CNA Toileting and Elimination

Question 1

What is the first action a CNA should take when a resident uses the call light to request toileting assistance?

Accepted Answer

Respond promptly and assist the resident to the toilet or commode

Answer

Note the time and respond when the current task is finished

Answer

Tell the resident to use their incontinence pad until the CNA is available

Answer

Ask the resident if it can wait 30 minutes

Question 2

When performing perineal care for a female resident, in which direction should the CNA wipe?

Accepted Answer

Front to back, using a clean cloth for each stroke

Answer

Back to front to clean the perineum more thoroughly

Answer

In a circular motion

Answer

Direction does not matter as long as soap and water are used

Question 3

A resident has been using a bedpan. After removing the bedpan, what should the CNA do first?

Accepted Answer

Provide perineal care to the resident, then attend to the bedpan

Answer

Measure the output before providing any care to the resident

Answer

Leave the resident and take the bedpan to the soiled utility room immediately

Answer

Ask the resident to clean themselves while the CNA measures the output

Question 4

Which observation about a resident's urine output should the CNA report to the nurse?

Accepted Answer

Dark, cloudy, foul-smelling urine or urine with visible blood

Answer

Pale yellow, clear urine with no odor

Answer

Urine that is slightly darker after a long sleep

Answer

Small amounts of urine that increase after drinking fluids

Question 5

How should a CNA help a resident who experiences frequent urinary incontinence?

Accepted Answer

Implement a scheduled toileting program and provide thorough skin care after any episodes

Answer

Limit the resident's fluid intake to reduce urinary frequency

Answer

Apply an indwelling catheter independently to manage incontinence

Answer

Ignore the incontinence and change the brief once per shift

Question 6

Why is documenting a resident's bowel movements important?

Accepted Answer

It allows the team to identify constipation, diarrhea, or other elimination problems early

Answer

It is required only for residents with ostomies

Answer

It is primarily for billing purposes

Answer

Documentation of bowel movements is optional in most facilities