Free CNA Practice Test 2026 Official State and National Nurse Aide Exams

Last Updated on May 22, 2026

Free CNA Practice Test 2026 Official State and National Nurse Aide Exams UPDATED Official PDF:  Elevate your preparation for the Certified Nursing Assistant (CNA) exam with our comprehensive study guide and practice tests. Download our printable PDF and Doc files to access real test questions and answers that significantly enhance your CNA Test Prep.

Certified nursing assistants (CNAs) play a crucial role in healthcare settings in the United States, including nursing homes and hospitals. As defined by the National Association of Health Care Assistants, CNAs assist elderly, chronically ill, or rehabilitation patients with activities of daily living, providing essential support to those who cannot care for themselves.

Many community colleges and educational institutions offer CNA training programs, which are typically completed in one semester. Accelerated options are also available. In some instances, skilled nursing facilities may even sponsor CNA courses for their employees, underscoring the vital role CNAs play in patient care and support.

CNA Practice Test 2026

The purpose of the CNA Practice Test is to assist individuals in preparing for the Certified Nursing Assistant Examination. The Practice Written Examination will enable you to familiarize yourself with the styles and types of questions appearing in the examination.

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CNA State and National Nurse Aide Exams Pre Test

CNA State and National Nurse Aide Exams Pre Test
Total Items: 70
Time Limit: N/A

1) A high-fiber diet causes:

2) A sign of caregiver role strain is:

3) The nurse aide is monitoring the urine of a resident with minimal output. He may be suffering from urinary retention. Urinary retention refers to:

4) Before placing a client in Fowler’s position, you should:

5) Pushing or pulling objects is recommended because it:

6) CNAs are employed in different health care settings caring for clients with varied conditions. If a CNA is employed in a skilled nursing facility, he or she is serving in a:

7) Which exercise requires assistance from another person?

8) Best foods for diarrhea include:

9) A cane should be held:

10) The nurse assistant’s spouse undergoes surgery at the hospital where the nurse assistant is employed. Which of the following practices is most appropriate?

11) The nurse assistant notices that a colleague’s behaviors have changed during the past month. All of the following behaviors could indicate signs of impairment EXCEPT?

12) Range-of-motion exercise is:

13) The most prevalent type of accident experienced by older adults is:

14) If you contaminate your hands during handwashing, you should:

15) The proper medical abbreviation for before meals is:

16) An 85-year-old client in a nursing home tells the nursing assistant, “Because the doctor was so insistent, I signed the papers for that research study. Also, I was afraid he would not continue taking care of me.” Which client right is being violated?

17) The most effective way to prevent nosocomial infection is to:

18) Assistive devices are necessary to help clients ambulate. When assisting a client in learning to use a walker, it is important to:

19) How often should a bedridden client be repositioned during an 8-hour shift?

20) If a client requests discharge AMA, the nurse assistant should:

21) Restorative care begins:

22) 102°F equals:

23) The best response to reduce anxiety is:

24) Constipation is defined as:

25) Although the client refused the procedure, the nurse assistant insisted and inserted the urinary catheter. The administrator of the facility decides to settle the lawsuit because the nurse assistant is most likely to be found guilty of which of the following?

26) A Foley bag must remain below bladder level to:

27) When an ethical issue arises, one of the most important responsibilities in managing client care situations is which of the following?

28) What is the correct procedure for serving a meal to a resident who needs help eating?

29) The best example of a vehicle of infection transmission is:

30) A cane is properly adjusted when:

31) The factor most influencing crisis outcome is:

32) Which client qualifies for hospice care?

33) The three-point gait is used when:

34) After optimal recovery from spinal injury, Mr. Jack is placed on a bowel and bladder training program. He has not had a bowel movement for more than two days. What should the nurse aide do?

35) Wrinkles in bed linens can cause the most serious problem of:

36) Blood pressure cuff placement is correct when the bladder covers:

37) Which statement about handwashing is true?

38) When moving a wheelchair into an elevator, stay:

39) If a primary care provider prescribed the following, which can be delegated to a home nurse aide?

40) Following a motor vehicle accident, the parents refuse to permit withdrawal of life support from the child with no apparent brain function. Which moral principle supports the nurse assistant’s action?

41) Clients or residents disclose information pertaining to their condition and at times including personal issues during person-to-person interactions. To whom can the nurse aide share the information regarding a client’s progress?

42) Care in the home is an alternative to hospital placement. One major difference associated with in-home care is that it:

43) Exercise is best described as:

44) Separating the feet while standing helps to:

45) Before providing any care, you must assure the identity of your client. Which is the best way to safely identify your client?

46) Why should the longest and strongest muscles be used for tasks?

47) When assisting a client in and out of bed, the nurse aide should always:

48) When an accident occurs, which of the following steps should be taken first?

49) Aerobic exercise is an example of:

50) You are asked to take charge of a nursing home for three days. What is the most appropriate response?

51) Risks associated with the use of physical restraints include:

52) A nurse assistant is helping in the care of stable clients in the burn unit. A thermal burn is a skin injury caused by:

53) In caring for elder clients, you need to be aware of normal age-related changes. Presbycusis is usually related to difficulty hearing:

54) The primary care provider wrote a do not resuscitate (DNR) order. The nurse assistant recognizes that which of the following applies in the care of the client?

55) When using a walker, clients should:

56) To assess warmth, use the:

57) The best treatment for stress incontinence is:

58) When an accident occurs, which of the following steps should be taken last?

59) For a job interview, proper attire includes:

60) Body mechanics is best defined as:

61) Gloves are required when:

62) When using stairs with a cane, the client should:

63) After recovering from hip replacement, an elderly client wants to go home but the family wants a nursing home placement. Acting as a client advocate, the nurse assistant would:

64) Which of the following acronyms incorporates the steps found in most fire plans?

65) Mrs. X, a 76-year-old client, is recovering from stroke. After being discharged from the hospital, clients, particularly older people like her, will be referred to what kind of health care facility?

66) Which statement best describes a characteristic of pain?

67) Keeping work close to the body prevents:

68) A placebo is most effective when:

69) To avoid legal liabilities and maintain safe practice, which activity can a CNA perform?

70) A respiratory rate of 32 breaths/min is documented as:

Your score is

To obtain the maximum benefits from this CNA Exam Practice Test, you are encouraged to follow the procedures below. These are designed to help create an atmosphere as close to a test situation as possible.

 Nurse Aide Exam 

 National Nurse Aide Oficial Test 

 State Nurse Aide Oficial Test 

 CNA Practice Test Español  

CNA Actual Exam Overview

CNA certification requirements vary by state. The requirements generally include:

CNA examination comprises three major domains

1. NNAAP CNA Exam

Once these requirements are completed, the person will be certified in their state. Moving to a different state requires recertification in the new state unless both states use the NNAAP standard. In that case, the new state accepts previous NNAAP (National Nurse Aide Assessment Program) test scores and allows registration.

The 2024 National Nurse Aide Assessment Program (NNAAP®) Written (Oral) Examination Content Outline

The state distributes these certification exams. The American Red Cross and other providers provide classes to study for these exams. The Red Cross courses encompass everything in the state exams, from communication to health terms to sensitivity.

In the United States, CNAs must work a minimum number of hours every two years as specified by the state and have no records of abuse or neglect to keep their certification. Each state also requires CNAs to fulfill mandatory continuing education hours.

Exam Parts Oral portion and a skills demonstration portion
Oral portion Language English and Spanish
Oral Examination It consists of sixty (70) multiple-choice questions and
Skills examination  Candidates are given 25 minutes to complete the five skills

20 NCSBN jurisdictions utilize the NNAAP exam to determine nurse aide competency. Click on the 20 jurisdictions below to learn more about testing in your area.

  • Alabama
  • Alaska
  • California
  • Colorado
  • District of Columbia
  • Georgia
  • Guam *
  • Mariana Islands
  • Maryland
  • Minnesota
  • Mississippi
  • New Hampshire
  • North Carolina
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • Texas
  • Virginia
  • Virgin Islands
  • Washington

2. PROMETRIC CNA Test

You must pass the clinical skills and written exams within two years of your first test date. If you do not pass both parts of the exam within 2 years, you must retake both to be certified. If you fail the clinical skills or written exam three times, you must attend a state-approved training program before testing on both parts of the exam again.

