Free Practice Questions for Vermont CNA (LNA)

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Exam Review

Key Facts: Vermont CNA (LNA) Exam

70%

Written Passing Score

Excel Testing Vermont guide

Written Questions

Excel Testing (90 minutes)

75 hrs

Minimum Training

Vermont DLP NATCEP (16 practical)

Skills Tested

Excel Testing (30 minutes)

$200

Total Exam Fee

Excel Testing

400 hours

Renewal Requirement

50 days paid work

The Vermont LNA exam is given by Excel Testing: 60 written questions in 90 minutes with a 70% passing score, plus a clinical skills test of 4 randomly selected skills in 30 minutes. Missing a bold step, or making 4 or more skills errors, fails the skills test. The combined exam fee is $200. Vermont-approved training programs must be at least 75 clock hours, including 16 hours of supervised practical training.

Sample Vermont CNA (LNA) Practice Questions

Try these sample questions to review concepts for the Vermont CNA (LNA) exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 538+ question experience with AI tutoring.

1A Vermont LNA is providing perineal care to a female resident. The correct technique is to wash the perineal area:

A.From back to front using a circular motion

B.From front to back using a clean portion of the washcloth for each stroke

C.Using the same washcloth area for the entire perineum to conserve water

D.With an alcohol-based cleanser to ensure disinfection

Explanation: When performing perineal care for a female resident, always wash from front to back (from the least contaminated area to the most contaminated). This prevents spreading bacteria from the anal area to the urethra, which can cause urinary tract infections. Use a clean portion of the washcloth for each stroke to prevent cross-contamination. Alcohol-based cleansers are too harsh for perineal skin and should never be used.

2When assisting a resident with right-sided weakness following a stroke, a Vermont LNA should apply the resident's shirt by:

A.Dressing the left (strong) side first, then the right (weak) side

B.Dressing the right (weak) side first, then the left (strong) side

C.Having the resident dress themselves to promote independence

D.Dressing both arms simultaneously to save time

Explanation: The general rule for dressing residents with one-sided weakness is: "Weak side in first, strong side out first." Dress the weak (affected) side first because it is easier to manipulate the clothing over the limp arm. When undressing, remove the strong side first. This technique minimizes pain, prevents skin damage, and maintains proper body alignment during the dressing process.

3A Vermont LNA is providing oral care to an unconscious resident at a Montpelier nursing facility. Which position is MOST appropriate?

A.Supine with the head of bed flat

B.Side-lying (lateral) with the head slightly lowered

C.High Fowler's position with neck hyperextended

D.Prone position with head turned to the side

Explanation: For unconscious residents, the side-lying (lateral) position with the head slightly lowered is essential during oral care. This allows secretions to drain from the mouth by gravity rather than pooling in the throat or being aspirated into the lungs. Unconscious residents cannot protect their own airway or cough effectively. The supine position increases aspiration risk, and High Fowler's with hyperextension can actually increase the risk of aspiration.

4When giving a complete bed bath to a resident in a Burlington long-term care facility, the LNA should wash the body in which order?

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

B.Perineal area, face, arms, chest, abdomen, legs, back

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

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

Explanation: The correct order for a bed bath is from cleanest to dirtiest: face (cleanest), arms, chest, abdomen, legs, back, and perineal area (dirtiest). This prevents cross-contamination from body areas with higher bacterial concentrations to cleaner areas. The perineal area is always washed last to prevent transferring bacteria to other body parts. Washing in this order is a fundamental infection control practice in Vermont nursing facilities.

5A resident with diabetes at a Vermont nursing home asks the LNA to trim their toenails. The LNA should:

A.Trim the nails straight across and file any sharp edges

B.Soak the feet first, then trim the nails curved to match the toe shape

C.File the nails only and report any foot concerns to the nurse

D.Use safety scissors to trim the nails as short as possible

Explanation: CNAs/LNAs should NOT cut the toenails of diabetic residents. Diabetics often have decreased circulation and sensation in their feet, making them vulnerable to infections from even small cuts. A nick from nail clippers can lead to serious complications including ulcers or gangrene. The LNA should file nails only and immediately report any foot abnormalities (redness, swelling, sores, discoloration) to the nurse. Foot care for diabetics typically requires a licensed nurse or podiatrist.

6When washing a resident's hair in bed at a Rutland Vermont facility, the LNA should:

A.Use hot water to ensure the hair is thoroughly cleaned

B.Place a shampoo tray under the head and use warm (not hot) water

C.Apply shampoo directly to dry hair and then rinse

D.Wash the hair quickly to prevent the resident from getting cold

Explanation: For a bed shampoo, the LNA should place a shampoo tray or waterproof pad under the resident's head to catch water, use warm (not hot) water to prevent scalding, thoroughly wet the hair before applying shampoo, massage the scalp gently, and rinse completely. Hot water can damage the scalp and is unsafe for elderly residents who may have decreased sensation. The process should be efficient but not rushed, as thorough rinsing prevents scalp irritation.

7A resident at a Vermont nursing facility refuses a bath, stating they had one yesterday. The LNA's BEST response is to:

A.Explain that daily bathing is required by the Vermont Board of Nursing regulations

B.Respect the refusal, document it, and notify the charge nurse

C.Wait 30 minutes and then ask again when the resident might be more agreeable

D.Explain that refusing care will result in a lower care plan rating

Explanation: Residents have the legal right to refuse any care under both federal OBRA regulations and Vermont state law. The LNA must respect this refusal, document it objectively (including the resident's exact words if possible), and notify the charge nurse. Forcing or coercing a resident into bathing violates their rights and could constitute abuse. The nurse may assess the situation and discuss the resident's preferences and care needs, but the LNA's immediate action is to respect the refusal and report it.

8When providing denture care for a resident at a Vermont long-term care facility, the LNA should:

A.Clean dentures with hot water to kill bacteria

B.Wrap dentures in a towel while cleaning over the sink

C.Store dentures in a dry container when not in use

D.Use bleach solution to disinfect dentures daily

Explanation: Proper denture care includes: lining the sink with a towel or filling it with water (to cushion a potential drop), brushing all denture surfaces with a soft brush and denture cleaner or mild soap, rinsing thoroughly, and storing dentures in cool water (not hot) when not in use. Hot water can warp dentures. Bleach can damage dentures and harm the resident. Dentures should always be stored in water to prevent them from drying out and warping.

9A Vermont LNA is assisting a resident with a shower. What is the SAFEST water temperature range for elderly residents?

A.85°F–95°F (29°C–35°C)

B.95°F–105°F (35°C–40.5°C)

C.110°F–120°F (43°C–49°C)

D.125°F–135°F (52°C–57°C)

Explanation: Safe water temperature for elderly nursing facility residents is 95°F–105°F (35°C–40.5°C). Elderly residents often have decreased skin sensation, thinner skin, and impaired thermoregulation, making them vulnerable to scalds at temperatures that younger adults can tolerate. Always test water temperature with a thermometer and on the inside of your wrist before allowing water to contact the resident. Vermont facilities typically maintain water heater temperatures at safe levels per state regulations.

10When providing perineal care to a female resident with an indwelling urinary catheter, the Vermont LNA should clean:

A.From the anal area toward the meatus to remove all bacteria

B.From the meatus outward along the catheter in one direction only

C.In a back-and-forth motion to ensure thorough cleaning

D.Only around the meatus, avoiding the catheter tubing

Explanation: When cleaning a urinary catheter, always wipe from the insertion site (meatus) outward along the catheter tubing — never back and forth, and never from the anal area toward the meatus. This one-directional cleaning prevents dragging microorganisms from the tubing or perineal area toward the urethral opening, which could cause a catheter-associated urinary tract infection (CAUTI). The area around the meatus where the catheter enters the body requires the most careful attention.

About the Vermont CNA (LNA) Exam

Vermont licenses nursing assistants as LNAs (Licensed Nursing Assistants) instead of CNAs. Excel Testing gives the competency exam: 60 multiple-choice written questions in 90 minutes (70% to pass) and a clinical skills test of 4 randomly selected skills in 30 minutes. The written outline covers Basic Nursing Skills (30%), Personal Care/ADLs (30%), Role of the Nursing Assistant (23%), Human Needs/Development (10%) and Safety (7%). Prepare with 200+ practice questions covering topics from Vermont Board of Nursing requirements.

Exam sponsor: Excel Testing / Vermont Board of Nursing. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

60 questions

Time Limit

90 minutes written + 30 minutes skills

Passing Score

70% written + no missed bold steps and fewer than 4 skills errors

Exam / Certification Fees

$200 (written + skills)

Exam sponsor website

Reported exam pass rate: Not published. Excel Testing and the Vermont Board of Nursing do not publish a pass rate Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

23%

Role of the Nursing Assistant

Healthcare system structure, communication, resident rights and abuse, legal and ethical issues, personal and career care

Safety

Restraints, body mechanics, environmental safety, accident prevention and emergency care

10%

Human Needs / Development

Cultural, spiritual, emotional and mental health needs, and the aging process

30%

Basic Nursing Skills

Infection control, vital signs, positioning and ambulation, admission, data collection, reporting, disease process and abbreviations

30%

Personal Care / Activities of Daily Living

Resident environment, skin care, bathing, grooming, dressing, oral care, nutrition, elimination, restorative care (including ROM), death and dying

Preparing for the Vermont CNA (LNA) Exam

What You Need to Know

Passing score: 70% written + no missed bold steps and fewer than 4 skills errors
Exam length: 60 questions
Time limit: 90 minutes written + 30 minutes skills
Exam / certification fees: $200 (written + skills) Official sources

Using Our Practice Resources

Work through all 538 available questions
Review every answer and explanation
Track weak areas and revisit them
Use our AI tutor for tough concepts

Vermont CNA (LNA): Suggested Study Strategy

1Master hand hygiene and infection control - these are tested in every skills exam

2Practice every skill in the Excel Testing guide until you can perform it without prompts

3Focus on bold (critical) steps - missing one is an immediate failure, and 4 or more skills errors also fail the skills test

4Study Vermont-specific regulations including mandatory reporting and the 400-hour renewal requirement

5Take all 200+ practice questions to identify weak areas before the exam

6Practice vital signs measurement - accuracy is crucial for the skills exam

7Remember that Vermont uses LNA (Licensed Nursing Assistant) terminology instead of CNA

Frequently Asked Questions

What is an LNA in Vermont?

LNA stands for Licensed Nursing Assistant. Vermont uses LNA instead of CNA (Certified Nursing Assistant), but the role and certification process are essentially the same as CNA in other states. LNAs provide basic nursing care under the supervision of licensed nurses.

How many questions are on the Vermont LNA exam?

The Vermont LNA written exam has 60 multiple-choice questions, and you have 90 minutes to complete it; an oral version is offered on audio. The clinical skills test has 4 randomly selected skills, and you have 30 minutes.

What is the passing score for the Vermont LNA exam?

You need 70% or higher on the written exam. On the skills test, a step in bold is an immediate failure if you do not perform it correctly, and missing 4 or more other steps (skills errors) also results in failure.

How much does the Vermont LNA exam cost?

Excel Testing charges a combined $200 for the written and skills tests. Some training programs may include exam fees in their tuition.

How long do I have to pass the exam after completing training?

Vermont allows two years from the date you complete your nursing assistant training program to pass both portions of the exam. You are allowed multiple attempts to pass both the written and skills exams.

What are the renewal requirements for Vermont LNA?

Vermont LNA certifications are valid for 2 years. To renew, you must work at least 400 hours (50 days) performing nursing-related duties during the 24-month period. Renewal is handled through the Vermont Board of Nursing.

Can I work as an LNA before passing the exam in Vermont?

Vermont allows a grace period to work as a nurse aide while awaiting certification. You must be enrolled in or have completed an approved training program. Contact the Vermont Board of Nursing for current grace period requirements.

Free Practice Questions for Vermont CNA (LNA)

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