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When performing a complete bed bath on a resident, in which order should the CNA wash the body?

A
B
C
D
to track
2026 Statistics

Key Facts: Alaska CNA Exam

70

Written Questions (60 scored)

Credentia / Alaska NNAAP

120 min

Written Time Limit

Credentia AK

70%

Written Passing Score

42/60 scored questions

140 hrs

Training Required

12 AAC 44 (60 class + 80 clinical)

24 hrs

CE Hours Every 2 Years

12 AAC 44.895(4)

No grace

Renewal Grace Period

Alaska DCBPL Form 08-4188

2 years

Renewal Cycle (Apr–Mar)

Alaska Nurse Aide Registry

Alaska CNA certification requires 140 hours of training (60 classroom + 80 clinical) — well above the 75-hour federal OBRA minimum. The exam is administered by Credentia (not Prometric), and you must register through the Credentia Platform at credentia.com/test-takers/ak. The written test has 70 questions (60 scored) in 120 minutes, requiring approximately 70% to pass. Alaska certifications follow an April 1 – March 31 biennial cycle with NO grace period — it is illegal to work with a lapsed certification. CNAs must complete 24 contact hours of CE every 2 years under 12 AAC 44.895(4). Alaska CNA salaries average $42,000-$52,000 annually — among the nation's highest due to Alaska's cost of living and healthcare demand.

Sample Alaska CNA Practice Questions

Try these sample questions to test your Alaska CNA exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 200+ question experience with AI tutoring.

1When performing a complete bed bath on a resident, in which order should the CNA wash the body?
A.Perineal area, legs, abdomen, chest, arms, face
B.Face, neck, arms, chest, abdomen, legs, back, perineal area
C.Back, buttocks, legs, abdomen, chest, arms, face
D.Arms, legs, face, chest, abdomen, perineal area
Explanation: The correct bed bath sequence moves from cleanest to dirtiest areas: face and neck first, then arms, chest, abdomen, legs, back, and finally the perineal area last. This clean-to-dirty sequence prevents cross-contamination and reduces the risk of spreading microorganisms from soiled areas to cleaner ones.
2An Alaska CNA is preparing to give a resident a bed bath. The water temperature should be checked with which method before beginning?
A.Dip a finger in briefly and estimate the temperature
B.Use the inside of the wrist to test the water, confirming it feels comfortably warm
C.Ask the resident to place their hand in the water
D.Check that water is steaming visibly before using it
Explanation: The inside of the wrist is sensitive to temperature and provides a reliable check that the water is comfortably warm — typically 105–115°F (40–46°C). This protects residents from burns or chilling. The resident's own perception of temperature may be impaired by age or illness, and visibly steaming water is too hot.
3During a partial bath, which body areas are considered the minimum that must be washed?
A.Face, hands, and feet only
B.Face, hands, axillae (underarms), perineal area, and any other areas causing discomfort or odor
C.Face and perineal area only
D.Arms, legs, and back
Explanation: A partial bath (also called a "abbreviated bath") must cover the face, hands, axillae, and perineal area at a minimum — these areas harbor the most bacteria and perspiration. Additional areas are washed if soiled or if the resident reports discomfort. Omitting these key areas increases infection risk.
4A resident with a right-sided stroke lives in an Anchorage long-term care facility regulated under Alaska's 12 AAC 44. During a bed bath, the CNA notices a new reddened area over the resident's sacrum. What is the CNA's immediate responsibility?
A.Apply a moisture barrier cream and document the finding in the care plan without reporting
B.Report the observation to the charge nurse immediately and document it accurately
C.Increase the water temperature to improve circulation to the area
D.Massage the reddened area vigorously to restore blood flow
Explanation: Under 12 AAC 44 and OBRA standards applicable in Alaska, CNAs are required to report any change in a resident's condition — including new skin breakdown — to a licensed nurse promptly. Redness over a bony prominence is an early sign of a pressure injury. Massaging reddened areas is contraindicated because it can further damage capillaries. Documentation must follow the report.
5When assisting a resident with a tub bath or shower, the CNA should take which safety precaution first?
A.Fill the tub completely before the resident enters
B.Place a non-slip mat in the tub or shower and test the water temperature before the resident gets in
C.Leave the bathroom door open at all times for ventilation
D.Have the resident stand in the tub while water fills to save time
Explanation: Non-slip mats prevent falls — the leading cause of injury in older adults — and testing water temperature before entry prevents scalding. These steps must occur before the resident enters. Leaving the door open risks privacy violations. Having the resident stand while water fills is unsafe because the tub floor becomes slippery before the mat can be positioned correctly.
6An Alaska CNA trainee completing the required 80 clinical hours asks why privacy must be maintained during a bed bath. Which answer best reflects both the clinical standard and Alaska resident rights under 12 AAC 44?
A.Privacy is only necessary when family members are visiting
B.Privacy preserves resident dignity, prevents embarrassment, and is a legal right guaranteed under state and federal nursing facility regulations
C.Privacy is recommended but optional if the resident has dementia
D.Privacy only applies to female residents during personal care
Explanation: Privacy during personal care is both an ethical obligation and a legal right. Alaska long-term care facilities licensed under 12 AAC 44 must honor residents' rights to privacy in all personal care activities, regardless of cognitive status. Violating privacy — even unintentionally — can constitute neglect. All residents, including those with dementia, retain dignity rights.
7A resident tells the CNA she prefers a shower every other day instead of the facility's standard daily bed bath schedule. How should the Alaska CNA respond?
A.Explain that the facility schedule cannot be changed and proceed with the bed bath
B.Honor the resident's preference, document it, and communicate it to the charge nurse so the care plan can be updated
C.Give the bed bath today and remind the resident to bring it up with the doctor
D.Skip bathing the resident entirely until the schedule is sorted out
Explanation: Residents have the right to make decisions about their own care routines. The CNA's role is to honor that preference, communicate it to the licensed nurse, and ensure the care plan reflects the resident's wishes. Overriding a resident's stated preference without a clinical reason is a violation of resident rights under OBRA and Alaska nursing facility regulations (12 AAC 44).
8When washing a female resident's perineal area during a bed bath, the correct direction for cleaning is:
A.Back to front to allow thorough cleaning
B.Front to back (from urethra toward rectum) using a clean area of the washcloth for each stroke
C.Circular motions starting at the rectum
D.Side to side across the entire perineal area in a single pass
Explanation: Perineal care for female residents must always proceed front to back — from the urethra toward the rectum — to prevent fecal bacteria (particularly E. coli) from contaminating the urethral opening and causing urinary tract infections. A fresh section of washcloth (or a fresh wipe) should be used for each stroke to avoid recontamination.
9When providing routine oral hygiene to a conscious resident, the CNA should position the resident in which way?
A.Flat on their back (supine) to prevent spitting
B.Sitting upright or with the head elevated at least 30 degrees to prevent aspiration
C.Side-lying with the face turned toward the ceiling
D.Position does not matter as long as the mouth is accessible
Explanation: Positioning the resident upright or at a 30+ degree angle uses gravity to keep fluids in the mouth and reduces the risk of aspiration — fluid entering the airway. Aspiration during oral care is a preventable cause of aspiration pneumonia. The supine (flat) position dramatically increases aspiration risk, especially in residents with swallowing difficulties.
10An Alaska CNA is providing oral hygiene to a resident with full upper and lower dentures. Which step is correct when cleaning the dentures?
A.Clean dentures over an empty hard sink to avoid damaging them if dropped
B.Remove dentures, place a towel or water in the sink basin, clean dentures with a denture brush and paste or soap, rinse thoroughly, and store in a labeled denture cup
C.Soak dentures in mouthwash overnight every night for disinfection
D.Use a regular toothbrush with fluoride toothpaste to clean dentures
Explanation: Placing a towel or filling the sink basin with water cushions dentures in case they are dropped — dentures are expensive and fragile. Dentures should be cleaned with a denture brush and non-abrasive denture cleaner or soap, rinsed thoroughly to remove cleaner residue, and stored in a labeled cup when not in use. Regular fluoride toothpaste is abrasive and will scratch denture surfaces over time.

About the Alaska CNA Exam

The Alaska CNA exam (NNAAP format) is administered by Credentia on behalf of the Alaska State Board of Nursing under 12 AAC 44. It consists of a written test (70 questions total, 60 scored + 10 pretest, 120 minutes) and a clinical skills demonstration. Alaska requires a minimum of 140 hours of state-approved training (60 classroom + 80 clinical) — the highest minimum in the region. Certification renews April 1 – March 31 biennially; CNAs must complete 24 CE contact hours every 2 years.

