Certified Nurse Assistant Practice Test

CNA exam Format | Course Contents | Course Outline | exam Syllabus | exam Objectives

Tests/Quizzes (Totals make up 25% of your overall grade)
Chapter Tests 100 points ea.
Chapter Quizzes (if given) 25 points ea.

Major Exams (Totals make up 25% of your overall grade)
Mid-term 500 points * Must have a 75% in class to take – must score 75% on test
Skills Final 400 points
Final 500 points * Must have a 75% in class to take – must score 75% on test
Classwork/Homework (Totals make up 25% of your overall grade)
Homework 50 points/week
Skills/Lab 50 points/per skill day
Career Portfolio 100 points
Research papers 100 points
Oral presentations 100 points
Employability (Totals make up 25% of your overall grade)
Weekly class employability grade semester 1 40 pts. /day = 200 points a week)
Weekly class employability grade semester 2 40 pts. / day = 120 points a week)
Weekly clinical employability points semester 2 40 pts / day or 80 pts on Saturday

Major Exams: The Arizona State Board of Nursing has determined that all students must achieve at least 75% or better on all major examinations. In keeping with the BON standard- the EVIT standard for NA students is that students score at least 75% on all major exams as well as maintain a 75% overall class average. Students scoring less than 75% on either the Mid-term or the Final exam are considered to have failed and may petition the instructor to re-take the exam. Only one re-take will be permitted. Re-takes will be administered the next school day. The re-take exam will address the same competencies as the first exam but with different questions. The maximum score that will be posted in the grade book for a re-take exam is 75%. Students with a permanent score of less than 75% for the midterm exam will be referred to the counseling department. It is the students responsibility to arrange a time with the teacher if they need to re-take a major test due to a failing
grade or to make-up a major test due to an excused absence.

Successful Completion Requires:
1. Students must demonstrate 100% accuracy on all skills taught in lab/ clinical setting
in order to receive “Pass” for this portion of the Program.
2. Students must maintain 100% attendance rate in class/clinical. (If student misses a
class they will have to wait until that class day is offered again and it is not
guaranteed it will be available in the next class)
3. All Students must complete 100% of the clinical hours
4. All Students must get at least an 80% or above on all quizzes and exams when given
5. All Financial obligations to school must be satisNied before sitting for CNA State exam
or accreditation testing or before receiving a completion of Achievement CertiNicate.

Course Objectives • Communication and Interpersonal Skills • Infection Control • Safety/ Emergency procedures- including- but not limited to the
Heimlich maneuver • Promoting Residents independence • Respecting residents rights • Taking and recording vitals signs • Measuring and recording height and weight • Caring for the residents environment • Caring for residents when death is imminent • Recognizing abnormal changes in body function and the importance of
reporting such changes to a supervisor • Bathing • Grooming • Dressing • Toileting • Assisting with eating and hydration • Proper feeding techniques • Skin care • Transfers- positioning and turning • Modifying aides behavior in response to residents behavior • Identifying development tasks associated with aging process • How to respond to residents behavior
• Allowing the residents to make personal choices • Identifying psychiatric disorders • Techniques for addressing the unique needs and behaviors of
individuals with dementia • Communicating with cognitively impaired residents • Understanding the behavior of cognitively impaired residents • Appropriate responses to behavior of cognitively impaired residents • Methods of reducing the effects of cognitive impairments • Training the residents in self care according to the residents abilities • Use of assistive devices in transferring- ambulation- eating & dressing • Maintaining range of motion • Proper turning and positioning in bed and chair • Bowel and Bladder training • Care and use of prosthetic and orthotic devices • Providing privacy and maintenance of conNidentiality • Promoting the residents right to make personal choices to
accommodate their needs • Giving assistance in resolving grievances and disputes • Providing needed assistance in getting to and participating in resident
and family groups and other activities • Maintaining care and security of residents personal possessions • Promoting the residents right to be free from abuse- mistreatment and
neglect- and the need to report any such instance to appropriate facility
staff • Avoiding the need for restraints in accordance with current professional
standards

