200+ Free Delaware CNA Practice Questions

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Question 1

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When performing a complete bed bath for a Delaware nursing facility resident, which area should the CNA wash LAST?

The back

The legs and feet

The perineal area

The abdomen

to track

2026 Statistics

Key Facts: Delaware CNA Exam

Written Questions

Prometric / DLTCRP

90 min

Written Time Limit

Prometric

70%

Written Passing Score

42/60 questions

5 skills

Clinical Skills Test

30 minutes

75 hrs

Training Required

Federal OBRA minimum

8 hrs/24mo

Active Registry Requirement

Delaware DLTCRP

The Delaware Nurse Aide Competency Exam is administered by Prometric under the oversight of the Delaware Division of Long Term Care Residents Protection (DLTCRP). Delaware follows the federal OBRA 1987 minimum of 75 training hours. Candidates have up to 3 attempts within 24 months of completing training. The DLTCRP maintains the Delaware CNA Registry and investigates abuse complaints. CNAs must work at least 8 hours every 24 months to maintain active registry status.

Sample Delaware CNA Practice Questions

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1When performing a complete bed bath for a Delaware nursing facility resident, which area should the CNA wash LAST?

A.The back

B.The legs and feet

C.The perineal area

D.The abdomen

Explanation: The perineal area is always washed last during a complete bed bath because it contains the highest concentration of microorganisms. Washing from cleanest to dirtiest (face → arms → chest → abdomen → legs → back → perineal area) prevents cross-contamination and reduces the risk of urinary tract infections, particularly important in nursing facility residents.

2A resident in a Delaware long-term care facility has left-sided weakness following a stroke. When assisting with dressing, the CNA should:

A.Dress the right (stronger) side first to make the process easier

B.Dress the left (weaker) side first, then the right side

C.Have the resident dress independently to promote rehabilitation

D.Dress both sides simultaneously to save time

Explanation: When dressing a resident with one-sided weakness or paralysis, always dress the weaker or affected side first. This is less painful and prevents unnecessary strain. The memory aid is "weak side in first, strong side out first" — dress weak first, undress strong first.

3A CNA is providing oral care to an unconscious resident in a Delaware nursing facility. Which position is MOST important to maintain to prevent aspiration?

A.Supine with the head of the bed elevated 90 degrees

B.Lateral (side-lying) position with the head slightly lowered

C.Prone position with a pillow under the chest

D.High Fowler's position with the neck hyperextended

Explanation: For unconscious residents, lateral (side-lying) positioning is critical during oral care to prevent aspiration. The head is kept slightly lower than the body to allow secretions to drain by gravity rather than into the lungs. High Fowler's with a hyperextended neck could increase aspiration risk. This is a standard safety protocol for residents who cannot protect their own airway.

4When trimming a diabetic resident's toenails in a Delaware nursing facility, the CNA should:

A.Trim nails straight across and slightly rounded at the corners

B.Trim nails as short as possible to prevent ingrown nails

C.File rather than cut, and report any foot concerns to the nurse

D.Trim nails curved to match the shape of the toe

Explanation: CNAs should NOT cut the nails of diabetic residents because of the risk of cutting skin, which heals poorly in diabetics and can lead to serious infections including gangrene. The CNA should file nails only and immediately report any foot abnormalities (redness, swelling, sores, discoloration) to the nurse. Foot care for diabetics typically requires a licensed nurse or podiatrist.

5A resident in a Delaware nursing home asks the CNA to shave him using a safety razor. The resident takes warfarin (blood thinner). What should the CNA do?

A.Proceed with the safety razor as requested, being extra careful

B.Use an electric razor instead to reduce the risk of cuts and bleeding

C.Refuse to shave the resident until the nurse gives permission

D.Shave with a safety razor, then apply pressure for 10 minutes afterward

Explanation: For residents taking anticoagulants (blood thinners) like warfarin, an electric razor is strongly preferred over a safety razor. Even small nicks from a safety razor can cause prolonged, difficult-to-control bleeding in anticoagulated residents. Using an electric razor significantly reduces this risk while still allowing the resident to have their grooming needs met safely.

