CNA Basic Nursing Skills 12 5 — Questions and Answers
Question 1: A resident refuses to take a bath on the scheduled day. The CNA should:
- Document the refusal, respect the resident's right, and report to the nurse (Correct answer)
- Insist and proceed with the bath to maintain hygiene standards
- Tell the resident they have no choice per facility policy
- Skip documentation since the resident will bathe tomorrow
Correct answer: Document the refusal, respect the resident's right, and report to the nurse
Residents have the legal right to refuse care; the CNA must document the refusal and notify the nurse.
Question 2: The purpose of performing catheter care daily for a resident with an indwelling urinary catheter is to:
- Change the catheter tubing
- Reduce the risk of urinary tract infection (Correct answer)
- Measure residual urine volume
- Ensure the balloon is properly inflated
Correct answer: Reduce the risk of urinary tract infection
Daily catheter care with soap and water at the insertion site reduces bacterial colonization and the risk of catheter-associated UTI.
Question 3: When using a gait belt to assist a patient who begins to fall, the CNA should:
- Try to lift the patient back to standing immediately
- Hold the belt firmly and ease the patient to the floor safely (Correct answer)
- Let go and call for help before catching the patient
- Grab the patient's arm to stop the fall
Correct answer: Hold the belt firmly and ease the patient to the floor safely
Easing the patient to the floor using the gait belt prevents injury to both the patient and the CNA.
Question 4: What is the correct sequence for donning (putting on) PPE before entering an isolation room?
- Gloves, gown, mask, eye protection
- Gown, mask, eye protection, gloves (Correct answer)
- Mask, gloves, gown, eye protection
- Eye protection, gloves, gown, mask
Correct answer: Gown, mask, eye protection, gloves
The CDC-recommended order for donning PPE is gown first, then mask, then eye protection, then gloves last.
Question 5: A resident receiving enteral tube feedings is placed in which position during and after the feeding?
- Flat supine to reduce aspiration risk
- Head of bed elevated 30–45 degrees (Correct answer)
- Left lateral with head down
- Right lateral with knees flexed
Correct answer: Head of bed elevated 30–45 degrees
Elevating the head of bed 30–45 degrees during and for at least 30 minutes after tube feeding reduces aspiration risk.
Question 6: When collecting a midstream clean-catch urine specimen, the patient should be instructed to:
- Collect urine at the very beginning of the stream
- Cleanse the genital area, void briefly into the toilet, then collect mid-stream (Correct answer)
- Collect all voided urine in the specimen container
- Collect the last portion of the urine stream only
Correct answer: Cleanse the genital area, void briefly into the toilet, then collect mid-stream
The midstream clean-catch method flushes contaminants from the urethra before the specimen is collected.
Question 7: A patient who has had a stroke with left-sided weakness is being dressed. The CNA should dress the patient by:
- Dressing the stronger right side first
- Dressing the weaker left side first (Correct answer)
- Having the patient dress themselves completely
- Asking the nurse to dress the patient instead
Correct answer: Dressing the weaker left side first
When dressing a patient with one-sided weakness, the weaker (affected) side is dressed first to minimize joint stress and discomfort.
CNA Basic Nursing Skills 12 5
A resident refuses to take a bath on the scheduled day.
The CNA should: