NEWEST CNA PROMETRIC EXAM PREP ACTUAL EXAM
2026-2027 COMPLETE EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS ( EXPERT VERIFIED ANSWERS)
ALREADY GRADED A+
1.A resident who is lying in bed suddenly becomes short of breath. What is the first action the
CNA should take?
- A. Raise the head of the bed
- ***B. Raise the head of the bed to a semi-Fowler’s or Fowler’s position***
- C. Give the resident oxygen
- D. Call the nurse immediately
Rationale: Raising the head of the bed helps expand the lungs and ease breathing. Fowler’s
position promotes chest expansion. Giving oxygen is outside the CNA’s scope, and calling the
nurse should come after positioning.
2.When helping a resident who has had a stroke to eat, the CNA notices the resident coughing
after swallowing. What should the CNA do?
- A. Offer more fluids to help wash food down
- B. Continue feeding slowly
- ***C. Stop feeding and assess; report possible dysphagia to the nurse***
- D. Tilt the resident’s head back to open the airway
Rationale: Coughing after swallowing may indicate aspiration. The CNA should stop feeding,
ensure safety, and report signs of dysphagia to the nurse immediately.
,3. Which of the following is the correct way to identify a resident before providing care?
- A. Ask, "Are you Mr. Smith?"
- ***B. Check the wristband and verify the resident’s name and birthdate***
- C. Look at the name on the door
- D. Ask the roommate to confirm the name
Rationale:Two identifiers (e.g., name and birthdate or name and ID number) on the wristband
ensure correct identification and prevent errors. Asking or assuming can lead to mistakes.
4.To prevent pressure ulcers, how often should a bedridden resident be repositioned?
- A. Every 4 hours
- B. Every 3 hours
- ***C. At least every 2 hours***
- D. Once per shift
Rationale:Repositioning at least every 2 hours relieves pressure on bony prominences,
improving circulation and preventing pressure injuries.
5.A CNA is about to give a resident a bed bath. What should the water temperature be?
- A. Very hot to kill germs
- B. Room temperature only
- ***C. Warm, around 105°F to 110°F (40°C to 43°C)***
- D. Cold to prevent burns
Rationale: Warm water (tested on inner wrist) prevents burns, maintains comfort, and helps
loosen debris without damaging skin.
,6.When using a gait belt to assist a resident from bed to wheelchair, where should the belt be
placed?
- A. Around the resident’s chest
- ***B. Around the resident’s waist over clothing***
- C. Around the resident’s thighs
- D. Around the resident’s neck for support
Rationale:The gait belt is placed snugly around the waist, over clothing, to provide a secure grip
for assisting without pulling on the resident’s arms or clothing.
7. Which observation about a resident’s urine should be reported to the nurse immediately?
- A. Dark yellow color in the morning
- ***B. Bloody or coffee-ground appearance***
- C. Foul odor after holding urine
- D. Pale yellow color
Rationale:Bloody or coffee-ground urine may indicate bleeding or injury. Dark yellow is often
dehydration; foul odor could be an infection but is less urgent.
8.While taking a resident’s oral temperature, the CNA finds the resident has just finished a cup
of hot coffee. What should the CNA do?
- A. Take the temperature immediately in the other ear
- B. Take the temperature rectally
- ***C. Wait 15–30 minutes and then take the temperature orally***
- D. Document 98.6°F as an estimate
, Rationale: Hot liquids increase oral temperature artificially. Waiting 15–30 minutes gives the
mouth time to return to baseline.
9. A CNA is providing perineal care for a female resident. Which direction should the CNA
clean?
- A. Back to front
- ***B. Front to back***
- C. Side to side
- D. Circular motion
Rationale:Front to back prevents introducing bacteria from the anal area into the urethra,
reducing risk of urinary tract infection.
10.A resident is on aspiration precautions. How should the CNA position the resident for
meals?
- A. Lying flat on the back
- ***B. Sitting upright at 90 degrees, with chin slightly tucked***
- C. Lying on the right side
- D. Leaning backward in the chair
Rationale:Upright with chin tucked helps protect the airway and allows gravity to assist
swallowing, reducing aspiration risk.
11.Which of the following is a sign of a urinary tract infection (UTI) in an elderly resident?
