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Certified Nursing Assistant (CNA) State Exam Study Guide: 200+ Questions and Answers, Exams of Nursing

This comprehensive study guide offers 200+ verified questions and answers to help prepare for the certified nursing assistant state exam. the questions cover a wide range of topics, including patient ambulation, communication skills, infection control, and handling challenging resident behaviors. ideal for students and professionals seeking cna certification.

Typology: Exams

2024/2025

Available from 04/29/2025

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Certified Nursing Assistant State Exam Study Guide
200+ Questions and Answers (100% Verified Answers by Expert)
1.
The nurse asks you to ambulate a patient BID during your shift. This means
you will ambulate the patient times.
a.
Four
b.
Three
c.
Two
d.
One
Ans>>: C. two
2.
Sometimes the best response for a nursing assistant is to assure the resident you are
listening. Which of these behaviors is the best way to exhibit good listening skills?
A.
Speaking about your own experiences on the topic to direct the conversa- tion.
B.
Asking questions that direct the conversation further.
C.
Talking to the resident while you continue to work.
D.
Turning in the residents direction and responding when it is appropriate.
Ans>>: D. Turning in the residents direction and responding when it is appropriate.
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Certified Nursing Assistant State Exam Study Guide

200+ Questions and Answers (100% Verified Answers by Expert)

  1. The nurse asks you to ambulate a patient BID during your shift. This means you will ambulate the patient times. a. Four b. Three c. Two d. One Ans>>: C. two
  2. Sometimes the best response for a nursing assistant is to assure the resident you are listening. Which of these behaviors is the best way to exhibit good listening skills? A. Speaking about your own experiences on the topic to direct the conversa- tion. B. Asking questions that direct the conversation further. C. Talking to the resident while you continue to work. D. Turning in the residents direction and responding when it is appropriate. Ans>>: D. Turning in the residents direction and responding when it is appropriate.
  1. While emptying the trash in a client's room, you get stuck by a needle that should have been placed in the sharps container. What is the first thing to do? a. Call your personal physician. b. Wash the site for several minutes. c. Fill out an Incident Report. d. Try to squeeze blood out. Ans>>: B. Wash the site for several minutes.
  2. Infection control practices that prevent the transmission of disease are called a. isolation protocols. b. policies and procedures. c. standard precautions. d. hand hygiene mandates. Ans>>: C. standard precautions.
  3. A resident in your care is frustrated, upset, and raising his voice in com- plaint. Which of these is the best response to his actions?

b. Walk away from the patient in an effort to show you won't tolerate the behavior. c. Offer support and care using a comforting and calming manner.

d. Ask the resident to lower his voice in courtesy to other residents who are getting upset. Ans>>: C. Offer support and care using a comforting and calming manner.

  1. There are certain steps to follow from start to finish when beginning a procedure on a patient. As a nursing assistant, it is extremely important to start with which of these tasks? a. Enter the date in the patients medical record. b. Document what you did. c. Provide privacy in the immediate area. d. Verify the residents identification. Ans>>: D. Verify the residents identification.
  2. As dementia progresses, incontinence can become an issue. How can the nurse aide assist? a. Avoid outings to minimize accidents and possible embarrassment. b. Remind the resident to let you know when they need to use the bathroom. c. Start to use an adult diaper to keep clothing and linens clean. d. Watch for signs of discomfort so you can take the resident to the bathroom.-
  1. When a patient is dying, the last of the five senses the patient loses is? a. Hearing b. Touch c. Taste d. Sight Ans>>: A. Hearing
  2. If you have a resident who is completely deaf, which of these would be the most important for effective communication? a. A laptop or pen and paper. b. A loud voice that projects over noise. c. An alarm that rings louder than in non-hearing impaired rooms. d. A phone system with amplifiers. Ans>>: A. A laptop or pen and paper.
  3. When getting dressed, a client always wants to wear her favorite outfit. What is a good solution? a. Hide the favorite outfit for a few days so she forgets. b. Tell the resident that the outfit is dirty and she will have to choose another. c. Ask the family to get several identical outfits. d. Explain the benefits of variety and offer several other outfits. Ans>>: C. Ask the family to get several identical outfits.
  1. Blood-borne infections include a. chicken pox b. pneumonia c. hepatitis d. measles Ans>>: C. hepatitis
  2. A resident in your care has just received news of a death in the family.What is the best way to assist them with the grieving process? a. Tell the resident about an experience you had with death and what helped you cope with it. b. Remind the resident that death is inevitable. c. Spend some time with the resident, particularly offering support if he or she wishes to talk about it. d. Suggest that the resident get his or her mind off of things by thinking of something pleasant. Ans>>: C. Spend some time with the resident, particularly offering support if he or she wishes to talk about it.
  3. Elizabeth Kübler-Ross describes the stages of grief a person goes through when they lose someone close to them. She believes the first stage of the grieving process is . a. Acceptance b. Anger

10 / 42 d. Denial Ans>>: D. Denial

  1. When you are documenting in a medical record, which of these is not part of the process? a. Author identification. b. Using correct spelling. c. Dating your entries. d. Writing in pencil so erasures can make the record clean. Ans>>: D. Writing in pencil so erasures can make the record clean.
  2. A nurse aide finds a resident looking in the refrigerator at the nurses' sta- tion at 5 a.m. The resident, who is confused, explains that he needs breakfast before he leaves for work. The best response by the nurse aide is to. a. tell him that residents are not allowed in the nurses' station. b. remind him that he is retired from his job and in a nursing home.

