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When giving a complete bed bath to a resident in a Kentucky nursing facility, in which order should the SRNA wash the body?

Perineal area, legs, abdomen, chest, arms, face

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

Back, buttocks, legs, chest, arms, face

Feet, legs, abdomen, chest, arms, face, back, perineal area

to track

2026 Statistics

Key Facts: Kentucky CNA (SRNA) Exam

SRNA

Kentucky's Title for CNAs

Kentucky Nurse Aide Registry

75-100

Written Questions (2 hours)

KCTCS exam format

4 of 5

Skills Must Be Passed

KCTCS skills evaluation

75 hrs

Minimum Training Required

OBRA 1987 / Kentucky CHFS

Exam Attempts (6 months)

Kentucky SRNA regulations

8 hrs

Paid Work per 24-Month Renewal

Kentucky BON

$115

Combined Written + Skills Fee

KCTCS

Kentucky calls its CNAs 'State Registered Nurse Aides (SRNAs)' — the official title on the Kentucky Nurse Aide Registry maintained by the Kentucky Board of Nursing. The exam is administered exclusively by KCTCS (not Prometric or Credentia), making Kentucky unique among states. You have 3 attempts within 6 months to pass both the written and skills portions; failing all 3 requires completing another training program. Renewal requires only 8 hours of paid nurse aide employment per 24-month period (no CE hours required). Skills exam: 5 skills from a list of 34, must pass 4 of 5 in 30 minutes — handwashing is always a critical component. Total exam fee: $115 (written + skills combined).

Sample Kentucky CNA (SRNA) Practice Questions

Try these sample questions to test your Kentucky CNA (SRNA) 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 Kentucky nursing facility, in which order should the SRNA 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, chest, arms, face

D.Feet, legs, abdomen, chest, arms, face, back, perineal area

Explanation: The correct bed bath sequence proceeds from cleanest to dirtiest: face and neck first, then arms, chest, abdomen, legs, back, and finally the perineal area last. This clean-to-dirty progression prevents cross-contamination and is a standard OBRA-mandated personal care practice that Kentucky SRNAs must follow in all licensed long-term care facilities.

2A Kentucky SRNA is preparing a bed bath for a resident. The ideal water temperature should be checked by:

A.Dipping a fingertip and estimating warmth visually by steam

B.Asking the resident to submerge their hand briefly

C.Using the inside of the wrist to confirm the water feels comfortably warm

D.Setting the tap to the hottest level and adding cold water until the basin cools

Explanation: The inside of the wrist is sensitive to temperature extremes and provides a reliable check that bath water is comfortably warm — typically 105–115°F (40–46°C). Residents may have impaired temperature sensation due to age, diabetes, or neuropathy, so SRNAs must always test before applying water to skin to prevent burns or chilling.

3During a partial bath for a Kentucky nursing home resident, which body areas MUST be cleaned as a minimum standard?

A.Face and feet only

B.Face, hands, axillae (underarms), perineal area, and any other area causing discomfort or odor

C.Face, arms, and legs

D.Perineal area and feet only

Explanation: A partial bath must clean at minimum the face, hands, axillae, and perineal area — plus any other area causing discomfort, odor, or skin breakdown risk. This standard protects skin integrity and prevents infection. Kentucky CHFS regulations align with OBRA requirements mandating that residents receive daily bathing assistance as needed based on individual care plans.

4A resident in a Kentucky long-term care facility refuses a scheduled shower. The SRNA should FIRST:

A.Insist the resident shower as scheduled — it is required by facility policy

B.Document the refusal, inform the charge nurse, and offer alternative hygiene options

C.Call the resident's family to persuade them to comply

D.Report the resident as "non-compliant" and skip bathing entirely for the day

Explanation: Residents have the right to refuse care under OBRA 1987, which Kentucky enforces through CHFS regulations. When a resident refuses, the SRNA must: (1) respect the refusal without coercion, (2) offer alternatives such as a sponge bath, (3) document the refusal and the alternatives offered, and (4) notify the charge nurse. Forcing care violates resident rights and may constitute abuse under Kentucky law.

5When providing perineal care to a female resident, the SRNA should clean:

A.From back to front using firm circular strokes

B.From front to back using a single stroke per wipe, then discarding the cloth

C.Side-to-side across the entire perineal area using one cloth

D.From back to front using a fresh cloth for each stroke

Explanation: Perineal care for female residents must always proceed from front (urethral meatus) to back (anal area), with a fresh part of the cloth or a new cloth for each stroke. This prevents fecal bacteria from entering the urethra and causing urinary tract infections — a leading cause of hospitalization among long-term care residents. This technique is tested on the Kentucky skills evaluation.

6A resident with diabetes and bilateral foot neuropathy is due for a shower. Which precaution is MOST important for the SRNA to take?

A.Skip washing the feet to avoid injury

B.Test the water temperature with the inside of the wrist and check feet for any cuts, sores, or redness during care

C.Use very cold water to prevent burns since the resident cannot feel heat

D.Let the resident manage foot care independently since they cannot feel pain

Explanation: Diabetic neuropathy impairs temperature and pain sensation, putting residents at high risk for undetected burns and foot injuries. The SRNA must test water temperature with a thermometer or wrist, and inspect the feet carefully for cuts, pressure ulcers, redness, or fungal infection during every bathing episode. Any abnormality must be reported to the nurse. Early detection prevents serious complications in this high-risk population.

7During a bed bath, the SRNA notices a reddened area over the resident's sacrum that does not blanch when pressed. The SRNA should:

A.Massage the area vigorously to improve circulation

B.Apply lotion and continue the bath without reporting

C.Stop massaging over the area, report the finding to the nurse immediately, and document the observation

D.Ask another aide for a second opinion before reporting

Explanation: Non-blanchable redness over a bony prominence (such as the sacrum) is a Stage 1 pressure injury — the skin is intact but damaged. Massaging directly over this area can worsen damage by further reducing circulation. The SRNA must report this to the nurse immediately; pressure injuries are a major quality indicator regulated by CHFS in Kentucky nursing facilities, and early reporting is essential for intervention.

8Which safety measure is MOST important when assisting a resident with a shower in a Kentucky nursing facility?

A.Always have the resident undress in their room before entering the shower area

B.Place the call bell within the resident's reach and remain nearby throughout the shower

C.Lock the shower room door to ensure privacy

D.Turn on the shower at full pressure to speed up the process

Explanation: The call bell must always be within reach and the SRNA must remain nearby (or within earshot) during showering. Showers are a high-fall-risk activity. Falls are the leading cause of injury in Kentucky long-term care facilities, and abandoning a resident in the shower violates both safety standards and OBRA resident rights protections enforced by Kentucky CHFS.

9When bathing a resident with an indwelling urinary (Foley) catheter, the SRNA should clean the catheter tubing:

A.From the urethral meatus outward, moving away from the body in one direction

B.In a back-and-forth motion along the tubing to remove all residue

C.Only the bag — avoid touching the tubing near the insertion site

D.Starting 12 inches from the body and moving toward the insertion site

Explanation: Catheter care requires cleaning from the urethral meatus outward (moving away from the body) using a clean wipe for each stroke. This prevents microorganisms from being pushed toward the bladder, reducing the risk of catheter-associated urinary tract infection (CAUTI) — a major health concern in Kentucky nursing homes monitored by CHFS infection control surveys.

10A cognitively impaired resident at a Kentucky nursing facility tries to grab the SRNA's hands during a bed bath and says "stop, I don't want this." How should the SRNA respond?

A.Restrain the resident's hands and continue bathing quickly

B.Stop the care, use a calm voice to explain what is happening, offer reassurance, and attempt to continue only if safe; report behavior to the nurse

C.Have another aide hold the resident while the SRNA completes the bath

D.Ignore the verbal protest since the resident is cognitively impaired and cannot make valid decisions

Explanation: Even residents with cognitive impairment have the legal right to refuse care, and resisting during personal care is a recognized behavioral symptom of dementia. The correct response is to stop, de-escalate with calm communication, attempt distraction or reapproach, and document the behavior. Physically restraining or ignoring the protest may constitute abuse under Kentucky law (KRS 209) and OBRA regulations. Charge nurses must be notified of resistance to care.

About the Kentucky CNA (SRNA) Exam

The Kentucky SRNA (State Registered Nurse Aide) competency exam is administered by KCTCS (Kentucky Community and Technical College System) at campuses statewide — unique to Kentucky, as most states use national vendors like Prometric or Credentia. The written exam has 75-100 multiple-choice questions in 2 hours; the skills evaluation requires performing 4 of 5 randomly selected skills from a list of 34 in 30 minutes. Kentucky requires minimum 75 hours of training (16 hours clinical). The Kentucky Board of Nursing maintains the SRNA Registry; candidates are added approximately 30 days after passing.

