200+ Free Nebraska CNA Practice Questions

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Question 1

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When assisting a Nebraska nursing home resident with a complete bed bath, which area of the body should the CNA wash LAST?

The back and buttocks

The perineal area

The face and neck

The arms and hands

to track

2026 Statistics

Key Facts: Nebraska CNA Exam

Knowledge Exam Questions

Headmaster

70%

Passing Score Required

35/50 correct

90 min

Knowledge Exam Time

Headmaster

$125

Total Exam Fee

DHHS/Headmaster

75 hrs

Minimum Training

OBRA/Federal

8 hrs

Paid Work to Renew

Per 24 months

Nebraska uses Headmaster/D&S for CNA testing with a 50-question knowledge exam requiring 70% to pass (35/50 correct). The 90-minute written/oral exam covers physical care skills, psychosocial care skills, and the role of the nurse aide. Training requires 75 hours (following federal OBRA standards). Candidates have 3 attempts within 6 months of training to pass both components. Registry renewal requires at least 8 hours of paid nursing-related work every 24 months. Nebraska-specific content includes DHHS regulations, mandatory abuse reporting, and resident rights under OBRA.

Sample Nebraska CNA Practice Questions

Try these sample questions to test your Nebraska 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 Nebraska nursing home resident with a complete bed bath, which area of the body should the CNA wash 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 the cleanest area (face) to the dirtiest (perineal). This sequence prevents cross-contamination and reduces the risk of urinary tract infections. This principle applies in all Nebraska long-term care facilities regulated by the Nebraska Department of Health and Human Services (DHHS).

2A resident at a Nebraska long-term care facility has left-sided weakness following a stroke. When helping the resident get dressed, the CNA should:

A.Dress the right (stronger) arm first to prevent muscle fatigue

B.Dress the left (weaker) arm first to minimize discomfort and strain

C.Have the resident choose which arm to dress first

D.Call the nurse before assisting with dressing to get permission

Explanation: The correct technique is to dress the weak or affected side first and undress the strong side first. When dressing the left (weaker) arm first, the garment is positioned over the arm with limited mobility before threading the stronger arm through. This reduces pain and the risk of injury. The mnemonic is: "Dress the worst first, undress the best first."

3While providing oral care to an unconscious Nebraska nursing home resident, the CNA should position the resident:

A.Flat on the back (supine) to prevent neck strain

B.In a sitting position at 90 degrees

C.On the side (lateral position) with the head turned to allow drainage

D.Prone (face-down) to keep the airway clear

Explanation: An unconscious resident must be positioned on their side (lateral/Sims position) with the head turned during oral care to prevent aspiration of fluids into the lungs. The supine position is dangerous for unconscious patients because secretions and fluids can pool in the throat and be aspirated. This is a critical safety measure taught in all Nebraska DHHS-approved CNA training programs.

4A resident in a Nebraska nursing facility requests that the CNA leave the room during a bed bath. The CNA should:

A.Refuse and explain that the bath must be completed for the resident's health

B.Leave the room but check back every 5 minutes to ensure safety

C.Respect the resident's right to privacy and modify the approach to meet the resident's wishes

D.Notify the nurse immediately that the resident is being non-compliant

Explanation: Residents have the right to privacy and to refuse or modify care per OBRA (Omnibus Budget Reconciliation Act), which is enforced in all Nebraska nursing facilities by the DHHS. The CNA should work with the resident to find an acceptable approach, such as having the resident wash certain areas independently. Resident rights are protected under Nebraska's nursing home regulations and federal law.

5When performing nail care for a diabetic resident at a Nebraska long-term care facility, the CNA should:

A.Clip toenails straight across and report any abnormalities to the nurse

B.Clip and file the toenails to keep them short and smooth

C.Refer all nail care for diabetic residents to the nurse or podiatrist

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

Explanation: CNAs should NOT clip the toenails of diabetic residents. Diabetics have reduced blood circulation and nerve sensation in the feet, making even minor cuts from nail clipping potentially serious. Toenail care for diabetic residents must be performed by a nurse or licensed podiatrist. The CNA can soak and clean the feet but must refer nail trimming to a licensed professional. This is a scope-of-practice limitation in Nebraska.

6A resident at a Nebraska nursing facility has dentures. When storing the resident's dentures overnight, the CNA should:

A.Store them dry in a labeled container to prevent bacterial growth

B.Rinse them with hot water and store in the resident's bedside drawer

C.Place them in a labeled container with cool water or a denture cleanser solution

D.Wrap them in a tissue and place them on the bedside table

Explanation: Dentures should be stored in a labeled container filled with cool water or a denture cleanser solution when not being worn. Hot water can warp dentures, causing them to not fit properly. Storing them dry can cause the plastic to crack or distort. Tissues and napkins are inappropriate because dentures can accidentally be thrown away. Each resident's denture container must be labeled with their name.

7While assisting a female resident with perineal care following urinary catheter use in a Nebraska nursing facility, the CNA should clean:

A.In a circular motion around the catheter tubing

B.From the catheter insertion site outward, using a clean stroke each time

C.Back to front using gentle pressure

D.Starting from the outer areas and moving toward the catheter insertion site

Explanation: Catheter perineal care should be performed starting from the urethral meatus (catheter insertion site) and moving outward away from the body, using a clean stroke each time to avoid introducing bacteria toward the urethra. This technique, along with cleaning the catheter tubing for several inches, reduces the risk of catheter-associated urinary tract infections (CAUTIs), which are a major concern in Nebraska long-term care facilities.

8When helping a resident use a bedpan in a Nebraska nursing facility, the CNA should:

A.Place the bedpan under the resident and leave for 30 minutes

B.Warm the metal bedpan before use and provide privacy with the call light within reach

C.Position the resident flat on the back with a pillow under the head for comfort

D.Remove the bedpan immediately after use without covering

Explanation: When using a bedpan, warm a cold metal bedpan by running warm water over it (cold metal can cause discomfort or skin injury). Always ensure privacy for the resident, and leave the call light within reach so they can signal when finished. The resident should be raised to as close to a normal sitting position as possible (bed at 30-45 degrees) and should not be left for extended periods. Cover the bedpan when removing it to respect dignity.

9A Nebraska CNA notices a resident's incontinence brief is soiled. The CNA should change it:

A.Only at scheduled times (morning, noon, and evening) to maintain routine

B.Immediately after discovering it is soiled to prevent skin breakdown

C.After informing the charge nurse and getting approval

D.Only if the resident complains of discomfort

Explanation: Soiled briefs must be changed immediately upon discovery to prevent skin breakdown, pressure injuries, and infections such as urinary tract infections. Prolonged contact with urine and feces causes skin maceration and irritation that can quickly progress to serious pressure injuries. Nebraska nursing homes are cited and penalized by DHHS inspectors for failure to maintain skin integrity related to incontinence care.

10A resident with contractures in both hands is receiving a bed bath at a Nebraska nursing facility. When cleaning between the fingers, the CNA should:

A.Force the fingers open to clean thoroughly between them

B.Gently open the hand and clean between the fingers without forcing the joints

C.Skip this area to avoid causing pain

D.Use a cotton swab to insert between the closed fingers

Explanation: Residents with contractures have permanently flexed joints that cannot be fully straightened. The CNA should gently work within the resident's range of motion, carefully and slowly opening the hand as much as is comfortable, then cleaning between the fingers without forcing the joints. Forcing contracted joints can cause severe pain, muscle tears, or fractures. Skipping hygiene in flexed areas leads to skin breakdown and infection.

About the Nebraska CNA Exam

The Nebraska CNA competency exam is administered by Headmaster (D&S Diversified Technologies) on behalf of the Nebraska Department of Health and Human Services (DHHS). The exam consists of a 50-question written/oral knowledge test with a 90-minute time limit and a clinical skills test (5 skills). Nebraska requires completion of a state-approved 75-hour CNA training program and passing both exam components to be listed on the Nebraska Nurse Aide Registry.

