CNA Basic Nursing Skills 14 4 — Questions and Answers
Question 1: The nurse delegates catheter care to the CNA. When performing perineal care on a female resident with an indwelling catheter, the CNA should clean:
- From the meatus outward along the catheter tubing (Correct answer)
- In a circular motion around the catheter
- From the catheter insertion site toward the anus
- Only the external meatus, not the catheter tubing
Correct answer: From the meatus outward along the catheter tubing
Clean from the urethral meatus outward along the catheter for at least 4 inches to prevent introducing bacteria.
Question 2: A resident's urinary drainage bag is full. The CNA should empty it and document which measurement?
- The weight of the bag
- The output in milliliters (mL) (Correct answer)
- The color and odor only
- The time it was emptied only
Correct answer: The output in milliliters (mL)
Urinary output is measured and documented in milliliters as part of intake and output (I&O) monitoring.
Question 3: Which observation about a resident's urine should be reported to the nurse IMMEDIATELY?
- Pale yellow color
- Slightly cloudy appearance with strong odor (Correct answer)
- Output of 200 mL over 4 hours
- Slightly darker color after inadequate fluid intake
Correct answer: Slightly cloudy appearance with strong odor
Cloudy urine with a strong odor may indicate a urinary tract infection and requires prompt reporting.
Question 4: When providing oral care for an unconscious resident, the CNA should position the resident in which way to prevent aspiration?
- Flat supine with head turned to the side (Correct answer)
- High Fowler's with head tilted back
- Prone position
- Sitting fully upright at 90 degrees
Correct answer: Flat supine with head turned to the side
Turning the head to the side allows fluids to drain and prevents aspiration in unconscious residents.
Question 5: How often should the CNA reposition a bedbound resident to prevent pressure injuries?
- Every 15-30 minutes
- Every 1-2 hours (Correct answer)
- Every 4 hours
- Every 8 hours at shift change
Correct answer: Every 1-2 hours
Repositioning every 1-2 hours relieves pressure on bony prominences and prevents pressure injury formation.
Question 6: A resident receiving tube feedings should have the head of the bed elevated to at least what degree during and after feedings?
- 15 degrees
- 30 degrees (Correct answer)
- 45 degrees
- 90 degrees
Correct answer: 30 degrees
Elevating the head of the bed to at least 30 degrees during and after tube feedings prevents aspiration.
Question 7: When counting a resident's respirations, the CNA should count for how long to get an accurate rate?
- 15 seconds and multiply by 4
- 30 seconds and multiply by 2
- 60 seconds (one full minute) (Correct answer)
- Until 12 breaths are counted
Correct answer: 60 seconds (one full minute)
Respirations should be counted for a full 60 seconds because respiratory rates can be irregular.
CNA Basic Nursing Skills 14 4
The nurse delegates catheter care to the CNA.
When performing perineal care on a female resident with an indwelling catheter, the CNA should clean: