CNA CNA Restorative Care and Rehabilitation 4 — Questions and Answers
Question 1: A resident with a hip replacement is beginning ambulation training. Which assistive device is most commonly used initially?
- Standard cane
- Walker (Correct answer)
- Forearm crutches
- Wheelchair
Correct answer: Walker
A walker provides the most stability for residents beginning ambulation after hip replacement surgery.
Question 2: When applying a splint or brace as part of restorative care, the CNA should check the skin underneath every:
- 8 hours
- 24 hours
- 2 hours
- 4 hours (Correct answer)
Correct answer: 4 hours
Skin under splints and braces should be checked every 4 hours to detect pressure areas or skin breakdown early.
Question 3: A resident's restorative care plan includes 'AROM to bilateral upper extremities.' What does AROM stand for?
- Assisted Range of Motion
- Active Range of Motion (Correct answer)
- Adaptive Range of Motion
- Adjusted Range of Motion
Correct answer: Active Range of Motion
AROM stands for Active Range of Motion, meaning the resident performs the exercises using their own muscle strength.
Question 4: A resident keeps refusing restorative exercises, saying they are too tired. The CNA's best response is to:
- Document refusal and skip the session
- Force the exercises since they are medically necessary
- Ask what time of day the resident feels most energetic and report to the nurse (Correct answer)
- Tell the resident the exercises will be discontinued if they keep refusing
Correct answer: Ask what time of day the resident feels most energetic and report to the nurse
Scheduling exercises when the resident has the most energy promotes participation and respects their preferences while supporting the care goal.
Question 5: Which of the following is a functional consequence of prolonged immobility that restorative care aims to prevent?
- Hypertension
- Contractures (Correct answer)
- Hyperglycemia
- Increased appetite
Correct answer: Contractures
Contractures—permanent shortening of muscles and joints—are a major complication of immobility that restorative range-of-motion exercises help prevent.
Question 6: During restorative dining, a resident with dysphagia is served foods on their care plan. The CNA notices the kitchen sent a non-approved texture. The CNA should:
- Allow the resident to eat since they are hungry
- Return the tray and get the correct texture immediately (Correct answer)
- Puree the food at bedside
- Ask the resident if they want to try it anyway
Correct answer: Return the tray and get the correct texture immediately
Serving an incorrect food texture to a resident with dysphagia is a safety risk; the tray must be corrected before the resident eats.
Question 7: A resident is practicing putting on a shirt independently as part of their restorative ADL program. The CNA should:
- Dress the resident quickly to save time
- Stand by and provide verbal cues only unless safety is at risk (Correct answer)
- Complete the task for the resident when they struggle
- Leave the room to give the resident privacy
Correct answer: Stand by and provide verbal cues only unless safety is at risk
Restorative ADL programs require the CNA to encourage independence by providing verbal cues rather than taking over the task.
CNA CNA Restorative Care and Rehabilitation 4
A resident with a hip replacement is beginning ambulation training.
Which assistive device is most commonly used initially?