Questions

50 scored questions

Time Limit

90 min written + 30 min skills

Passing Score

70% written/oral + 100% skills (critical steps)

Exam Fee

$125 (written + skills) (Nebraska DHHS / Headmaster (D&S Diversified Technologies))

Nebraska CNA Exam Content Outline

40%

Physical Care Skills

Personal care (bathing, grooming, dressing), basic nursing skills (vital signs, positioning, transfers, ROM), restorative care (mobility, assistive devices, independence promotion)

20%

Psychosocial Care Skills

Emotional and mental health needs, dementia and Alzheimer's care, cultural and spiritual needs, developmental and psychosocial needs throughout the lifespan

40%

Role of the Nurse Aide

Communication (verbal, non-verbal, therapeutic), resident rights (privacy, dignity, informed consent), legal and ethical behavior (scope of practice, mandatory reporting), being a member of the healthcare team

How to Pass the Nebraska CNA Exam

What You Need to Know

Passing score: 70% written/oral + 100% skills (critical steps)
Exam length: 50 questions
Time limit: 90 min written + 30 min skills
Exam fee: $125 (written + skills)

Keys to Passing

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

Nebraska CNA Study Tips from Top Performers

1Know the Headmaster testing format - 50 questions in 90 minutes with a 70% passing score

2Focus on physical care skills (40% of exam): bathing, grooming, dressing, vital signs, positioning, transfers

3Study the role of the nurse aide (40% of exam): communication, resident rights, legal/ethical behavior

4Understand Nebraska DHHS requirements: 75-hour training, 3 attempts within 6 months

5Learn infection control: hand hygiene, standard precautions, PPE use, and transmission-based precautions

6Master body mechanics and safe transfer techniques to prevent injury

7Know the OBRA resident rights: privacy, dignity, informed consent, right to refuse

8Study therapeutic communication for dementia, mental health, and end-of-life care

9Understand mandatory reporting requirements for abuse, neglect, and exploitation

10Review scope of practice: what CNAs can and cannot do under Nebraska law

Frequently Asked Questions

Who administers the Nebraska CNA exam?

The Nebraska CNA competency exam is administered by Headmaster (D&S Diversified Technologies) on behalf of the Nebraska Department of Health and Human Services (DHHS). Headmaster provides both the 50-question knowledge exam and the clinical skills evaluation at testing sites throughout Nebraska.

What is the passing score for the Nebraska CNA exam?

The Nebraska CNA written/oral exam requires a passing score of 70% (35 correct out of 50 questions). The clinical skills exam requires 100% completion of critical steps and an overall passing score. You have 90 minutes for the written exam and approximately 30 minutes for the skills evaluation.

What are the training requirements for Nebraska CNAs?

Nebraska requires completion of a state-approved Nurse Aide Training Program with a minimum of 75 hours, following federal OBRA standards. Training includes classroom instruction and supervised clinical practice. Programs must be approved by the Nebraska Department of Health and Human Services.

How much does the Nebraska CNA exam cost?

The Nebraska CNA exam costs $125 total, which includes both the written/oral knowledge exam and the clinical skills evaluation. Additional fees may apply for retesting. Some employers may reimburse exam fees for new hires.

What happens if I fail the Nebraska CNA exam?

Candidates have 3 attempts within 6 months of completing their training program to pass both the written/oral and skills components. If you fail either component 3 times, you must complete a new approved training program before retesting.

How do I renew my Nebraska CNA certification?

Nebraska CNAs must renew their certification every 24 months. To renew, you must provide documentation of at least 8 hours of paid nursing-related services under the supervision of a licensed nurse during the certification period. Renewal is processed through the Nebraska Nurse Aide Registry.

How do I report suspected abuse or neglect in Nebraska?

Nebraska CNAs are mandatory reporters. Suspected abuse, neglect, or exploitation of vulnerable adults or residents should be reported immediately to your supervising nurse and the appropriate authorities. Nebraska Adult Protective Services can be contacted at 1-800-652-1999. In emergencies, call 911.