CNA CNA Patient Care & Basic Nursing Skills 2 — Questions and Answers
Question 1: Which technique should a CNA use when assisting a patient to transfer from bed to wheelchair to prevent injury?
- Lift using the back muscles only
- Use a gait belt and bend at the knees (Correct answer)
- Pull the patient by the arm
- Perform the transfer without assistance if the patient seems light
Correct answer: Use a gait belt and bend at the knees
Using a gait belt and bending at the knees protects both the CNA's back and the patient's safety during transfers.
Question 2: When providing perineal care for a female patient, the CNA should clean:
- Back to front to avoid contamination
- Front to back using a clean stroke each time (Correct answer)
- In circular motions around the perineum
- Only the external labia without rinsing
Correct answer: Front to back using a clean stroke each time
Perineal care for female patients must always proceed front to back (urethra toward rectum) to prevent introducing rectal bacteria into the urinary tract.
Question 3: A patient develops a stage II pressure injury. Which finding best describes a stage II pressure injury?
- Intact skin with non-blanchable redness
- Partial-thickness skin loss with a shallow open wound (Correct answer)
- Full-thickness skin loss involving subcutaneous tissue
- Full-thickness tissue loss with exposed bone
Correct answer: Partial-thickness skin loss with a shallow open wound
A stage II pressure injury involves partial-thickness skin loss presenting as a shallow open wound with a pink or red wound bed, without slough.
Question 4: What is the correct respiratory rate range considered normal for an adult at rest?
- 6–10 breaths per minute
- 12–20 breaths per minute (Correct answer)
- 22–28 breaths per minute
- 30–36 breaths per minute
Correct answer: 12–20 breaths per minute
A normal adult respiratory rate at rest is 12–20 breaths per minute; rates outside this range should be reported to a nurse.
Question 5: When applying a sequential compression device (SCD), the CNA's primary goal is to:
- Relieve pain in the lower extremities
- Prevent deep vein thrombosis (DVT) by promoting venous blood return (Correct answer)
- Reduce edema by compressing lymph nodes
- Immobilize the ankle joint post-surgery
Correct answer: Prevent deep vein thrombosis (DVT) by promoting venous blood return
SCDs apply intermittent pneumatic compression to the legs to simulate the muscle pump action that promotes venous return and prevents DVT formation.
Question 6: A CNA is performing range-of-motion (ROM) exercises. Passive ROM means:
- The patient performs exercises independently
- The CNA moves the patient's joints through their range without patient effort (Correct answer)
- The patient uses resistance bands to strengthen muscles
- Both the CNA and patient perform movements together
Correct answer: The CNA moves the patient's joints through their range without patient effort
Passive ROM involves the CNA moving the patient's joints through their full range of motion without any muscular effort from the patient, used for immobile or paralyzed patients.
Which technique should a CNA use when assisting a patient to transfer from bed to wheelchair to prevent injury?