CNA Training 4 — Questions and Answers
Question 1: A CNA in training is practicing perineal care on a female mannequin. In what direction should cleansing strokes be made?
- Back to front
- Front to back (Correct answer)
- In a circular motion
- Side to side
Correct answer: Front to back
Cleansing from front to back prevents introducing microorganisms from the anal area into the urethra, reducing infection risk.
Question 2: During CNA training, students learn about the OBRA requirement to notify a resident's family. Which event requires immediate notification?
- A change in roommate assignment
- A significant change in the resident's condition (Correct answer)
- A scheduled activity cancellation
- A menu change at the facility
Correct answer: A significant change in the resident's condition
Federal regulations require facilities to immediately inform the resident's family or designated representative of a significant change in condition.
Question 3: A training scenario presents a resident who refuses a bed bath. How should the CNA trainee respond?
- Proceed with the bath anyway to maintain hygiene
- Report the refusal and respect the resident's right to refuse (Correct answer)
- Ask the charge nurse to physically assist in bathing the resident
- Document that the resident is non-compliant
Correct answer: Report the refusal and respect the resident's right to refuse
Residents have the legal right to refuse any care; the CNA must respect this, document the refusal, and notify the supervising nurse.
Question 4: In CNA training, students learn the correct sequence for donning and doffing PPE. What is the correct order for REMOVING PPE?
- Mask, gloves, gown, eye protection
- Gloves, gown, eye protection, mask (Correct answer)
- Gown, gloves, mask, eye protection
- Eye protection, mask, gown, gloves
Correct answer: Gloves, gown, eye protection, mask
The CDC recommended doffing order is gloves first, then gown, then eye protection, then mask to prevent self-contamination.
Question 5: A CNA student is learning about restorative care. What is the PRIMARY goal of restorative nursing in a long-term care setting?
- To cure the resident's underlying medical condition
- To help residents maintain or regain the highest possible level of function (Correct answer)
- To reduce the facility's staffing costs
- To prepare residents for surgical procedures
Correct answer: To help residents maintain or regain the highest possible level of function
Restorative care focuses on helping residents maintain or improve their independence in activities of daily living.
Question 6: During fire safety training, a CNA learns the RACE acronym. What does the 'C' in RACE stand for?
- Call 911
- Contain the fire by closing doors (Correct answer)
- Count the residents
- Carry residents to safety
Correct answer: Contain the fire by closing doors
In the RACE protocol, C stands for Contain — close all doors and windows to slow the spread of fire and smoke.
Question 7: A CNA trainee is shown a resident with a reddened area over a bony prominence that blanches with finger pressure. What stage of pressure injury is this?
- Stage 2
- Stage 1 (Correct answer)
- Stage 3
- Unstageable
Correct answer: Stage 1
A Stage 1 pressure injury presents as intact skin with non-blanchable or blanchable redness over a bony prominence, indicating early tissue damage.
CNA Training 4
A CNA in training is practicing perineal care on a female mannequin.
In what direction should cleansing strokes be made?