Questions

75 scored questions

Time Limit

2 hours written + 30 min skills test

Passing Score

~70% written + 4 of 5 skills correct

Exam Fee

$115 (written + skills combined) (KCTCS / Kentucky Board of Nursing)

Kentucky CNA (SRNA) Exam Content Outline

~60%

Physical Care Skills

Personal care/ADLs (bathing, grooming, dressing, toileting, nutrition, feeding, elimination). Basic nursing skills (vital signs, infection control, safety, emergency response, wound observation). Restorative care (ROM, ambulation, assistive devices)

~15%

Psychosocial Care Skills

Emotional and mental health (dementia/Alzheimer's care, therapeutic communication, depression, grief, behavioral management). Cultural and spiritual care. Age-related changes

~25%

Role of the Nurse Aide

Communication and documentation. Resident rights (OBRA). Legal and ethical behavior (KY scope of practice, KRS 209 abuse reporting). Kentucky SRNA registry (KCTCS testing, KBN, CHFS regulations). Member of the healthcare team

How to Pass the Kentucky CNA (SRNA) Exam

What You Need to Know

Passing score: ~70% written + 4 of 5 skills correct
Exam length: 75 questions
Time limit: 2 hours written + 30 min skills test
Exam fee: $115 (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

Kentucky CNA (SRNA) Study Tips from Top Performers

1Know that Kentucky calls CNAs 'SRNAs' (State Registered Nurse Aides) — this appears on the registry, exams, and regulatory documents

2Know that KCTCS administers the exam (not Prometric) — testing occurs at KCTCS campuses; you must submit a testing roster through your school

3Remember the 3-attempt rule: 3 attempts within 6 months — failing all 3 requires completing another training program

4Memorize the renewal requirement: 8 hours of paid work per 24 months (no CE hours needed) — proven by pay stub, W-2, or notarized employer letter

5Know KRS 209 (mandatory abuse reporting): report to supervisor AND Adult Protective Services (APS) — your duty cannot be delegated to the facility

6Know CHFS (Cabinet for Health and Family Services) regulates and inspects Kentucky nursing facilities — different from KBN (maintains registry)

7Study infection control: C. diff requires soap and water handwashing (not hand sanitizer); RACE for fire response; N95 for TB

8Skills exam: 5 skills from 34, must pass 4 of 5 in 30 minutes — handwashing/infection control is a critical step in every skill

Frequently Asked Questions

Who administers the Kentucky CNA (SRNA) exam?

The Kentucky Community and Technical College System (KCTCS) administers the SRNA competency examination at KCTCS campuses statewide. This makes Kentucky unique — most states use national vendors like Prometric, Credentia, or Headmaster. After passing, the Kentucky Board of Nursing (KBN) maintains the Kentucky Nurse Aide Registry and adds your name approximately 30 days after passing. You must bring a photo ID and your original, non-laminated Social Security card on exam day.

What does SRNA mean in Kentucky?

SRNA stands for State Registered Nurse Aide — the official title Kentucky uses for certified nursing assistants. While CNAs elsewhere may be called CNAs, RNAs, or LNAs depending on the state, Kentucky specifically uses the SRNA designation. Once added to the Kentucky Nurse Aide Registry maintained by the Kentucky Board of Nursing (KBN), you are officially a State Registered Nurse Aide.

How many attempts do I have to pass the Kentucky SRNA exam?

You have 3 attempts to pass both the written and skills portions of the Kentucky SRNA exam within 6 months of becoming eligible to test. If you fail all 3 attempts, you must complete another approved nurse aide training program through KCTCS before testing again. The 6-month clock starts from your eligibility date (usually graduation from a KCTCS training program).

What are Kentucky's SRNA renewal requirements?

Kentucky SRNA renewal requires proof of at least 8 hours of paid employment as an SRNA performing nursing or nursing-related functions within each 24-month period. Acceptable proof includes paycheck stubs, a W-2 from the previous year, or a notarized employer letter on official letterhead. There are no continuing education (CE) hours required for renewal — unlike many other states. Renewal is processed through the Kentucky BON Nurse Portal.

What training hours are required for the Kentucky SRNA program?

Kentucky requires a minimum of 75 hours of nurse aide training, with at least 16 hours of supervised clinical practice. Training programs are provided through KCTCS (Kentucky Community and Technical College System), which is the state's sole provider of nurse aide training and testing. This meets the federal OBRA 1987 minimum of 75 hours with at least 16 hours of clinical practice.

How do I transfer my CNA certification to Kentucky?

If you hold an active CNA certification in another state with no findings of abuse, neglect, or misappropriation on any state registry, you may apply for reciprocity to the Kentucky Nurse Aide Registry through the Kentucky Board of Nursing. Kentucky does not charge a fee for CNA reciprocity. You generally will not need to retest if your registry status is active and in good standing.