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Certified Nurse Assistant 2026
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Question: 690
When addressing the need for safety in a patient care environment, which of the following practices is
essential to minimize the risk of falls among patients?
A. Keeping walking paths clear of obstacles at all times.
B. Leaving bed rails down to promote independence.
C. Allowing patients to walk unassisted whenever possible.
D. Only monitoring patients during scheduled rounds.
Answer: A
Explanation: Keeping walking paths clear minimizes hazards and helps prevent falls, which is crucial in
ensuring patient safety in care environments.
Question: 691
You are caring for an elderly patient who requires assistance with personal care activities. In developing a
care plan, which of the following considerations is most crucial for promoting the patient�s dignity and
independence?
A. Performing all personal care tasks without patient input
B. Allowing the patient to make choices about their personal care routines
C. Rushing through personal care to adhere to time constraints
D. Using a standardized approach to personal care for all patients
Answer: B
Explanation: Encouraging patient choice in personal care routines is vital for promoting dignity and
independence, allowing them to feel empowered in their care.
Question: 692
You are explaining to a colleague the importance of maintaining sterility during specimen collection.
Which of the following scenarios illustrates a breach of this principle?
A. The swab is collected without touching any surfaces
B. The use of non-sterile gloves during collection
C. The specimen container is sealed immediately after collection
D. The healthcare worker washes hands before and after the procedure
Answer: B
Explanation: Using non-sterile gloves can introduce contaminants into the specimen, compromising its
integrity and potentially affecting laboratory results.
Question: 693
Which of the following choices is needed to communicate with a completely deaf resident?
A. Pen and paper
B. A loud voice
C. Reduced noise
D. B) loud voice
Answer: A
Explanation: When someone is completely deaf (hearing no sound), the only form of communication
from the offered options
might be lip practicing or pen and paper. Communicating with an amplified phone system (A), a loud voice
(B), or in
a reduced noise environment (C) are good forms of communication for someone who is not completely
deaf, but
has a percentage of deafness.
Question: 694
When assessing dietary intake for a patient with chronic obstructive pulmonary disease (COPD), which
nutrient should be emphasized to support energy levels while minimizing respiratory distress?
A. High-fat, low-carbohydrate diets
B. Low-protein foods
C. High-carbohydrate foods
D. High-fiber foods
Answer: A
Explanation: A high-fat, low-carbohydrate diet can provide adequate energy while minimizing carbon
dioxide production during metabolism, which is beneficial for patients with COPD.
Question: 695
Which of the following is a recommended practice for ensuring accurate temperature measurement in a
patient who is suspected of having a fever?
A. Measure immediately after patient has been active
B. Use the same thermometer for all patients without cleaning
C. Wait at least 30 minutes after a bath before measurement
D. Take the temperature at the patient�s convenience
Answer: C
Explanation: It is recommended to wait at least 30 minutes after a bath before measuring temperature to
avoid inaccuracies due to external factors influencing body temperature.
Question: 696
Which of the following is true regarding the residents phone rights?
A. Telephones are provided to each resident.
B. Resident access is provided during daytime hours only.
C. Telephones can be used under supervision.
D. Access to phones and privacy is provided to each resident.
Answer: D
Explanation: The resident has a right to access phones and privacy to make phone calls as requested.
Although the resident has a
right to phone access, having a phone for each resident is not part of the resident�s rights (A).
Telephone use
under supervision only (C) and phone access during daytime hours only (D) restrict the resident�s right
to phone
use.
Question: 697
When preparing to collect a throat culture, which of the following should be included in the nurse
assistant's pre-collection checklist?
A. Verify the patient's identity and confirm the need for the culture
B. Gather a sterile swab and culture medium
C. Ensure that the patient has not taken antibiotics recently
D. All of the above
Answer: D
Explanation: All of these actions are essential to ensure the accuracy of the throat culture and to prepare
adequately for the procedure.
Question: 698
Which of the following is a true statement regarding religious beliefs?
A. Employees are to impose their religious beliefs on the residents.
B. Employees are never to discuss religious beliefs with residents.
C. Residents have a right to practice their own religious beliefs.
D. Family members are responsible to bring the religious leaders in to speak to the
Answer: C
Explanation: According to the Resident�s Bill of Rights, the resident is to be able to practice his or her
beliefs. The resident,
not the family, has the right to request the facility to contact a religious leader who will contact the
resident (D).
Employees who impose their religious beliefs (A) or discuss religious beliefs with the residents (B) are
both a
violation of the resident�s rights.
Question: 699
For a patient undergoing chemotherapy, which dietary consideration is crucial to address potential side
effects such as nausea and taste alterations?
A. Encourage high-protein snacks between meals.
B. Offer bland foods with strong flavors.
C. Limit fluid intake to reduce nausea.
D. Suggest small, frequent meals with appealing textures and temperatures.
Answer: D
