CNA Patient Care Procedure 2 — Questions and Answers
Question 1: When performing passive range-of-motion (ROM) exercises, the CNA should move each joint:
- As far as possible to stretch the muscles
- To the point of resistance, then stop (Correct answer)
- Only if the patient reports no pain at all
- Rapidly to complete exercises quickly
Correct answer: To the point of resistance, then stop
Passive ROM should be performed smoothly to the point of resistance to avoid injury.
Question 2: A patient's urinary catheter drainage bag should be positioned:
- At or above bladder level
- Below the level of the bladder (Correct answer)
- On the bed next to the patient
- Attached to the bedrail at waist height
Correct answer: Below the level of the bladder
The drainage bag must stay below bladder level to allow urine to drain by gravity and prevent backflow.
Question 3: When providing oral care to an unconscious patient, the CNA should position the patient:
- Flat on their back (supine)
- Turned to one side (lateral) (Correct answer)
- In high Fowler's position (90°)
- Prone (face down)
Correct answer: Turned to one side (lateral)
Turning an unconscious patient to the side prevents aspiration of fluids during oral care.
Question 4: How often should a bedridden patient's position be changed to prevent pressure injuries?
- Every 15 minutes
- Every 1–2 hours (Correct answer)
- Every 4–6 hours
- Once per shift
Correct answer: Every 1–2 hours
Repositioning every 1–2 hours relieves sustained pressure on bony prominences.
Question 5: Which action is correct when applying a bed pan for a patient who cannot lift their hips?
- Ask the patient to roll onto the bedpan from the side (Correct answer)
- Place it forcefully under the patient while they remain supine
- Wait until the patient can lift their own hips
- Have the patient stand at the bedside instead
Correct answer: Ask the patient to roll onto the bedpan from the side
Rolling the patient onto a fracture pan or standard bedpan from the side is the safe technique when hip lifting is not possible.
Question 6: When measuring a patient's radial pulse, the CNA notes an irregular rhythm. The correct action is to:
- Record only the first minute's count and move on
- Count for a full 60 seconds and report to the nurse (Correct answer)
- Take the pulse at a different site and average the two counts
- Assume the reading is normal and continue care
Correct answer: Count for a full 60 seconds and report to the nurse
An irregular pulse must be counted for a full minute and reported to the nurse for clinical evaluation.
Question 7: The purpose of using a draw sheet (pull sheet) when repositioning a patient in bed is to:
- Keep the patient warm during repositioning
- Reduce friction and shear on the patient's skin (Correct answer)
- Restrain the patient during the procedure
- Absorb incontinence between linen changes
Correct answer: Reduce friction and shear on the patient's skin
A draw sheet reduces friction and shear forces on fragile skin when sliding or turning a patient.
When performing passive range-of-motion (ROM) exercises, the CNA should move each joint: