2021 Version

Certified Nursing Assistant (CNA) Certification


To get certified as a nursing assistant, you will have to take an exam. 

A CNA exam typically has two parts, a written part and a skills part.  The written part of the test is typically in a multiple choice format and evaluates your knowledge of the subjects that CNAs are expected to know. Subjects that will be included in the test are: CNA Roles, Observation, Reporting and Abbreviations, Safety and Managing Behavior, Emergencies, Personal Care Skills, Infection Control and Blood Borne Pathogens, Caring for All Ages, Common Physical and Emotional Problems, Care of the Dying Person at the End of Life and Legal and Ethical Issues.  All of these topics, or subjects, were covered in your CNA training program. The test will typically have 50 to 70 multiple choice questions, like the ones you will see in our CNA Practice Test.

For complete practice, try the Test


CNA Roles, Roles of Others and Teamwork

1. Your patient has been confused for years. Your patient can be best described as a patient with a chronic ___________ disorder.
2. CNAs and nursing aides can work in home care__________________.
3. A CNA cannot perform which of the following tasks?

Legal and Ethical Aspects of the CNA Role

4. CNAs are personally responsible in terms of ________________.
5. You are caring for a group of patients in the nursing home. The highest priority, greatest need for this group of patients is the need for which of the following?
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6. You suspect that another CNA on your unit may have pushed a patient. What should you do?

Priorities and Priority Setting

7. RACE is the acronym for the things you must do in the case of a fire. What is the FIRST thing that you do if a fire breaks out?

You are taking care of 12 residents today. One of your residents wants water; another needs help walking to the bathroom; another just stated that they have chest pain; and another is crying because his daughter did not visit him today.

8. Which patient care problem is your second priority?
9. Physical bullying, among school aged children, threatens which of Maslow's needs?

Observation, Reporting and Abbreviations

10. You see a sign over Mary Jones' bed when you arrive at 7 am to begin your day shift. The sign says, "NPO". Ms. Jones is on a regular diet. The patient asks for milk and some crackers. You _____________.
11. Match the abbreviation with the correct definition:
12. Which is NOT an acceptable abbreviation?
13. A loud crash at the end of the hall is coming from a room that you are not assigned to. What should you do first?

You are taking Mr. D's blood pressure. The first sound that you hear is at 162 and the second sound that you hear is at 86.

14. You should document and report that the blood pressure is _____________.
15. Mrs. B. curses at you and tries to strike you after you knock on the door to greet her at the beginning of the shift. What should you do?

Safety and Managing Behavior

You are taking care of Mary Eden. She is an elderly and frail 91 year old resident.   She gets confused during evening hours and at times she thinks that she hears her daughter calling her from the other side of the nursing home.

16. What other preventive measure will prevent Mary Eden from falling from her bed?
17. You will be escorting a patient to the operating room on a stretcher. In order to prevent this patient from falling, you must do which of the following?
18. Restraints are sometimes used for what patient conditions or situations?

Disasters and Emergencies

19. A grease fire breaks out in the nursing home kitchen. What type of fire extinguisher should you use?
20. You are ready to use a fire extinguisher to put out a grease fire in your home care patient's kitchen. You should aim the fire extinguisher where?
21. A cyclone is an example of a (n) _________________ disaster.

Personal Care Skills

Your resident had a stroke, or CVA, five years ago. The resident still has right sided weakness. You are ready to transfer the resident from the bed to the wheelchair.

22. The wheelchair should be positioned at the _______________.
23. You have measured the urinary output of your resident at the end of your 8 hour shift. The output is 25 ounces. You should do what next?
24. Dried beans are part of the _________ group of foods.

Infections, Infection Control and Blood Borne Pathogens

25. One of the environmental risk factors associated with infection is ______________.
26. The SINGLE most important thing that all healthcare workers can do in order to prevent the spread of infection is ________________.
27. The nurse has discontinued the patient's Foley catheter. You will dispose of this patient equipment by doing which of the following?

Caring for All Ages and Health Maintenance and Restoration

28. Johnny Tate, a 2 year old boy, is hospitalized with pneumonia. This child will most likely _________.
29. Identify the age group with the correct range of years.

Mr. Flores is a 47 year-old man who notices that he has recently started to have difficultly reading and seeing clearly objects that are close to the his face. For example, he is not able to clearly read a newspaper.

30. Mr. Flores' visual change is referred to as _________________.

Common Physical and Emotional Problems

31. Which fact about diabetes is true?
32. One of the complications of complete bed rest and immobility is which of the following?
33. Your patient's face is grimacing. What do you think your nonverbal patient is communicating to you?

Care of the Dying Person at the End of Life

34. Which of the factors impact on a person's grief?
35. At the end of life, many people have a fear of __________.
36. People at the end of life still need mouth care. Your unconscious patient has a dry mouth. What should you do?:

CNA - Certified Nursing Assistant - Aide Practice Exam

Quality starts with who wrote the material.
Our practice exam writer
Alene Burke, RN, MSN
, is a multidisciplinary nursing educator and has taught nurses and CNAs for the last 25 years. She has developed curriculum for college level health care educational institutions and has served as a member of the American Nurses Association’s Credentialing Center Innovative Collaborative Initiative on healthcare education.

Dorothy Belding, RN, MSH
, is an instructor in the CNA program at Mitchell Community College in North Carolina.  Dorothy has over 30 years of experience as an RN and has worked in the skilled nursing environment supervising CNAs.

Diane Hill, RN, BSN
, is an instructor in CNA studies at Cumberland Community College in New Jersey. Diane is a state-certified CNA educator and has worked as an assistant director and staff nurse in nursing homes.

National Nurse Aide Assessment Program (NNAAP) Exam Content Outline Review

I. Physical Care Skills

A. Daily Living Activities:

  • Hygiene
  • Dressing and Grooming
  • Nutrition and Hydration
  • Elimination
  • Rest/Sleep/Comfort

B. Skills of Basic Nursing:

  • Infection Control
  • Safety/Emergency
  • Therapeutic/Technical Procedures
  • Data Collection and Reporting   

C. Restorative Skills:

  • Prevention
  • Self Care/Independence

II. Psychosocial Care Skills

A. Emotional and Mental Health Needs

B. Spiritual and Cultural Needs

III. Nurse Aide Roles

A. Communication

B. Client Rights

C. Legal and Ethical Behavior

D. Member of the Health Care Team