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This document, "CNA Prometric Exam Practice", covers essential topics for Certified Nursing Assistant
(CNA) exam preparation, including communication skills, patient care, infection control, and safety
procedures. Each question in the 212-question practice exam is provided with the correct answer and
detailed explanation, allowing students to study, review, and understand key concepts and best
practices for providing quality care. This resource provides a comprehensive review and study aid for
CNA students to prepare for their exam and develop the knowledge and skills necessary for a successful
career in nursing assistance.
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EXAM QUESTIONS
QUESTION 1
The client says "why me God is punishing me" what should the nursing assistant do?
CORRECT ANSWER
Listen quietly
RATIONALE: When the client says "why me God is punishing me", the nursing assistant should remain empathetic and
non-judgmental, which can be achieved by listening quietly and allowing the client to express their emotions freely. This
non-verbal response of listening quietly helps the client feel heard and understood, ultimately fostering a trusting
relationship and facilitating open communication.
QUESTION 2
A resident spills a cup of coffee in the hallway, Which of the following is the best response by the
nurse aide?
CORRECT ANSWER
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, Clean up the spill
RATIONALE: The correct response is "Clean up the spill" because it prioritizes maintaining a clean and safe
environment, preventing potential falls or slips, and adhering to infection control practices by promptly cleaning the spill.
This action also demonstrates a proactive approach to minimizing disruptions and restoring order in the hallway.
QUESTION 3
Which of the following is required to to prevent contamination of the nurses hands during hand
washing procedure?
CORRECT ANSWER
Turn off the faucet with a paper towel
RATIONALE: This answer is correct because turning off the faucet with a paper towel prevents water from splashing
onto the nurse's hands, thereby reducing the risk of contamination during the hand-washing procedure. By
disconnecting the water source in a controlled manner, the nurse avoids exposing their hands to potential contaminants
in the water, ensuring a clean and effective hand wash.
QUESTION 4
Which of the following is NOT an example of an Activity of Daily Living (ADL)?
CORRECT ANSWER
Changing the care plan to reflect the patient's changes in health and ability
RATIONALE: This option is not an example of an Activity of Daily Living (ADL) because changing a care plan to reflect a
patient's changes in health and ability is a management or administrative task, rather than a basic daily activity such as
eating, bathing, or dressing that ADLs typically involve. By contrast, ADLs focus on the essential daily tasks that
individuals must perform for their own care and well-being.
QUESTION 5
When you are taking report from the off-going shift, the CNA states that she forgot to document
output on several patients and asks you to document 3 totals for her. What is the best response?
CORRECT ANSWER
"I am sorry, but this is against company policy. Can you please document your totals before you leave?"
RATIONALE: This response is correct because it sets a clear boundary while still providing a solution, allowing the CNA
to rectify the situation by documenting the totals herself. By not directly documenting for the CNA, you are holding her
accountable for her responsibilities and ensuring accuracy in the patient's records.
QUESTION 6
Which pulse rate should be reported to the charge nurse immediately?
CORRECT ANSWER
anything that's not in the range of 60 to 100
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, RATIONALE: A pulse rate outside the normal range of 60 to 100 beats per minute indicates abnormal heart function,
which requires immediate medical attention to prevent potential complications or cardiac arrest. This is because the
normal pulse rate range is a general guideline that reflects a healthy heart's functioning capacity, and any deviation from
it may signify a serious underlying condition.
QUESTION 7
What does the abbreviation "NPO" mean?
CORRECT ANSWER
nothing by mouth
RATIONALE: "NPO" is a medical abbreviation derived from the Latin phrase "nil per os," which translates to "nothing by
mouth." This phrase is used in healthcare settings to instruct patients or caregivers that the patient should not consume
any food or liquids orally.
QUESTION 8
Signs of hypoglycemia include all of the following except?
CORRECT ANSWER
Fruity breath
RATIONALE: "Fruity breath" is the correct answer to the question because hypoglycemia symptoms typically include
neurological and autonomic responses, such as confusion or sweating, rather than alterations in senses like smell,
making unusual breath odor an exception. The primary focus of hypoglycemia symptoms is on neurological and physical
manifestations, not unusual odors, which would be more characteristic of other conditions.
QUESTION 9
A patient that needs no nursing interventions ( such as injections, IV, therapy, wound care, tube
feedings or intensive symptom monitoring) but is unable to care for himself in his own home would
probably be found in a?
CORRECT ANSWER
Assisted Living Facility
RATIONALE: An Assisted Living Facility provides support and assistance with daily living tasks, such as bathing,
dressing, and medication management, allowing individuals who are unable to care for themselves to live independently
with some level of support. This type of facility is typically more independent and less intensive than a nursing home,
making it a suitable option for individuals who require minimal nursing interventions.
QUESTION 10
When providing Range Of Motion(ROM) exercises to the resident left upper extremity, which of the
following actions the nurse aide take?
CORRECT ANSWER
Ask the resident to report any discomfort immediately
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, RATIONALE: When providing Range Of Motion (ROM) exercises, it's crucial for the nurse aide to be aware of the
resident's comfort level to avoid causing unnecessary pain or discomfort, which can worsen the underlying condition.
Reporting any discomfort immediately allows the nurse aide to adjust the exercise or seek further guidance from a
healthcare professional to ensure the resident's safety and well-being.
QUESTION 11
Which of the following principles should a CNA keep in mind when assisting a resident with dressing?
CORRECT ANSWER
Residents have the right to choose their own clothing
RATIONALE: This principle prioritizes resident autonomy and dignity, recognizing that the choice of clothing is a
personal preference that should be respected and preserved. By allowing residents to choose their own clothing, CNAs
promote independence and self-expression, which are essential components of maintaining a resident's sense of identity
and well-being.
QUESTION 12
Insulin reaction can be caused by?
CORRECT ANSWER
too little food
RATIONALE: When the body doesn't receive enough glucose from food, the pancreas releases stored insulin to break
down stored glycogen, which can cause an insulin reaction. This is because the body is using insulin to compensate for
the lack of glucose from food, leading to a sudden drop in blood sugar levels.
QUESTION 13
A resident complains that something is wrong with his hearing aid and that it is not working as he
hands it to you. What should you do?
CORRECT ANSWER
Inspect the hearing aid for cracks and make sure it is turned on
RATIONALE: Checking the hearing aid for cracks ensures the equipment is in working order and not damaged, as
damage can prevent it from functioning properly. Turning it on verifies that the issue is not simply a matter of the device
being disabled, rather than a more complex problem that requires further troubleshooting or maintenance.
QUESTION 14
You are assigned to help a patient stand up at the side of the bed. The patient has been confined to
bed for 3 days and is very weak. What is an important safety step to take before assisting the patient
to stand?
CORRECT ANSWER
Have the patient dangle their legs while sitting on the edge of the bed for several minutes
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