200+ Free North Dakota CNA Practice Questions

Pass your North Dakota Certified Nursing Assistant exam on the first try — instant access, no signup required.

✓ No registration✓ No credit card✓ No hidden fees✓ Start practicing immediately

75-85% Pass Rate

200+ Questions

100% Free

1 / 10

Question 1

Score: 0/0

When assisting a North Dakota nursing home resident with a complete bed bath, which area should be washed LAST?

The back and buttocks

The perineal area

The face and neck

The arms and hands

to track

2026 Statistics

Key Facts: North Dakota CNA Exam

$125

Exam Fee (ND)

Headmaster

Written Questions

Headmaster

75%

Written Passing Score

54/72 questions

90 min

Written Time Limit

Headmaster

75 hrs

Min. Training Required

ND HHS

8 hrs

Min. Work Hrs to Renew

ND HHS

The North Dakota CNA exam is administered by Headmaster and costs $125 for the combined written and skills test. North Dakota requires a minimum 75-hour HHS-approved training program following federal OBRA requirements. The written test has 72 questions in 90 minutes with a 75% passing score. Maximum 3 attempts per test section. After passing, Headmaster reports results to North Dakota HHS for registry listing. Certification renews every 2 years and requires at least 8 hours of paid nursing-related services in North Dakota.

Sample North Dakota CNA Practice Questions

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

1When assisting a North Dakota nursing home resident with a complete bed bath, which area should be washed LAST?

A.The back and buttocks

B.The perineal area

C.The face and neck

D.The arms and hands

Explanation: The perineal area should always be washed last during a complete bed bath, moving from cleanest to dirtiest to prevent cross-contamination. This principle applies in all North Dakota long-term care facilities regulated by the ND Department of Health and Human Services.

2A CNA in a North Dakota facility is providing oral care to an unconscious resident. What is the correct position for this procedure?

A.Supine (flat on back)

B.Side-lying (lateral) with head turned to the side

C.Sitting upright at 90 degrees

D.Trendelenburg position

Explanation: An unconscious resident must be positioned in a side-lying (lateral) position with the head turned to the side during oral care. This prevents aspiration by allowing fluids to drain out of the mouth rather than pooling in the back of the throat. Aspiration prevention is a critical safety skill taught in North Dakota's 75-hour CNA training programs.

3When washing a resident's hair in bed at a North Dakota long-term care facility, the CNA should:

A.Use very hot water to ensure thorough cleaning

B.Place a waterproof pad under the resident's head

C.Pour water directly from a pitcher without using a trough

D.Skip conditioning to save time

Explanation: A waterproof pad should be placed under the resident's head to protect the bedding from water and shampoo. The water temperature should be warm (not hot), and a shampoo trough should be used to channel water into a basin. Proper shampooing technique is part of personal care skills taught in North Dakota CNA training.

4A resident in a North Dakota facility needs assistance with dressing. Which approach demonstrates respect for resident autonomy?

A.Select the outfit you think looks best for the resident

B.Allow the resident to choose their clothing and provide assistance as needed

C.Dress the resident quickly to save time

D.Choose clothing based on what is easiest for staff to manage

Explanation: Residents have the right to make choices about their clothing and daily routines. The CNA should allow the resident to select their outfit and provide appropriate assistance based on the resident's abilities. This respects resident autonomy and dignity as required by North Dakota HHS regulations and OBRA resident rights.

5When providing perineal care to a female resident in a North Dakota facility, the CNA should wash:

A.From back to front to avoid spreading bacteria

B.From front to back to prevent urinary tract infection

C.In circular motions around the entire area

D.Only the outer surfaces, avoiding folds

Explanation: Perineal care for female residents must always be performed from front to back (urethra toward rectum) to prevent introducing bacteria from the anal area into the urinary tract, which could cause infection. Using a clean portion of the washcloth for each stroke is essential. This technique is emphasized in North Dakota CNA infection control training.

6A North Dakota CNA is assisting a resident with toenail care. The resident has diabetes. The CNA should:

A.Clip the toenails straight across as usual

B.Soak the feet in hot water for 20 minutes first

C.Report to the nurse and avoid cutting the nails

D.Apply lotion between the toes to prevent dryness

Explanation: Diabetic residents require special foot care precautions due to decreased circulation and sensation. CNAs should not cut the toenails of diabetic residents; this task is typically performed by nurses or podiatrists. The CNA should inspect the feet daily for cuts, redness, or sores and report any findings immediately. Diabetic foot care is covered in North Dakota CNA disease process training.

7When making an occupied bed for a resident in a North Dakota facility, the CNA should:

A.Remove all soiled linens at once to save time

B.Keep the far side rail up for safety while working on the near side

C.Lower both side rails to have full access

D.Ask the resident to stand beside the bed

Explanation: When making an occupied bed, the far side rail should remain up to prevent the resident from falling while the CNA works on the near side. Linens should be changed one side at a time, rolling the resident gently as needed. Removing all linens at once leaves the resident exposed and unsafe. Bed-making safety is emphasized in North Dakota CNA training.

8A CNA in North Dakota is assisting a resident who had a stroke with right-sided weakness to put on a shirt. The correct technique is to:

A.Dress the stronger (left) side first

B.Dress the weaker (right) side first

C.Put both arms in simultaneously

D.Have the resident dress independently

Explanation: When dressing a resident with one-sided weakness, always dress the weaker side first. This allows the stronger arm to assist with manipulating the clothing onto the weaker side. When undressing, remove clothing from the stronger side first. This technique promotes resident participation and safety during dressing activities.

9When changing a soiled incontinence brief for a resident in a North Dakota nursing facility, the CNA should:

A.Change the brief only at scheduled times

B.Change the brief immediately when soiled to prevent skin breakdown

C.Wait until the brief is completely saturated

D.Change the brief only when the resident complains

Explanation: Soiled briefs must be changed immediately upon discovery to prevent skin breakdown, pressure injuries, and urinary tract infections. Prolonged contact with urine and feces causes skin maceration and can lead to serious complications. North Dakota HHS regulations require prompt incontinence care and proper skin care.

10A North Dakota CNA is helping a resident with a bedpan. The correct placement is:

A.Place the flat end of the bedpan toward the head of the bed

B.Place the flat end of the bedpan toward the foot of the bed

C.Position the bedpan at a 45-degree angle

D.Place the bedpan on top of the bedding

Explanation: The flat (narrow) end of the bedpan should be placed toward the head of the bed, with the wider opening toward the foot. This aligns with the anatomy of the perineal area. The bedpan should be positioned under the resident's buttocks with the rim tucked snugly against the body to prevent spills. Proper bedpan use is a required skill for North Dakota CNAs.

About the North Dakota CNA Exam

The North Dakota CNA exam certifies nursing assistants to provide basic patient care in North Dakota. Administered by Headmaster (D&S Diversified Technologies) under the North Dakota Department of Health and Human Services (HHS), it includes a 72-question written knowledge test and a 5-skill clinical demonstration.

Questions

72 scored questions

Time Limit

90 min written + 30 min skills test

Passing Score

75% written + 100% skills

Exam Fee

$125 (Headmaster (D&S) / North Dakota HHS)

North Dakota CNA Exam Content Outline

18%

Personal Care Skills

Bathing, grooming, dressing, toileting, perineal care, oral hygiene, nail/foot care, elimination assistance

18%

Basic Nursing Skills

Vital signs, positioning, transfers, ROM, nutrition, hydration, I&O, body mechanics, assistive devices

12%

Infection Control

Hand hygiene, PPE, standard precautions, transmission-based precautions, isolation, biohazard handling

12%

Safety & Emergency

Fall prevention, fire safety (RACE/PASS), body mechanics, restraint alternatives, emergency response

12%

Role & Responsibility

Scope of practice, HHS regulations, mandatory reporting, professionalism, supervision, registry

12%

Communication

Therapeutic communication, documentation, reporting changes, SBAR, HIPAA

Resident Rights

OBRA rights, privacy/dignity, right to refuse, advance directives, HIPAA

Mental Health

Dementia/Alzheimer's care, depression, anxiety, grief, behavioral interventions

How to Pass the North Dakota CNA Exam

What You Need to Know

Passing score: 75% written + 100% skills
Exam length: 72 questions
Time limit: 90 min written + 30 min skills test
Exam fee: $125

Keys to Passing

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

North Dakota CNA Study Tips from Top Performers

1North Dakota requires 75% to pass — higher than the national standard of 70%

2Schedule through Headmaster at hdmaster.com/testing/cnatesting/ndakota

3Study all 8 content domains — each one carries significant weight on the exam

4Know North Dakota HHS regulations and mandatory reporting requirements

5Personal Care and Basic Nursing Skills each make up 18% — master these first

6Practice clinical skills thoroughly — missing any critical step means automatic failure

Frequently Asked Questions

Who administers the North Dakota CNA exam?

North Dakota CNA exams are administered by Headmaster (D&S Diversified Technologies) under the North Dakota Department of Health and Human Services (HHS). Schedule through hdmaster.com/testing/cnatesting/ndakota.

How much does the North Dakota CNA exam cost?

The North Dakota CNA exam costs $125 for the combined written and skills test, paid through Headmaster.

What score do I need to pass the North Dakota CNA exam?

You need 75% on the written test (54 out of 72 questions correct) and must pass all critical steps on the clinical skills test. North Dakota requires a higher passing score than many states.

How do I renew my North Dakota CNA certification?

North Dakota CNA certification renews every 2 years. You must complete at least 8 hours of paid nursing-related services in North Dakota during each 24-month renewal period.

What are the reporting requirements for North Dakota CNAs?

North Dakota CNAs must report suspected abuse, neglect, or exploitation to North Dakota Adult Protective Services immediately. Failure to report can result in criminal charges and loss of certification.