CASE-BASED PRACTICE TEST FOR CERTIFIED NURSING
ASSISTANT (CNA) QUESTIONS AND ANSWERS WITH 100%
VERIFIED SOLUTIONS 2026| ALREADY GRADE A+.
1. A 78-year-old patient with limited mobility has been bedridden for
several days. You notice redness on the sacral area that does not blanch
when pressed. What is the BEST action?
A. Massage the area vigorously
B. Ignore the redness
C. Reposition the patient and report to the nurse
D. Apply heat to the area
Correct Answer: C
Explanation: Non-blanchable redness indicates a Stage 1 pressure injury.
Repositioning and reporting are essential. Massage and heat can worsen
tissue damage.
2. A patient with diabetes becomes sweaty, shaky, and confused before
lunch. What should the CNA suspect?
A. Hyperglycemia
B. Hypoglycemia
C. Dehydration
D. Stroke
Correct Answer: B
Explanation: Symptoms indicate low blood sugar (hypoglycemia).
Immediate reporting and intervention are required.
3. While assisting a patient to walk, the patient suddenly becomes dizzy and
starts to fall. What should the CNA do?
A. Try to hold the patient upright
B. Lower the patient safely to the floor
C. Leave to get help
D. Pull the patient quickly
Correct Answer: B
Explanation: Safely lowering the patient prevents injury. Trying to hold
upright may cause harm to both.
,4. A patient with dementia becomes agitated and starts yelling. What is the
BEST response?
A. Argue with the patient
B. Ignore the patient
C. Speak calmly and redirect attention
D. Restrain immediately
Correct Answer: C
Explanation: Calm communication helps de-escalate agitation. Restraints
are last resort.
5. A CNA is feeding a patient who begins coughing while eating. What
should be done FIRST?
A. Continue feeding
B. Offer water
C. Stop feeding immediately
D. Leave the room
Correct Answer: C
Explanation: Coughing may indicate aspiration risk. Feeding must stop
immediately.
6. A patient complains of sudden chest pain and shortness of breath. What is
the PRIORITY action?
A. Give food
B. Report immediately to nurse
C. Document later
D. Let patient rest
Correct Answer: B
Explanation: These are signs of a possible cardiac emergency requiring
immediate reporting.
7. While providing perineal care, the CNA cleans from back to front. What
is the risk?
A. Improved hygiene
B. Infection
C. Better comfort
D. Faster care
Correct Answer: B
, Explanation: Cleaning back to front can introduce bacteria to the urinary
tract.
8. A patient with a catheter has cloudy, foul-smelling urine. What should the
CNA do?
A. Ignore
B. Empty bag
C. Report to nurse
D. Add water
Correct Answer: C
Explanation: These signs suggest infection and must be reported.
9. A patient refuses medication. What is the CNA’s role?
A. Force the patient
B. Give medication anyway
C. Report refusal to nurse
D. Hide medication
Correct Answer: C
Explanation: Patients have the right to refuse; CNA must report.
10.A CNA enters a room and finds a patient on the floor. What is the FIRST
action?
A. Move the patient to bed
B. Assess the patient and call for help
C. Document immediately
D. Leave
Correct Answer: B
Explanation: Assess for injuries before moving and call for assistance.
11.A patient with difficulty swallowing is being fed. Which position is
safest?
A. Supine
B. Fowler’s
C. Prone
D. Flat
, Correct Answer: B
Explanation: Upright positioning reduces aspiration risk.
12.A CNA notices a patient has rapid breathing and bluish lips. What does
this indicate?
A. Normal condition
B. Anxiety only
C. Lack of oxygen
D. Dehydration
Correct Answer: C
Explanation: Cyanosis and rapid breathing indicate hypoxia.
13.A patient becomes suddenly confused and has slurred speech. What
should the CNA suspect?
A. Infection
B. Stroke
C. Fatigue
D. Hunger
Correct Answer: B
Explanation: These are classic stroke symptoms requiring urgent care.
14.A CNA is transferring a patient and forgets to lock the wheelchair. What
could happen?
A. Nothing
B. Patient injury
C. Faster transfer
D. Improved safety
Correct Answer: B
Explanation: Unlocked wheels can cause falls and injury.
15.A patient is on fluid restriction but asks for more water. What should the
CNA do?
