Reporting & Recording
When recording Intake & Output (I&O), what unit of measurement is used for fluids?
Answer: Milliliters (mL)
Which body system is responsible for transporting oxygen and nutrients throughout the body?
Answer: Cardiovascular / Circulatory System
DAILY DOUBLE: A resident reports feeling dizzy and nauseous. The CNA observes pale skin and vomiting. Which findings are subjective and which are objective?
Answer: Subjective/Symptoms - dizziness, nausea. Objective/Signs - pale skin, vomiting.
Residents have the right to participate in decisions about their care. What resident right is this?
The right to make informed decisions about care.
Name a task that is within a CNA's scope of practice.
Possible Answers: Assisting with bathing, feeding a resident, ambulating a patient.
While helping a resident dress, you notice a large bruise on their upper arm. What should the CNA do first?
Answer: Ask the resident what happened & report the bruise to the nurse.
Where does gas exchange take place?
Answer: Alveoli
What’s a sign of dehydration?
Possible Answers: Dry mouth, dark urine, dizziness, poor skin turgor, or decreased urine output.
What federal law protects a resident's private health information?
Answer: HIPAA
What device is commonly used to help safely transfer a resident from a bed to a wheelchair?
Answer: Gait belt
A resident's temperature is 102°F, they refuse lunch, and seem unusually sleepy. What should the CNA do first?
Answer: report the findings to the nurse immediately
What are the three main functions of the musculoskeletal system?
Answer: Support, protection, and movement
A CNA notices a resident suddenly has chest pain, sweating, and shortness of breath. What should the CNA do?
Answer: Report their findings immediately to the nurse.
What federal law helps ensure quality care and protects resident rights in long-term care facilities?
OBRA (Omnibus Budget Reconciliation Act)
Which position is best for a resident eating a meal to reduce the risk of aspiration?
Answer: Fowler's position (upright sitting)
A resident's intake for the day is 1,600 mL, but output is only 500 mL. Why should this be reported?
Answer: The resident may be retaining fluid or experiencing a possible urinary problem.
DAILY DOUBLE: A resident has muscle weakness, poor coordination & balance, bladder problems, and hearing loss. Which body system is primarily affected?
Answer: Nervous System
A resident suddenly develops slurred speech, facial drooping, and weakness on one side of the body. What medical emergency may be occurring?
Answer: Stroke / Cerebrovascular Accident
A CNA witnesses a coworker yelling at a resident and threatening to withhold care. What should the CNA do?
Answer: Report suspected abuse immediately according to facility policy.
A resident is on bedrest. What should the CNA do regularly?
Answer: Reposition the resident every 2 hr to prevent pressure ulcers.
A resident is usually alert and talkative every morning. Today, the resident is withdrawn, confused, and refuses breakfast. The CNA only records and reports the food refusal. What important information was missed?
Answer: The change in mental status and behavior should have also been reported immediately.
Which division of the nervous system carries messages between the brain/spinal cord and the rest of the body?
Answer: Peripheral nervous system (PNS)
A resident has chest pain that spreads to the left arm, shortness of breath, and nausea. What medical emergency may be occurring?
Answer: Myocardial Infarction
What legal document allows a person to state healthcare wishes before becoming unable to communicate them & what should a CNA do when given this document?
Answer: Advance Directive; a CNA should give it to the nurse immediately.
A resident suddenly begins choking and cannot cough, speak, or breathe. What should the CNA do?
Answer: Following the facility emergency procedures, perform the Heimlich maneuver if trained/permitted, and get help.