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

Last Updated on September 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 nursing assistant enters a resident’s room and finds the resident crying. What should the nursing assistant do first?

2) Which action is proper when making an unoccupied bed?

3) What should the nursing assistant do if a resident’s dentures are accidentally dropped?

4) How should dirty linen be handled?

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

6) What should the nursing assistant do before taking an oral temperature?

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

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

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

10) Which food choice may need to be questioned for a resident on thickened liquids?

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

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

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

14) Which action promotes comfort during bedtime care?

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

16) Which action is correct when using a wheelchair?

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

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

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

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

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

22) Which of the following is an example of subjective information?

23) Which observation should be reported to the nurse?

24) Which resident should the nursing assistant see first?

25) A nursing assistant is helping a resident dress. The resident has weakness on one side. What should the assistant do?

26) Which action helps prevent falls?

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

28) What is the best way to communicate with a resident who has hearing loss?

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

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

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

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

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

34) Which resident statement may suggest abuse?

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

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

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

38) Which action helps build trust with residents?

39) Which action is outside the nursing assistant’s role?

40) Which action is an example of respecting resident rights?

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

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

43) Which action protects a resident’s privacy?

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

45) Which action is correct when assisting with handwashing for a resident?

46) Which action is appropriate when documenting care?

47) When assisting with a bed bath, the nursing assistant should:

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

49) Which position is commonly used for eating if the resident can tolerate it?

50) What is the correct way to help a resident use a cane?

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

52) What is the main reason for documenting promptly?

53) What is the purpose of a gait belt?

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

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

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

57) A resident’s bed should usually be kept in which position when the resident is resting and care is finished?

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

59) A nursing assistant sees another staff member hit a resident. What should the nursing assistant do?

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

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

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

63) A nursing assistant is caring for a resident with dementia. Which approach is best?

64) A resident with limited mobility should be repositioned regularly to:

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

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

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

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

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

70) Which action would be considered neglect?

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