioritizes Rescue (removing residents
from danger) as the first step. The safety of residents is always the top priority. After
rescuing residents, the aide should Activate the alarm, Confine the fire, and Extinguish if
appropriate.
3. It is most important for the nurse aide to check the temperature of the water
before (Promotion of Safety)
A. Soaking the resident's feet for foot care
B. Washing the resident's hands
C. Filling the water pitcher
D. Mopping the floor
Correct Answer: A
Rationale: Checking water temperature before soaking a resident's feet is critical
because elderly residents and those with decreased sensation (such as diabetic
neuropathy) are at high risk for burns. Water that feels comfortable to the nurse aide
may be too hot for a resident with impaired sensation.
4. The goal when removing gloves that are soiled is to (Promotion of Safety)
A. Avoid contact with the outside of the gloves
B. Remove them quickly to save time
C. Turn them inside out to reuse them
D. Place them in the resident's trash can
Correct Answer: A
Rationale: The proper technique for removing soiled gloves involves grasping the
outside of one glove near the wrist, peeling it off while turning it inside out, then using
the fingers of the bare hand inside the removed glove to peel off the second glove. This
prevents the bare hands from touching the contaminated outer surface, maintaining
Standard Precautions.
,5. The use of a physical restraint helps (Promotion of Safety)
A. Protect the resident from injury
B. Keep the resident in bed for convenience
C. Punish the resident for wandering
D. Reduce the need for staff supervision
Correct Answer: A
Rationale: Physical restraints should only be used as a last resort when less restrictive
interventions have failed, and their sole purpose is to protect the resident from harm to
themselves or others. Restraints require a physician's order, must be the least restrictive
option, and cannot be used for staff convenience or punishment.
6. What should a nurse aide do with a used disposable razor? (Promotion of
Safety)
A. Place the razor in a sharps container
B. Dispose of it in the regular trash
C. Rinse it and reuse it for the same resident
D. Wrap it in a paper towel and throw it away
Correct Answer: A
Rationale: Used disposable razors are considered sharps and must be disposed of in a
sharps container to prevent injury and potential bloodborne pathogen exposure. Sharps
containers are puncture-resistant and designed to safely contain sharp objects.
7. The purpose of a gait or transfer belt is to (Promotion of Safety)
A. Help steady and support a resident when transferring or walking
B. Restrain the resident in a wheelchair
C. Measure the resident's waist circumference
D. Hold the resident's clothing in place
Correct Answer: A
,Rationale: A gait belt (transfer belt) is a safety device worn around the resident's waist
that provides the nurse aide with secure handholds during transfers and ambulation. It
helps prevent falls by giving the aide better control and support while maintaining the
resident's dignity and mobility.
8. A resident has a urinary catheter connected to a drainage bag. Which action by
the nurse aide shows correct handling of the catheter and the urinary drainage
bag while the resident is in bed? (Promotion of Safety)
A. Wear gloves when emptying the urinary drainage bag
B. Place the drainage bag on the bed next to the resident
C. Disconnect the catheter from the drainage bag to reposition the resident
D. Hang the drainage bag above the level of the resident's bladder
Correct Answer: A
Rationale: Wearing gloves when handling the drainage bag protects the nurse aide
from exposure to body fluids, following Standard Precautions. The drainage bag should
always be kept below the level of the bladder to prevent backflow of urine, should never
be placed on the bed, and the catheter should never be disconnected from the bag.
9. To prevent skin tears or shearing when moving the resident, the nurse aide
should (Promotion of Safety)
A. Avoid pulling or sliding the resident when moving
B. Move the resident quickly to minimize friction
C. Use a drawsheet to drag the resident across the bed
D. Pull the resident up in bed by their arms
Correct Answer: A
Rationale: Elderly residents have fragile skin that is prone to tears and shearing
injuries. The nurse aide should use a lift sheet/turning sheet, lift rather than drag, and
use proper body mechanics. Pulling or sliding creates friction and shear forces that
damage skin, increasing the risk of pressure injuries and infection.
,10. To help prevent residents who are confused from accidentally leaving the
nursing home, the nursing home may (Promotion of Safety)
A. Place large stop signs on doors
B. Lock all residents in their rooms
C. Use physical restraints on all confused residents
D. Post guards at every exit
Correct Answer: A
Rationale: Environmental modifications like stop signs on doors are a non-restrictive
intervention to help prevent elopement (wandering out) by confused residents. This is a
person-centered approach that maintains resident dignity and autonomy while
enhancing safety. Restraints and locked rooms violate resident rights.
11. A resident is being showered while sitting in a shower chair. The resident
says, "I feel weak. I think I am going to faint." The nurse aide's immediate
concerns are calling for help and (Promotion of Safety)
A. Keeping the resident safe and comfortable
B. Finishing the shower quickly
C. Telling the resident to stand up slowly
D. Giving the resident a cold drink
Correct Answer: A
Rationale: When a resident reports feeling faint, the nurse aide's priority is safety. This
includes calling for help, supporting the resident to prevent falls, and ensuring the
resident is in a safe position (sitting or lying down). The aide should never leave the
resident alone or rush to finish care.