6When providing perineal care to a female resident with an indwelling urinary catheter, the CNA should clean the catheter tubing by wiping:

A.From the distal end (bag) toward the meatus using circular motions

B.From the meatus outward along the catheter tubing in one direction

C.Back and forth along the entire catheter length to loosen debris

D.Only around the meatus and not the tubing itself

Explanation: When cleaning a urinary catheter, always wipe from the insertion site (meatus) outward along the catheter tubing — never back and forth. This prevents dragging microorganisms from the tubing toward the urethra, which could cause a catheter-associated urinary tract infection (CAUTI). The meatus is the highest-priority area to keep clean.

7A Delaware CNA is assisting a resident with denture care. The BEST practice is to:

A.Rinse dentures in hot water to sterilize them before reinsertion

B.Brush dentures over the sink without padding, then store in cool water

C.Line the sink with a towel, brush all surfaces with a soft brush, and store in cool water

D.Soak dentures in bleach solution overnight to disinfect them

Explanation: The correct denture care procedure involves lining the sink with a towel (or filling it with water) to cushion a potential drop. Brush all denture surfaces — inner, outer, and chewing — with a soft brush and denture cleaner or mild soap. Store dentures in cool (not hot) water when not in use. Hot water warps dentures, and bleach can damage them and harm the resident.

8An elderly resident in a Delaware nursing facility refuses a bath, stating she "just had one yesterday." The CNA should:

A.Explain the hygiene importance and proceed with the bath as scheduled

B.Document the refusal and notify the nurse, respecting the resident's right to refuse

C.Reschedule the bath for later that day when the resident may cooperate

D.Ask another CNA to convince the resident while you prepare the supplies

Explanation: Residents have the right to refuse any care under both federal and Delaware regulations. The CNA must respect this refusal, document it accurately, and notify the charge nurse. Forcing or tricking a resident into bathing violates their rights and could constitute abuse. The nurse may later discuss the resident's care needs and preferences, but the immediate action is to document and report the refusal.

9When assisting a resident with a shower, what water temperature is considered SAFE for a nursing facility resident?

A.105°F–115°F (40.5°C–46°C)

B.95°F–105°F (35°C–40.5°C)

C.115°F–125°F (46°C–51.6°C)

D.75°F–85°F (24°C–29°C)

Explanation: Safe water temperature for nursing facility residents is 95°F–105°F (35°C–40.5°C). Elderly residents often have decreased sensation and impaired thermoregulation, making them vulnerable to scalds at temperatures that younger adults can tolerate. Always test water temperature with a thermometer and on the inside of your wrist before assisting the resident. Many Delaware facilities have policies capping water heater temperature at 110°F for resident safety.

10A CNA in a Delaware nursing facility is measuring a resident's blood pressure and gets a reading of 168/94 mmHg. The FIRST thing the CNA should do is:

A.Recheck the blood pressure in 5 minutes and average the results

B.Ask the resident if they have been taking their blood pressure medication

C.Report the finding to the charge nurse immediately

D.Document the reading and check again at the next scheduled vital signs

Explanation: A blood pressure of 168/94 mmHg is significantly elevated (normal is below 120/80; stage 2 hypertension is 140/90 and above). This is a reportable finding that the CNA must communicate to the charge nurse immediately. CNAs observe and report; they do not diagnose or treat. The nurse will determine whether this requires intervention, medication review, or physician notification.

About the Delaware CNA Exam

The Delaware CNA exam is administered by Prometric on behalf of the Delaware Division of Long Term Care Residents Protection (DLTCRP). It consists of a 60-question written test (90 min) and a clinical skills test (5 randomly selected skills in 30 min). Passing certifies you for the Delaware Nurse Aide Registry.

