CNA Practice Test Indiana 2026 (Difficult)

Question 1 of 25

A resident with a known history of heart failure has a sudden weight gain of 3 pounds in 24 hours. What is the most likely clinical implication?

Rapid weight gain in heart failure patients is a critical indicator of fluid volume overload and must be reported to the nurse immediately.

Question 2 of 25

When assisting a nurse with a sterile procedure, a CNA accidentally brushes their non-sterile sleeve against the edge of the sterile field. What is the correct action?

Any contact between a non-sterile object and a sterile field compromises sterility. The entire field must be considered contaminated and replaced to prevent infection.

Question 3 of 25

A resident's blood pressure is 192/104. The resident reports a severe headache and blurred vision. This is known as:

A blood pressure reading this high, especially with symptoms like headache and blurred vision, is a medical emergency requiring immediate nursing and medical intervention.

Question 4 of 25

During a bed bath, you notice a Stage 1 pressure injury on a resident's sacrum. What is the most appropriate nursing assistant intervention?

Massaging or rubbing a Stage 1 pressure injury can cause further tissue damage. The priority is pressure relief through repositioning.

Question 5 of 25

A resident has a 'fluid restriction' of 1200 mL per 24 hours. If the day shift has already given 700 mL, how much is left for the evening and night shifts combined?

Managing fluid restrictions requires careful subtraction from the total allowed amount to prevent fluid overload.

Question 6 of 25

Which of the following is a symptom of a systemic infection (sepsis) rather than a localized wound infection?

Systemic infections affect the whole body and often present with altered mental status, fever, or hypothermia and low blood pressure.

Question 7 of 25

You are measuring the intake of a resident who ate 50% of an 8 oz bowl of soup, 100% of a 4 oz gelatin cup, and 25% of a 12 oz soda. What is the total intake in mL?

Calculation: (4 oz soup + 4 oz gelatin + 3 oz soda) = 11 oz. 11 oz x 30 mL/oz = 330 mL.

Question 8 of 25

A resident is in the prone position and begins to vomit. What is the immediate risk?

Vomiting while lying on the stomach or back carries a high risk of inhaling the fluid into the lungs, causing pneumonia or choking.

Question 9 of 25

When using an automated external defibrillator (AED), what is the most important safety precaution?

The electric current can travel to anyone touching the patient, causing injury or death to the rescuer.

Question 10 of 25

A resident with an indwelling catheter has not had any urine output for 4 hours. What is the first thing a CNA should check?

Mechanical obstruction (kinks) is a common and easily fixable reason for lack of drainage, though it must still be reported.

Question 11 of 25

A resident is post-operative following a total knee replacement and has a CPM (Continuous Passive Motion) machine. The CNA's role is to:

CNAs monitor and support therapy but do not change the clinical parameters of medical equipment.

Question 12 of 25

When performing range of motion on a resident's hip, you notice a 'clicking' sound and the resident winces. What should you do?

Any new sound or pain during ROM must be reported and the exercise stopped to prevent injury.

Question 13 of 25

A resident has a 'pureed' diet with 'honey-thick' liquids. Which item on their tray should be questioned?

Plain tomato soup is usually a 'thin' liquid and must be thickened to the honey consistency ordered in the care plan.

Question 14 of 25

When applying an ice pack to a resident's injury, how long should it be left on to prevent tissue damage?

Extended exposure to cold can cause frostbite and tissue death; the 20-minute limit is a standard safety protocol.

Question 15 of 25

A resident has a fecal impaction. Which of the following symptoms might the CNA observe?

When stool is hard and stuck, liquid stool from higher up in the colon often leaks around the mass, appearing like diarrhea.

Question 16 of 25

A resident with end-stage dementia is experiencing 'terminal restlessness.' The most helpful environment is:

Reducing sensory input helps calm the neurological agitation common in the final stages of life.

Question 17 of 25

A resident with schizophrenia is having an auditory hallucination and tells you 'The voices are telling me you are dangerous.' Your best response is:

Validation of the resident's emotion without confirming the hallucination is the standard therapeutic approach.

Question 18 of 25

A resident who was usually social and active has become withdrawn, sleeps most of the day, and refuses to go to activities. This is most likely:

Sudden withdrawal and changes in sleep patterns in the elderly are key indicators of depression and require clinical assessment.

Question 19 of 25

A CNA is asked by a resident's lawyer to provide a written statement about the resident's mental state. What should the CNA do?

Legal inquiries must be handled by administration to ensure HIPAA compliance and professional boundaries.

Question 20 of 25

An Indiana CNA fails to report a clear case of resident-to-resident sexual abuse. What is the legal consequence for the CNA?

CNAs are mandated reporters. Failure to report abuse is a crime and grounds for permanent removal from the state registry.

Question 21 of 25

Which of the following acts by a CNA is considered 'Defamation of Character'?

Spreading false or malicious information that damages a person's reputation is defamation.

Question 22 of 25

The nurse tells you to 'force' a resident into the shower because they haven't bathed in a week. If you comply, you could be charged with:

Touching a resident or performing a procedure against their will is considered battery.

Question 23 of 25

A resident's family offers you a $100 gift card to 'take extra special care' of their father. Accepting this is a violation of:

Accepting gifts creates an unequal environment of care and is a major ethical violation in nursing.

Question 24 of 25

A resident is in a research study at the facility. They tell you they don't want to do it anymore. What is your responsibility?

Residents have the right to withdraw from research studies at any time without penalty.

Question 25 of 25

You find a resident's chart open on a computer screen in a public hallway. What should you do?

Protecting PHI (Protected Health Information) is a continuous duty for all healthcare workers.

CNA Practice Test Indiana 2026 (Difficult)

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