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

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

3) Which of the following should be reported immediately?

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

5) Which action would break confidentiality?

6) Which action would be considered neglect?

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

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

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

10) Restraints may be used only when:

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

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

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

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

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

16) What is the main reason for documenting promptly?

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

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

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

20) Which action is appropriate when documenting care?

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

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

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

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

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

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

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

28) Which statement shows good infection control?

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

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

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

32) Which resident statement may suggest abuse?

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

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

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

36) Which action helps prevent falls?

37) Which action is correct when using a wheelchair?

38) Which action helps prevent aspiration during feeding?

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

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

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

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

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

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

45) Which action promotes comfort during bedtime care?

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

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

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

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

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

51) Which action protects a resident’s privacy?

52) Which resident should the nursing assistant see first?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

70) What is the purpose of a gait belt?

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