GNA - Geriatric Nursing Assistant Observing and Reporting Changes Questions and Answers

Question 1

A GNA is caring for a resident who is normally alert and oriented.
During morning care, the GNA notes the resident is suddenly quiet, confused about where they are, and unable to state the correct month.
What is the GNA's MOST important immediate action?

Accepted Answer

Report the sudden change in mental status to the nurse immediately.

Answer

Try to reorient the resident by showing them a calendar and a clock.

Answer

Ask the resident's family during their next visit if this is normal behavior.

Answer

Document the changes in the resident's chart at the end of the shift.

Question 2

Which of the following is an example of an objective observation that a GNA should report?

Accepted Answer

The resident's urine is noted to be cloudy and has a strong odor.

Answer

The resident states, "I have a sharp pain in my stomach."

Answer

The resident's wife says he seemed sad all morning.

Answer

The resident reports feeling anxious about an upcoming doctor's appointment.

Question 3

Mr. Smith, a resident with a history of congestive heart failure (CHF), had a recorded weight of 182 lbs yesterday. Today, his weight is 185 lbs and he has increased swelling in his ankles. What is the GNA's priority action?

Accepted Answer

Report the 3-pound weight gain and increased ankle swelling to the nurse.

Answer

Encourage Mr. Smith to drink more fluids to stay hydrated.

Answer

Re-weigh Mr. Smith after lunch to see if the number changes.

Answer

Document the weight and continue with routine care.

Question 4

While providing perineal care, the GNA notices a new, persistent, reddened area on a resident's coccyx. When the GNA presses on the area, it does not turn white (blanch). Which action should the GNA take first?

Accepted Answer

Reposition the resident to relieve pressure and report the finding to the nurse.

Answer

Apply a barrier cream to the area to protect it.

Answer

Ask the resident if the area is painful or itchy.

Answer

Make a note to check the area again at the end of the shift.

Question 5

Which of the following statements is the BEST example of proper, factual documentation by a GNA in a resident's chart?

Accepted Answer

"Resident consumed 50% of breakfast and drank 240 mL of orange juice."

Answer

"Resident was uncooperative during care this morning."

Answer

"Resident seems to be in a bad mood today."

Answer

"Resident consumed a small amount of their breakfast."

Question 6

A resident complains of dizziness. The GNA takes their radial pulse and counts 48 beats in one minute. When reporting to the nurse, which information is most essential for the GNA to communicate?

Accepted Answer

The resident's subjective complaint of dizziness and the objective pulse rate of 48.

Answer

The GNA's opinion that the resident's medication dose is too high.

Answer

That the resident's roommate also felt dizzy earlier in the day.

Answer

That the resident did not finish their breakfast this morning.

A GNA is caring for a resident who is normally alert and oriented.During morning care, the GNA notes the resident is suddenly quiet, confused about where they are, and unable to state the correct month.What is the GNA's MOST important immediate action?

A GNA is caring for a resident who is normally alert and oriented.
During morning care, the GNA notes the resident is suddenly quiet, confused about where they are, and unable to state the correct month.
What is the GNA's MOST important immediate action?