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State Board Certified Nursing Assistant (CNA) Written Test
2026 || Complete Question Bank with Actual Exam and
Practice Questions with 100% Verified Correct Answers &
Detailed Rationales
Question 1
When assisting a client in learning how to use a cane, the nurse aide stands
A) Approximately two feet directly behind the client.
B) About one foot from the client's weak side.
C) About one foot from the client's strong side.
D) Slightly behind the client on the client's weak side.
Correct answer: D
Rationale: The nurse aide should stand slightly behind the client on the weak side to provide
support and prevent falls if the client loses balance.
Question 2
When working with a client who has urinary retention, the nurse aide can expect that the client
will
A) Urinate large volumes.
B) Be unable to urinate.
C) Urinate frequently.
D) Be incontinent of urine.
Correct answer: B
Rationale: Urinary retention is the inability to empty the bladder completely or at all, so the
client will be unable to urinate.
Question 3
A client diagnosed with hypertension will most likely have a history of
A) Low blood pressure.
B) High blood pressure.
C) Low blood sugar.
D) High blood sugar.
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Correct answer: B
Rationale: Hypertension is the medical term for high blood pressure, so a client with this
diagnosis has a history of high blood pressure.
Question 4
A patient who has difficulty chewing or swallowing will need what type of diet?
A) Clear liquid
B) Low residue
C) Bland
D) Mechanical soft
Correct answer: D
Rationale: A mechanical soft diet includes foods that are easy to chew and swallow, such as
ground meats, soft cooked vegetables, and pureed foods.
Question 5
An elderly resident with Alzheimer's disease cannot find her room. How can the nurse aide help
the client feel more independent?
A) Tell her to stay in the room.
B) Have her roommate secretly watch her.
C) Place a familiar object on the client's door.
D) Write the room number on a piece of paper.
Correct answer: C
Rationale: A familiar object (photo, decoration) helps the resident identify her room without
relying on memory or reading ability.
Question 6
How often should a patient's intake and output records be totaled?
A) Once each shift
B) Twice a day
C) Every four hours
D) Every 12 hours
Correct answer: A
Rationale: Intake and output are typically totaled at the end of each shift (every 8 hours) to
monitor fluid balance.
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Question 7
Which of the following should the nursing assistant observe and record when admitting a client?
A) Freckles
B) Wrinkles
C) Short nails
D) Bruises
Correct answer: D
Rationale: Bruises indicate potential injury, falls, or abuse and must be documented during
admission to establish a baseline.
Question 8
When responding to a client on the intercom, the nursing assistant should say
A) "Hello, who is calling, please?"
B) "What is it that you want?"
C) "This is [nursing assistant name and position], can I help you?"
D) "Please hold; I'll have the nurse answer your call."
Correct answer: C
Rationale: Professional identification and offering assistance promotes trust and effective
communication.
Question 9
Which of the following things should the nurse aide do to familiarize new clients with their
surroundings?
A) Demonstrate the location and use of the call light.
B) Explain that the TV is not to be used.
C) Instruct family to leave the room after the aide is finished with the admission.
D) Raise the bed to the high position and raise the safety rails.
Correct answer: A
Rationale: Showing the call light and how to use it is essential for client safety and
independence.
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Question 10
When arranging a client's room, the nursing assistant should do all of the following EXCEPT
A) Checking the placement of the call bell.
B) Adjusting the back rest as directed.
C) Administering the client's medications.
D) Adjusting the lighting as appropriate.
Correct answer: C
Rationale: Medication administration is outside the scope of practice for a nursing assistant and
must be done by licensed nursing staff.
Question 11
When assisting a client out of bed, the nurse aide should always
A) Employ body mechanic techniques.
B) Get another nurse aide to assist.
C) Raise the bed to its maximum height.
D) Lower all safety rails.
Correct answer: A
Rationale: Using proper body mechanics prevents injury to both the nurse aide and the client.
Question 12
How often should clients be repositioned during an eight-hour shift?
A) q1h
B) q2h
C) q3h
D) q4h
Correct answer: B
Rationale: Clients should be repositioned every 2 hours (q2h) to prevent pressure ulcers and
maintain circulation.
Question 13
Which of the following is the correct procedure for serving a meal to a client who must be fed?
A) Serve the tray along with all the other trays, and then come back to feed the client.
B) Bring the tray to the client last; feed after you have served all the other clients.
State Board Certified Nursing Assistant (CNA) Written Test
2026 || Complete Question Bank with Actual Exam and
Practice Questions with 100% Verified Correct Answers &
Detailed Rationales
Question 1
When assisting a client in learning how to use a cane, the nurse aide stands
A) Approximately two feet directly behind the client.
B) About one foot from the client's weak side.
C) About one foot from the client's strong side.
D) Slightly behind the client on the client's weak side.
Correct answer: D
Rationale: The nurse aide should stand slightly behind the client on the weak side to provide
support and prevent falls if the client loses balance.
Question 2
When working with a client who has urinary retention, the nurse aide can expect that the client
will
A) Urinate large volumes.
B) Be unable to urinate.
C) Urinate frequently.
D) Be incontinent of urine.
Correct answer: B
Rationale: Urinary retention is the inability to empty the bladder completely or at all, so the
client will be unable to urinate.
Question 3
A client diagnosed with hypertension will most likely have a history of
A) Low blood pressure.
B) High blood pressure.
C) Low blood sugar.
D) High blood sugar.
, Page |2
Correct answer: B
Rationale: Hypertension is the medical term for high blood pressure, so a client with this
diagnosis has a history of high blood pressure.
Question 4
A patient who has difficulty chewing or swallowing will need what type of diet?
A) Clear liquid
B) Low residue
C) Bland
D) Mechanical soft
Correct answer: D
Rationale: A mechanical soft diet includes foods that are easy to chew and swallow, such as
ground meats, soft cooked vegetables, and pureed foods.
Question 5
An elderly resident with Alzheimer's disease cannot find her room. How can the nurse aide help
the client feel more independent?
A) Tell her to stay in the room.
B) Have her roommate secretly watch her.
C) Place a familiar object on the client's door.
D) Write the room number on a piece of paper.
Correct answer: C
Rationale: A familiar object (photo, decoration) helps the resident identify her room without
relying on memory or reading ability.
Question 6
How often should a patient's intake and output records be totaled?
A) Once each shift
B) Twice a day
C) Every four hours
D) Every 12 hours
Correct answer: A
Rationale: Intake and output are typically totaled at the end of each shift (every 8 hours) to
monitor fluid balance.
, Page |3
Question 7
Which of the following should the nursing assistant observe and record when admitting a client?
A) Freckles
B) Wrinkles
C) Short nails
D) Bruises
Correct answer: D
Rationale: Bruises indicate potential injury, falls, or abuse and must be documented during
admission to establish a baseline.
Question 8
When responding to a client on the intercom, the nursing assistant should say
A) "Hello, who is calling, please?"
B) "What is it that you want?"
C) "This is [nursing assistant name and position], can I help you?"
D) "Please hold; I'll have the nurse answer your call."
Correct answer: C
Rationale: Professional identification and offering assistance promotes trust and effective
communication.
Question 9
Which of the following things should the nurse aide do to familiarize new clients with their
surroundings?
A) Demonstrate the location and use of the call light.
B) Explain that the TV is not to be used.
C) Instruct family to leave the room after the aide is finished with the admission.
D) Raise the bed to the high position and raise the safety rails.
Correct answer: A
Rationale: Showing the call light and how to use it is essential for client safety and
independence.
, Page |4
Question 10
When arranging a client's room, the nursing assistant should do all of the following EXCEPT
A) Checking the placement of the call bell.
B) Adjusting the back rest as directed.
C) Administering the client's medications.
D) Adjusting the lighting as appropriate.
Correct answer: C
Rationale: Medication administration is outside the scope of practice for a nursing assistant and
must be done by licensed nursing staff.
Question 11
When assisting a client out of bed, the nurse aide should always
A) Employ body mechanic techniques.
B) Get another nurse aide to assist.
C) Raise the bed to its maximum height.
D) Lower all safety rails.
Correct answer: A
Rationale: Using proper body mechanics prevents injury to both the nurse aide and the client.
Question 12
How often should clients be repositioned during an eight-hour shift?
A) q1h
B) q2h
C) q3h
D) q4h
Correct answer: B
Rationale: Clients should be repositioned every 2 hours (q2h) to prevent pressure ulcers and
maintain circulation.
Question 13
Which of the following is the correct procedure for serving a meal to a client who must be fed?
A) Serve the tray along with all the other trays, and then come back to feed the client.
B) Bring the tray to the client last; feed after you have served all the other clients.
