CNA Assisting with Daily Living 3

Question 1

A resident with significant right-sided weakness from a stroke wants to eat independently. Which piece of adaptive equipment would be MOST beneficial for the CNA to provide during mealtime?

Accepted Answer

A plate with a raised edge or a plate guard

Answer

A plate with a raised edge or a plate guard allows a person with one-sided weakness to push food against the edge to get it onto the utensil, promoting self-feeding and independence. While a weighted spoon can help with tremors, the primary challenge here is loading the utensil with one hand.

Question 2

When assisting a resident who is legally blind with selecting an outfit for the day, what is the MOST appropriate action for the CNA to take to promote the resident's autonomy?

Accepted Answer

Describe the color, style, and feel of several appropriate outfits and allow the resident to choose.

Answer

Describing the clothing in detail provides the resident with the necessary information to make an informed and personal choice, which is central to respecting their autonomy and dignity. The other options limit their choice or do not provide enough specific information.

Question 3

While feeding a resident, a CNA observes frequent throat clearing, a gurgly-sounding voice, and coughing after swallowing. These signs are indicative of dysphagia. What is the CNA's immediate and most critical action?

Accepted Answer

Immediately stop the meal and report the observations to the charge nurse.

Answer

These are classic signs of dysphagia (difficulty swallowing) and present a high risk for aspiration. The CNA's priority is to prevent aspiration, so they must stop feeding immediately and report their specific observations to the nurse for further assessment and intervention. Continuing to feed, offering water, or tilting the head back could increase the risk.

Question 4

When providing perineal care for an uncircumcised male resident, which of the following steps is a critical safety measure?

Accepted Answer

Gently retract the foreskin, clean the glans, and immediately return the foreskin to its natural position.

Answer

It is essential to gently retract the foreskin to clean the area, but it is equally critical to return it to its natural position immediately after cleaning. Failure to do so can cause constriction and swelling (paraphimosis), which can cut off blood flow and become a medical emergency.

Question 5

A CNA is preparing to ambulate a resident who is at high risk for orthostatic hypotension. Which action is most important to perform BEFORE assisting the resident to a standing position?

Accepted Answer

Have the resident sit on the edge of the bed with their legs dangling for a few minutes.

Answer

Orthostatic hypotension is a sudden drop in blood pressure upon standing. Having the resident dangle their legs on the side of the bed allows their circulatory system to acclimate to the change in position, reducing the risk of dizziness or fainting.

CNA Practice Test

CNA Practice Test

CNA Assisting with Daily Living 3