CNA Feeding and Hydration

Question 1

Before assisting a resident with eating, what should the CNA do first?

Accepted Answer

Wash hands and assist the resident in washing theirs

Answer

Before assisting with feeding, the CNA should wash their hands and help the resident wash theirs as well. Proper hand hygiene reduces the transmission of pathogens through food and is a foundational infection control practice.

Question 2

A resident is ordered a thickened-liquid diet. Why is this important for the CNA to follow?

Accepted Answer

It reduces the risk of choking and aspiration in residents with swallowing difficulties

Answer

Thickened liquids are ordered for residents with dysphagia (swallowing difficulties) to reduce the risk of aspiration, which occurs when food or liquid enters the airway instead of the esophagus. Aspiration can lead to aspiration pneumonia, a serious and potentially life-threatening complication.

Question 3

What is the safest position for feeding a resident who is unable to sit upright independently?

Accepted Answer

Head of bed elevated to at least 30–45 degrees

Answer

The head of the bed should be elevated to at least 30–45 degrees (preferably 90 degrees when possible) during feeding. This upright position uses gravity to assist swallowing and significantly reduces the risk of aspiration.

Question 4

How should a CNA offer fluids to a resident throughout the day to maintain adequate hydration?

Accepted Answer

Offer fluids regularly throughout the shift, not only at mealtimes

Answer

CNAs should routinely offer fluids frequently throughout the shift and during meals, snacks, and medication administration. Many residents, especially elderly ones, do not feel thirsty even when dehydrated, so proactive fluid offering is essential.

Question 5

A resident begins coughing repeatedly during a meal. What should the CNA do?

Accepted Answer

Stop feeding, keep the resident upright, and report to the nurse

Answer

Repeated coughing during eating is a sign of possible swallowing difficulty or aspiration. The CNA should stop feeding immediately, keep the resident upright, and report the observation to the nurse for further evaluation.

CNA Practice Test

CNA Practice Test

CNA Feeding and Hydration