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Ten short scenarios · October 9, 2026

A CNA exam story starts with a choice.

Read the situation, make your call, then check the answer and its source. These original practice stories are free. They are not official exam questions or clinical instructions.

10 storiesAnswers in the openPublic sources

A CNA exam story · 1 of 10

Choosing hand hygiene before care

Morning care begins. Your hands are not visibly soiled. Which hand-cleaning method is usually preferred?

What would you do?

Answer: Alcohol-based hand sanitizer.

CDC guidance says alcohol-based hand sanitizer is preferred in most clinical situations when hands are not visibly soiled.

Remember: Choose ABHS for clean-looking hands; soap and water when visibly soiled or directed by facility policy.

See the full question and discussion · CDC hand hygiene for healthcare workers

A CNA exam story · 2 of 10

What follows glove removal?

You finish perineal care and remove your gloves. What is your next move before touching anything clean?

What would you do?

Answer: Perform hand hygiene.

Gloves do not replace hand hygiene. CDC includes cleaning hands immediately after glove removal.

Remember: Gloves are a barrier, not a substitute for clean hands.

See the full question and discussion · CDC hand hygiene for healthcare workers

A CNA exam story · 3 of 10

Standard Precautions without an isolation sign

You enter a room without an isolation sign. Do Standard Precautions still apply to this resident?

What would you do?

Answer: Yes. Standard Precautions apply during all resident care.

CDC defines Standard Precautions as practices used for all patient care based on expected exposure risk.

Remember: Assume blood and body fluids may carry infection even without a diagnosis.

See the full question and discussion · CDC standard precautions

A CNA exam story · 4 of 10

When care calls for gloves

Before a care task, you decide whether gloves are needed. Which kind of contact calls for them?

What would you do?

Answer: When contact with blood, body fluids, mucous membranes, non-intact skin, or contaminated items is expected.

Standard Precautions call for PPE when exposure to infectious material is expected.

Remember: PPE is selected by task risk.

See the full question and discussion · CDC standard precautions

A CNA exam story · 5 of 10

Visibly dirty hands after care

Your hands are visibly dirty after care. What is the right way to clean them?

What would you do?

Answer: Soap and water.

CDC guidance says to wash with soap and water when hands are visibly soiled.

Remember: Visible soil means soap and water.

See the full question and discussion · CDC hand hygiene for healthcare workers

A CNA exam story · 6 of 10

Gloves for catheter drainage

You are emptying a catheter drainage bag. Why are gloves part of this task?

What would you do?

Answer: Urine and equipment may contaminate hands.

PPE is used when contact with body fluids or contaminated items is expected.

Remember: Body fluid exposure means glove risk assessment.

See the full question and discussion · CDC standard precautions

A CNA exam story · 7 of 10

A resident's choice of clothing

A resident wants to wear a bright scarf you would not choose. What matters in this decision?

What would you do?

Answer: Respect the resident's choice if safe.

Residents have the right to personal choice and dignity.

Remember: The resident's preference controls when it is safe and allowed.

See the full question and discussion · 42 CFR 483.10 resident rights

A CNA exam story · 8 of 10

Protecting privacy during a bath

You are helping with a bath. What protects the resident's dignity?

What would you do?

Answer: Close the curtain and uncover only the area being washed.

Residents have the right to dignity, privacy, and respectful care.

Remember: Drape, explain, and protect privacy.

See the full question and discussion · 42 CFR 483.10 resident rights

A CNA exam story · 9 of 10

A resident's preferred sleep schedule

A resident wants to sleep later than usual. How do you support the choice?

What would you do?

Answer: Support the resident's preferred sleep schedule while meeting safety and care needs.

Residents have rights to choice, schedules, and self-determination within safe care requirements.

Remember: Work with the care team to honor the resident's preferred schedule safely.

See the full question and discussion · 42 CFR 483.10 resident rights

A CNA exam story · 10 of 10

Checking the N.C. Nurse Aide I Registry

Before a nursing home allows a nurse aide to work in North Carolina, what listing must it verify?

What would you do?

Answer: The N.C. Nurse Aide I Registry.

The N.C. registry verification page says nursing homes must verify good standing on the N.C. Nurse Aide I Registry before allowing nurse aides to work.

Remember: NC registry verification is the official employment check.

See the full question and discussion · N.C. registry verification search