200+ Free Kansas CNA Practice Questions

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When giving a complete bed bath to a resident in a Kansas long-term care facility, the CNA should wash the body in which order?

Perineal area, legs, abdomen, arms, face, back

Face, arms, chest, abdomen, legs, back, perineal area

Back, legs, arms, chest, face, perineal area

Arms, chest, legs, back, face, perineal area

to track

2026 Statistics

Key Facts: Kansas CNA Exam

100

Written Questions

KDADS K.A.R. 26-50

2 hrs

Written Time Limit

KDADS Kansas CNA Exam

75%

Written Passing Score

75/100 correct

90 hrs

Minimum Training Required

K.A.R. 26-50 (60+ class + 30+ clinical)

Exam Attempts (12 months)

K.A.R. 26-50

8 hrs

Paid Work per 2-Year Renewal

KDADS Registry

$20

State Exam Fee

KDADS Health Occupations Credentialing

Kansas is unique: its CNA exam is school-administered at KDADS-approved test sites, not through Prometric or Credentia. The written exam has 100 questions (2 hours) with a 75% passing score — higher than the standard 70% in most states. Kansas requires 90 hours of training (60+ classroom + 30+ clinical), exceeding the OBRA minimum. The Kansas Nurse Aide Registry is maintained by KDADS Health Occupations Credentialing at ksnurseaidregistry.org — not the Kansas Board of Nursing. Kansas also offers a Medication Aide (CMA) pathway exclusively for CNAs who complete additional KDADS-approved training. Reciprocity applicants must pass the written exam (one attempt only). Renewal: 8 hours paid work per 2 years, no fee.

Sample Kansas CNA Practice Questions

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

1When giving a complete bed bath to a resident in a Kansas long-term care facility, the CNA should wash the body in which order?

A.Perineal area, legs, abdomen, arms, face, back

B.Face, arms, chest, abdomen, legs, back, perineal area

C.Back, legs, arms, chest, face, perineal area

D.Arms, chest, legs, back, face, perineal area

Explanation: Bed baths follow a clean-to-dirty sequence: face (cleanest) first, then arms, chest, abdomen, legs, back, and finally the perineal area (most contaminated). This sequence prevents cross-contamination and is a fundamental skill tested on the Kansas state CNA competency exam administered under K.A.R. 26-50.

2A resident in a Kansas adult care home has right-sided weakness from a stroke. When assisting with dressing, the CNA should:

A.Dress the left (stronger) arm first to make it easier for the resident

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

C.Ask the charge nurse to dress the resident, as it requires a licensed nurse

D.Dress both arms simultaneously to reduce the time spent

Explanation: The correct technique is "dress the weak side first, undress the strong side first." Dressing the affected (weaker) limb first reduces painful stretching and minimizes the risk of injury to the arm or shoulder. This restorative technique is part of the Kansas CNA curriculum (K.A.R. 26-50-12) and is frequently tested on the state competency exam.

3When providing perineal care to a female resident, the CNA should wipe:

A.From back to front to avoid contaminating the perineal area

B.In a circular motion around the perineal area using the same cloth section

C.From front to back, using a clean section of cloth for each stroke

D.Side to side across the entire area with one continuous motion

Explanation: For female residents, perineal care must always be performed front to back (urethral meatus to anus), using a clean section of cloth for each stroke. This prevents fecal bacteria from entering the urethra, which can cause urinary tract infections — a common and preventable complication in long-term care residents.

4Before beginning oral care for an unconscious resident, the CNA's FIRST action should be to:

A.Apply a thick layer of toothpaste and begin brushing immediately

B.Position the resident flat on their back for easier access

C.Turn the resident's head to the side and have suction equipment available

D.Open the resident's mouth with a tongue depressor

Explanation: An unconscious resident cannot swallow and is at high risk for aspiration. The CNA must first turn the head to the side and have suction equipment available to remove any fluid that accumulates. This prevents aspiration pneumonia, a life-threatening complication. Always position before beginning oral care for unconscious or unresponsive residents.

5A resident refuses to take a bath and states she bathed yesterday. The CNA should:

A.Insist the resident bathe because it is scheduled on the care plan

B.Respect the resident's right to refuse and document the refusal accurately

C.Call the resident's family to convince her to bathe

D.Proceed with the bath anyway since personal hygiene is medically necessary

Explanation: Kansas residents in long-term care have the legal right to refuse care under federal OBRA 1987 and Kansas law. When a resident refuses, the CNA must respect that right, offer alternatives (such as a partial bath or at a different time), document the refusal accurately, and report to the charge nurse. Forcing care constitutes abuse — a violation of both state and federal law.

