CNA Practice Test - Basic Nursing Skills #2 1 5 — Questions and Answers
Question 1: The purpose of a draw sheet (lift sheet) when repositioning a resident in bed is to:
- Prevent pressure ulcers by absorbing moisture
- Reduce friction and shear to the resident's skin during repositioning (Correct answer)
- Restrain the resident during position changes
- Keep the bed linens clean during care
Correct answer: Reduce friction and shear to the resident's skin during repositioning
A draw sheet reduces friction and shear forces on skin, lowering the risk of skin tears and pressure injuries during repositioning.
Question 2: A resident's apical pulse is being taken by a nurse while the CNA simultaneously counts the radial pulse for one full minute. This procedure measures:
- Blood pressure indirectly
- Pulse deficit (Correct answer)
- Respiratory rate accuracy
- Oxygen saturation
Correct answer: Pulse deficit
A pulse deficit is the difference between the apical and radial pulse rates, indicating the heart's pumping efficiency.
Question 3: When performing oral care on an unconscious resident, the CNA should position the resident:
- Flat on their back (supine)
- On their side with head slightly forward (Correct answer)
- In high Fowler's position
- In Trendelenburg position
Correct answer: On their side with head slightly forward
A side-lying position with the head slightly forward allows fluids to drain out of the mouth and reduces the risk of aspiration.
Question 4: A resident tells the CNA, 'I don't want to be resuscitated.' The CNA should:
- Agree and document it in the chart as a DNR
- Notify the nurse and follow the facility's established DNR policy (Correct answer)
- Ignore the statement since it is not medically binding
- Alert the family immediately and withhold all care
Correct answer: Notify the nurse and follow the facility's established DNR policy
The CNA must report the resident's wishes to the nurse so proper legal documentation and care planning can be addressed.
Question 5: Which observation about a pressure ulcer should the CNA report to the nurse immediately?
- The area has a slight pink tint after repositioning
- The wound has a black, leathery eschar with surrounding redness (Correct answer)
- The resident requests a different position for comfort
- The skin is dry over the bony prominence
Correct answer: The wound has a black, leathery eschar with surrounding redness
Black eschar and surrounding redness indicate a Stage 4 or unstageable pressure ulcer requiring urgent nursing and physician evaluation.
Question 6: A resident is placed in the prone position. This means the resident is lying:
- On their back
- On their side
- Face down on their abdomen (Correct answer)
- At a 45-degree angle
Correct answer: Face down on their abdomen
The prone position places the resident face-down on the abdomen, which can help relieve pressure on the back and sacrum.
Question 7: When collecting a clean-catch midstream urine specimen, the CNA should instruct the resident to:
- Collect the first flow of urine into the specimen cup
- Begin urinating, then hold, and then catch the midstream into the cup
- Wipe the perineal area front-to-back before collecting
- Both B and C (Correct answer)
Correct answer: Both B and C
A clean-catch specimen requires cleansing the perineal area front-to-back and collecting midstream urine to reduce contamination.
CNA Practice Test - Basic Nursing Skills #2 1 5
The purpose of a draw sheet (lift sheet) when repositioning a resident in bed is to: