CA CNA State Exam Practice Test 2026 [Official Study Guide]

Last Updated on June 30, 2026

CA CNA State Exam Practice Test 2026 [Official Study Guide]. You prepare yourself for the NNAAP nursing assistant or nurse aide exam in California. We provide official practice test questions and answers in PDF format.

The Healthcare Workforce Branch (HWB), through the Healthcare Professional Certification and Training Section (HPCTS), oversees nurse assistant certification and ensures that all applicants comply with Sections 1337–1338.5 of the California Health and Safety Code.

California CNA State Exam Practice Test 2026

If you want to appear for this exam, you must be at least 16 years old, complete a California department-approved training program that includes an examination on basic patient care knowledge and skills, and successfully obtain a criminal background clearance.

State Nursing Assistant or Nurse Aide Exam
Total Itms: 70 Multiple Choice
Time Duration: Untimed

1) A resident refuses to wear a clothing protector at mealtime. What should the nursing assistant do?

2) A resident’s call light is on. What should the nursing assistant do?

3) A nursing assistant is making an occupied bed. Why should wrinkles be removed from the sheets?

4) Which of the following is a sign that a resident may be in distress?

5) A resident has one weak side from a stroke. When helping the resident walk, the nursing assistant should:

6) A resident says, “I am in pain.” What should the nursing assistant do?

7) A resident has a new hearing aid. What should the nursing assistant do?

8) A nursing assistant is assigned to a resident who needs help getting out of bed. What should the nursing assistant do first?

9) A nursing assistant notices that a resident’s skin is pale, cool, and clammy. What should the assistant do?

10) What should a nursing assistant do if unable to complete an assigned task?

11) A resident complains that another staff member was rough during care. What should the nursing assistant do?

12) If a resident begins to choke and cannot speak or cough, the nursing assistant should:

13) A resident with weak swallowing starts coughing during a meal. What should the nursing assistant do first?

14) What should the nursing assistant do when serving a meal tray?

15) A resident suddenly says, “My left arm feels numb,” and looks confused. What should the nursing assistant do first?

16) A resident falls while walking to the bathroom. What should the nursing assistant do first?

17) A nursing assistant finds a resident lying on the floor next to the bed. What should the nursing assistant do first?

18) Which action would be considered neglect?

19) Restraints may be used only when:

20) A resident says, “I do not want to eat right now.” What is the best response by the nursing assistant?

21) Which vital sign should be reported to the nurse right away?

22) If a resident is on isolation precautions, the nursing assistant should:

23) A resident with paralysis cannot feel water temperature well. What should the nursing assistant do?

24) A nursing assistant enters a room and smells smoke. What should be done first?

25) What is the best way to help prevent the spread of infection?

26) What is the correct way to collect a urine specimen?

27) A nursing assistant enters a resident’s room and finds the resident crying. What should the nursing assistant do first?

28) A resident with dementia becomes upset and says, “I need to go home now.” What is the best response?

29) Before helping a resident with mouth care, the nursing assistant should first:

30) Which of the following is a sign of dehydration?

31) During transfer, a resident begins to fall. What should the nursing assistant do?

32) A nursing assistant hears a resident threaten self-harm. What should the assistant do?

33) Which action is appropriate when documenting care?

34) Which action is correct when removing gloves?

35) A nursing assistant notices redness on a resident’s heel. What is the best action?

36) What is the purpose of range-of-motion exercises?

37) Which of the following is an example of objective information?

38) Which action is correct when using a wheelchair?

39) If a resident begins vomiting, the nursing assistant should:

40) Which of the following is a normal responsibility of a nursing assistant?

41) A resident is on fluid intake and output. What should the nursing assistant do?

42) What is the main reason for documenting promptly?

43) A resident wants to know the result of a medical test. What should the nursing assistant say?

44) What should the nursing assistant do after removing soiled gloves?

45) Which action should a nursing assistant take before using a mechanical lift?

46) A resident with diabetes begins sweating and shaking. What should the nursing assistant do first?

47) A confused resident keeps trying to get out of bed without help. What is the best action?

48) When moving a resident up in bed, the nursing assistant should:

49) What is the best action if a resident’s oxygen tubing is disconnected?

50) How should dirty linen be handled?

51) Why should a nursing assistant wear gloves during perineal care?

52) A resident with diarrhea needs frequent care. What is the priority?

53) What should the nursing assistant do before taking a resident’s blood pressure?

54) When giving a back rub, the nursing assistant should avoid:

55) A resident with dentures is ready for sleep. What should the nursing assistant do?

56) Which of the following should be reported immediately?

57) A nursing assistant is asked to do a task that is not allowed by facility policy. What should the assistant do?

58) Which action helps maintain a resident’s dignity?

59) If a nursing assistant spills a resident’s urine specimen, what should the assistant do?

60) What is the purpose of a gait belt?

61) The nursing assistant should knock before entering a resident’s room because it:

62) A resident’s respirations are difficult and noisy. What should the nursing assistant do?

63) A resident is incontinent. Good perineal care is important mainly to:

64) Which action helps prevent falls?

65) Which statement shows good infection control?

66) Which action best shows respect for a resident’s independence?

67) If a resident has a seizure, the nursing assistant should:

68) Which action helps prevent aspiration during feeding?

69) A nursing assistant should identify a resident before care by checking:

70) What is the best way to help a resident who is visually impaired?

Your score is

 Nurse Aide Exam 

 National Nurse Aide Official Test 

 State Nurse Aide Official Test 

Exam Format

The California CNA certificate is generally valid for 2 years. To renew certification, CNAs must meet California renewal requirements, including working a required number of paid nursing-related hours during the certification period.

FEE

  • Written Exam: about $40
  • Oral Exam: about $45–$55
  • Skills Test: about $80–$100

Exam fees can vary slightly depending on the testing provider.

Test Name California Nursing Assistant
Minimum Age 16 years
Validity Two Years
Renewal fee $40 to $50
Language offered English
Total MCQs 70 Questions
Test Duration 120 Minutes
Test Link https://www.hdmaster.com

Officail Link: https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/CNA.aspx