A. Give water
B. Ignore
C. Explain and follow care plan
D. Argue
ASSISTANT (CNA) QUESTIONS AND ANSWERS WITH 100%
VERIFIED SOLUTIONS 2026| ALREADY GRADE A+.
1. A 78-year-old patient with limited mobility has been bedridden for
several days. You notice redness on the sacral area that does not blanch
when pressed. What is the BEST action?
A. Massage the area vigorously
B. Ignore the redness
C. Reposition the patient and report to the nurse
D. Apply heat to the area
Correct Answer: C
Explanation: Non-blanchable redness indicates a Stage 1 pressure injury.
Repositioning and reporting are essential. Massage and heat can worsen
tissue damage.
2. A patient with diabetes becomes sweaty, shaky, and confused before
lunch. What should the CNA suspect?
A. Hyperglycemia
B. Hypoglycemia
C. Dehydration
D. Stroke
Correct Answer: B
Explanation: Symptoms indicate low blood sugar (hypoglycemia).
Immediate reporting and intervention are required.
3. While assisting a patient to walk, the patient suddenly becomes dizzy and
starts to fall. What should the CNA do?
A. Try to hold the patient upright
B. Lower the patient safely to the floor
C. Leave to get help
D. Pull the patient quickly
Correct Answer: B
Explanation: Safely lowering the patient prevents injury. Trying to hold
upright may cause harm to both.
,4. A patient with dementia becomes agitated and starts yelling. What is the
BEST response?
A. Argue with the patient
B. Ignore the patient
C. Speak calmly and redirect attention
D. Restrain immediately
Correct Answer: C
Explanation: Calm communication helps de-escalate agitation. Restraints
are last resort.
5. A CNA is feeding a patient who begins coughing while eating. What
should be done FIRST?
A. Continue feeding
B. Offer water
C. Stop feeding immediately
D. Leave the room
Correct Answer: C
Explanation: Coughing may indicate aspiration risk. Feeding must stop
immediately.
6. A patient complains of sudden chest pain and shortness of breath. What is
the PRIORITY action?
A. Give food
B. Report immediately to nurse
C. Document later
D. Let patient rest
Correct Answer: B
Explanation: These are signs of a possible cardiac emergency requiring
immediate reporting.
7. While providing perineal care, the CNA cleans from back to front. What
is the risk?
A. Improved hygiene
B. Infection
C. Better comfort
D. Faster care
Correct Answer: B
, Explanation: Cleaning back to front can introduce bacteria to the urinary
tract.
8. A patient with a catheter has cloudy, foul-smelling urine. What should the
CNA do?
A. Ignore
B. Empty bag
C. Report to nurse
D. Add water
Correct Answer: C
Explanation: These signs suggest infection and must be reported.
9. A patient refuses medication. What is the CNA’s role?
A. Force the patient
B. Give medication anyway
C. Report refusal to nurse
D. Hide medication
Correct Answer: C
Explanation: Patients have the right to refuse; CNA must report.
10.A CNA enters a room and finds a patient on the floor. What is the FIRST
action?
A. Move the patient to bed
B. Assess the patient and call for help
C. Document immediately
D. Leave
Correct Answer: B
Explanation: Assess for injuries before moving and call for assistance.
11.A patient with difficulty swallowing is being fed. Which position is
safest?
A. Supine
B. Fowler’s
C. Prone
D. Flat
, Correct Answer: B
Explanation: Upright positioning reduces aspiration risk.
12.A CNA notices a patient has rapid breathing and bluish lips. What does
this indicate?
A. Normal condition
B. Anxiety only
C. Lack of oxygen
D. Dehydration
Correct Answer: C
Explanation: Cyanosis and rapid breathing indicate hypoxia.
13.A patient becomes suddenly confused and has slurred speech. What
should the CNA suspect?
A. Infection
B. Stroke
C. Fatigue
D. Hunger
Correct Answer: B
Explanation: These are classic stroke symptoms requiring urgent care.
14.A CNA is transferring a patient and forgets to lock the wheelchair. What
could happen?
A. Nothing
B. Patient injury
C. Faster transfer
D. Improved safety
Correct Answer: B
Explanation: Unlocked wheels can cause falls and injury.
15.A patient is on fluid restriction but asks for more water. What should the
CNA do?
A. Give water
B. Ignore
C. Explain and follow care plan
D. Argue
