CNA Basic Nursing Skills 14 2

Question 1

When assisting a patient with a bedpan, the CNA should position the patient:

Accepted Answer

With the head of the bed elevated 30 degrees and knees slightly bent if possible

Answer

In a supine flat position with arms at the sides

Answer

In a prone (face-down) position for ease of placement

Answer

Sitting completely upright at 90 degrees at all times

Question 2

A patient has not had a bowel movement in 4 days and complains of abdominal cramping. The CNA should:

Accepted Answer

Report the complaint and the bowel movement history to the charge nurse

Answer

Encourage the patient to try harder and offer a warm beverage

Answer

Administer an over-the-counter laxative from the medication room

Answer

Document it and wait another 2 days before reporting

Question 3

What information should the CNA observe and record about a patient's bowel movement?

Accepted Answer

Color, consistency, amount, presence of blood or mucus, and any patient discomfort

Answer

Only whether the movement occurred or not

Answer

Only the time of day the bowel movement occurred

Answer

Just the frequency over the last week

Question 4

Signs of fecal impaction that the CNA should report include:

Accepted Answer

Liquid stool seeping around a hard stool mass with no regular formed movement

Answer

Regular brown formed stools every other day

Answer

Increased appetite and normal energy level

Answer

Frequent, large, well-formed bowel movements

Question 5

Which of the following approaches BEST promotes regular bowel function in long-term care residents?

Accepted Answer

Encouraging regular ambulation, adequate fluid intake, and a fiber-rich diet

Answer

Keeping residents in bed most of the day to conserve energy

Answer

Administering a daily enema as a routine preventive measure

Answer

Restricting fruit and vegetable intake to prevent gas

Question 6

Which observation about a patient's stool requires IMMEDIATE nursing notification?

Accepted Answer

Large amount of bright red blood mixed throughout the stool

Answer

Soft, formed brown stool after a meal high in beets

Answer

Stool that is slightly darker than usual after taking iron supplements

Answer

One day without a bowel movement in a patient who usually goes daily