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

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

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

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

5) Which observation should be reported to the nurse?

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

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

8) Restraints may be used only when:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

34) Which action helps build trust with residents?

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

36) Which action would be considered neglect?

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

38) Which action helps prevent aspiration during feeding?

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

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

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

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

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

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

45) Which resident statement may suggest abuse?

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

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

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

49) How should dirty linen be handled?

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

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

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

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

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

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

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

57) Which of the following should be reported immediately?

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

59) Which action is correct when using a wheelchair?

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

61) Which action is appropriate when documenting care?

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

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

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

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

66) What is the main reason for documenting promptly?

67) Which action is correct when removing gloves?

68) Which action helps prevent falls?

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

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

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