CNA Project Planning & Execution 2 — Questions and Answers
Question 1: When a resident's care plan is updated, what is the CNA's FIRST responsibility?
- Continue following the old plan until the next shift
- Read and follow the updated care plan immediately (Correct answer)
- Ask the charge nurse to summarize all changes verbally
- Document that the update was received before implementing it
Correct answer: Read and follow the updated care plan immediately
CNAs must read and implement updated care plans immediately to ensure the resident receives the most current, appropriate care.
Question 2: Which component is ESSENTIAL in every resident care plan?
- The resident's insurance information
- Measurable goals with target dates (Correct answer)
- A list of all family members' contact details
- The facility's billing codes for services
Correct answer: Measurable goals with target dates
Measurable goals with target dates allow the care team to objectively evaluate whether interventions are effective.
Question 3: A CNA notices that a resident's documented goal—to walk 50 feet independently—has not been achieved in two weeks. What should the CNA do?
- Remove the goal from the care plan
- Continue the same interventions for another month
- Report the lack of progress to the nurse (Correct answer)
- Increase the resident's exercise frequency without consulting the nurse
Correct answer: Report the lack of progress to the nurse
CNAs must report unmet goals to the nurse so the care plan can be reassessed and revised by the care team.
Question 4: During a care planning conference, the CNA's MOST valuable contribution is:
- Diagnosing new medical conditions observed during care
- Sharing direct observations of the resident's daily functioning (Correct answer)
- Recommending medications based on the resident's complaints
- Writing the formal care plan document
Correct answer: Sharing direct observations of the resident's daily functioning
CNAs provide frontline observations about ADLs, behavior, and daily functioning that are invaluable for accurate care planning.
Question 5: A resident's care plan states 'assist with ambulation x2 daily.' This means the CNA should:
- Help the resident walk twice per day (Correct answer)
- Allow the resident to walk only twice per week
- Assist only if the resident requests ambulation twice
- Document ambulation attempts twice per shift
Correct answer: Help the resident walk twice per day
The notation 'x2 daily' means the CNA should assist the resident with walking two times each day.
Question 6: What is the primary purpose of a care conference that includes the resident and family?
- To train family members to perform medical procedures
- To review billing and insurance matters
- To collaboratively set goals and review the resident's care plan (Correct answer)
- To discipline staff in front of the family
Correct answer: To collaboratively set goals and review the resident's care plan
Care conferences bring together the resident, family, and care team to collaboratively evaluate progress and update the care plan.
Question 7: When prioritizing tasks at the start of a shift, which resident should the CNA attend to FIRST?
- The resident who asked for help with grooming an hour ago
- The resident who needs routine vital signs taken
- The resident who is reporting chest pain (Correct answer)
- The resident whose family is visiting and wants updates
Correct answer: The resident who is reporting chest pain
Chest pain is a potentially life-threatening emergency that takes priority over all routine or non-urgent tasks.
When a resident's care plan is updated, what is the CNA's FIRST responsibility?