Eligibility

Individuals must be at least 18 years old, have a high school diploma, or be able to “challenge” the exam without completing an approved training program.

Exam Content

The Florida Certified Nursing Assistant (CNA) Exam consists of two separate tests: the Clinical Skills Test and the Written (Knowledge) Test. You are not required to pass one test before taking the other; however, first-time testers must register for both.

The Prometric CNA test outline covers the following states:

  • Alabama
  • Arkansas
  • Connecticut
  • Delaware
  • Florida
  • Hawaii
  • Idaho
  • Michigan
  • New Mexico
  • New York
  • Oklahoma

Official Website: https://www.prometric.com/

3. HDMASTER CNA Exam

The knowledge test proctor will log you into the computer to take the knowledge test and give instructions for navigating the screen on the computer. You will have up to ninety (90) minutes to complete the 75-question knowledge test. You will be warned when fifteen (15) minutes remain.

You may not ask questions about the content of the knowledge test, such as, “What does this question mean?” You must score 77% or better to pass the knowledge portion of the test. All test materials must remain in the testing room when you exit. Anyone who takes or tries to take materials or information from the testing room is subject to prosecution; their test will be scored as a failure, and they will be reported.

Test Content

The Knowledge Test consists of 75 multiple-choice questions. Questions are selected from subject areas based on the approved Nevada Nursing Assistant test plan. The number of questions for each subject area is as follows:

Safety (7) Communication (5) Infection Control (9) Resident Rights (6) Data Collection (5) Basic Nursing Skills (9) Role and Responsibility (9) Disease Process (6) Mental Health (4) Personal Care (7) Care Impaired (4) Aging Process and Restorative Care (4)

The skill test aims to determine minimum competency in nursing assistant skills. To pass the skill portion of the test, you must score 80% on each task without missing any key steps (the bolded steps).

The HDmaster test is given in the following states:

  • Arizona
  • Montana
  • New Hampshire
  • North Dakota
  • New Jersey
  • Nevada
  • Ohio (STNA)
  • Oklahoma
  • Oregon
  • South Dakota
  • Tennessee
  • Utah

Official Website: https://hdmaster.com/

FAQs

1. What is the Certified Nursing Assistant (CNA) Exam?

View Answer
The CNA exam is a certification test for individuals seeking to become certified nursing assistants. It assesses a candidate’s knowledge and skills in providing basic care to patients in various healthcare settings.

2. What are the components of the CNA Exam?

View Answer
The CNA exam typically consists of a written (or oral) examination and a practical skills test. The written exam covers theoretical knowledge, while the skills test evaluates hands-on abilities in performing essential nursing tasks.

3. How do I register for the CNA Exam?

View Answer
To register for the CNA exam, you must apply through your state’s nursing board or a designated testing service. The process generally involves submitting an application, paying a fee, and scheduling your exam date.

4. What topics are covered in the CNA Exam?

View Answer
The CNA exam covers various topics, including patient safety, infection control, basic nursing skills, communication, personal care, and patient rights. The skills test requires you to demonstrate tasks such as taking vital signs, bathing, and transferring patients.

5. How can I prepare for the CNA Exam?

View Answer
Preparation for the CNA exam can involve taking a state-approved training program, studying from CNA exam prep books, using online resources and practice tests, and gaining hands-on experience through clinical practice.

6. What should I bring on the day of the CNA Exam?

View Answer
On the day of the exam, you should bring a valid photo ID, your exam admission letter, and any other documents specified by your testing center. For the skills test, wear appropriate clinical attire.

7. How is the CNA Exam scored?

View Answer
The written exam is typically scored electronically, with results provided shortly after completion. The skills test is evaluated by a qualified examiner who observes your performance on each task. Both parts of the exam must be passed to achieve certification.

8. What happens if I fail the CNA Exam?

View Answer
If you fail the written or skills portion of the CNA exam, you will typically be allowed to retake the failed section. Retake policies vary by state, so check with your nursing board for specific guidelines.