CNA Basic Nursing Skills 18 3 — Questions and Answers
Question 1: A resident refuses to take a scheduled bath. What is the CNA's best first response?
- Inform the nurse and document the refusal (Correct answer)
- Insist the resident bathe for hygiene reasons
- Skip the bath without notifying anyone
- Ask a family member to force the resident
Correct answer: Inform the nurse and document the refusal
Residents have the right to refuse care; the CNA must report refusals to the nurse and document them.
Question 2: When applying an elastic bandage to a resident's leg, the CNA should wrap it in which direction?
- Distal to proximal (foot toward thigh) (Correct answer)
- Proximal to distal (thigh toward foot)
- In a figure-eight pattern only
- Circular wraps only at the joint
Correct answer: Distal to proximal (foot toward thigh)
Wrapping distal to proximal promotes venous return and reduces swelling.
Question 3: Which action by the CNA best prevents shearing injuries when repositioning a bedridden resident?
- Using a lift sheet to move the resident (Correct answer)
- Sliding the resident directly on the bed sheet
- Pulling the resident by the arms
- Leaving the head of bed elevated at 60 degrees
Correct answer: Using a lift sheet to move the resident
A lift sheet reduces friction and shearing forces on the skin during repositioning.
Question 4: A resident's urinary output for an 8-hour shift is 150 mL. The CNA should:
- Report this to the nurse immediately (Correct answer)
- Consider it normal and document only
- Encourage the resident to drink less fluid
- Recheck in 4 hours before reporting
Correct answer: Report this to the nurse immediately
Normal urine output is at least 30 mL/hour; 150 mL in 8 hours indicates possible oliguria requiring prompt nurse notification.
Question 5: When caring for a resident with a nasogastric (NG) tube, the CNA's primary role is to:
- Provide oral hygiene and report any tube displacement (Correct answer)
- Administer tube feedings as directed
- Irrigate the tube with water every shift
- Adjust the tube position if it appears displaced
Correct answer: Provide oral hygiene and report any tube displacement
CNAs provide comfort care such as oral hygiene and must report any changes or displacement to the nurse.
Question 6: A resident on droplet precautions requires transport to another department. The CNA should:
- Place a surgical mask on the resident before transport (Correct answer)
- Have the resident wear an N95 respirator
- Transport only when wearing a gown and gloves
- Cancel transport until precautions are lifted
Correct answer: Place a surgical mask on the resident before transport
Placing a surgical mask on the resident during transport contains respiratory droplets and protects others.
Question 7: When measuring a resident's blood pressure, the cuff should be placed how far above the antecubital space?
- 1 inch (2.5 cm) (Correct answer)
- 3 inches (7.5 cm)
- At the antecubital space directly
- On the wrist
Correct answer: 1 inch (2.5 cm)
The cuff should be placed approximately 1 inch (2.5 cm) above the antecubital fossa for an accurate reading.
CNA Basic Nursing Skills 18 3
A resident refuses to take a scheduled bath.
What is the CNA's best first response?