Practice Test - Basic Nursing Skills #2 1 Flashcards

The purpose of a draw sheet (lift sheet) when repositioning a resident in bed is to:

Answer: Reduce friction and shear to the resident's skin during repositioning

A draw sheet reduces friction and shear forces on skin, lowering the risk of skin tears and pressure injuries during repositioning.

A resident's apical pulse is being taken by a nurse while the CNA simultaneously counts the radial pulse for one full minute. This procedure measures:

Answer: Pulse deficit

A pulse deficit is the difference between the apical and radial pulse rates, indicating the heart's pumping efficiency.

When performing oral care on an unconscious resident, the CNA should position the resident:

Answer: On their side with head slightly forward

A side-lying position with the head slightly forward allows fluids to drain out of the mouth and reduces the risk of aspiration.

A resident tells the CNA, 'I don't want to be resuscitated.' The CNA should:

Answer: Notify the nurse and follow the facility's established DNR policy

The CNA must report the resident's wishes to the nurse so proper legal documentation and care planning can be addressed.

Which observation about a pressure ulcer should the CNA report to the nurse immediately?

Answer: The wound has a black, leathery eschar with surrounding redness

Black eschar and surrounding redness indicate a Stage 4 or unstageable pressure ulcer requiring urgent nursing and physician evaluation.

A resident is placed in the prone position. This means the resident is lying:

Answer: Face down on their abdomen

The prone position places the resident face-down on the abdomen, which can help relieve pressure on the back and sacrum.

When collecting a clean-catch midstream urine specimen, the CNA should instruct the resident to:

Answer: Both B and C

A clean-catch specimen requires cleansing the perineal area front-to-back and collecting midstream urine to reduce contamination.