CNA Basic Restorative Services 5 — Questions and Answers
Question 1: A resident in a restorative ambulation program refuses to walk today, saying they are too tired. The CNA should:
- Insist the resident walk since it is part of the care plan
- Respect the refusal, document it, and report it to the nurse (Correct answer)
- Skip documentation since refusals are common
- Ask another resident to encourage compliance
Correct answer: Respect the refusal, document it, and report it to the nurse
Residents have the right to refuse care; the CNA must respect this, document the refusal accurately, and notify the nurse so the care plan can be reviewed.
Question 2: Which activity is an example of a restorative self-care program?
- The CNA bathes the resident completely each morning
- The resident combs their own hair while the CNA provides verbal cues (Correct answer)
- The therapist performs range-of-motion exercises daily
- The nurse administers medications on schedule
Correct answer: The resident combs their own hair while the CNA provides verbal cues
Restorative self-care programs involve the resident performing tasks independently or with minimal assistance, with the CNA providing guidance rather than doing the task for them.
Question 3: A resident uses a quad cane. Where should the cane be positioned during ambulation?
- On the weaker side, advancing with the stronger leg
- On the stronger side, advancing with the weaker leg (Correct answer)
- On the stronger side, advancing simultaneously with that leg
- Alternating sides with every other step
Correct answer: On the stronger side, advancing with the weaker leg
The cane is held on the stronger side and moves forward with the weaker leg, providing support to the affected side.
Question 4: During passive range-of-motion exercises, the CNA notices the resident grimacing and tensing when the shoulder is moved. The CNA should:
- Move through the pain to increase flexibility
- Apply more force to complete the full range
- Stop the movement, ask about pain, and report to the nurse (Correct answer)
- Switch to a different joint and return to the shoulder later
Correct answer: Stop the movement, ask about pain, and report to the nurse
Signs of pain during ROM exercises require the CNA to stop, assess, and report to the nurse before continuing to avoid injury.
Question 5: A resident's restorative care plan includes splint application for a hand contracture. When should the splint be removed?
- Only when the therapist is present
- According to the schedule specified in the care plan (Correct answer)
- Whenever the resident requests its removal
- After 24 consecutive hours of wear
Correct answer: According to the schedule specified in the care plan
Splints must be applied and removed on the schedule outlined in the individualized care plan to prevent skin breakdown and achieve therapeutic benefit.
Question 6: Which resident behavior BEST indicates progress in a restorative eating program?
- The resident asks the CNA to feed them faster
- The resident independently uses adaptive utensils to complete 75% of the meal (Correct answer)
- The resident eats only soft foods
- The resident gains two pounds in one week
Correct answer: The resident independently uses adaptive utensils to complete 75% of the meal
Independent use of adaptive equipment to complete a greater portion of the meal demonstrates improved self-feeding function, a key restorative goal.
Question 7: A CNA is assisting a resident with a restorative walking program using a standard walker. The resident's elbows should be:
- Fully extended (straight) when gripping the walker
- Slightly flexed, approximately 15–30 degrees, when gripping the walker (Correct answer)
- Bent at 90 degrees with the walker held close to the body
- Positioned above shoulder height for balance
Correct answer: Slightly flexed, approximately 15–30 degrees, when gripping the walker
Proper walker fit allows a slight 15–30 degree elbow flexion when the hands grip the walker at rest, ensuring safe weight-bearing and posture.
CNA Basic Restorative Services 5
A resident in a restorative ambulation program refuses to walk today, saying they are too tired.
The CNA should: