CNA Test Prep 2021

Front

Which of the following is the most appropriate time to use a soft toothette?
When a resident has dentures, When a resident is having a seizure, when giving an unconscious resident mouth care, when a resident is complaining of a toothache

Back

when giving an unconscious resident mouth care

Front

A resident is recovering from a stroke and has weakness on their left side. They call you to help them put on a sweater. Assistance should be given ____.

Back

on the residents left side

Answer explanation

Assisting on the side that is the weakest offers support and helps the resident to keep their balance. The other options are not the best means of support.

Front

Which of the following would be an inappropriate action when providing hygienic care to a resident? Thoroughly dry skin to prevent breakdown after washing., Apply lotion to the body with extra coverage between the fingers and toes., Encourage the resident to participate in their personal hygiene, Examine the skin for any areas of skin breakdown or injuries

Back

Apply lotion to the body with extra coverage between the fingers and toes.

Answer explanation

Applying lotion to the body may be indicated, however, between toes should be avoided. Lotion may serve as a medium for bacterial growth which can lead to infections and skin breakdown. Residents should be encouraged to participate in their self-care to the extent of their abilities. Skin should be dried thoroughly and examined to identify any potential risks or current breaks in skin integrity.

Front

It is time to bathe an Alzheimer’s patient who's visitors have been in the room for most of the shift. What is the most appropriate action for the nursing assistant to take?

Back

Ask the visitors to step out to provide privacy until the bath is complete.

Answer explanation

It is in the scope of practice, for a CNA to be responsible for a patient’s privacy. It is important to see that ADLs are accomplished within a reasonable time span and the question indicates that visitors have been present “most of the shift,” giving no opportunity for ADLs to be completed. Visitors can wait in another area unless it is an person who would be appropriate to assist if they choose. A patient with dementia may not make the best decision as to when their bath should occur.

Front

The nursing assistant is helping a quadriplegic resident eat dinner. Which of the following actions by the nursing assistant is inappropriate? Sit at eye level with the resident. Offer the resident drinks only after all the meal has been consumed. Offer the resident small bites and allow time for chewing. Encourage personable conversation with the resident.

Back

Offer the resident drinks only after all the meal has been consumed.

Answer explanation

Drinks should be offered throughout the meal, every few bites. This allows the resident to have access to fluids to help wash down the food previously eaten.

Front

A resident is often late to physical therapy because she is very slow at feeding herself during breakfast. What is the best action for the nursing assistant to take?

Back

Bring the resident to breakfast earlier

Answer explanation

Bringing the resident to breakfast earlier allows the resident to continue independently feeding herself and still make her physical therapy on time. The other options either encourage dependence or could border on neglect.

Front

Which of these is an incorrect procedure for shaving a resident? Shave upward on the neck. Use a towel around the resident’s chest when shaving his face When shaving the face, start from the chin and shave upward toward the sideburns. Before shaving a resident, check on his/her records and with the nurse to be sure the resident does not have the potential to bleed because of illness or medications

Back

When shaving the face, start from the chin and shave upward toward the sideburns.

Answer explanation

Remember, the question asks for the incorrect procedure. Shaving the face from the chin upward to the sideburns is an incorrect technique for shaving a resident. You need to start at the sideburns and shave downward. All of the other options are correct procedures when shaving a resident.

Front

Which of these is not a common mealtime and eating challenge that residents often face? chewing or swallowing problems, loss of ability to manipulate eating utensils, not being reminded when it is time to eat, decreased recognition of hunger or thirst

Back

not being reminded when it is time to eat

Answer explanation

If a care facility is doing its job, residents will be reminded of when it is time to eat, will feed the resident using caregivers or have nourishment given intravenously. This is the only option that should not be a problem for proper care of residents. The other answers are frequent and common challenges residents face.

Front

Which of these is an important fact that is easily overlooked or forgotten by caregivers and facilities in reference to resident bathing needs?
Beliefs about bathing frequency differs among cultures.
The caregiver needs to use proper body mechanics to avoid injury when bathing a resident
The resident should be rinsed and dried thoroughly.
The water needs to be at a safe temperature for bathing.

Back

Beliefs about bathing frequency differs among cultures.

Answer explanation

Cultural differences in the frequency and types of bathing should be taken into consideration although it is not often thought of when setting a resident’s care schedule. All of the other answers are part of standard operating procedures for bathing.

Front

Which of these may depend on facility rules when performing nail care on a resident? The policy on cutting toenails. When providing nail care, report blue or pale nail beds to the nurse. Nail care is best provided if the resident can sit in a chair, although it can be done with the resident in bed. Nails are easier to trim if the feet or hands soak for 10 minutes before starting.

Back

The policy on cutting toenails.

Answer explanation

Many care giving facilities only allow nurses and physicians to cut a resident’s toenails. The other options are all within the scope of a nursing assistant’s role for nail care given to residents.