2.2 Written Test-Taking Strategy

Key Takeaways

  • Read the stem first, identify what the question is really asking, then compare answer choices.
  • When two answers seem possible, choose the safest action within CNA scope.
  • Report urgent changes to the nurse; do not diagnose or independently treat.
  • Never choose an answer that violates privacy, dignity, infection control, or resident rights.
  • With 60 minutes for 75 questions, steady pacing matters more than rushing.
Last updated: April 2026

Strategy For 75 Questions In 60 Minutes

You have less than one minute per question. That sounds fast, but CNA questions are usually short if you know the decision rules.

Use this method:

  1. Read the last sentence of the question carefully.
  2. Identify the resident risk or CNA duty.
  3. Eliminate actions outside CNA scope.
  4. Eliminate unsafe or disrespectful actions.
  5. Choose the answer that reports, protects, or supports independence.

The Four-Part Filter

FilterAsk Yourself
ScopeIs the CNA legally allowed to do this?
SafetyDoes this prevent harm first?
DignityDoes this respect privacy, choice, and independence?
ReportingDoes this need the nurse immediately?

Common Wrong-Answer Patterns

Watch for answers that sound active but are unsafe. The exam often includes options like giving medication, changing oxygen flow, diagnosing infection, using restraints for convenience, or telling family private information.

Those choices may seem helpful, but they are outside CNA role or violate resident rights.

First, Next, Best

"First" questions usually ask for immediate safety. For example, if a resident is choking, falling, bleeding, or short of breath, you act to protect life and call for help.

"Next" questions often come after the immediate safety step. For example, after a fall, stay with the resident, call the nurse, and do not move the resident unless there is danger.

"Best" questions usually ask for the most complete, resident-centered action.

Managing Time

Do not spend five minutes on one question. Mark difficult items mentally, choose the safest likely answer, and keep moving. Unanswered questions are avoidable lost points.

If you have time at the end, review questions where you misread words like except, first, immediate, or most appropriate.

Test Your Knowledge

A question asks what the CNA should do first when a resident reports chest pain. Which strategy is best?

A
B
C
D
Test Your Knowledge

Which answer choice is usually unsafe on the CNA knowledge exam?

A
B
C
D