- A. Increased appetite
- B. Clear, pale urine
2026-2027 COMPLETE EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS ( EXPERT VERIFIED ANSWERS)
ALREADY GRADED A+
1.A resident who is lying in bed suddenly becomes short of breath. What is the first action the
CNA should take?
- A. Raise the head of the bed
- ***B. Raise the head of the bed to a semi-Fowler’s or Fowler’s position***
- C. Give the resident oxygen
- D. Call the nurse immediately
Rationale: Raising the head of the bed helps expand the lungs and ease breathing. Fowler’s
position promotes chest expansion. Giving oxygen is outside the CNA’s scope, and calling the
nurse should come after positioning.
2.When helping a resident who has had a stroke to eat, the CNA notices the resident coughing
after swallowing. What should the CNA do?
- A. Offer more fluids to help wash food down
- B. Continue feeding slowly
- ***C. Stop feeding and assess; report possible dysphagia to the nurse***
- D. Tilt the resident’s head back to open the airway
Rationale: Coughing after swallowing may indicate aspiration. The CNA should stop feeding,
ensure safety, and report signs of dysphagia to the nurse immediately.
,3. Which of the following is the correct way to identify a resident before providing care?
- A. Ask, "Are you Mr. Smith?"
- ***B. Check the wristband and verify the resident’s name and birthdate***
- C. Look at the name on the door
- D. Ask the roommate to confirm the name
Rationale:Two identifiers (e.g., name and birthdate or name and ID number) on the wristband
ensure correct identification and prevent errors. Asking or assuming can lead to mistakes.
4.To prevent pressure ulcers, how often should a bedridden resident be repositioned?
- A. Every 4 hours
- B. Every 3 hours
- ***C. At least every 2 hours***
- D. Once per shift
Rationale:Repositioning at least every 2 hours relieves pressure on bony prominences,
improving circulation and preventing pressure injuries.
5.A CNA is about to give a resident a bed bath. What should the water temperature be?
- A. Very hot to kill germs
- B. Room temperature only
- ***C. Warm, around 105°F to 110°F (40°C to 43°C)***
- D. Cold to prevent burns
Rationale: Warm water (tested on inner wrist) prevents burns, maintains comfort, and helps
loosen debris without damaging skin.
,6.When using a gait belt to assist a resident from bed to wheelchair, where should the belt be
placed?
- A. Around the resident’s chest
- ***B. Around the resident’s waist over clothing***
- C. Around the resident’s thighs
- D. Around the resident’s neck for support
Rationale:The gait belt is placed snugly around the waist, over clothing, to provide a secure grip
for assisting without pulling on the resident’s arms or clothing.
7. Which observation about a resident’s urine should be reported to the nurse immediately?
- A. Dark yellow color in the morning
- ***B. Bloody or coffee-ground appearance***
- C. Foul odor after holding urine
- D. Pale yellow color
Rationale:Bloody or coffee-ground urine may indicate bleeding or injury. Dark yellow is often
dehydration; foul odor could be an infection but is less urgent.
8.While taking a resident’s oral temperature, the CNA finds the resident has just finished a cup
of hot coffee. What should the CNA do?
- A. Take the temperature immediately in the other ear
- B. Take the temperature rectally
- ***C. Wait 15–30 minutes and then take the temperature orally***
- D. Document 98.6°F as an estimate
, Rationale: Hot liquids increase oral temperature artificially. Waiting 15–30 minutes gives the
mouth time to return to baseline.
9. A CNA is providing perineal care for a female resident. Which direction should the CNA
clean?
- A. Back to front
- ***B. Front to back***
- C. Side to side
- D. Circular motion
Rationale:Front to back prevents introducing bacteria from the anal area into the urethra,
reducing risk of urinary tract infection.
10.A resident is on aspiration precautions. How should the CNA position the resident for
meals?
- A. Lying flat on the back
- ***B. Sitting upright at 90 degrees, with chin slightly tucked***
- C. Lying on the right side
- D. Leaning backward in the chair
Rationale:Upright with chin tucked helps protect the airway and allows gravity to assist
swallowing, reducing aspiration risk.
11.Which of the following is a sign of a urinary tract infection (UTI) in an elderly resident?
- A. Increased appetite
- B. Clear, pale urine
