Page 1 of 171
CNA STATE WRITTEN
EXAM2026|150+VERIFIED EXAM
QUESTIONS AND ANSWERS|GRADED A+
1. When providing oral care to an unconscious client, the
nurse aide should place the client in which position?
a) Supine with head flat
b) Lateral (side-lying) with head turned to the side
c) Semi-Fowler’s with head tilted back
d) Prone
Answer: b) Lateral (side-lying) with head turned to the side
Rationale: Placing an unconscious client in a side-lying position
prevents aspiration of fluids into the lungs. Gravity allows oral
secretions or rinse to drain out of the mouth rather than down the
throat. This is a critical safety measure.
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2. A client is on strict bed rest and needs a bed bath. How
often should the nurse aide change the bath water?
a) At the beginning of the bath only
b) Whenever it becomes soapy or cool
c) After washing each body part
d) At least twice: once for upper body, once for lower body
Answer: d) At least twice: once for upper body, once for lower
body
Rationale: Changing water after washing the upper body and
before washing the perineal/lower body prevents cross-
contamination. It is standard infection control practice to use fresh
water for the perineal area.
3. Scenario: A client with left-sided weakness is learning to
use a cane. Where should the cane be positioned?
a) On the left side (weak side)
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b) On the right side (strong side)
c) Held in front of the body
d) Alternated between sides
Answer: b) On the right side (strong side)
Rationale: The cane is held on the strong side to provide support.
The cane moves forward with the weak leg, so weight is shifted
away from the weak side. The correct pattern: cane forward →
weak leg forward → strong leg forward.
4. The nurse aide is assisting a client with a tub bath. When
should the aide check the water temperature?
a) Before the client enters the tub, using a bath thermometer or
inside wrist
b) After the client is seated
c) Using only the client’s perception
d) By placing a foot in the water first
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Answer: a) Before the client enters the tub, using a bath
thermometer or inside wrist
Rationale: Water should be warm (105°F max), not hot. Test with
thermometer or inner wrist – the skin there is sensitive. Never
have client test temperature while seated, as they could be
scalded before reacting.
5. When making an occupied bed, the nurse aide should:
a) Raise the side rail on the unattended side and leave the near
side rail down
b) Lower both side rails for easy access
c) Keep both side rails up at all times
d) Remove side rails entirely
Answer: a) Raise the side rail on the unattended side and
leave the near side rail down
Rationale: Patient safety is paramount. The raised far side rail
CNA STATE WRITTEN
EXAM2026|150+VERIFIED EXAM
QUESTIONS AND ANSWERS|GRADED A+
1. When providing oral care to an unconscious client, the
nurse aide should place the client in which position?
a) Supine with head flat
b) Lateral (side-lying) with head turned to the side
c) Semi-Fowler’s with head tilted back
d) Prone
Answer: b) Lateral (side-lying) with head turned to the side
Rationale: Placing an unconscious client in a side-lying position
prevents aspiration of fluids into the lungs. Gravity allows oral
secretions or rinse to drain out of the mouth rather than down the
throat. This is a critical safety measure.
,Page 2 of 171
2. A client is on strict bed rest and needs a bed bath. How
often should the nurse aide change the bath water?
a) At the beginning of the bath only
b) Whenever it becomes soapy or cool
c) After washing each body part
d) At least twice: once for upper body, once for lower body
Answer: d) At least twice: once for upper body, once for lower
body
Rationale: Changing water after washing the upper body and
before washing the perineal/lower body prevents cross-
contamination. It is standard infection control practice to use fresh
water for the perineal area.
3. Scenario: A client with left-sided weakness is learning to
use a cane. Where should the cane be positioned?
a) On the left side (weak side)
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b) On the right side (strong side)
c) Held in front of the body
d) Alternated between sides
Answer: b) On the right side (strong side)
Rationale: The cane is held on the strong side to provide support.
The cane moves forward with the weak leg, so weight is shifted
away from the weak side. The correct pattern: cane forward →
weak leg forward → strong leg forward.
4. The nurse aide is assisting a client with a tub bath. When
should the aide check the water temperature?
a) Before the client enters the tub, using a bath thermometer or
inside wrist
b) After the client is seated
c) Using only the client’s perception
d) By placing a foot in the water first
, Page 4 of 171
Answer: a) Before the client enters the tub, using a bath
thermometer or inside wrist
Rationale: Water should be warm (105°F max), not hot. Test with
thermometer or inner wrist – the skin there is sensitive. Never
have client test temperature while seated, as they could be
scalded before reacting.
5. When making an occupied bed, the nurse aide should:
a) Raise the side rail on the unattended side and leave the near
side rail down
b) Lower both side rails for easy access
c) Keep both side rails up at all times
d) Remove side rails entirely
Answer: a) Raise the side rail on the unattended side and
leave the near side rail down
Rationale: Patient safety is paramount. The raised far side rail
