CNA PROMETRIC WRITTEN EXAM – PRACTICE QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD
PDF.
Core Domains
Role of the Nurse AidePromotion of SafetyPromotion of Function and Health of ResidentsBasic Nursing Care Provided by the Nurse AideProviding Specialized Care for Residents with
Changes in HealthLegal and Ethical BehaviorsCommunication and Interpersonal SkillsInfection Control and Prevention
Introduction
This comprehensive practice assessment is designed to mirror the structure and rigor of the CNA Prometric Written Exam. Its primary purpose is to evaluate the competency of
nursing assistants in providing safe, high-quality care within a clinical environment. The exam assesses a broad spectrum of skills, including basic nursing procedures, safety
protocols, and the protection of resident rights. Utilizing a mix of multiple-choice and scenario-based questions, the assessment emphasizes real-world application and critical
decision-making. By navigating these simulations, candidates demonstrate their ability to apply theoretical knowledge to practical situations, ensuring they meet the legal and
ethical standards required for professional certification.
1. When a resident is being admitted to a facility, what is the nurse aide's most important responsibility?
A. Giving the resident a physical exam
B. Orienting the resident to the room and call light
C. Discussing the resident's medical history
D. Setting up the resident's medication schedule
🟢 B. Orienting the resident to the room and call light
🔴 RATIONALE: Safety and comfort are priorities during admission; the resident must know how to call for help and navigate their new environment.
2. A resident who is lying in bed suddenly complains of feeling lightheaded and dizzy. The nurse aide should first:
A. Help the resident sit up on the edge of the bed
B. Take the resident's blood pressure immediately
C. Lower the head of the bed to a flat position
D. Offer the resident a glass of orange juice
🟢 C. Lower the head of the bed to a flat position
🔴 RATIONALE: Lowering the head of the bed increases blood flow to the brain, which is the immediate priority when a resident feels faint or dizzy.
3. Which of the following is an example of a subjective observation?
A. The resident’s skin is warm and dry
B. The resident’s blood pressure is 140/90
,C. The resident says they have a headache
D. The resident ate 50% of their lunch
🟢 C. The resident says they have a headache
🔴 RATIONALE: Subjective observations are things the resident tells you (symptoms) that cannot be measured or seen by the nurse aide.
4. The nurse aide finds a resident crying in their room. What is the most appropriate action?
A. Tell the resident everything will be okay
B. Close the door and leave the resident alone
C. Sit with the resident and ask if they want to talk
D. Report the crying to the charge nurse immediately
🟢 C. Sit with the resident and ask if they want to talk
🔴 RATIONALE: Offering emotional support and a listening ear respects the resident's psychosocial needs and dignity.
5. When performing perineal care on a female resident, the nurse aide should:
A. Wipe from back to front
B. Wipe from front to back
C. Use the same area of the washcloth for each stroke
D. Use only cold water to prevent burning
🟢 B. Wipe from front to back
🔴 RATIONALE: Wiping from front to back (cleanest to dirtiest) prevents the spread of bacteria from the anal area to the urinary meatus, reducing UTI risk.
6. A resident is on a restricted salt diet. The nurse aide should ensure the resident avoids:
A. Fresh fruit
B. Steamed vegetables
C. Canned soups
D. Whole grain bread
🟢 C. Canned soups
🔴 RATIONALE: Canned foods and processed soups are typically very high in sodium, which must be avoided on a low-salt or restricted-sodium diet.
7. What is the first sign of a pressure injury developing on a resident's skin?
A. A deep open wound
B. Skin that is cool to the touch
, C. Discoloration that does not blanch when pressed
D. Clear fluid leaking from the skin
🟢 C. Discoloration that does not blanch when pressed
🔴 RATIONALE: Non-blanchable erythema (redness that stays red when pressed) is a Stage 1 pressure injury indicator.
8. When communicating with a resident who is hard of hearing, the nurse aide should:
A. Shout loudly into the resident's ear
B. Speak clearly and face the resident directly
C. Use high-pitched tones
D. Avoid using hand gestures
🟢 B. Speak clearly and face the resident directly
🔴 RATIONALE: Facing the resident allows them to see your lips and facial expressions, and speaking clearly is more effective than shouting.
9. Which of the following is a violation of HIPAA?
A. Recording a resident’s vitals in their chart
B. Discussing a resident's condition with the charge nurse
C. Sharing a resident's diagnosis with a friend in the cafeteria
D. Reporting a change in skin color to the next shift
🟢 C. Sharing a resident's diagnosis with a friend in the cafeteria
🔴 RATIONALE: HIPAA protects resident privacy; discussing medical information with unauthorized individuals or in public areas is a violation.
10. A resident has an indwelling urinary catheter. Where should the drainage bag be placed?
A. On the side rail of the bed
B. On the floor directly under the bed
C. Attached to the bed frame below the level of the bladder
D. On the resident’s lap while in a wheelchair
🟢 C. Attached to the bed frame below the level of the bladder
🔴 RATIONALE: The bag must be lower than the bladder to allow gravity drainage and prevent urine backflow, which causes infection.
11. To prevent complications of immobility, such as contractures, the nurse aide should:
A. Keep the resident in the same position all day
B. Perform range of motion (ROM) exercises as ordered
PDF.
