CNA Skills and Competencies 4

Question 1

A resident with a new colostomy expresses shame about the appliance. The BEST therapeutic response by the CNA is:

Accepted Answer

Acknowledge the resident's feelings and listen without judgment

Answer

Acknowledging feelings using therapeutic communication validates the resident's emotions and builds trust without minimizing concerns.

Question 2

When using a gait belt to assist a resident in ambulation, the belt should be placed:

Accepted Answer

Around the resident's waist over clothing

Answer

The gait belt is applied snugly around the waist over clothing, with enough room to slide two fingers underneath.

Question 3

A resident on a fluid restriction of 1,000 mL/day has consumed 700 mL by noon. How much fluid remains for the rest of the day?

Accepted Answer

300 mL

Answer

1,000 mL − 700 mL = 300 mL remaining for the afternoon and evening shifts.

Question 4

Which observation should the CNA report IMMEDIATELY when caring for a resident with a urinary catheter?

Accepted Answer

Drainage tubing kinked under the resident's leg

Answer

A kinked catheter prevents urine drainage, can cause bladder distension and infection, and must be corrected and reported promptly.

Question 5

To prevent footdrop in a bedridden resident, the CNA should:

Accepted Answer

Use a foot board or high-top sneakers to maintain dorsiflexion

Answer

Foot boards and supportive footwear keep the foot in a neutral (dorsiflexed) position, preventing plantar flexion contracture (footdrop).

CNA - Certified National Accountant Practice Test