Free CNA Practice Test
60 NNAAP-style questions across every content area on the written exam. Instant answers, instant explanations, no signup.
60
Questions
11
NNAAP Topics
100%
Free
The 60-Question Exam
Select the best answer for each question. After you submit, every correct answer is highlighted green and every incorrect choice in red, with a full explanation.
Which of the following is the single most effective method for preventing the spread of infection in a long-term care facility?
How long should a CNA scrub the hands with soap and water during routine hand washing?
A resident is on contact precautions for MRSA. Which personal protective equipment must the CNA wear before entering the room?
Which sequence is correct when REMOVING personal protective equipment after care?
Which of the following is NOT one of the six links in the chain of infection?
A resident has a known diagnosis of pulmonary tuberculosis. Which type of precautions must the CNA follow?
Which federal law established the Resident Bill of Rights for long-term care facilities?
A daughter calls the unit and asks about her mother's blood pressure. What is the CNA's BEST response?
A resident with capacity refuses her morning bath. What should the CNA do?
Which of the following BEST demonstrates respect for a resident's dignity?
Which of the following is an example of physical abuse?
A CNA suspects that a coworker is striking a resident. What should the CNA do?
Which is a NORMAL adult oral temperature range?
Where is the radial pulse located?
Normal respiratory rate for a resting adult is:
Which blood-pressure reading should be reported IMMEDIATELY to the nurse?
How often should a bedbound resident be repositioned?
Which side of the bed should the chair be placed on for a transfer?
What does the acronym RACE stand for during a facility fire?
What does the acronym PASS stand for when using a fire extinguisher?
A conscious adult resident is choking and cannot speak or cough. The CNA should:
The MOST important fall-prevention measure for a confused resident is:
Which is true about oxygen safety?
Which is the correct action if a resident begins to fall during ambulation?
Which is an example of a therapeutic, open-ended question?
A resident with hearing loss is having trouble understanding the CNA. The CNA should:
Which is an example of NONVERBAL communication?
Which is the BEST way to communicate with a resident who has aphasia?
Subjective data is BEST defined as:
Which charting entry is correct?
Which BEST describes dementia?
Which is the difference between dementia and delirium?
Sundowning is BEST described as:
Which is an appropriate response to a dementia resident who is agitated?
A resident with Alzheimer's keeps insisting she has to go to work. The CNA should:
Perineal care on a female resident is performed:
Which water temperature is correct for a bath?
When bathing a resident, the CNA should wash:
Oral care for an unconscious resident should be:
Dentures should be cleaned:
Which is OBJECTIVE data?
Which abbreviation means 'as needed'?
Which abbreviation means 'nothing by mouth'?
Charting must be:
What is the correct way to correct an error in a paper chart?
Which is OUTSIDE the CNA's scope of practice?
Negligence is BEST defined as:
Locking a competent resident in a room is an example of:
Threatening to harm a resident is:
Which is the BEST example of beneficence?
Which is the FIRST stage of grief according to Kubler-Ross?
A dying resident says 'I'm scared.' The BEST response is:
Hospice care focuses on:
Which is a sign that death is approaching (hours to days)?
Which is true about hearing at end of life?
A resident with diabetes is shaky, sweaty, and confused. The CNA should suspect:
Which is a sign of a stroke (FAST)?
Which is the BEST positioning to relieve breathing in a resident with COPD?
Which is a sign of congestive heart failure (CHF)?
Parkinson disease is characterized by:
Topic-Specific CNA Practice Tests
Drill the area you are weakest in. Each topical practice test has 22 to 25 NNAAP-style questions with instant feedback and links to the matching free study guide.
25 questions
Infection Control
Free NNAAP-style questions and instant explanations.
25 questions
Patient Rights
Free NNAAP-style questions and instant explanations.
25 questions
Basic Nursing Skills
Free NNAAP-style questions and instant explanations.
22 questions
Safety and Emergency Procedures
Free NNAAP-style questions and instant explanations.
22 questions
Communication Skills
Free NNAAP-style questions and instant explanations.
22 questions
Mental Health and Cognitive Impairment
Free NNAAP-style questions and instant explanations.
22 questions
Personal Care and Elimination
Free NNAAP-style questions and instant explanations.
22 questions
Data Collection and Reporting
Free NNAAP-style questions and instant explanations.
22 questions
Legal and Ethical Issues
Free NNAAP-style questions and instant explanations.
22 questions
End-of-Life Care
Free NNAAP-style questions and instant explanations.
22 questions
Body Systems and Common Conditions
Free NNAAP-style questions and instant explanations.
Hands-on portion
CNA Skills Test (22 Skills)
Master the 22 NNAAP clinical skills, including the always-tested hand washing.
About the NNAAP Written Exam
The National Nurse Aide Assessment Program (NNAAP) is the standardized exam used in most U.S. states to certify nursing assistants. It was developed by Pearson VUE (now Credentia) and is currently the most widely used CNA exam vendor in the country, although a few states use Prometric, Headmaster/D&SDT, or PSI instead. The exam has two parts that must both be passed: a written (or oral) knowledge test and a hands-on clinical skills evaluation.
Written Exam Format
The written portion of the NNAAP has 60 scored multiple-choice questions plus approximately 10 unscored 'pretest' questions, for a total of about 70 items. Candidates are given 90 minutes to complete the test. Each question has four answer options, only one of which is correct. The written exam is also available in an oral version for candidates who have difficulty reading English — questions are read aloud to the candidate through headphones.
What Topics Are Covered
The current NNAAP content outline weights questions across eight categories: Activities of Daily Living (about 9%), Basic Nursing Skills (39%), Restorative Skills (8%), Emotional and Mental Health Needs (9%), Spiritual and Cultural Needs (2%), Communication (8%), Client Rights (7%), Legal and Ethical Behavior (3%), and Member of the Health Care Team (15%). Basic Nursing Skills is by far the largest single block — about four out of every ten questions — which is why our topical practice tests devote heavy coverage to vital signs, transfers, positioning, and ROM.
Passing Score
A passing score is approximately 75% on the written exam, although the precise cut score is set by each state and is sometimes scaled rather than reported as a raw percentage. Most candidates who consistently score above 80% on our practice tests pass the NNAAP on their first attempt. If you fail, most states allow at least three attempts within a 24-month period before retraining is required.
How These Practice Tests Map to the Exam
Every question on freecnatraining.org is written to mirror NNAAP question style and tested content. Our 11 topical tests map directly to the NNAAP content outline and the 11 free online CNA study guides on our site, so you can cycle between reading the guide and drilling questions on the same topic. The 60-question general exam samples proportionally from every topic so you get a realistic mix that mirrors what you will see on test day.
Frequently Asked Questions
How many questions are on the CNA written exam?
Most states using the NNAAP written exam administered by Credentia have 60 scored questions plus about 10 unscored 'pretest' questions, for a total of 60 to 70 items. Candidates are typically given 90 minutes to complete the test. A few states use Prometric, Headmaster/D&SDT, or PSI, which use a similar 60-100 question format. Check your state's CNA requirements page for the exact format you will face.
What is a passing score on the CNA practice test?
Passing scores vary slightly by state and vendor but typically fall between 70% and 80% of questions correct. On our 60-question free practice test, we use 75% (45 of 60) as a baseline benchmark — if you can consistently score above 75%, you are in good shape for the real NNAAP written exam.
Is this CNA practice test free?
Yes. Every question, explanation, and topic-specific practice test on freecnatraining.org is 100% free. There are no signups, paywalls, or hidden trials. Most competing practice-test sites charge $30 to $100 per month, but our material is funded by our directory and remains free for students.
What topics are on the NNAAP written exam?
The current NNAAP content outline covers Activities of Daily Living, Basic Nursing and Restorative Skills, Emotional and Mental Health Needs, Spiritual and Cultural Needs, Communication, Client Rights, Legal and Ethical Behavior, and Member of the Health Care Team. Our 11 topical practice tests map directly to these categories.
How should I use these practice tests to prepare?
Take the 60-question general practice test first to identify weak areas. Then drill the topic-specific practice tests (infection control, patient rights, basic nursing skills, etc.) for any category where you missed multiple questions. Re-read the corresponding free online study guide on each topic, then retake the topical test. Most students need 2-3 cycles before consistently scoring above 80%.
Is the actual written exam multiple choice?
Yes. The NNAAP written exam is multiple-choice with four answer options per question. There is also an oral version for candidates who request it due to reading difficulty. The skills (clinical) portion is separate — candidates perform 5 randomly selected hands-on skills, with hand washing always being one of them.
Ready for the Skills Portion?
The written exam is only half. You also have to pass the hands-on skills test — 5 randomly selected skills, with hand washing always included.
Master the 22 NNAAP Skills