CNA Basic Restorative Services 1 4 — Questions and Answers
Question 1: A resident has a contracture of the right knee. Which action is correct when positioning this resident?
- Straighten the knee forcefully to prevent worsening
- Support the knee in its current position using pillows or padding (Correct answer)
- Avoid repositioning the resident to prevent pain
- Place the resident in a prone position at all times
Correct answer: Support the knee in its current position using pillows or padding
Contractures should be supported in their current position to prevent pain and further injury, not forced into extension.
Question 2: How often should a bedbound resident typically be repositioned to prevent pressure injuries?
- Every 4 hours
- Every 2 hours (Correct answer)
- Once per shift
- Only when the resident requests it
Correct answer: Every 2 hours
Standard practice is to reposition bedbound residents at least every 2 hours to relieve pressure and prevent skin breakdown.
Question 3: During ambulation training, a gait belt should be placed:
- Around the resident's chest
- Around the resident's waist over their clothing (Correct answer)
- Around the resident's hips below the waist
- Only on residents who have fallen before
Correct answer: Around the resident's waist over their clothing
The gait belt is applied snugly around the resident's waist over clothing to provide a safe handhold during ambulation.
Question 4: A resident with dysphagia is receiving restorative feeding assistance. Which observation must be reported immediately?
- The resident eats slowly
- The resident coughs repeatedly during the meal (Correct answer)
- The resident prefers certain foods over others
- The resident needs verbal cues to continue eating
Correct answer: The resident coughs repeatedly during the meal
Repeated coughing during eating can indicate aspiration and must be reported to the nurse immediately.
Question 5: Which restorative technique helps a resident with memory impairment complete daily grooming tasks?
- Doing all grooming for the resident to prevent errors
- Using hand-over-hand guidance and breaking tasks into simple steps (Correct answer)
- Skipping grooming when the resident does not initiate it
- Limiting grooming to once weekly to reduce confusion
Correct answer: Using hand-over-hand guidance and breaking tasks into simple steps
Hand-over-hand guidance and task segmentation help residents with cognitive impairment participate in their own care.
Question 6: What does 'restorative aide' documentation typically include?
- Only the exercises performed
- The resident's level of participation, tolerance, and any changes in condition (Correct answer)
- The CNA's opinion of whether the therapy is working
- A list of exercises the resident refused only
Correct answer: The resident's level of participation, tolerance, and any changes in condition
Restorative documentation must capture participation level, physical tolerance, and any notable changes to support the care team.
Question 7: A resident is working on improving shoulder mobility through restorative exercises. The CNA should perform shoulder ROM exercises in which direction?
- Only in the direction the resident finds easiest
- Through the full range of motion as directed by the care plan (Correct answer)
- Only inward rotation to protect the joint
- As fast as possible to complete the exercises
Correct answer: Through the full range of motion as directed by the care plan
ROM exercises should be performed through the full range of motion as specified in the care plan, slowly and smoothly.
CNA Basic Restorative Services 1 4
A resident has a contracture of the right knee.
Which action is correct when positioning this resident?