CNA Risk Assessment & Management 2 — Questions and Answers
Question 1: A resident who was continent last month now has two episodes of urinary incontinence daily. What is the CNA's priority action?
- Place absorbent pads and continue normal care
- Report the change to the nurse immediately (Correct answer)
- Limit the resident's fluid intake
- Remind the resident to use the call light
Correct answer: Report the change to the nurse immediately
A new change in continence is a significant clinical change that must be reported to the nurse promptly for assessment.
Question 2: Which tool is most commonly used by CNAs to communicate a change in resident status to the nurse?
- SOAP charting
- SBAR communication framework (Correct answer)
- ABC assessment tool
- Minimum Data Set (MDS)
Correct answer: SBAR communication framework
SBAR (Situation, Background, Assessment, Recommendation) is the standardized communication tool used to convey changes in resident status clearly and efficiently.
Question 3: A resident with a history of seizures begins to have a seizure while sitting in a chair. What should the CNA do FIRST?
- Insert a tongue depressor to protect the airway
- Lower the resident to the floor safely (Correct answer)
- Call the nurse and wait for instructions
- Restrain the resident's limbs to prevent injury
Correct answer: Lower the resident to the floor safely
The priority is to prevent injury by safely lowering the resident to the floor and protecting the head.
Question 4: What does the acronym 'RACE' stand for in fire safety?
- Remove, Alarm, Contain, Extinguish
- Rescue, Alarm, Contain, Extinguish (Correct answer)
- Remove, Alert, Close, Evacuate
- Rescue, Alert, Call, Evacuate
Correct answer: Rescue, Alarm, Contain, Extinguish
RACE stands for Rescue (remove people in danger), Alarm (activate the fire alarm), Contain (close doors), and Extinguish (use a fire extinguisher if safe).
Question 5: A resident on blood thinners reports a small cut that will not stop bleeding after 10 minutes. What is the CNA's best response?
- Apply pressure and monitor for another 10 minutes
- Apply a tourniquet above the wound
- Report to the nurse immediately (Correct answer)
- Apply an antibiotic ointment and bandage
Correct answer: Report to the nurse immediately
Residents on anticoagulants are at high risk for uncontrolled bleeding, which must be reported to the nurse immediately for evaluation.
Question 6: Which resident characteristic is the GREATEST risk factor for developing a pressure injury?
- Mild confusion with intact mobility
- Immobility with urinary incontinence (Correct answer)
- Advanced age with good nutrition
- Mild dehydration with full mobility
Correct answer: Immobility with urinary incontinence
Immobility combined with urinary incontinence significantly increases skin breakdown risk due to prolonged pressure and moisture exposure.
Question 7: When using a gait belt to assist a resident who begins to fall, what should the CNA do?
- Pull the resident upright using the gait belt
- Let go of the belt and call for help
- Guide the resident to the floor in a controlled manner (Correct answer)
- Hold the resident against the wall for support
Correct answer: Guide the resident to the floor in a controlled manner
Attempting to stop a fall can injure both the resident and the CNA; the safest action is to guide the resident to the floor in a controlled manner.
CNA Risk Assessment & Management 2
A resident who was continent last month now has two episodes of urinary incontinence daily.
What is the CNA's priority action?