Specific Practice Test & Answers
Description:
Struggling to find a reliable and up-to-date CNA practice test for your upcoming state final
exam? Look no further. Our 2026 CNA final exam simulator is meticulously crafted with the
latest OBRA guidelines and state-specific protocols in mind, covering every essential domain
from patient safety and infection control to vital signs, restorative care, and dementia
communication. Each question includes detailed explanations to solidify your understanding
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, CNA Practice Test 2026: Free Final Exam Questions & Answers
1. Which of the following best defines an acute illness?
a) A long-term condition managed with medication
b) A sudden illness from which a person is expected to recover
c) A permanent change in a person's health status
d) A disease that is always contagious
Answer: b) A sudden illness from which a person is expected to recover
Explanation: An acute illness has a rapid onset and a relatively short duration. Unlike chronic
conditions, recovery to the previous level of health is the expected outcome.
2. Individuals who reside in long-term care facilities are most appropriately referred to as:
a) Patients
b) Clients
c) Residents
d) Consumers
Answer: c) Residents
Explanation: The term "resident" acknowledges that the facility is the person's home, promoting
a person-centered care approach. "Patient" is more commonly used in acute care settings like
hospitals.
3. The nursing team is comprised of various roles. Which of the following is typically not a direct
member of this team?
a) Registered Nurse (RN)
b) Licensed Practical Nurse (LPN)
c) Certified Nursing Assistant (CNA)
d) Attending Physician
Answer: d) Attending Physician
Explanation: While physicians provide medical orders and oversight, they are generally not
considered direct, day-to-day members of the nursing team, which is led by the RN and includes
LPNs and CNAs.
, 4. As a CNA, you play a vital role in the facility survey process. Which action falls outside your
professional scope of practice during this process?
a) Demonstrating proper hand hygiene
b) Accurately documenting care provided
c) Formally interviewing residents and their families about their satisfaction
d) Explaining a resident's care plan to the surveyor
Answer: c) Formally interviewing residents and their families about their satisfaction
Explanation: While CNAs should report resident concerns they overhear, conducting formal
interviews about satisfaction is typically the role of the surveyors or facility social workers, not
the CNA.
5. The Omnibus Budget Reconciliation Act of 1987 (OBRA) is a critical piece of legislation for
nursing homes. What is its nature?
a) A state-level recommendation
b) A federal law
c) An insurance guideline
d) A hospital accreditation standard
Answer: b) A federal law
Explanation: OBRA is a federal law that sets minimum standards for nursing assistant training,
competency evaluation, and facility practices to ensure quality of care and residents' rights.
6. Under OBRA, a nursing assistant must undergo retraining and a new competency evaluation if
they have not worked in a paid role for:
a) 6 months
b) 1 year
c) 2 years
d) 5 years
Answer: c) 2 years
Explanation: OBRA mandates that a CNA who has not performed paid nursing-related services
for 24 consecutive months must complete a new training and competency evaluation program to
ensure their skills and knowledge are current.