CNA Emergency Procedure 2

Question 1

A resident with a known latex allergy begins to show signs of a severe allergic reaction (anaphylaxis) after a new type of glove is used during care. The resident has severe difficulty breathing. What is the CNA's most immediate and critical action?

Accepted Answer

Immediately activate the emergency response system and call for a nurse.

Answer

Anaphylaxis is a life-threatening emergency characterized by airway constriction. The CNA's priority is to recognize the emergency and summon immediate medical assistance by activating the emergency system and calling for a licensed nurse. While an epinephrine auto-injector is the definitive treatment, administering medication is outside the CNA's scope of practice. Documentation is important but is secondary to initiating a life-saving response.

Question 2

During a prolonged power outage, a resident is using a battery-powered portable oxygen concentrator. What is the CNA's priority regarding this resident's equipment?

Accepted Answer

Check the device's battery level indicator and immediately report its status to the nurse.

Answer

Battery-powered medical devices have a limited duration of operation. The CNA's primary responsibility is assessment and reporting. By checking the battery level and informing the nurse, the CNA provides crucial information for the nurse to make a clinical decision, such as when to switch to a backup oxygen tank or implement other emergency protocols. The other actions are not the most immediate priority.

Question 3

Which of the following represents the correct sequence of actions for a CNA who discovers a small, contained fire in a resident's metal trash can?

Accepted Answer

Rescue the resident from immediate danger, Activate the nearest alarm, Contain the fire by closing the door, and Extinguish if safe or Evacuate (RACE).

Answer

The RACE acronym is the standard, accepted fire safety protocol in healthcare settings. It prioritizes actions to ensure life safety first: Rescue, Alarm, Contain, and Extinguish/Evacuate. Following this sequence ensures that residents are safe and help is summoned before any attempt is made to fight the fire.

Question 4

A resident who is a Jehovah's Witness is found with a significant, actively bleeding leg wound. Their chart and a bracelet clearly state "No Blood Products." The resident is conscious but confused. The CNA should:

Accepted Answer

Apply firm, direct pressure to the wound and immediately report the situation and the directive to the nurse.

Answer

The CNA's immediate responsibility is to provide basic first aid within their scope of practice, which includes applying direct pressure to control bleeding. Simultaneously, they must respect the patient's advance directive by immediately informing the nurse of both the bleeding and the "No Blood Products" directive. The nurse and medical team will then manage the clinical and ethical aspects of treatment. A CNA should not ignore the directive or seek consent from others.

Question 5

In the event of an internal facility disaster, such as a major water pipe break, a CNA may be asked to assist the nursing team with "reverse triage." What does this process primarily involve?

Accepted Answer

Assessing and identifying the most stable residents for potential rapid discharge or relocation to create space.

Answer

Reverse triage is a strategy used during internal hospital or facility disasters to create surge capacity. It involves identifying the most stable, least acute patients who can be safely discharged or moved, thereby freeing up beds and resources for incoming casualties or to manage the disruption caused by the internal event.

CNA Practice Test

CNA Practice Test

CNA Emergency Procedure 2