CNA Basic Nursing Skills 14 5 — Questions and Answers
Question 1: A resident refuses their morning bath. The CNA should:
- Insist the bath is necessary for health and proceed
- Document the refusal and inform the nurse (Correct answer)
- Wait 30 minutes and attempt again without notifying anyone
- Ask another CNA to convince the resident
Correct answer: Document the refusal and inform the nurse
Residents have the right to refuse care; the CNA must document the refusal and notify the nurse.
Question 2: When measuring blood pressure, the CNA notices the reading is 168/98 mmHg on a resident whose baseline is 120/76 mmHg. What should the CNA do?
- Reassess in 30 minutes before reporting
- Record it and report it to the nurse immediately (Correct answer)
- Have the resident rest and retake in 1 hour
- Administer a PRN antihypertensive medication
Correct answer: Record it and report it to the nurse immediately
A significantly elevated blood pressure compared to baseline must be reported to the nurse promptly.
Question 3: The CNA is applying anti-embolism stockings (TED hose). Which action is correct?
- Apply them while the resident is standing to ensure proper fit
- Apply them after the resident has been up walking for an hour
- Apply them in the morning before the resident gets out of bed (Correct answer)
- Apply them only to the leg without swelling
Correct answer: Apply them in the morning before the resident gets out of bed
Anti-embolism stockings should be applied in the morning before the resident gets up, when edema is minimal.
Question 4: During a bed bath, the CNA should change the bath water when it becomes:
- Visibly dirty or cool (Correct answer)
- After washing the entire body without changing
- Only at the beginning of the perineal care
- When the resident requests a change
Correct answer: Visibly dirty or cool
Bath water should be changed when it becomes cool or soiled to maintain hygiene and comfort.
Question 5: A resident who uses a hearing aid reports it is not working. What should the CNA check first?
- Schedule a hearing aid repair appointment
- Check if the battery needs replacement (Correct answer)
- Clean the resident's ears with a cotton swab
- Report to the nurse for a hearing evaluation
Correct answer: Check if the battery needs replacement
A dead or weak battery is the most common reason a hearing aid stops working and is easily checked.
Question 6: When a resident has a new order for a clear liquid diet, which item would NOT be included?
- Apple juice
- Broth
- Gelatin (Jell-O)
- Cream of wheat cereal (Correct answer)
Correct answer: Cream of wheat cereal
Cream of wheat is not a clear liquid; clear liquid diets include only transparent or translucent liquids at room temperature.
Question 7: A resident's meal tray arrives and the CNA notices the food is different from what is on the posted dietary card. The CNA should:
- Serve the tray assuming dietary made a correct update
- Ask the resident if the food looks acceptable and serve it
- Return the tray to the kitchen and report the discrepancy to the nurse (Correct answer)
- Substitute items from another resident's tray
Correct answer: Return the tray to the kitchen and report the discrepancy to the nurse
Dietary restrictions are medically ordered; a discrepancy must be reported and corrected before the resident is served.
CNA Basic Nursing Skills 14 5
A resident refuses their morning bath.
The CNA should: