CNA Personal Care Skills 4

Question 1

Before helping a client into a bath or shower, the nurse aide should FIRST

Accepted Answer

check the temperature of the water.

Answer

Before helping a client into a bath or shower, the nurse aide must always check the temperature of the water first. This is a critical safety measure to prevent burns or discomfort for the client. The water should be warm but not too hot, typically between 105°F and 115°F (40.6°C to 46.1°C), depending on facility policy and client preference.

Question 2

Which action would help prevent skin breakdown around a stoma if the resident has a colostomy?

Accepted Answer

Clean the stoma with water and mild soap.

Answer

Cleaning the stoma with water and mild soap is the correct action because it gently removes waste and irritants without damaging the delicate skin. Unlike harsh chemicals like alcohol or occlusive substances like petroleum jelly, mild soap and water maintain skin integrity and prevent irritation that could lead to breakdown. This method ensures the area remains clean and healthy, promoting proper adhesion of ostomy appliances.

Question 3

A sitz bath is helpful

Accepted Answer

after rectal surgery.

Answer

A sitz bath is specifically designed to provide therapeutic relief and promote healing in the perineal and anal areas. The warm water helps to increase blood flow, reduce pain, and soothe discomfort, making it particularly beneficial after rectal surgery, hemorrhoidectomies, or childbirth. It is not a general bath alternative or a treatment for prolonged sitting.

Question 4

Which will NOT prevent pressure sores?

Accepted Answer

massaging and rubbing the skin vigorously

Answer

Vigorously massaging and rubbing the skin, especially over bony prominences, can actually damage fragile capillaries and underlying tissues, increasing the risk of pressure sore development. Instead, gentle massage around the area (not directly on reddened skin) may improve circulation. Effective pressure sore prevention focuses on relieving pressure, keeping skin clean and dry, and maintaining wrinkle-free linens.

Question 5

At supper, Mrs. Sparks needs feeding assist. Her diet is low Sodium, mechanical soft. Which food selection is appropriate?

Accepted Answer

Mashed potatoes and a hamburger patty

Answer

The resident requires a low sodium, mechanical soft diet. Mashed potatoes are naturally soft and can be prepared with low sodium. A hamburger patty, when cooked tender and without high-sodium seasonings, also fits the mechanical soft and low sodium criteria. The other options like pizza, bologna, hot dogs, and potato chips are typically high in sodium and/or not mechanically soft.

CNA Practice Test

CNA Practice Test

CNA Personal Care Skills 4