11 / 42 c. ask the resident about his job and if he is hungry. d. help the resident back to his room and into bed. Ans>>: C. ask the resident about his job and if he is hungry.

  1. A resident who has not been discharged insists she is going home. What should the nurse aide do? a. Notify the charge nurse immediately. b. Put her in physical restraints until she calms down. c. Tell her she cannot leave without a doctor's order. d. Advise her that she can leave if she wants to. Ans>>: A. Notify the charge nurse immediately.
  2. When caring for a confused resident what should a nursing assistant do? a. Say nothing to avoid more confusion. b. Give simple directions. c. Allow the resident to plan daily activities. d. Give the resident activities. Ans>>: B. Give simple directions.
  3. Reality orientation should include a. Calling the resident by his name. b. Using nicknames like "Granny". c. Talking about your interests. d. Telling imaginative stories to the resident. Ans>>: A. Calling the resident by his name.
  1. To prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a client's bed? a. Shake them in the air to remove any dirt. b. Carry them close to the nurse aide's body. c. Put them in the dirty linen container. d. Place them in a neat pile on the floor. Ans>>: C. Put them in the dirty linen container.
  2. A resident who consistently becomes more confused during dusk, early evening, or during the night is most likely suffering from. a. Psychosis b. Alzheimer's disease c. Sundowners Syndrome d. Dementia Ans>>: C. Sundowners Syndrome
  3. The primary reason for combative behavior in a resident is A. confusion B. resentment C. stubbornness D. hunger Ans>>: A. confusion
  4. It is important that a client's dressings remain A. snug to keep out bacteria.

B. loose to admit fresh air. C. clean and dry. D. secured by tape. Ans>>: C. clean and dry.

  1. A resident catches you off guard with a comment that is sexual. Your best response would be to. A. Change the conversation to a different subject. B. Walk away and pretend you did not hear it. C. Make a humorous comment in return. D. Let the resident know that the comment is not acceptable to you. Ans>>: D. Let the resident know that the comment is not acceptable to you.
  2. A patient is having surgery the following day. Which of these notations in the orders indicates the patient should have nothing by mouth? A. MN B. NOC

C. People with dementia act uncooperative in order to be spiteful. D. Patients can have vivid hallucinations. Ans>>: C. People with dementia act uncoop- erative in order to be spiteful.

  1. In a reality orientation program you would do all of the following EXCEPT A. Ask them to identify the smells of their meal. B. Show them the weather outside their window. C. Ask the resident about their childhood. D. Tell them the date and time each morning. Ans>>: C. Ask the resident about their childhood.
  2. When preparing to give peri-care to an incontinent female resident with dementia, the CNA knows A. the resident may become tearful. B. the resident may feel sexually assaulted.

C. the resident may become combative. D. all of the above. Ans>>: D. all of the above.

  1. Which of these should be reported to the charge nurse "STAT"? A. Urine that is cloudy. B. A respiratory rate of 18. C. Loose stools. D. A radial pulse of 135. Ans>>: D. A radial pulse of 135.
  2. what does the abbreviation STAT mean?: immediately
  3. what is the normal range of the radial pulse? a. 80 - 120 b. 100 - 130 c. 60 - 100 d. 60 - 90 Ans>>: C. 60 - 100
  4. A resident died and his roommate is upset and wants to discuss it with you. What is the best action to take? a. Remind the patient that death is a natural part of life and reassure him his roommate had a great life and is in a better place. B. Talk to the patient about a time you lost someone you loved and how you dealt with it.

happy. D. Talk with the roommate and allow him to express his feelings. Ans>>: D. Talk with the roommate and allow him to express his feelings.

  1. All are types of pathogens EXCEPT A. fungus B. virus C. bacteria D. ebola Ans>>: D. ebola
  2. When caring for a patient with MRSA, the nurse aide should wear A. isolation suit. B. surgical goggles. C. rebreather mask. D. gown and gloves. Ans>>: D. gown and gloves.
  1. A resident is pacing around his room, yelling and swearing. What is the first action the nursing assistant should take? A. the resident to calm down. B. Call the residents family to assist with the situation. C. Call the charge nurse. D. Attempt to apply restraints. Ans>>: C. Call the charge nurse.
  2. Which of these is not part of the process upon entering a residents room for the first time? A. Showing the resident your licensing card. B. Knocking and waiting a few seconds before entering. C. Speaking to the resident using his or her name. D. Telling the resident your name. Ans>>: A. Showing the resident your licensing card.
  3. What is an important way to help the resident feel comfortable in a long- term facility? A. Discourage visitors until the resident has settled in. B. Allow the resident to establish their own schedule. C. Bring the resident to all activities. D. Provide space for personal possessions. Ans>>: D. Provide space for personal pos- sessions.
  4. Residents with cognitive impairments often have difficulty sleeping. What can be