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 action helps build trust with residents?

2) Which observation should be reported to the nurse?

3) What is the main reason for documenting promptly?

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

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

6) Which statement shows good infection control?

7) Which resident statement may suggest abuse?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

23) Which action would break confidentiality?

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

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

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

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

28) Restraints may be used only when:

29) Which action protects a resident’s privacy?

30) Which action helps prevent aspiration during feeding?

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

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

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

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

35) Which action promotes comfort during bedtime care?

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

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

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

39) Which action is correct when removing gloves?

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

41) Which resident should the nursing assistant see first?

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

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

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

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

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

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

48) Which action helps prevent falls?

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

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

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

52) Which action is correct when using a wheelchair?

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

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

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

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

57) Which action is appropriate when documenting care?

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

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

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

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

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

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

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

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

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

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

68) Which of the following should be reported immediately?

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

70) A resident with dentures is ready for sleep. 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