CNA Skills and Competencies 3

Question 1

When performing passive range-of-motion (PROM) exercises, the CNA should move each joint:

Accepted Answer

Only to the point of slight resistance without forcing the movement

Answer

PROM exercises should be performed slowly and gently, stopping at the point of slight resistance to avoid injury.

Question 2

A resident's IV line infiltrates. The CNA notices swelling and coolness at the insertion site. The FIRST action is to:

Accepted Answer

Report the finding to the nurse immediately

Answer

Infiltration is a nurse-level concern requiring immediate reporting; CNAs do not manage IV lines independently.

Question 3

Which technique is CORRECT when assisting a resident with a mechanical soft diet?

Accepted Answer

Ensure foods are finely chopped or mashed but retain some texture

Answer

A mechanical soft diet consists of foods that are finely chopped, ground, or mashed to reduce chewing difficulty while maintaining some texture.

Question 4

When providing perineal care for a female resident, the CNA should cleanse:

Accepted Answer

From front to back using a clean area of cloth for each stroke

Answer

Front-to-back cleansing prevents introducing rectal bacteria into the urethra, reducing urinary tract infection risk.

Question 5

A CNA is caring for a resident on contact precautions. After completing care, the CNA should remove PPE in which order?

Accepted Answer

Gloves, gown, mask, hand hygiene

Answer

CDC guidelines specify removing gloves first, then gown, then mask/respirator, followed by hand hygiene to prevent self-contamination.

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