CNA Basic Nursing Skills 10 4 — Questions and Answers
Question 1: A resident with a hip replacement should be positioned with the operative leg:
- Crossed over the non-operative leg
- In adduction past the midline
- In abduction using a wedge pillow (Correct answer)
- Flexed more than 90° at the hip
Correct answer: In abduction using a wedge pillow
An abduction pillow keeps the hip in alignment and prevents dislocation after total hip replacement.
Question 2: When measuring and recording intake and output, which of the following is counted as intake?
- Urine output
- Wound drainage
- Ice chips (recorded as half their volume) (Correct answer)
- Perspiration
Correct answer: Ice chips (recorded as half their volume)
Ice chips are recorded as approximately half their volume because they melt to liquid.
Question 3: The CNA is to apply elastic compression stockings (TED hose). The correct time to apply them is:
- After the resident has been ambulatory for 30 minutes
- Before the resident gets out of bed in the morning (Correct answer)
- Only when the resident reports leg pain
- After the resident has been sitting in a chair for 1 hour
Correct answer: Before the resident gets out of bed in the morning
TED hose are applied before the resident gets up so leg veins are not yet dilated with pooled blood.
Question 4: A resident is on enteric (droplet) precautions. The CNA must wear which PPE before entering the room?
- Gloves only
- Gown and gloves only
- Surgical mask and gloves (Correct answer)
- N95 respirator and full gown
Correct answer: Surgical mask and gloves
Droplet precautions require a surgical mask and gloves to prevent transmission of large respiratory droplets.
Question 5: Which observation indicates the CNA performed a bed bath correctly?
- Water temperature was tested only at the beginning and not changed
- Perineal area was washed first, then face
- Face was washed first using a clean section of the washcloth, working toward cleaner to dirtier areas (Correct answer)
- The bath water was used throughout without changing
Correct answer: Face was washed first using a clean section of the washcloth, working toward cleaner to dirtier areas
Proper technique begins with the face and proceeds from clean to dirty areas to minimize infection risk.
Question 6: A resident who is visually impaired needs to be oriented to a new room. The CNA should:
- Describe the room layout and guide the resident's hand to key items (Correct answer)
- Simply tell the resident where things are and leave
- Rearrange furniture to a safer layout without informing the resident
- Place all items on the resident's right side regardless of preference
Correct answer: Describe the room layout and guide the resident's hand to key items
Describing the layout and physically guiding the resident to items promotes safety and independence.
Question 7: While performing postmortem care, the CNA should:
- Remove all jewelry and personal items without documenting them
- Position the body in alignment and treat the body with dignity and respect (Correct answer)
- Discuss the cause of death with the family
- Dispose of all personal belongings per facility policy immediately
Correct answer: Position the body in alignment and treat the body with dignity and respect
Maintaining body alignment and treating the deceased with respect is a core principle of postmortem care.
CNA Basic Nursing Skills 10 4
A resident with a hip replacement should be positioned with the operative leg: