200+ Free Louisiana CNA Practice Questions

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

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

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

Back, buttocks, legs, abdomen, arms, face

Arms, legs, face, perineal area, chest

to track

2026 Statistics

Key Facts: Louisiana CNA Exam

Written Questions (90 min)

Prometric / Louisiana NNAAP

~70%

Written Passing Score

LDH Health Standards Section

80 hrs

Training Required

LDH (40 classroom + 40 clinical)

8 hrs

Paid Work per 24-Month Renewal

Louisiana Nurse Aide Registry

$125

Combined Written + Skills Fee

Prometric / LDH

$35

Reciprocity Fee (Route 8)

Prometric / LDH Health Standards

2 hrs

Abuse Report Deadline

RS 14:403.2

Louisiana CNA exams are administered by Prometric (register at prometric.com/nurse-aide) — 60 questions in 90 minutes, approximately 70% to pass. The Louisiana Nurse Aide Registry is maintained by the LDH Health Standards Section (NOT the Board of Nursing), which sets it apart from many other states. You have 3 attempts to pass both the written and skills portions. Renewal requires proof of 8 hours of paid nurse aide work per 24-month certification period. Mandatory abuse reporting under RS 14:93.3 and RS 14:403.2 requires CNAs to report suspected abuse within 2 hours. Reciprocity for out-of-state CNAs costs $35 via Prometric Route 8. The NNAAP skills test evaluates 5 randomly selected skills from 21 on the Louisiana list — hand washing is always evaluated as part of every skill.

Sample Louisiana CNA Practice Questions

Try these sample questions to test your Louisiana 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 Louisiana nursing facility 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, arms, face

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

Explanation: The correct bed bath sequence proceeds from the cleanest to the 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 transmission of microorganisms from soiled areas to cleaner ones. Louisiana LDH regulations require CNAs to maintain resident dignity and minimize infection risk during personal care.

2A Louisiana CNA is preparing to give a resident a bed bath. How should the CNA check the water temperature before beginning?

A.Dip a finger in briefly and estimate

B.Test the water on the inside of the wrist to confirm it is comfortably warm (105–115°F)

C.Ask the resident to place their hand in the water first

D.Check that the water is visibly steaming

Explanation: The CNA should test water temperature on the inside of the wrist — a sensitive area that accurately detects whether the water is comfortably warm (approximately 105–115°F / 40–46°C). Elderly residents may have reduced sensation and cannot reliably test water temperature themselves, placing them at risk for scalds. Louisiana LDH facility standards require CNAs to protect residents from burns during bathing.

3While giving a resident a bed bath, the CNA notices that the washcloth has become soiled. What is the correct action?

A.Continue using the same washcloth to finish the bath quickly

B.Rinse the washcloth thoroughly and continue

C.Obtain a clean washcloth before continuing to wash other body areas

D.Place the soiled washcloth on the overbed table and continue

Explanation: A soiled washcloth must be replaced with a clean one before continuing to wash other body areas. Using a soiled washcloth spreads microorganisms from contaminated areas to cleaner skin, increasing infection risk. This is a standard infection control measure required by federal OBRA regulations and Louisiana LDH Health Standards Section guidelines for long-term care facilities.

4A Louisiana nursing home resident requests a shower instead of a bed bath. The resident has mild Alzheimer's disease and becomes agitated during the shower. What should the CNA do FIRST?

A.Insist the resident complete the shower as scheduled for hygiene purposes

B.Stop the shower, calmly reassure the resident, and offer to try again later or offer a bed bath

C.Restrain the resident briefly to complete the shower safely

D.Increase the water temperature to distract the resident from agitation

Explanation: When a resident with dementia becomes agitated during care, the CNA should stop the procedure, speak calmly and reassuringly, and offer an alternative approach. Forcing care on an agitated resident with Alzheimer's violates their rights, risks injury, and can cause psychological trauma. Louisiana LDH regulations protect residents' rights to refuse care and require CNAs to use person-centered, dementia-sensitive approaches.

5When providing perineal care to a female resident in a Louisiana long-term care facility, the CNA should wipe:

A.From the anal area toward the urinary meatus in a firm, circular motion

B.From the urinary meatus toward the anal area (front to back) using a separate clean area of the cloth for each stroke

C.Side to side across the perineal area with firm pressure

D.From back to front using the same portion of the washcloth throughout

Explanation: Perineal care for female residents must proceed from front (urinary meatus) to back (anal area), using a clean portion of the washcloth with each stroke. This technique prevents fecal bacteria (such as E. coli) from entering the urethra, which is the primary cause of catheter-associated urinary tract infections (CAUTIs) and UTIs in elderly women. Louisiana LDH infection control standards align with federal CDC guidelines on CAUTI prevention.

6A Louisiana CNA is assigned to give a resident a bed bath. The resident states, "I took a bath yesterday and I don't want another one today." Under Louisiana LDH regulations, the CNA should:

A.Insist the bath be given as scheduled to prevent skin breakdown

B.Ask the charge nurse to force the resident to comply with the bath schedule

C.Respect the resident's right to refuse, offer alternatives, document the refusal, and report to the charge nurse

D.Skip documentation and try again at the next shift

Explanation: Under OBRA 1987 and Louisiana LDH long-term care regulations, residents have the fundamental right to refuse care. The CNA must respect this refusal, offer alternatives (such as a sponge bath for specific areas), document the refusal thoroughly, and report to the charge nurse so the care plan can be updated. Forcing care on a competent resident constitutes battery under Louisiana law.

7A resident has a non-removable cast on the right arm. When giving a partial bath, the CNA should:

A.Skip the right arm entirely since it cannot get wet

B.Wash around the cast with a damp cloth, keeping the cast dry, and wash the left arm normally

C.Remove the cast temporarily to clean under it

D.Pour water over the cast area to clean it

Explanation: When a resident has a non-removable cast, the CNA should carefully wash the skin around and near the cast while keeping the cast completely dry. Water that enters the cast can soften the padding, cause skin maceration, and promote infection or pressure injury. The unaffected arm is washed normally. Any skin changes near the cast edges should be reported to the nurse.

8When giving a complete bed bath to a bedridden resident, the CNA notices redness over the resident's coccyx (tailbone). What is the priority action?

A.Apply lotion vigorously to the reddened area and continue the bath

B.Massage the reddened area firmly to increase circulation

C.Complete the bath, then report the redness to the nurse and document the finding

D.Ignore the redness since some skin redness is normal in bedridden residents

Explanation: Redness over a bony prominence such as the coccyx is an early sign of a pressure injury (Stage 1). The CNA must not massage the reddened area (which can cause further tissue damage) but must complete the bath, then immediately report the finding to the charge nurse and document it. Early detection and reporting allows the nursing team to implement a pressure injury prevention plan. Louisiana LDH requires prompt documentation and reporting of skin changes in long-term care residents.

9When providing oral care to a comatose (unconscious) resident in a Louisiana nursing facility, the CNA should position the resident:

A.Flat on their back (supine) with the head of the bed raised 90 degrees

B.On their side (lateral/side-lying) with the head tilted slightly downward

C.Sitting upright at 90 degrees in a chair for easier access

D.Prone (face down) with the head turned to one side

Explanation: An unconscious resident must be turned to a side-lying position with the head tilted slightly downward when receiving oral care. This position allows fluids and secretions to drain from the mouth by gravity, preventing aspiration (inhalation of fluid into the lungs), which can cause aspiration pneumonia — a life-threatening complication. The CNA should use only small amounts of fluid and a suction device if available.

10A resident's dentures have been removed for oral care. The CNA should store the dentures in:

A.A dry paper cup on the resident's nightstand

B.A labeled denture cup filled with cool water or denture-soaking solution

C.A plastic bag placed in the resident's drawer

D.Warm water to kill bacteria more effectively

Explanation: Dentures must be stored in a labeled denture cup filled with cool water or an appropriate denture-soaking solution. Dry storage causes dentures to warp and crack, rendering them ill-fitting and uncomfortable. Hot or warm water can distort the acrylic material. The labeled cup prevents loss and ensures the dentures are returned to the correct resident — essential in shared-room facilities.

About the Louisiana CNA Exam

The Louisiana CNA competency exam (NNAAP format) is administered by Prometric on behalf of the Louisiana Department of Health (LDH) Health Standards Section. It consists of a 60-question written exam (90 minutes) and a clinical skills demonstration (5 of 21 skills). Louisiana requires a minimum of 80 hours of state-approved training (40 classroom + 40 clinical). The LDH Health Standards Section — not the Board of Nursing — maintains the Louisiana Nurse Aide Registry. Certification renewal is every 24 months with proof of at least 8 hours of paid nurse aide employment. Reciprocity is available via Prometric Route 8 ($35 fee) for active out-of-state CNAs with no abuse/neglect findings.

Questions

60 scored questions

Time Limit

90 min written + skills test

Passing Score

~70% written + skills test

Exam Fee

$125 (written + skills combined) (Prometric / Louisiana Department of Health (LDH) Health Standards Section)

Louisiana CNA Exam Content Outline

61%

Physical Care Skills

ADLs (14%): bathing, grooming, oral hygiene, dressing (weak side first), perineal care, nail care, elimination, nutrition/hydration assistance. Basic Nursing (39%): vital signs, infection control, safety, emergency response, wound observation, data collection. Restorative (8%): ROM exercises, ambulation, assistive devices, bowel/bladder retraining

13%

Psychosocial Care Skills

Emotional/Mental Health (11%): therapeutic communication, behavioral needs, cognitive impairment, depression, dementia/Alzheimer's care. Spiritual/Cultural (2%): respecting individual religious beliefs, Louisiana Catholic/Creole cultural traditions, cultural sensitivity

26%

Role of the Nurse Aide

Communication (8%): reporting, documentation, interprofessional teamwork. Client Rights (7%): OBRA rights, privacy, dignity, Louisiana Natural Death Act (RS 40:1151.1 et seq.), advance directives. Legal & Ethical (3%): mandatory reporting under RS 14:93.3 and RS 14:403.2 within 2 hours; LDH Health Standards Section scope of practice. Healthcare Team (8%): delegation, care planning, LDH Nurse Aide Registry requirements

How to Pass the Louisiana CNA Exam

What You Need to Know

Passing score: ~70% written + skills test
Exam length: 60 questions
Time limit: 90 min written + skills test
Exam fee: $125 (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

Louisiana CNA Study Tips from Top Performers

1Know that Louisiana uses Prometric (not Credentia) — register at prometric.com/nurse-aide; exam is NNAAP format with 60 questions in 90 minutes

2Remember the LDH Health Standards Section (NOT the Board of Nursing) administers the Louisiana Nurse Aide Registry

3Memorize the 80-hour training requirement: 40 classroom + 40 clinical — both must come from an LDH-approved program

4Know Louisiana's mandatory reporting laws: RS 14:93.3 and RS 14:403.2 — report abuse/neglect to supervisor within 2 hours

5Study the Louisiana Natural Death Act (RS 40:1151.1): CNAs must honor advance directives and DNR orders, report to charge nurse

6Renewal: 8 hours of paid nurse aide work per 24-month period — no CE hours required; registry maintained by LDH Health Standards Section

7Reciprocity: available via Prometric Route 8 for $35 — only for active registrations with no abuse findings

Frequently Asked Questions

Who administers the Louisiana CNA exam?

Prometric administers the Louisiana Nurse Aide Competency Evaluation (NNAAP format) on behalf of the Louisiana Department of Health (LDH) Health Standards Section. You register at prometric.com/nurse-aide or by calling Prometric. The written exam has 60 multiple-choice questions in 90 minutes. After passing both the written and skills tests, the LDH Health Standards Section adds your name to the Louisiana Nurse Aide Registry — note that this is LDH Health Standards Section, NOT the Louisiana Board of Nursing.

How many training hours does Louisiana require for CNA?

Louisiana requires a minimum of 80 hours of state-approved CNA training: 40 hours of classroom instruction and 40 hours of supervised clinical practice. This exceeds the federal OBRA 1987 minimum of 75 hours (with at least 16 hours of clinical practice). Training programs must be approved by the Louisiana Department of Health (LDH). You cannot sit for the Prometric exam without completing an approved training program.

How do I renew my Louisiana CNA certification?

Louisiana CNA certification must be renewed every 24 months (2 years). To renew, you must provide proof of at least 8 hours of paid employment as a nurse aide performing nursing or nursing-related functions during the 24-month period. There are no CE hours required for renewal in Louisiana. The LDH Health Standards Section manages renewals through the Louisiana Nurse Aide Registry. CNAs who have not worked for pay may need to retest.

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

Under Louisiana RS 14:93.3 (cruelty to persons with infirmities) and RS 14:403.2 (mandatory reporting of abuse in care facilities), Louisiana CNAs are mandatory reporters of suspected abuse, neglect, exploitation, or mistreatment of residents. You must report to your supervisor within 2 hours of witnessing or suspecting abuse. The facility must then report to the LDH Health Standards Section. A substantiated finding of abuse results in a notation on the Louisiana Nurse Aide Registry, which bars you from working in any Medicare/Medicaid-certified facility nationwide.

How do I transfer my CNA certification to Louisiana?

Out-of-state CNAs with an active registry listing and no findings of abuse, neglect, or misappropriation can apply for Louisiana reciprocity via Prometric Route 8 (the reciprocity pathway). The fee is $35. You must contact Prometric and provide verification of your current state registry status. Louisiana will add you to the Louisiana Nurse Aide Registry maintained by the LDH Health Standards Section without requiring you to retest.

What is the Louisiana Natural Death Act and how does it affect CNA duties?

The Louisiana Natural Death Act (RS 40:1151.1 et seq.) gives Louisiana residents the legal right to make advance directives, including living wills and do-not-resuscitate (DNR) orders, regarding end-of-life care. As a CNA, you must respect documented advance directives and report any advance directive in a resident's chart to your charge nurse. You should never perform or withhold care that conflicts with a valid advance directive. Louisiana law also protects CNAs who act in good faith to carry out valid advance directives from civil and criminal liability.