Questions

70 scored questions

Time Limit

120 minutes written + skills test

Passing Score

70% written + 100% skills

Exam Fee

$100-150 (written + skills combined) (Credentia / Alaska State Board of Nursing)

Alaska CNA Exam Content Outline

61%

Physical Care Skills

ADLs (14%): bathing, grooming, dressing, toileting, nutrition, feeding. Basic Nursing (39%): vital signs, infection control, safety, emergency response, wound care, data collection. Restorative (8%): ROM, ambulation, assistive devices, self-care independence

13%

Psychosocial Care Skills

Emotional/Mental Health (11%): therapeutic communication, behavioral needs, cognitive impairment, depression, dementia. Spiritual/Cultural (2%): respecting individual beliefs, Alaska Native cultural traditions, religious accommodations

26%

Role of the Nurse Aide

Communication (8%): reporting, documentation, interprofessional teamwork. Client Rights (7%): OBRA rights, privacy, dignity, advance directives. Legal & Ethical (3%): mandatory reporting under AS 47.24, 12 AAC 44 scope of practice. Healthcare Team (8%): delegation from RN/LPN, care planning, Alaska registry requirements

How to Pass the Alaska CNA Exam

What You Need to Know

  • Passing score: 70% written + 100% skills
  • Exam length: 70 questions
  • Time limit: 120 minutes written + skills test
  • Exam fee: $100-150 (written + skills combined)

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

Alaska CNA Study Tips from Top Performers

1Know Alaska uses Credentia — register at credentia.com/test-takers/ak, NOT Prometric; exam is NNAAP format with 70 questions (60 scored) in 120 minutes
2Memorize Alaska's 140-hour training requirement: 60 classroom + 80 clinical — this often appears on the exam
3Know the biennial renewal cycle: April 1 – March 31, 24 CE contact hours required, NO grace period (illegal to work with lapsed cert)
4Study 12 AAC 44: Alaska's CNA scope of practice regulations — know what CNAs can and cannot do in Alaska
5Know the E1-E5 eligibility routes and both forms: 08-4069 (initial application) and 08-4365 (reinstatement)
6Understand AS 47.24: Alaska mandatory reporting law for vulnerable adult abuse/neglect — report to charge nurse IMMEDIATELY
7Review Alaska Nurse Aide Registry: administered by DCBPL, available through MyAlaska/MY LICENSE portal

Frequently Asked Questions

Who administers the Alaska CNA exam?

Credentia administers the Alaska Nurse Aide Exam (NNAAP format) on behalf of the Alaska State Board of Nursing, which operates under the Division of Corporations, Business and Professional Licensing (DCBPL). You register at credentia.com/test-takers/ak. The written test has 70 questions (60 scored + 10 pretest) in 120 minutes. After passing both the written and skills tests, your name is added to the Alaska Nurse Aide Registry.

How many training hours does Alaska require for CNA?

Alaska requires a minimum of 140 hours of state-approved CNA training — 60 hours of classroom instruction and 80 hours of supervised clinical practice. This is significantly higher than the 75-hour federal OBRA 1987 minimum and one of the highest state requirements in the nation. Training programs must be approved by the Alaska Board of Nursing under 12 AAC 44.

How do I renew my Alaska CNA certification?

Alaska CNA certifications follow an April 1 – March 31 biennial renewal cycle. To renew, you must complete 24 contact hours of continuing education every 2 years under 12 AAC 44.895(4). There is NO grace period in Alaska — it is illegal to work as a CNA with a lapsed certification. You can renew online through the MyAlaska/MY LICENSE portal. Processing takes 4-6 weeks for complete applications.

What are Alaska's eligibility routes to take the CNA exam?

Alaska has five eligibility routes (E1-E5): E1 (New Nurse Aide) — completed state-approved 140-hour program within 2 years; E2 (Reinstatement) — previously certified but lapsed due to missed CE or work hours; E3 (Equivalency Training) — completed 1+ year of nursing education from an approved school; E4 (Military Training) — US military corpsman/medic training within 5 years; E5 (Out of Country) — foreign training. Submit Form 08-4069 (initial) or Form 08-4365 (reinstatement) to the Alaska Board of Nursing.

What are Alaska's mandatory abuse reporting requirements for CNAs?

Under AS 47.24, Alaska CNAs are mandatory reporters of suspected abuse, neglect, exploitation, or abandonment of vulnerable adults. You must report immediately to your charge nurse/supervisor. Facilities must report to the Alaska Office of Long Term Care Ombudsman and Adult Protective Services (APS). A substantiated finding of abuse results in a notation on the Alaska Nurse Aide Registry, which bars you from working in any Medicare/Medicaid facility nationwide.

Can I transfer my CNA certification to Alaska?

If you hold an active CNA certification in another state (or US territory) with no findings of abuse, neglect, or misappropriation, you may apply for reciprocity to the Alaska Nurse Aide Registry. Contact the Alaska Board of Nursing at boardofnursing@alaska.gov or (907) 269-8160 for current reciprocity requirements. You generally will not need to retest if your registry status is active and in good standing.