CNA Basic Restorative Services 4 — Questions and Answers
Question 1: A resident with hemiplegia is learning to dress independently. Which technique should the CNA teach for putting on a shirt?
- Dress the stronger side first, then the weaker side
- Dress the weaker side first, then the stronger side (Correct answer)
- Always have the CNA dress the weaker side
- Use adaptive clothing only
Correct answer: Dress the weaker side first, then the stronger side
When dressing, the affected (weaker) extremity is dressed first and undressed last to minimize strain and joint stress.
Question 2: What is the primary goal of a restorative nursing program for a resident with contractures?
- Eliminate all contractures within 30 days
- Maintain current range of motion and prevent further deformity (Correct answer)
- Return the resident to full pre-illness function
- Reduce the need for pain medication
Correct answer: Maintain current range of motion and prevent further deformity
Restorative goals focus on maintaining existing function and preventing further decline, not necessarily reversing established contractures.
Question 3: A resident uses a prosthetic leg. Which action by the CNA is MOST important before ambulation?
- Apply lotion to the residual limb
- Inspect the prosthesis and residual limb for skin breakdown or poor fit (Correct answer)
- Ensure the resident wears a gait belt over the prosthesis
- Check that the prosthesis matches the color of the resident's skin
Correct answer: Inspect the prosthesis and residual limb for skin breakdown or poor fit
Before ambulating with a prosthesis, the CNA must inspect both the device and the residual limb for signs of skin breakdown, irritation, or improper fit.
Question 4: During a restorative feeding program, a resident with dysphagia begins coughing repeatedly. The CNA should FIRST:
- Offer more liquid to help clear the throat
- Continue feeding since some coughing is expected
- Stop feeding and notify the nurse (Correct answer)
- Tilt the resident's head back to open the airway
Correct answer: Stop feeding and notify the nurse
Repeated coughing during eating may signal aspiration; the CNA must stop the feeding session and immediately notify the nurse.
Question 5: Which of the following BEST describes the difference between restorative care and rehabilitation?
- Restorative care is provided by therapists; rehabilitation is provided by CNAs
- Restorative care maintains function after therapy goals are met; rehabilitation focuses on initial recovery (Correct answer)
- Rehabilitation is long-term; restorative care lasts only 30 days
- There is no difference; they are the same service
Correct answer: Restorative care maintains function after therapy goals are met; rehabilitation focuses on initial recovery
Rehabilitation focuses on recovering lost function, while restorative care maintains the function achieved after therapy has been completed.
Question 6: A resident's restorative care plan includes bladder retraining. What does this program typically involve?
- Inserting a catheter at set intervals
- Offering the resident the opportunity to void on a scheduled timetable (Correct answer)
- Restricting fluids after noon
- Using adult briefs exclusively to track voiding patterns
Correct answer: Offering the resident the opportunity to void on a scheduled timetable
Bladder retraining involves toileting the resident at scheduled intervals to help restore voluntary control and reduce incontinence episodes.
Question 7: When documenting restorative care, the CNA should record:
- Only whether the activity was completed or refused
- The resident's level of participation, any changes in condition, and response to the activity (Correct answer)
- A summary written at the end of the week
- Only the therapist's instructions
Correct answer: The resident's level of participation, any changes in condition, and response to the activity
Thorough documentation includes the resident's participation level, response, and any notable changes to track progress and support the care team.
CNA Basic Restorative Services 4
A resident with hemiplegia is learning to dress independently.
Which technique should the CNA teach for putting on a shirt?