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

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

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

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

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

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

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

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

9) Which action is correct when removing gloves?

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

11) Restraints may be used only when:

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

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

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

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

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

17) Which action is correct when using a wheelchair?

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

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

20) Which statement shows good infection control?

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

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

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

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

25) Which task can generally be done by a nursing assistant?

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

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

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

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

30) How should dirty linen be handled?

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

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

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

34) Which action would be considered neglect?

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

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

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

38) Which action promotes comfort during bedtime care?

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

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

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

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

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

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

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

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

47) Which action would break confidentiality?

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

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

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

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

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

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

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

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

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

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

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

59) Which resident statement may suggest abuse?

60) What is the main reason for documenting promptly?

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

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

63) Which action is appropriate when documenting care?

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

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

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

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

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

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

70) Which observation should be reported to the nurse?

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