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

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

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

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

5) Which action would be considered neglect?

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

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

8) What is the main reason for documenting promptly?

9) How should dirty linen be handled?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

27) Which action promotes comfort during bedtime care?

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

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

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

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

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

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

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

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

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

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

38) Which resident statement may suggest abuse?

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

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

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

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

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

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

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

46) Which action is appropriate when documenting care?

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

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

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

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

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

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

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

54) Which action protects a resident’s privacy?

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

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

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

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

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

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

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

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

63) Which action would break confidentiality?

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

65) Which statement shows good infection control?

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

67) What is the purpose of a gait belt?

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

69) Which of the following should be reported immediately?

70) Which action helps prevent aspiration during feeding?

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