ANSWERS/ CERTIFIED NURSE ASSISTANT – PRACTICE QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains:
- Role of the Nurse Aide
- Promotion of Safety
- Promotion of Function and Health of Residents
- Basic Nursing Care Provided by the Nurse Aide
- Specialized Care for Residents with Changes in Health
- Resident Rights
- Communication and Interpersonal Skills
- Infection Control and Prevention
Introduction
The purpose of this comprehensive practice examination is to evaluate the foundational readiness of aspiring
Certified Nurse Assistants preparing for the Prometric evaluation. This assessment systematically measures
critical competency areas, ensuring candidates possess the vital skills, safety knowledge, and clinical standards
necessary for entry-level practice. Structuring a combination of theoretical multiple-choice inquiries and complex
scenario-based problems, the exam replicates the rigorous demands encountered during the actual credentialing
process. By placing a profound emphasis on real-world application, ethical dilemmas, and rapid clinical decision-
making, these items challenge candidates to demonstrate compassionate, compliant, and highly effective resident
care within diverse healthcare environments.
SECTION ONE: QUESTIONS 1–100
, 1. A resident with dementia becomes agitated during lunchtime and throws a plate of food onto the floor.
Which action should the nurse aide take first?
A. Tell the resident that they cannot have any more food until they calm down.
B. Ensure the resident and others nearby are safe, then speak in a calm, soothing voice.
C. Clean up the spilled food immediately to prevent anyone from slipping.
D. Report the resident’s aggressive behavior to the supervisor right away.
🟢 B. Ensure the resident and others nearby are safe, then speak in a calm, soothing voice.
🔴 RATIONALE: The immediate priority when a resident becomes agitated is to ensure safety and de-escalate
the situation using a calm, non-threatening approach. Cleaning up and reporting occur after safety is established.
2. When transferring a resident from a bed to a wheelchair, what is the most important safety measure for the
nurse aide to perform?
A. Place a pillow in the wheelchair seat before the transfer.
B. Ensure the resident is wearing comfortable, loose-fitting clothing.
C. Lock the brakes on both the bed and the wheelchair.
D. Position the wheelchair at a 90-degree angle to the bed.
🟢 C. Lock the brakes on both the bed and the wheelchair.
🔴 RATIONALE: Locking the brakes on both the bed and the wheelchair prevents the equipment from moving
during the transfer, reducing the risk of falls for both the resident and the nurse aide.
3. A nurse aide notes that a resident's skin is red and warm over the sacral area during a bed bath. What
should the nurse aide do next?
,A. Massage the reddened area vigorously to increase blood flow.
B. Apply a thick layer of petroleum jelly or lotion over the area.
C. Position the resident to keep weight off the reddened area and report it to the nurse.
D. Wait until the next day to see if the redness goes away on its own.
🟢 C. Position the resident to keep weight off the reddened area and report it to the nurse.
🔴 RATIONALE: Reddened, warm skin over a bony prominence indicates a potential Stage 1 pressure injury. The
nurse aide must relieve pressure from the area and notify the licensed nurse for assessment. Massaging it can
cause deeper tissue damage.
4. Which of the following is considered a violation of a resident's right to privacy?
A. Closing the privacy curtain before beginning a dressing change.
B. Discussing a resident's medical condition with another nurse aide in the facility cafeteria.
C. Knocking on the resident's room door and waiting for permission before entering.
D. Covering a resident with a bath blanket during a bed bath.
🟢 B. Discussing a resident's medical condition with another nurse aide in the facility cafeteria.
🔴 RATIONALE: Discussing resident information in public areas violates Health Insurance Portability and
Accountability Act (HIPAA) regulations and the resident's fundamental right to confidentiality.
5. What is the correct method for measuring a resident's radial pulse?
A. Place the thumb over the pulse point on the inner side of the wrist.
B. Place the tips of the index and middle fingers on the thumb side of the inner wrist.
C. Use a stethoscope placed firmly against the left side of the resident's chest.
D. Wrap a blood pressure cuff around the wrist and pump it up to 60 mmHg.
, 🟢 B. Place the tips of the index and middle fingers on the thumb side of the inner wrist.
🔴 RATIONALE: The radial pulse is located on the thumb side of the inner wrist and should be measured using
the fingers, not the thumb, because the thumb has its own pulse that could interfere with an accurate count.
6. While walking down the hall, a nurse aide hears a smoke alarm sounding inside a resident's room. Upon
entering, the nurse aide sees flames in the wastebasket. What should the nurse aide do first according to
the RACE acronym?
A. Run to the nearest fire alarm pull station to activate the alarm.
B. Locate the nearest fire extinguisher to put out the flames.
C. Close the windows and doors to contain the smoke and fire.
D. Remove the resident from the room and move them to a safe location.
🟢 D. Remove the resident from the room and move them to a safe location.
🔴 RATIONALE: The RACE acronym stands for Rescue, Alarm, Confine, and Extinguish/Evacuate. The
immediate first step is always to rescue any resident in imminent danger.
7. A resident who stands up too quickly may experience a sudden drop in blood pressure, causing dizziness.
What is the medical term for this condition?
A. Hypertension
B. Orthostatic hypotension
C. Bradycardia
D. Tachycardia
🟢 B. Orthostatic hypotension