CNA Basic Nursing Skills 19 3 — Questions and Answers
Question 1: When performing passive range-of-motion (ROM) exercises, the CNA should move each joint to the point of:
- Maximum resistance
- Slight discomfort
- Resistance or pain, then stop (Correct answer)
- Full range without stopping
Correct answer: Resistance or pain, then stop
ROM exercises should be stopped when resistance or pain is felt to prevent injury to the patient's joints.
Question 2: A resident's urine output for an 8-hour shift is 150 mL. The CNA should:
- Document it as normal
- Encourage additional fluid intake only
- Report it immediately to the nurse (Correct answer)
- Restrict fluids to prevent overload
Correct answer: Report it immediately to the nurse
Output below 30 mL/hour (240 mL in 8 hours) is a sign of decreased kidney function and must be reported immediately.
Question 3: Which technique best prevents pressure injuries when repositioning a resident in bed?
- Dragging the resident across the sheet
- Using a lift sheet to move the resident (Correct answer)
- Propping with a single pillow
- Repositioning every 4 hours
Correct answer: Using a lift sheet to move the resident
A lift sheet reduces friction and shear forces on the skin, which are major contributors to pressure injury development.
Question 4: A resident with dysphagia should be fed in which position?
- Supine with head flat
- Lying on the left side
- Upright at 90 degrees or as close as possible (Correct answer)
- Reclined at 30 degrees
Correct answer: Upright at 90 degrees or as close as possible
An upright position uses gravity to facilitate safe swallowing and reduces the risk of aspiration in residents with dysphagia.
Question 5: When collecting a clean-catch midstream urine specimen from a female resident, the CNA should instruct her to:
- Collect the first void of the morning
- Begin voiding, stop, then collect midstream (Correct answer)
- Collect a full 24-hour sample
- Void into the toilet and transfer with a dropper
Correct answer: Begin voiding, stop, then collect midstream
The initial stream flushes contaminants from the urethra; collecting midstream reduces the risk of specimen contamination.
Question 6: A CNA observes a resident's surgical wound has increased redness, warmth, and purulent drainage. The correct action is to:
- Clean the wound and apply a fresh dressing
- Document the findings at end of shift
- Report the findings to the nurse immediately (Correct answer)
- Reassess in two hours before reporting
Correct answer: Report the findings to the nurse immediately
Signs of wound infection require immediate nurse notification so treatment can begin promptly.
Question 7: Which action by the CNA best promotes resident dignity during perineal care?
- Leaving the door open for quick access
- Performing care briskly without explanation
- Explaining each step and keeping the resident covered (Correct answer)
- Asking a colleague to observe for safety
Correct answer: Explaining each step and keeping the resident covered
Explaining the procedure and maintaining coverage preserves the resident's privacy and dignity throughout personal care.
CNA Basic Nursing Skills 19 3
When performing passive range-of-motion (ROM) exercises, the CNA should move each joint to the point of: