CNA STATE CERTIFICATION EXAM – QUESTIONS AND
ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | PLUS
RATIONALES MUST BE IN ITALICS| GUARANTEED PASS |
LATEST EXAM UPDATE
CORE DOMAINS
• Basic Nursing Skills
• Infection Control
• Patient Rights and Ethics
• Communication Skills
• Safety and Emergency Care
• ADLs (Activities of Daily Living)
• Vital Signs
• Medical Terminology
• Body Systems Basics
INTRODUCTION
This examination evaluates the essential competencies required of a Certified Nursing Assistant in
clinical and long-term care environments. It measures knowledge of patient safety, hygiene,
communication, ethical care, infection prevention, and basic clinical procedures. The exam uses
scenario-based and multiple-choice questions to assess critical thinking and real-world application of
nursing assistant duties. Candidates must demonstrate understanding of patient rights, proper
caregiving techniques, and appropriate responses to clinical situations. The goal is to ensure
readiness for safe, effective, and compassionate entry-level nursing practice across healthcare
settings.
SECTION ONE (QUESTIONS 1–80)
1. What is the first step before providing any patient care?
A. Put on gloves
B. Wash hands
C. Gather equipment
D. Explain procedure
Correct Answer: B. Wash hands
Explanation: Hand hygiene is the first and most important infection control step.
2. Normal adult pulse range is:
A. 40–60 bpm
B. 60–100 bpm
, C. 100–120 bpm
D. 120–140 bpm
Correct Answer: B. 60–100 bpm
Explanation: This is the standard resting heart rate range for adults.
3. A patient refuses care. CNA should:
A. Force care
B. Report to nurse
C. Ignore refusal
D. Document only
Correct Answer: B. Report to nurse
Explanation: Patient rights require refusal to be reported, not ignored.
4. Normal respiratory rate is:
A. 8–10
B. 12–20
C. 20–30
D. 30–40
Correct Answer: B. 12–20
Explanation: Adult resting respirations fall within this range.
5. Best prevention of pressure ulcers:
A. Massage bony areas
B. Reposition frequently
C. Keep patient still
D. Limit fluids
Correct Answer: B. Reposition frequently
Explanation: Regular turning relieves pressure on skin.
6. Contact precautions require:
A. Mask only
B. Gloves and gown
C. Shoe covers
D. No PPE
Correct Answer: B. Gloves and gown
Explanation: Prevents spread of infection through contact.
, 7. Pulse oximeter measures:
A. Blood pressure
B. Oxygen saturation
C. Temperature
D. Respiration
Correct Answer: B. Oxygen saturation
Explanation: It measures oxygen levels in blood.
8. Best position for unconscious oral care:
A. Supine
B. Fowler’s
C. Side-lying
D. Sitting
Correct Answer: C. Side-lying
Explanation: Prevents aspiration during care.
9. Normal temperature range:
A. 95–96°F
B. 97–99°F
C. 100–102°F
D. 93–95°F
Correct Answer: B. 97–99°F
Explanation: Average adult body temperature range.
10. Safe transfer technique includes:
A. Twisting back
B. Proper body mechanics
C. Pulling arms
D. Lifting alone
Correct Answer: B. Proper body mechanics
Explanation: Prevents injury to patient and caregiver.
11. Best communication with hearing-impaired patient:
A. Shout
B. Face patient and speak clearly
C. Turn away
D. Whisper
Correct Answer: B. Face patient and speak clearly
Explanation: Visual cues improve understanding.
ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | PLUS
RATIONALES MUST BE IN ITALICS| GUARANTEED PASS |
LATEST EXAM UPDATE
CORE DOMAINS
• Basic Nursing Skills
• Infection Control
• Patient Rights and Ethics
• Communication Skills
• Safety and Emergency Care
• ADLs (Activities of Daily Living)
• Vital Signs
• Medical Terminology
• Body Systems Basics
INTRODUCTION
This examination evaluates the essential competencies required of a Certified Nursing Assistant in
clinical and long-term care environments. It measures knowledge of patient safety, hygiene,
communication, ethical care, infection prevention, and basic clinical procedures. The exam uses
scenario-based and multiple-choice questions to assess critical thinking and real-world application of
nursing assistant duties. Candidates must demonstrate understanding of patient rights, proper
caregiving techniques, and appropriate responses to clinical situations. The goal is to ensure
readiness for safe, effective, and compassionate entry-level nursing practice across healthcare
settings.
SECTION ONE (QUESTIONS 1–80)
1. What is the first step before providing any patient care?
A. Put on gloves
B. Wash hands
C. Gather equipment
D. Explain procedure
Correct Answer: B. Wash hands
Explanation: Hand hygiene is the first and most important infection control step.
2. Normal adult pulse range is:
A. 40–60 bpm
B. 60–100 bpm
, C. 100–120 bpm
D. 120–140 bpm
Correct Answer: B. 60–100 bpm
Explanation: This is the standard resting heart rate range for adults.
3. A patient refuses care. CNA should:
A. Force care
B. Report to nurse
C. Ignore refusal
D. Document only
Correct Answer: B. Report to nurse
Explanation: Patient rights require refusal to be reported, not ignored.
4. Normal respiratory rate is:
A. 8–10
B. 12–20
C. 20–30
D. 30–40
Correct Answer: B. 12–20
Explanation: Adult resting respirations fall within this range.
5. Best prevention of pressure ulcers:
A. Massage bony areas
B. Reposition frequently
C. Keep patient still
D. Limit fluids
Correct Answer: B. Reposition frequently
Explanation: Regular turning relieves pressure on skin.
6. Contact precautions require:
A. Mask only
B. Gloves and gown
C. Shoe covers
D. No PPE
Correct Answer: B. Gloves and gown
Explanation: Prevents spread of infection through contact.
, 7. Pulse oximeter measures:
A. Blood pressure
B. Oxygen saturation
C. Temperature
D. Respiration
Correct Answer: B. Oxygen saturation
Explanation: It measures oxygen levels in blood.
8. Best position for unconscious oral care:
A. Supine
B. Fowler’s
C. Side-lying
D. Sitting
Correct Answer: C. Side-lying
Explanation: Prevents aspiration during care.
9. Normal temperature range:
A. 95–96°F
B. 97–99°F
C. 100–102°F
D. 93–95°F
Correct Answer: B. 97–99°F
Explanation: Average adult body temperature range.
10. Safe transfer technique includes:
A. Twisting back
B. Proper body mechanics
C. Pulling arms
D. Lifting alone
Correct Answer: B. Proper body mechanics
Explanation: Prevents injury to patient and caregiver.
11. Best communication with hearing-impaired patient:
A. Shout
B. Face patient and speak clearly
C. Turn away
D. Whisper
Correct Answer: B. Face patient and speak clearly
Explanation: Visual cues improve understanding.
