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

Last Updated on May 18, 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) If a resident begins to choke and cannot speak or cough, the nursing assistant should:

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

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

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

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

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

7) Which observation should be reported to the nurse?

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

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

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

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

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

13) Which statement shows good infection control?

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

15) How should dirty linen be handled?

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

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

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

19) Which action is correct when using a wheelchair?

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

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

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

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

24) Which action is appropriate when documenting care?

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

26) Which action would be considered neglect?

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

28) Which action helps prevent falls?

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

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

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

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

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

34) Which resident should the nursing assistant see first?

35) What is the purpose of a gait belt?

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

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

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

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

40) Restraints may be used only when:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

56) Which action helps prevent aspiration during feeding?

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

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

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

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

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

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

63) Which action helps build trust with residents?

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

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

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

67) Which action protects a resident’s privacy?

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

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

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

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