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) Which of the following is a sign of dehydration?

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

3) How should dirty linen be handled?

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

5) Which action would break confidentiality?

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

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

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

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

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

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

12) Which action is appropriate when caring for a resident who is dying?

13) Which action is appropriate when documenting care?

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

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

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

17) Which action is correct when removing gloves?

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

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

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

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

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

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

24) Which of the following should be reported immediately?

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

26) Which statement shows good infection control?

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

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

29) What is the main reason for documenting promptly?

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

31) What is the correct order for putting on PPE?

32) Restraints may be used only when:

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

34) Which action would be considered neglect?

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

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

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

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

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

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

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

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

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

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

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

46) Which observation should be reported to the nurse?

47) Which action helps prevent aspiration during feeding?

48) A resident suddenly becomes unresponsive. What should the nursing assistant do first?

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

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

51) Which resident statement may suggest abuse?

52) Which action helps prevent falls?

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

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

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

56) A resident is on strict bed rest. Which action helps prevent complications?

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

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

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

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

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

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

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

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

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

66) A resident refuses a bath. What should the nursing assistant do?

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

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

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

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

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