Explanation: Small, frequent meals that are visually appealing and at preferred temperatures can help
combat nausea and taste changes associated with chemotherapy.
Question: 700
A resident with a history of anxiety is experiencing an acute panic attack. What is the most appropriate
immediate nursing intervention?
A. Remain with the resident and provide reassurance
B. Encourage the resident to leave the area
C. Suggest the use of medication to calm down
D. Document the episode for future reference
Answer: A
Explanation: Remaining with the resident and providing reassurance is crucial to help them feel safe and
supported during a panic attack.
Question: 701
Which of the following is the appropriate response of the nursing assistant when a resident complains of
dysuria?
A. Report the complaint to the nurse as soon as possible.
B. Tell the nurse during the end of shift report.
C. Offer the resident cranberry juice with a meal.
D. Encourage the resident to drink more water.
Answer: A
Explanation: Dysuria is the term used to describe painful urination. Dysuria can be caused by infection or
obstruction. Telling
the nurse during the end of shift report (B) is incorrect because pain should always be reported as soon as
possible.
Encouraging the resident to drink more water (A) and offering the resident cranberry juice with a meal
(C) are
related to the care of a urinary tract infection, but that determination is made by the physician.
Question: 702
In the context of infection control, which of the following actions is most effective in preventing the
transmission of pathogens in a healthcare environment?
A. Performing hand hygiene before and after patient contact, and ensuring surfaces are regularly
disinfected.
B. Using hand sanitizer only when gloves are not available.
C. Wearing gloves at all times, regardless of the procedure.
D. Relying on air purifiers to eliminate pathogens from the environment.
Answer: A
Explanation: Proper hand hygiene before and after patient contact, along with regular disinfection of
surfaces, is critical in preventing the transmission of pathogens in healthcare settings.
Question: 703
Select the appropriate equipment to use when giving mouth care to an unconscious resident.
A. Toothbrush
B. Soft Toothette
C. Mouthwash
D. Toothpaste
Answer: B
Explanation: Soft Toothettes are used with an unconscious resident to lessen the chance of aspiration of
fluid and toothpaste into
the lungs. Toothbrush (A) and toothpaste (B) are used with the conscious resident or with the cleaning of
dentures.
Mouthwash is harsh and might be aspirated (C).
Question: 704
In a scenario where a practical nurse is assisting a physician with a physical examination of an elderly
patient, what is the most critical consideration regarding the patient's positioning and comfort?
A. Provide ample support and cushioning to prevent discomfort
B. The patient should remain in one position throughout the exam
C. Ensure the patient is positioned on a hard surface for stability
D. Use restraints to keep the patient still
Answer: A
Explanation: Providing support and cushioning is crucial for the comfort of elderly patients, who may
have mobility issues or pain in certain positions.
Question: 705
A resident has just been told of a family members death. The best way to help the resident deal with the
death is
by which of the following actions?
A. Assuring him or her that everyone eventually dies
B. Allowing him or her to grieve alone
C. Staying with the resident and encouraging him or her to talk
D. Sharing with him or her that the family member is in a better place
Answer: C
Explanation: Sitting quietly with the resident and listening when he or she wants to share something
about the loved one is the
best source of comfort. Answers A, B, and C do not allow the resident to feel free to talk about the loved
one.
Question: 706
When considering the prevention of pathogen transmission, which of the following practices is essential
for maintaining a sterile environment during a dressing change?
A. Using sterile gloves only if the wound appears infected.
B. Relying on the patient to keep the wound clean.
C. Covering the wound with a non-sterile bandage to promote airflow.
D. Performing hand hygiene before and after the procedure and using sterile equipment.
Answer: D
Explanation: Performing hand hygiene and using sterile equipment are essential practices to maintain a
sterile environment during dressing changes, minimizing the risk of infection.
Question: 707
A resident with a history of diabetes is found to have a foot ulcer. What is the most critical nursing
intervention to prevent further complications?
A. Encourage the resident to wear open-toed shoes
B. Assess the ulcer for signs of infection daily
C. Teach the resident to monitor blood glucose levels regularly
D. Apply a topical antibiotic ointment to the ulcer
Answer: C
Explanation: Teaching the resident to monitor blood glucose levels is critical in managing diabetes and
preventing further complications, including poor wound healing and infections.
Question: 708
All of the following are examples of the Patients Bill of Rights except the right to which of the
following?
A. Privacy and dignity
B. Confidentially
C. Low-cost care
D. Accept or refuse treatment
Answer: C
Explanation: A, B, and C are all included in the Patient�s Bill of Rights.
Question: 709
In the case of a patient with obesity requiring a calorie-restricted diet, which approach should the nurse
advise to ensure effective weight loss without compromising nutritional adequacy?
A. Focus on portion control and balanced meals
B. Eliminate all carbohydrates from the diet
C. Rely solely on meal replacement shakes
D. Encourage fasting for extended periods
Answer: A
Explanation: Focusing on portion control and balanced meals allows for weight loss while providing
necessary nutrients, making it a sustainable approach to obesity management.
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