6When shampooing a bedridden resident's hair at a Kansas nursing facility, the water temperature should be tested:

A.On the inside of the CNA's wrist before applying it to the resident

B.By asking the resident if it feels comfortable

C.With a thermometer set to exactly 98.6°F (37°C)

D.By placing it on the resident's scalp and adjusting if they complain

Explanation: Water temperature should always be tested on the inside of the CNA's wrist — a sensitive area — before applying it to the resident. This prevents burns, especially in elderly residents who may have decreased sensation and cannot accurately perceive dangerously hot water. Always test temperature first, then confirm with the resident if possible.

7When providing nail care for a diabetic resident, the CNA should:

A.Clip the toenails straight across and file any rough edges

B.Clip the fingernails and toenails into a rounded shape for comfort

C.Provide fingernail care only — report to the nurse that toenail care is needed

D.Soak the nails for 30 minutes before clipping to soften them

Explanation: CNAs should NOT perform toenail care on diabetic residents. Diabetics have impaired circulation and reduced sensation in their feet, making even minor cuts life-threatening (risk of infection, ulceration, and amputation). Toenail care for diabetics must be performed by a licensed nurse or podiatrist. CNAs may file fingernails and provide basic hand care for diabetic residents.

8When giving a partial bath (morning care) to a resident, the CNA should wash the resident's:

A.Only the face and hands

B.Face, hands, underarms, and perineal area

C.Face, hands, arms, and legs

D.Back, face, and neck only

Explanation: A partial bath (morning care or "AM care") focuses on the areas most prone to odor and skin breakdown: face, hands, underarms (axillae), and the perineal/genital area. This routine daily hygiene keeps residents clean and comfortable between full baths and helps prevent skin breakdown and infection in the most vulnerable areas.

9A resident's skin appears red and irritated under a skin fold. The CNA should:

A.Apply powder to keep the area dry and reduce friction

B.Gently clean the area, dry it thoroughly, and report to the nurse

C.Cover with a large bandage to protect from further friction

D.Leave it alone because it is a normal finding in elderly residents

Explanation: Redness under skin folds is an early sign of intertrigo or pressure injury and must be reported to the nurse immediately. The CNA should clean the area gently with mild soap and water, dry thoroughly (moisture traps bacteria), and apply barrier cream only if instructed by the nurse. Powder should not be used as it can cake and increase skin breakdown. Never leave skin breakdown unreported — early intervention prevents serious wounds.

10When combing the hair of a resident with very tangled hair, the CNA should:

A.Start from the roots and comb straight through to remove all tangles

B.Apply baby powder to loosen tangles before combing

C.Start from the ends of the hair and work toward the scalp

D.Ask the nurse for scissors to cut out the worst tangles

Explanation: When hair is tangled, always start at the ends (tips) and work upward toward the scalp in small sections. This technique removes tangles gradually with minimal pulling and pain, and prevents hair breakage. Starting at the roots and pulling through tangles is painful and can damage the hair and scalp.

About the Kansas CNA Exam

The Kansas CNA state competency exam is administered by KDADS (Kansas Department for Aging and Disability Services) Health Occupations Credentialing at approved school/college test sites under K.A.R. 26-50 — unlike most states that use Prometric or Credentia. The written exam has 100 multiple-choice questions in 2 hours, requiring a 75% passing score (75/100). Kansas requires a minimum of 90 hours of training (exceeding the 75-hour federal OBRA minimum). Certification renews every 2 years with at least 8 hours of paid nurse aide work; Kansas does not charge a renewal fee. Up to 3 attempts allowed within 12 months of the first attempt.

Questions

100 scored questions

Time Limit

2 hours written + ~30 min skills test

Passing Score

75% written (75/100) + 100% skills

Exam Fee

$20 state fee + ~$18 site fee (~$38-58 total) (KDADS / Health Occupations Credentialing (school-administered))

Kansas CNA Exam Content Outline

~35%

Physical Care Skills

Personal Care/ADLs: bathing, grooming, dressing, toileting, nutrition/feeding, elimination, oral care. Basic Nursing Skills: vital signs (BP, temp, pulse, respirations, SpO2, pain), infection control/hand hygiene, body mechanics, safety, emergency response. Restorative: ROM exercises, ambulation, assistive devices, restorative programs

~15%

Psychosocial Care Skills

Emotional and Mental Health: therapeutic communication, behavioral needs, depression, grief/loss, dementia (Alzheimer's), sundowning, catastrophic reactions. Cultural and Spiritual Care: respecting beliefs, cultural sensitivity. Aging process: normal vs. pathological changes