Questions

60 scored questions

Time Limit

90 minutes written + 30 min skills test

Passing Score

70% written + 100% skills

Exam Fee

Varies (written + skills combined) (Prometric / Delaware DLTCRP)

Delaware CNA Exam Content Outline

26%

Basic Nursing Care

Vital signs, anatomy, observation & reporting, emergency situations, specialized resident care

34%

Promotion of Function and Health

Personal care, nutrition, hydration, elimination, mobility, ROM, assistive devices, ADLs

14%

Specialized Care for Health Changes

Dementia, chronic disease management, sensory impairment, end-of-life care

14%

Promotion of Safety

Infection control, fall prevention, fire safety, body mechanics, emergency response

12%

Role of the Nurse Aide

DLTCRP regulations, Delaware registry, scope of practice, residents' rights, HIPAA, abuse reporting

How to Pass the Delaware CNA Exam

What You Need to Know

Passing score: 70% written + 100% skills
Exam length: 60 questions
Time limit: 90 minutes written + 30 min skills test
Exam fee: Varies (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

Delaware CNA Study Tips from Top Performers

1Know the DLTCRP: the Delaware Division of Long Term Care Residents Protection is the state regulatory body for CNAs

2Memorize Delaware registry rules: 8 hours work/24 months to stay active; 3 exam attempts within 24 months of training

3Master infection control: hand hygiene (soap/water for C. diff and norovirus), PPE selection for MRSA/TB/influenza

4Know residents' rights under OBRA 1987: dignity, self-determination, freedom from abuse/restraints, advance directives

5Study abuse reporting: mandatory reporter in Delaware — report suspected (not just confirmed) abuse immediately

6Review the RACE/PASS protocols for fire safety and the proper fall response (don't move resident, call nurse first)

Frequently Asked Questions

Who administers the Delaware CNA exam?

Prometric administers the Delaware Nurse Aide Competency Exam on behalf of the Delaware Division of Long Term Care Residents Protection (DLTCRP). The exam has two parts: a 60-question written test (90 minutes) and a clinical skills test (5 skills in 30 minutes). After passing both parts, your name is added to the Delaware Nurse Aide Registry.

What are Delaware's CNA training requirements?

Delaware requires a minimum of 75 hours of state-approved CNA training before testing — the federal minimum under OBRA 1987. Training must include both classroom instruction and supervised clinical practice. Programs must be approved by the DLTCRP. Complete the program and register for the Prometric exam through the DLTCRP application process.

How many attempts do I have for the Delaware CNA exam?

Delaware candidates typically receive 3 attempts to pass each part of the CNA exam within 24 months of completing their training program. If you fail one part, you only need to retake that portion — not both parts. If you exhaust all attempts without passing, you must complete a new state-approved training program before testing again.

How do I maintain my Delaware CNA certification?

To maintain an active certification on the Delaware Nurse Aide Registry, you must perform at least 8 hours of nursing or nursing-related services under the supervision of a licensed nurse within every 24-month period. If your certification becomes inactive due to not meeting this requirement, you must complete additional training to reactivate it. Always update your address with the DLTCRP within 30 days of any move.

How do I report abuse as a Delaware CNA?

Delaware CNAs are mandatory reporters under state law. Immediately report any suspected abuse, neglect, or financial exploitation to your charge nurse and document the incident. The DLTCRP investigates all complaints involving nursing facility residents. A substantiated finding of abuse results in a permanent notation on your registry, disqualifying you from working in any Medicare/Medicaid facility in the US.

Can I transfer my CNA certification to Delaware?

If you are currently listed on another state's nurse aide registry as active and in good standing (with no findings of abuse, neglect, or misappropriation), you may apply for reciprocity to the DLTCRP to be added to the Delaware Nurse Aide Registry without retesting. Contact the DLTCRP at their Newark, DE office for the reciprocity application process.