CNA Practice Test Texas 2026 (Difficult)

Question 1 of 60

A resident with severe dementia repeatedly tries to leave the facility. The nurse aide ties the resident to their wheelchair using a bedsheet. There is no doctor's order. Legally, this action constitutes:

Role of the Nurse Aide

Question 2 of 60

A CNA accidentally drops a resident's dentures, breaking them. The CNA decides to say nothing, hoping no one notices. This behavior violates the ethical principle of:

Role of the Nurse Aide

Question 3 of 60

During a care conference, a nurse aide shares that a resident has been more withdrawn since their roommate passed away. This observation contributes to which part of the nursing process?

Role of the Nurse Aide

Question 4 of 60

A resident refuses their morning bath, shouting aggressively at the nurse aide. The aide tells the resident, 'If you don't take a bath right now, you won't get lunch.' This is an example of:

Role of the Nurse Aide

Question 5 of 60

Which of the following scenarios describes 'Misappropriation of Resident Property' (Financial Abuse)?

Role of the Nurse Aide

Question 6 of 60

A resident complains of pain. The CNA checks the care plan and sees PRN (as needed) pain medication is ordered. The CNA should:

Role of the Nurse Aide

Question 7 of 60

Under OBRA guidelines, a resident has the right to be free from chemical restraints. A chemical restraint is defined as:

Role of the Nurse Aide

Question 8 of 60

A CNA posts a photo on social media showing a 'funny' interaction with a resident. The resident's face is visible. This action violates:

Role of the Nurse Aide

Question 9 of 60

A resident asks the CNA to read their mail to them because they cannot see well. The CNA should:

Role of the Nurse Aide

Question 10 of 60

If a CNA is delegated a task by a nurse that the CNA has not been trained to perform, the legally and ethically correct action is to:

Role of the Nurse Aide

Question 11 of 60

A resident is placed on hospice care. The primary goal of hospice is to:

Role of the Nurse Aide

Question 12 of 60

When witnessing a coworker commit an act of negligence that causes harm to a resident, the CNA's failure to report the incident makes the CNA:

Role of the Nurse Aide

Question 13 of 60

A resident with Clostridium difficile (C. diff) requires care. What is the correct hand hygiene protocol upon leaving the room?

Promotion of Safety

Question 14 of 60

During a transfer using a gait belt, the resident's knees buckle and they begin to fall. The CNA's best action is to:

Promotion of Safety

Question 15 of 60

A resident is receiving oxygen therapy via nasal cannula at 2 Liters per minute. The CNA notices the resident's lips are dry. The CNA should:

Promotion of Safety

Question 16 of 60

Which set of vital signs indicates a potential medical emergency (shock) requiring immediate reporting?

Promotion of Safety

Question 17 of 60

When cleaning a spill of blood on the floor, the CNA must first:

Promotion of Safety

Question 18 of 60

A resident is exhibiting Cheyne-Stokes respirations. How would the CNA describe this observation?

Promotion of Safety

Question 19 of 60

The 'portal of entry' in the chain of infection refers to:

Promotion of Safety

Question 20 of 60

When putting on (donning) full PPE for a droplet isolation room, the correct sequence according to CDC guidelines is:

Promotion of Safety

Question 21 of 60

A resident has an indwelling (Foley) catheter. To prevent a Catheter-Associated Urinary Tract Infection (CAUTI), the CNA must:

Promotion of Safety

Question 22 of 60

Which class of fire extinguisher is used for fires involving combustible metals (like magnesium)?

Promotion of Safety

Question 23 of 60

A resident on a 'Thickened Liquids' diet is mistakenly served a regular cup of coffee. The immediate risk to the resident is:

Promotion of Safety

Question 24 of 60

When turning a resident who is recovering from spinal surgery, the CNA must use which technique?

Promotion of Safety

Question 25 of 60

A CNA enters a room and finds a resident unresponsive and not breathing. After calling for help, the very next step is to:

Promotion of Safety

Question 26 of 60

A resident has expressive aphasia following a stroke. This means the resident:

Promotion of Function and Health of Residents

Question 27 of 60

When performing Passive Range of Motion (PROM) on a contracted elbow, the resident winces. The CNA should:

Promotion of Function and Health of Residents

Question 28 of 60

A resident with right-sided hemiparesis needs to transfer from the bed to a wheelchair. The wheelchair should be positioned:

Promotion of Function and Health of Residents

Question 29 of 60

To prevent pressure ulcers, the most effective intervention for a bedfast resident is:

Promotion of Function and Health of Residents

Question 30 of 60

When dressing a resident who has an IV in their left arm and weakness in their right arm, how should the CNA remove the resident's gown?

Promotion of Function and Health of Residents

Question 31 of 60

A resident is visually impaired. During mealtime, the CNA should:

Promotion of Function and Health of Residents

Question 32 of 60

Which of the following is an early sign of a urinary tract infection (UTI) in an elderly resident?

Promotion of Function and Health of Residents

Question 33 of 60

Anti-embolic stockings (TED hose) are applied to:

Promotion of Function and Health of Residents

Question 34 of 60

When assisting a resident with a bedpan, elevating the head of the bed:

Promotion of Function and Health of Residents

Question 35 of 60

The primary purpose of restorative nursing programs is to:

Promotion of Function and Health of Residents

Question 36 of 60

When providing foot care to a resident with diabetes, the CNA must NEVER:

Promotion of Function and Health of Residents

Question 37 of 60

When assisting a female resident with perineal care, wiping front to back is essential because it:

Promotion of Function and Health of Residents

Question 38 of 60

When taking a tympanic temperature, the thermometer is placed in the: