CNA Assisting with Range of Motion Exercises 2

Question 1

A CNA is performing passive range of motion (PROM) on a resident with spasticity in their left arm.
As the CNA gently extends the elbow, the muscle tightens and resists the movement.
What is the most appropriate immediate action?

Accepted Answer

Hold the joint in its current position with gentle pressure until the muscle relaxes.

Answer

Apply firm, steady pressure to overcome the resistance and complete the exercise.

Answer

Stop the movement immediately and notify the nurse that the resident is non-compliant.

Answer

Use a faster motion to get past the point of spasticity.

Question 2

A resident who recently had a hip replacement has a care plan that includes active-assistive range of motion (AAROM) exercises. Which of the following best describes the CNA's role during these exercises?

Accepted Answer

The CNA encourages the resident to move their leg as much as possible and provides physical support to complete the movement.

Answer

The CNA moves the resident's leg through the full range of motion while the resident relaxes completely.

Answer

The resident performs the leg exercises independently while the CNA observes from a distance.

Answer

The CNA instructs the resident on the exercises and provides only verbal cues without physical contact.

Question 3

While assisting a resident with dementia with range of motion exercises, the resident becomes agitated and repeatedly says, 'No, stop!' but does not appear to be in physical pain. What is the CNA's best course of action?

Accepted Answer

Stop the exercises, attempt to gently distract and reassure the resident, and try again later if they become calm.

Answer

Continue the exercises quickly to finish them before the agitation escalates.

Answer

Explain the importance of the exercises in a loud, clear voice to ensure the resident understands.

Answer

Document the refusal and omit the exercises for the rest of the week.

Question 4

Which of the following describes the correct technique for performing circumduction of the shoulder during passive range of motion exercises?

Accepted Answer

Moving the resident's arm in a circular motion, like drawing a circle in the air.

Answer

Bending the elbow to touch the hand to the shoulder.

Answer

Moving the arm straight out to the side, away from the body.

Answer

Turning the forearm so the palm faces up and then down.

Question 5

A CNA is assigned to perform PROM exercises for a resident with a severe, acute deep vein thrombosis (DVT) in their right leg. Which action is appropriate?

Accepted Answer

Perform exercises on both arms and the left leg, but avoid any movement of the right leg.

Answer

Perform the exercises very gently on the right leg to prevent stiffness.

Answer

Proceed with exercises on all extremities as ordered in the original care plan.

Answer

Elevate the right leg on two pillows before beginning the exercises.

Question 6

When performing passive range of motion on a resident's hip and knee, what is the primary reason for placing one hand under the knee and the other under the ankle/heel?

Accepted Answer

To support the joints above and below the one being exercised, ensuring stability and preventing injury.

Answer

To tickle the resident and make the experience more pleasant.

Answer

To allow the CNA to use maximum force when bending the joint.

Answer

To make the movement faster and more efficient for the CNA.