Core Domains
Role of the Nurse AidePromotion of SafetyPromotion of Function and Health of ResidentsBasic Nursing Care Provided by the Nurse AideProviding Specialized Care for Residents with
Changes in HealthLegal and Ethical BehaviorsCommunication and Interpersonal SkillsInfection Control and Prevention
Introduction
This comprehensive practice assessment is designed to mirror the structure and rigor of the CNA Prometric Written Exam. Its primary purpose is to evaluate the competency of
nursing assistants in providing safe, high-quality care within a clinical environment. The exam assesses a broad spectrum of skills, including basic nursing procedures, safety
protocols, and the protection of resident rights. Utilizing a mix of multiple-choice and scenario-based questions, the assessment emphasizes real-world application and critical
decision-making. By navigating these simulations, candidates demonstrate their ability to apply theoretical knowledge to practical situations, ensuring they meet the legal and
ethical standards required for professional certification.
1. When a resident is being admitted to a facility, what is the nurse aide's most important responsibility?
A. Giving the resident a physical exam
B. Orienting the resident to the room and call light
C. Discussing the resident's medical history
D. Setting up the resident's medication schedule
🟢 B. Orienting the resident to the room and call light
🔴 RATIONALE: Safety and comfort are priorities during admission; the resident must know how to call for help and navigate their new environment.
2. A resident who is lying in bed suddenly complains of feeling lightheaded and dizzy. The nurse aide should first:
A. Help the resident sit up on the edge of the bed
B. Take the resident's blood pressure immediately
C. Lower the head of the bed to a flat position
D. Offer the resident a glass of orange juice
🟢 C. Lower the head of the bed to a flat position
🔴 RATIONALE: Lowering the head of the bed increases blood flow to the brain, which is the immediate priority when a resident feels faint or dizzy.
3. Which of the following is an example of a subjective observation?
A. The resident’s skin is warm and dry
B. The resident’s blood pressure is 140/90
,C. The resident says they have a headache
D. The resident ate 50% of their lunch
🟢 C. The resident says they have a headache
🔴 RATIONALE: Subjective observations are things the resident tells you (symptoms) that cannot be measured or seen by the nurse aide.
4. The nurse aide finds a resident crying in their room. What is the most appropriate action?
A. Tell the resident everything will be okay
B. Close the door and leave the resident alone
C. Sit with the resident and ask if they want to talk
D. Report the crying to the charge nurse immediately
🟢 C. Sit with the resident and ask if they want to talk
🔴 RATIONALE: Offering emotional support and a listening ear respects the resident's psychosocial needs and dignity.
5. When performing perineal care on a female resident, the nurse aide should:
A. Wipe from back to front
B. Wipe from front to back
C. Use the same area of the washcloth for each stroke
D. Use only cold water to prevent burning
🟢 B. Wipe from front to back
🔴 RATIONALE: Wiping from front to back (cleanest to dirtiest) prevents the spread of bacteria from the anal area to the urinary meatus, reducing UTI risk.
6. A resident is on a restricted salt diet. The nurse aide should ensure the resident avoids:
A. Fresh fruit
B. Steamed vegetables
C. Canned soups
D. Whole grain bread
🟢 C. Canned soups
🔴 RATIONALE: Canned foods and processed soups are typically very high in sodium, which must be avoided on a low-salt or restricted-sodium diet.
7. What is the first sign of a pressure injury developing on a resident's skin?
A. A deep open wound
B. Skin that is cool to the touch
, C. Discoloration that does not blanch when pressed
D. Clear fluid leaking from the skin
🟢 C. Discoloration that does not blanch when pressed
🔴 RATIONALE: Non-blanchable erythema (redness that stays red when pressed) is a Stage 1 pressure injury indicator.
8. When communicating with a resident who is hard of hearing, the nurse aide should:
A. Shout loudly into the resident's ear
B. Speak clearly and face the resident directly
C. Use high-pitched tones
D. Avoid using hand gestures
🟢 B. Speak clearly and face the resident directly
🔴 RATIONALE: Facing the resident allows them to see your lips and facial expressions, and speaking clearly is more effective than shouting.
9. Which of the following is a violation of HIPAA?
A. Recording a resident’s vitals in their chart
B. Discussing a resident's condition with the charge nurse
C. Sharing a resident's diagnosis with a friend in the cafeteria
D. Reporting a change in skin color to the next shift
🟢 C. Sharing a resident's diagnosis with a friend in the cafeteria
🔴 RATIONALE: HIPAA protects resident privacy; discussing medical information with unauthorized individuals or in public areas is a violation.
10. A resident has an indwelling urinary catheter. Where should the drainage bag be placed?
A. On the side rail of the bed
B. On the floor directly under the bed
C. Attached to the bed frame below the level of the bladder
D. On the resident’s lap while in a wheelchair
🟢 C. Attached to the bed frame below the level of the bladder
🔴 RATIONALE: The bag must be lower than the bladder to allow gravity drainage and prevent urine backflow, which causes infection.
11. To prevent complications of immobility, such as contractures, the nurse aide should:
A. Keep the resident in the same position all day
B. Perform range of motion (ROM) exercises as ordered
