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CNA State Exam Practice Questions : Complete Test Bank (200+ Q&As) with Rationales

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Pass your Certified Nursing Assistant (CNA) state exam on the first try with this complete practice test bank. 200+ questions with detailed rationales covering all NNAAP test domains: Activities of Daily Living (ADLs) & Mobility (transfers, positioning, feeding, toileting, catheter care), Vital Signs & Pain Assessment (temperature, pulse, respiration, blood pressure, SpO2, pain scales), Infection Control & Safety (hand hygiene, PPE, transmission-based precautions, fall prevention, fire safety, restraints), Mental Health & Dementia Care (sundowning, validation therapy, behavioral redirection, therapeutic communication), Legal & Ethical Issues (resident rights, HIPAA, advance directives, abuse reporting, scope of practice), and Rehabilitation & Restorative Care (ROM, bowel/bladder training, ostomy care, pressure ulcer prevention). Updated for 2026/2027. A+ graded. First-time pass guarantee.

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CNA STATE EXAM PRACTICE QUESTIONS 2026-
2027
HIGH YIELD CONTENT | RATIONALES
INCLUDED | FIRST-TIME PASS GUARANTEE
STYLE


## Table of Contents


| Domain | Topic Area | Question Numbers |
|--------|------------|------------------|
| 1 | Activities of Daily Living (ADLs) & Mobility | 1–45 |
| 2 | Vital Signs, Pain, & Measurements | 46–75 |
| 3 | Infection Control & Safety | 76–115 |
| 4 | Mental Health, Dementia, & Behavioral Care | 116–145 |
| 5 | Legal & Ethical Issues / Resident Rights | 146–175 |
| 6 | Rehabilitation, Restorative Care, & Elimination | 176–206 |




---

,2|Page


# DOMAIN 1: Activities of Daily Living (ADLs) & Mobility (Questions
1–45)


**1. A resident who is paralyzed on the left side requires transfer from
bed to wheelchair. Where should the CNA place the wheelchair?**
A. On the resident’s left side, facing the foot of the bed
B. On the resident’s right side, facing the head of the bed
C. Directly at the foot of the bed
D. On the left side, parallel to the bed


**Correct Answer: B**
*Rationale:* Place wheelchair on the **strong side** (right side) for
easier pivot transfer. Facing the head of the bed allows proper alignment
and safety.


**2. When assisting a resident with a weak right arm to put on a button-
front shirt, the CNA should:**
A. Put the right arm in first, then the left arm
B. Put the left arm in first, then the right arm
C. Put both arms in simultaneously
D. Lay the shirt flat and roll the resident into it


**Correct Answer: A**

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*Rationale:* **Dress the weak side first** – right arm first. Undress the
strong side first. This reduces resistance.


**3. While feeding a resident at risk for aspiration, the CNA notices
coughing after swallowing. Priority action?**
A. Offer more fluids
B. Stop feeding immediately, position upright/forward
C. Slap the resident’s back vigorously
D. Continue feeding slower


**Correct Answer: B**
*Rationale:* Coughing after swallowing = possible aspiration. Stop,
keep upright, notify nurse.


**4. Best position for a resident with dysphagia during meals:**
A. Supine with head flat
B. Semi-Fowler’s (45°)
C. High Fowler’s (90°) with chin tucked slightly
D. Left side-lying


**Correct Answer: C**
*Rationale:* High Fowler’s (90°) with chin tucked protects airway and
uses gravity.

, 4|Page




**5. A resident’s dentures are not in the mouth. Where to store them?**
A. Dry paper towel on bedside table
B. Labeled cup with water or denture solution
C. Wrapped in tissue in drawer
D. Bathroom sink edge


**Correct Answer: B**
*Rationale:* Dentures must stay moist to retain shape. Store in
water/solution in labeled container.


**6. When providing perineal care for a female resident, the CNA
should wipe:**
A. Back to front
B. Front to back
C. In a circular motion
D. Side to side


**Correct Answer: B**
*Rationale:* Front to back prevents introduction of fecal bacteria into
urethra (UTI prevention).

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