CNA Basic Nursing Skills 7 3 — Questions and Answers
Question 1: A resident refuses to take a bath. What is the CNA's best response?
- Force the resident into the tub for hygiene
- Report refusal to the nurse and document it (Correct answer)
- Skip hygiene care for the rest of the shift
- Call the family to force compliance
Correct answer: Report refusal to the nurse and document it
Residents have the right to refuse care; the CNA must report the refusal to the nurse and document it accurately.
Question 2: When performing a bed bath, which area should be washed last?
- Face
- Arms
- Perineal area (Correct answer)
- Chest
Correct answer: Perineal area
The perineal area is washed last to prevent the spread of microorganisms from this area to the rest of the body.
Question 3: A resident's urinary catheter bag is nearly full. What should the CNA do?
- Remove the catheter and replace it
- Empty the drainage bag and measure the output (Correct answer)
- Leave it since it is not the CNA's responsibility
- Clamp the catheter tubing
Correct answer: Empty the drainage bag and measure the output
The CNA should empty the catheter drainage bag into a measuring container, record the output, and report any abnormalities to the nurse.
Question 4: Which action best prevents friction and shear when repositioning a resident?
- Pulling the resident across the bed sheets
- Using a lift sheet or draw sheet to move the resident (Correct answer)
- Repositioning the resident only once per shift
- Raising the head of the bed to 90 degrees first
Correct answer: Using a lift sheet or draw sheet to move the resident
A lift or draw sheet allows smooth repositioning without dragging the skin across bed linens, preventing friction and shear injuries.
Question 5: A resident with dysphagia is eating lunch. Which observation should be reported immediately to the nurse?
- Resident eats slowly
- Resident coughs repeatedly while eating (Correct answer)
- Resident prefers soft foods
- Resident needs encouragement to eat
Correct answer: Resident coughs repeatedly while eating
Repeated coughing during meals is a sign of aspiration risk and must be reported to the nurse immediately.
Question 6: What is the correct technique for applying elastic compression stockings?
- Apply while the resident is sitting upright in a chair
- Apply after the resident has been standing for 10 minutes
- Apply while the resident is lying down with legs elevated (Correct answer)
- Apply only at bedtime
Correct answer: Apply while the resident is lying down with legs elevated
Compression stockings are applied with the resident lying down before edema worsens from gravity, ideally in the morning before getting up.
Question 7: A resident's IV site appears red, swollen, and warm. What should the CNA do?
- Increase the IV flow rate to flush the site
- Apply a warm compress and continue monitoring
- Report the findings to the nurse immediately (Correct answer)
- Remove the IV catheter and apply a bandage
Correct answer: Report the findings to the nurse immediately
Redness, swelling, and warmth at an IV site indicate possible phlebitis or infiltration, which must be reported to the nurse promptly.
CNA Basic Nursing Skills 7 3
A resident refuses to take a bath.
What is the CNA's best response?