CNA Basic Nursing Skills 12 5

Question 1

A CNA is performing passive range-of-motion exercises on a resident's knee when the resident suddenly grimaces and says nothing but grips the bedrail tightly. What is the most appropriate immediate action?

Accepted Answer

Stop the exercise immediately, support the joint, and report the observation to the nurse

Answer

Non-verbal pain cues such as grimacing and gripping bedrails are valid indicators of pain or discomfort. The CNA must stop the activity immediately to prevent injury, support the joint in a neutral position, and report the findings to the nurse for further assessment. Continuing in any form without nursing evaluation is inappropriate.

Question 2

When performing perineal care on a female resident with an indwelling urinary catheter, which sequence is correct?

Accepted Answer

Clean the labia minora front to back first, then clean the catheter tubing from the insertion site downward at least 4 inches

Answer

Perineal care with an indwelling catheter follows strict clean-to-dirty technique. The labia are cleaned front to back first, then the catheter tubing is cleaned starting at the meatus and moving downward (away from the body) for at least 4 inches to prevent introducing microorganisms into the urinary tract.

Question 3

A resident on droplet precautions requires oral care. Which PPE combination is required before entering the room?

Accepted Answer

Surgical mask, gloves, and gown

Answer

Droplet precautions require a surgical mask (not an N95, which is for airborne precautions), gloves, and a gown when within 3 feet and when contact with secretions is anticipated — both of which apply during oral care. A face shield is added only if splash risk is high; an N95 is reserved for airborne precautions.

Question 4

A CNA is assisting a resident with a mechanical soft diet who has mild dysphagia. The resident asks for a glass of regular water between meals. What is the best action?

Accepted Answer

Check the resident's care plan and thickening order before providing any liquid

Answer

Dysphagia management is individually prescribed. A mechanical soft diet does not automatically specify liquid consistency — that is a separate order. The CNA must consult the care plan to determine the prescribed liquid consistency before providing any fluid, since thin liquids can cause aspiration in residents with dysphagia.

Question 5

During a bed bath, the CNA notices a 2 cm area of intact but persistently reddened skin over the resident's sacrum that does not blanch when pressed. The resident has been in bed for 18 hours. How should this be classified and what is the correct action?

Accepted Answer

Stage 1 pressure injury; reposition the resident, place a pressure-relieving device, and report immediately to the nurse

Answer

Non-blanchable redness over a bony prominence on intact skin is the defining characteristic of a Stage 1 pressure injury. The CNA must reposition the resident to relieve pressure, apply a pressure-relieving device if available, and report immediately to the nurse — wound staging and treatment orders are outside CNA scope. A suspected deep tissue injury presents as deep purple or maroon discoloration, which is different from this presentation.

CNA Practice Test

CNA Practice Test

CNA Basic Nursing Skills 12 5