195+ Free West Virginia CNA Practice Questions

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

The face and neck

The arms and chest

The back and buttocks

The perineal area

to track

2026 Statistics

Key Facts: West Virginia CNA Exam

$125

Exam Fee (WV)

PHD (written + skills)

Written Questions

PHD

70%

Written Passing Score

PHD

120 hrs

Min. Training Required

WV OHFLAC

No CE

CE for Renewal

WV OHFLAC

8 hrs

Min. Work Hrs to Renew

WV OHFLAC

The West Virginia CNA exam is administered by Professional HealthCare Development (PHD) and costs $125 (written + skills) or $160 (oral + skills). WV requires an OHFLAC-approved training program (minimum 120 hours: 65 classroom + 55 supervised practical training) — significantly more than the 75-hour federal minimum. The written test has 70 questions in 2 hours with 70% to pass. Maximum 3 attempts within 24 months. Certification renewal requires 8 hours of paid CNA employment per 24-month period with no CE requirement. Mandatory reporting to both OHFLAC and Adult Protective Services.

Sample West Virginia CNA Practice Questions

Try these sample questions to test your West Virginia CNA exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 195+ question experience with AI tutoring.

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

A.The face and neck

B.The arms and chest

C.The back and buttocks

D.The perineal area

Explanation: The perineal area should always be washed last during a complete bed bath, working from cleanest to dirtiest. This prevents cross-contamination and reduces infection risk. This principle is emphasized in all OHFLAC-approved CNA training programs in West Virginia.

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

A.Dress the left (stronger) arm first to save time

B.Dress the right (weaker) arm first to minimize discomfort

C.Have the resident choose which arm to dress first

D.Ask the nurse for permission before assisting with dressing

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

3When providing oral care to an unconscious resident at a West Virginia nursing facility, the CNA should position the resident:

A.Flat on the back 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 because secretions and fluids can pool in the throat and be aspirated. This is a critical safety measure taught in all OHFLAC-approved CNA training programs in West Virginia.

4A resident at a West Virginia nursing facility requests privacy during a bed bath. The CNA should:

A.Refuse and explain that continuous observation is required

B.Leave the room but check back every 2 minutes

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

D.Notify the charge nurse that the resident is refusing care

Explanation: Residents have the right to privacy and to refuse or modify care per OBRA regulations, enforced in West Virginia by OHFLAC. The CNA should work with the resident to find an acceptable approach, such as having the resident wash certain areas independently or draping appropriately. OHFLAC regulations require facilities to protect resident dignity during personal care.

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

A.Clip toenails straight across and file smooth

B.Clip and round the toenails to prevent ingrown nails

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

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

Explanation: CNAs should NOT clip the toenails of diabetic residents. Diabetics have reduced circulation and sensation in the feet, making even minor cuts potentially serious. Toenail care for diabetic residents must be performed by a nurse or licensed podiatrist. The CNA can soak and clean feet but must refer nail trimming to licensed professionals per West Virginia scope of practice.

6A resident at a West Virginia nursing facility has dentures. When storing dentures overnight, the CNA should:

A.Store them dry in a labeled container

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

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

D.Store them in hot water to kill bacteria

Explanation: Dentures should be stored in a labeled container with cool water or denture cleanser solution. Hot water can warp dentures; storing dry can cause cracking. Tissues are inappropriate because dentures can be accidentally thrown away. OHFLAC regulations require all personal items, including dentures, to be properly labeled with the resident's name.

7When assisting a female resident with perineal care following urinary catheter use in West Virginia, 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.From the outer areas moving toward the catheter insertion site

Explanation: Catheter perineal care should start from the urethral meatus (insertion site) and move outward, using a clean stroke each time to avoid introducing bacteria toward the urethra. This technique, along with cleaning the tubing for several inches, reduces catheter-associated urinary tract infections (CAUTIs), which West Virginia nursing facilities closely monitor under OHFLAC oversight.

8When helping a resident use a bedpan at a West Virginia nursing facility, the CNA should:

A.Place the bedpan and leave for 15 minutes

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

C.Position the resident flat on the back with legs elevated

D.Remove the bedpan uncovered to check contents

Explanation: When using a bedpan, warm cold metal bedpans with warm water to prevent discomfort. Always ensure privacy and leave the call light within reach. The resident should be in a semi-sitting position (30-45 degrees) when possible. Cover the bedpan when removing it to maintain dignity.

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

A.Only at scheduled times to maintain routine

B.Immediately upon discovering it is soiled

C.After informing the charge nurse

D.Only if the resident complains of discomfort

Explanation: Soiled briefs must be changed immediately to prevent skin breakdown, pressure injuries, and infections. Prolonged contact with waste causes skin maceration and irritation that can progress to serious pressure injuries. West Virginia nursing homes are inspected by OHFLAC for proper incontinence care.

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

A.Force the fingers open to clean thoroughly

B.Gently work within the resident's range of motion without forcing joints

C.Skip this area to avoid causing pain

D.Use a cotton swab to insert between closed fingers

Explanation: Residents with contractures have permanently flexed joints. The CNA should gently work within the resident's range of motion, carefully opening the hand as much as comfortable, then cleaning between fingers without forcing. Forcing joints can cause severe pain, tears, or fractures. Skipping hygiene leads to skin breakdown and infection.

About the West Virginia CNA Exam

The West Virginia CNA exam certifies nursing assistants to provide basic patient care in West Virginia. Administered by Professional HealthCare Development (PHD) under the WV Office of Health Facility Licensure and Certification (OHFLAC), it includes a 70-question written/oral test and a 5-skill clinical demonstration. WV requires a minimum 120 hours of training.

Questions

70 scored questions

Time Limit

2 hours written + 30 min skills test

Passing Score

70% written + 100% skills

Exam Fee

$125 (Professional HealthCare Development (PHD) / WV OHFLAC)

West Virginia CNA Exam Content Outline

35%

Physical Care Skills - Basic Nursing

Vital signs, infection control, PPE, Standard Precautions, fall prevention, body mechanics, wound observation, emergency response

22%

Physical Care Skills - ADL

Bathing, grooming, oral hygiene, dressing, toileting, nutrition/hydration, feeding, elimination, perineal care

Psychosocial - Emotional & Mental Health

Dementia/Alzheimer's care, therapeutic communication, depression, grief, behavioral interventions, end-of-life care

Role - Client Rights

OBRA 1987 rights, dignity, privacy, right to refuse, advance directives, abuse prevention, Resident Bill of Rights

Physical Care Skills - Self Care/Independence

Promoting resident independence, restorative care, assistive devices, prevention of complications

Role - Communication

Reporting change of condition, documentation, SBAR, HIPAA, social media boundaries

Role - Member of Healthcare Team

Delegation from RN/LPN, interdisciplinary team, care planning, professionalism

Role - Legal & Ethical

OHFLAC scope of practice, mandatory reporting, WV Nurse Aide Abuse Registry, HIPAA

Psychosocial - Spiritual & Cultural Needs

Cultural competency, religious accommodations, Appalachian cultural considerations

How to Pass the West Virginia CNA Exam

What You Need to Know

Passing score: 70% written + 100% skills
Exam length: 70 questions
Time limit: 2 hours 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

West Virginia CNA Study Tips from Top Performers

1WV uses Professional HealthCare Development (PHD) — schedule at phdevelopment.com

2WV requires 120 hours of training — much more than the 75-hour federal minimum

3Know OHFLAC regulations and the WV Nurse Aide Abuse Registry

4Basic Nursing Skills (35%) and ADL (22%) together make up 57% — master these first

5Mandatory dual reporting to OHFLAC AND Adult Protective Services is required

6Note Appalachian cultural considerations (2%) — unique to WV's exam content

Frequently Asked Questions

Who administers the West Virginia CNA exam?

West Virginia CNA exams are administered by Professional HealthCare Development (PHD) on behalf of the WV Office of Health Facility Licensure and Certification (OHFLAC). Schedule through phdevelopment.com.

How much does the West Virginia CNA exam cost?

The WV CNA exam costs $125 (written + skills) or $160 (oral + skills). Individual sections: $55 written only, $95 oral only, $70 skills only.

Why does West Virginia require 120 hours of training?

West Virginia requires a minimum 120-hour OHFLAC-approved training program (65 classroom + 55 supervised practical), which is significantly more than the 75-hour federal OBRA minimum. This reflects WV's commitment to thorough preparation.

Does West Virginia require continuing education for CNA renewal?

No, West Virginia does not require continuing education for CNA renewal. However, you must complete 8 hours of paid CNA employment per 24-month renewal period. Mandatory reporting to both OHFLAC and Adult Protective Services is always required.

What is the WV Nurse Aide Abuse Registry?

The WV Nurse Aide Abuse Registry, maintained by OHFLAC, tracks abuse, neglect, or misappropriation findings against nurse aides. Being listed on this registry permanently bars you from working as a CNA in any state.