~50%

Role of the Nurse Aide

Communication and Documentation: SBAR reporting, objective vs. subjective data, charting errors. Residents' Rights (OBRA): privacy, dignity, refusal, grievances, restraints. Legal & Ethical: mandatory reporting (K.S.A. 39-1401), scope of practice, delegation. Kansas-Specific: KDADS regulations (K.A.R. 26-50), Nurse Aide Registry, Trainee II status, CMA pathway, 90-hour training, 3-attempt rule, reciprocity, adult care homes

How to Pass the Kansas CNA Exam

What You Need to Know

Passing score: 75% written (75/100) + 100% skills
Exam length: 100 questions
Time limit: 2 hours written + ~30 min skills test
Exam fee: $20 state fee + ~$18 site fee (~$38-58 total)

Keys to Passing

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

Kansas CNA Study Tips from Top Performers

1Know Kansas uses school-administered exams (not Prometric/Credentia) — KDADS oversees testing at approved program test sites

2Memorize the Kansas-specific numbers: 100 questions, 2 hours, 75% to pass, 90 hours training, 3 attempts within 12 months

3Know the Kansas Nurse Aide Registry is at ksnurseaidregistry.org and maintained by KDADS (not the Kansas Board of Nursing)

4Study the Trainee II status: work up to 4 months while in training before passing the exam

5Know the CMA (Medication Aide) pathway: available only to active Kansas CNAs who complete additional KDADS-approved training

6Memorize K.A.R. 26-50: the Kansas Administrative Regulation governing nurse aides — scope of practice, registry requirements, training standards

7Know K.S.A. 39-1401: Kansas mandatory reporting law — all facility staff are mandatory reporters; failure to report is a legal violation

8Understand reciprocity: out-of-state CNAs must pass the written exam (1 attempt only) — different from most states' automatic endorsement

Frequently Asked Questions

Who administers the Kansas CNA competency exam?

Unlike most states that use national vendors like Prometric or Credentia, Kansas CNA exams are administered at KDADS-approved school or college test sites. KDADS (Kansas Department for Aging and Disability Services) Health Occupations Credentialing oversees the testing program under K.A.R. 26-50. Students typically test at or near their training program location. There is a $20 state exam fee plus a ~$18 site fee (~$38-58 total). After passing, KDADS adds your name to the Kansas Nurse Aide Registry at ksnurseaidregistry.org.

How many hours of training does Kansas require for CNA?

Kansas requires a minimum of 90 hours of approved nurse aide training — exceeding the federal OBRA 1987 minimum of 75 hours. Programs typically include 60+ hours of classroom and skills lab instruction plus 30+ hours of supervised clinical practice in a healthcare setting. All programs must be approved by KDADS under K.A.R. 26-50. This 90-hour requirement ensures Kansas CNAs exceed the minimum federal training standard.

What is the Trainee II status in Kansas?

Kansas uses a 'Trainee II' status that allows students enrolled in a KDADS-approved CNA training program to work as nurse aides for up to 4 months from the date training began — while still in training and before passing the competency exam. This federal provision (modified by Kansas regulations) allows facilities to utilize trained but not yet certified individuals under supervision. Trainee II status expires if not converted to full certification within the 4-month window.

What is the Kansas Medication Aide (CMA) certification?

Kansas offers a unique Medication Aide (CMA) pathway that allows active Kansas CNAs to complete additional KDADS-approved training (typically 85+ hours) to legally administer routine oral, topical, and inhaled medications in qualifying facilities. CMAs are supervised by licensed nurses. This pathway is specific to Kansas under K.A.R. 26-50 and differs from medication aide programs in other states. CMAs may not administer IV medications or most controlled substances.

How do I renew my Kansas CNA certification?

Kansas CNA certification renews every 2 years. The only requirement is at least 8 hours of paid work performing nurse aide duties within the 2-year renewal period. Kansas does not charge a renewal fee for CNAs who meet this requirement. CNAs who have not worked as a nurse aide for 2 or more consecutive years must complete a Kansas-approved refresher course before reactivating their certification. Renewal and registry status can be checked at ksnurseaidregistry.org.

How does reciprocity work for Kansas CNA certification?

Out-of-state CNAs applying for Kansas certification through reciprocity must pass the written (knowledge) portion of the Kansas CNA competency exam — only one attempt is allowed through the reciprocity pathway. This written-exam requirement is unique to Kansas; most states offer automatic endorsement for CNAs with clean registry status. Applicants must have no findings of abuse, neglect, or misappropriation on any state registry. Contact KDADS Health Occupations Credentialing for the reciprocity application process.