12. To help prevent burns to residents during meals, the nurse aide should
(Promotion of Safety)
A. Let residents know which foods and beverages are hot
B. Serve only cold foods and beverages
C. Test all food temperatures with a thermometer
,D. Remove all hot beverages from the dining room
Correct Answer: A
Rationale: Informing residents which foods and beverages are hot allows them to make
informed decisions and take appropriate precautions. Many elderly residents have
decreased sensation and may not perceive temperature accurately. This is a simple,
effective safety measure that respects resident autonomy.
13. A resident must have assistance to walk. When leaving the resident in the
resident's room, what must the nurse aide do before leaving the room? (Promotion
of Safety)
A. Place the call light where the resident can reach it
B. Lock the resident's wheelchair wheels
C. Turn off all the lights in the room
D. Close the door completely
Correct Answer: A
Rationale: Ensuring the call light is within the resident's reach is essential for safety. If
the resident needs assistance while alone, they must be able to summon help
immediately. This prevents falls and other emergencies that could occur if the resident
attempts to get up without assistance.
14. A nurse aide enters a room to help the resident to the bathroom. A trash can in
the room is on fire. What should the nurse aide do first? (Promotion of Safety)
A. Remove the resident from the room
B. Pour water on the fire
C. Pull the fire alarm
D. Call the fire department
Correct Answer: A
Rationale: Following the RACE protocol (Rescue, Alarm, Confine, Extinguish), the first
priority is always rescuing the resident from danger. The nurse aide must ensure the
resident's safety before taking any other action. After removing the resident, the aide
should activate the alarm, confine the fire, and extinguish if safe to do so.
,15. A resident is restrained. What observation should the nurse aide report to the
nurse immediately? (Promotion of Safety)
A. The resident has suddenly become very agitated
B. The resident is sleeping peacefully
C. The resident is watching television
D. The resident is eating lunch
Correct Answer: A
Rationale: Sudden agitation in a restrained resident may indicate pain, discomfort,
circulation problems, or psychological distress. Restrained residents require frequent
monitoring (at least every 15 minutes) for signs of injury, impaired circulation, breathing
difficulties, or behavioral changes. Any sudden change must be reported immediately.
16. When moving a resident in bed, a lift or a turning sheet may be used to help
prevent (Promotion of Safety)
A. Shearing and friction injuries to the skin
B. The resident from feeling cold
C. The bed linens from getting wrinkled
D. The resident from talking during the move
Correct Answer: A
Rationale: Lift sheets (turning sheets) and mechanical lifts reduce friction and shear
forces on the resident's skin during repositioning. These forces are major contributors to
pressure injuries, especially in elderly residents with fragile skin. Proper transfer
techniques protect both the resident and the caregiver from injury.
17. Which of the following describes an important requirement when providing
colostomy care? (Promotion of Safety)
A. Wear gloves for Standard Precautions
B. Use sterile technique for all care
C. Remove the colostomy bag only once per week
,D. Clean the stoma with alcohol
Correct Answer: A
Rationale: Standard Precautions require wearing gloves when providing colostomy
care because the procedure involves contact with body fluids (stool). Sterile technique
is not required for routine colostomy care. The bag should be emptied when one-third
full and changed as needed. Alcohol should never be used on the stoma as it causes
tissue damage.
18. A resident who is in isolation needs a temperature taken several times a day.
Where is the appropriate place for the thermometer to be kept? (Promotion of
Safety)
A. In the resident's room
B. In the nurse's station
C. In a central supply closet
D. In the medication room
Correct Answer: A
Rationale: Equipment used for residents in isolation should remain in the resident's
room to prevent cross-contamination. This includes thermometers, blood pressure cuffs,
and other reusable items. If dedicated equipment is not available, equipment must be
thoroughly disinfected before use with other residents.
19. Before helping a resident to stand who has been lying in bed, the nurse aide
needs to (Promotion of Safety)
A. Allow time for the resident to adjust to sitting at the edge of the bed
B. Immediately help the resident to stand up
C. Give the resident a large glass of water
D. Raise the head of the bed to 90 degrees quickly
Correct Answer: A
Rationale: Residents who have been lying down may experience orthostatic
hypotension (a drop in blood pressure when standing), which can cause dizziness and
, falls. Allowing the resident to sit at the edge of the bed for a few minutes helps their
cardiovascular system adjust to the position change before standing.
20. When helping a resident transfer from a bed to a chair, which of the following
best demonstrates appropriate safety techniques? (Promotion of Safety)
A. Follow the transfer technique as described in the care plan
B. Use the technique that is fastest for the aide
C. Have the resident pull themselves up using the bed rail
D. Lift the resident without any assistive device
Correct Answer: A
Rationale: The care plan specifies the appropriate transfer technique based on the
resident's abilities, limitations, and safety needs. Following the care plan ensures
consistency, prevents injury to both the resident and the aide, and complies with facility
policies. Each resident's transfer needs are individualized.
21. While receiving personal care in bed, a resident begins to have a seizure. The
nurse aide should (Basic Nursing Care)
A. Call the charge nurse and remain with the resident
B. Place a tongue depressor in the resident's mouth
C. Restrain the resident's limbs
D. Move the resident to the floor immediately
Correct Answer: A
Rationale: During a seizure, the nurse aide should call for help, note the time the
seizure started, protect the resident from injury by clearing the area of hazards, and stay
with the resident until help arrives. Never place objects in the mouth (risk of breaking
teeth or aspiration) or restrain limbs (risk of fracture).
22. A resident who must stay in bed is at risk for developing (Basic Nursing Care)
A. Footdrop
B. Hypertension
