CNA Written Questions
Who does the CNA report to?
Nurse/Charge Nurse
What are the steps in intial steps?
1. Ask nurse about residents NEEDS, ABILITIES and LIMITATIONS, if necessary.
2. KNOCK and IDENTIFY YOURSELF before entering residents room. WAIT for permission to enter residents room.
3. Greet resident by NAME per resident preference.
4.Identify yourself by NAME and TITLE.
5. Explain what you will be doing. Encourage resident to help as able.
6. Gather supplies and check equipment.
7. Close curtains, drapes and doors. Keep resident covered, expose only the area of residents body necessary to complete procedure.
8. Wash your hands
9. Wear gloves as indicated by standard Precautions.
10. Use proper body mechanics. raise bed to appropriate height and lower bed rails (if raised)
What are types of abuse?
Sexual, Mental, Emotional, Physical, Verbal, Neglect, Misappropriation, Involuntary seclusion
What are the steps in final steps?
1. Remove gloves, if applicable, and wash hands.
2. Be certain resident is comfortable and in good alignment. Use proper body mechanics.
3. Lower bed height and position side rails as appropriate.
4. Place call light and water within patients reach.
5. Ask resident if anything else is needed.
6. THANK RESIDENT.
7. Remove supplies and clean equipment according to facility procedure.
8. Open curtains, drapes and door according to residents wishes.
9. Perform a safety check of resident and environment.
10. REPORT unexpected findings to nurse.
11. DOCUMENT procedures according to facility procedure.
What is the most important action to take to prevent spread of infection?
Wash Hands
What is the universal sign for choking?
Clutching throat
What are the steps of handwashing?
1. Turn on faucet with a CLEAN paper towel.
2. Adjust water to acceptable temperature.
3.Angle arms down holding hands lower than elbows. Wet hands and wrists.
4. Apply enough soap to cover all hand and wrist surfaces. Work up a lather.
NOTE: Direct caregivers must rub hands together vigorously, as follow's for at least 20 SECONDS, covering all surfaces of the hands and fingers.
5. Rub hands palm to palm.
6. Right palm over top of left hand with interlaced fingers and visa versa.
7.Palm to palm with fingers interlaced.
8.Back of fingers to opposing palms with fingers interlocked.
9.Rotational rubbing, of left thumb clasped in right palm and visa versa.
10. Rotational rubbing, backwards and forwards with clasped fingers of right hand in left palm and vice versa. Clean finger nails.
11.Rinse hands with water down from wrist to fingertips.
12. Dry thoroughly with a single use towels.
13. Use towel to turn off faucet and discard towel.
What is the normal pulse rate?
60 to 100
What are the steps to assist the resident to the head of the bed?
1. Do initial steps. Ask another CNA to assist you if needed
2. Lower head of bed and lean pillow against head board.
3. Ask resident to bend knees, put feet flat of mattress.
4. Place one arm under resident's shoulder blades and the other arm under resident's thighs. If a draw sheet or pad is under resident, 2 caregivers should grasp the sheet or pad firmly, with trunk centered between hands.
5. Ask resident to push with feet on count of three.
6. Place pillow under resident's head.
7. Do final steps.
Should affected limbs or non affected limbs be dressed first?
Affected limbs
What are four most common bed positions?
Supine, Lateral, Semi-fowlers, Fowlers
What are the steps to use the gait belt to assist with ambulation?
1. Do initial steps
2. Assist resident to sit on the edge of bed. Encourage resident to sit for a few seconds to become steady. Check for dizziness.
3. Place belt around resident wait with the buckle in front (on top of residents clothing) and adjust to a snug fit ensuring that you can get your hands under the belt. Position one hand on the belt at the residents side and the other hand at the residents back
4. Assist the resident to stand on the count of three.
5. Allow resident to gain balance. Ask the resident if dizzy.
6. Stand to the side and slightly behind resident while continuing to hold onto the belt.
7. Walk at residents pace.
8. Return resident to chair or bed and remove belt.
9. Do final steps.
Transfer to Chair
1. Do initial steps.
2.Place chair on resident's UNAFFECTED side. Brace Firmly against side of bed.
3. Assist resident to sit on edge of bed. Encourage resident to sit for a few seconds to become steady. Check for dizziness.
4.Stand in front of resident and apply gait belt around residents abdomen.
5. Grasp the gait belt securely on both sides of the resident
6. Ask resident to place his hands on your UPPER ARMS.
7. On the count of three, help resident into standing position by straightening your knees.
8. Allow resident to gain balance, check for dizziness.
9. Move your feet 18 INCHES APART and slowly turn resident.
10. Lower resident into chair by bending your knees and leaning forward.
11. Align resident's body and position foot rests. Remove gait belt.
12. Do Final Steps
When a resident has a feeding tube, what should be done while resident is in bed?
Head of bed must be elevated
What are the steps when completing a back rub?
1. Do initial steps
2. Assist resident to sit on the edge of bed. Encourage resident to sit for a few seconds to become steady. Check for dizziness.
3. Place belt around resident wait with the buckle in front (on top of residents clothing) and adjust to a snug fit ensuring that you can get your hands under the belt. Position one hand on the belt at the residents side and the other hand at the residents back
4. Assist the resident to stand on the count of three.
5. Allow resident to gain balance. Ask the resident if dizzy.
6. Stand to the side and slightly behind resident while continuing to hold onto the belt.
7. Walk at residents pace.
8. Return resident to chair or bed and remove belt.
9. Do final steps.
Transfer to Chair
1. Do initial steps.
2.Place chair on resident's UNAFFECTED side. Brace Firmly against side of bed.
3. Assist resident to sit on edge of bed. Encourage resident to sit for a few seconds to become steady. Check for dizziness.
4.Stand in front of resident and apply gait belt around residents abdomen.
5. Grasp the gait belt securely on both sides of the resident
6. Ask resident to place his hands on your UPPER ARMS.
7. On the count of three, help resident into standing position by straightening your knees.
8. Allow resident to gain balance, check for dizziness.
9. Move your feet 18 INCHES APART and slowly turn resident.
10. Lower resident into chair by bending your knees and leaning forward.
11. Align resident's body and position foot rests. Remove gait belt.
12. Do Final Steps
What is the list called to describe the residents belongings brought to the facility?
Personal Inventory Record
Why should toenails of diabetic resident only be trimmed by nurse?
Due to poor circulation, even a small sore on the foot can become a large wound
What are the steps when completing oral care on a conscious resident?
1. Do initial steps. Check with nurse if the resident is on swallowing precautions.
2. Raise head of bed so resident is sitting up.
3. Put on gloves
4. Drape towel under resident's chin.
5. Wet brush and put on small amount of toothpaste.
6. First Brush upper teeth and then lower teeth.
7. Hold emesis basin under resident's chin.
8. Ask resident rinse mouth with water and spit into emesis basin.
9. If requested, give resident mouthwash diluted with half water.
10. Check teeth, mouth, tongue, and lips for odor, cracking, sores, bleeding, and discoloration. Check for loose teeth. Report any unusual findings to nurse.
11. Remove towel and wipe resident's mouth.
12. Remove gloves
13. Do final steps.
What is the importance in personal protective equipment?
Proper usage will provide a barrier between the caregiver and the pathogen, thus preventing the spread of infection
What are the steps when completing oral care on a unconscious resident?
1. Do initial steps.
2. Drape towel over pillow and a towel under residents chin
3. Turn resident onto unaffected side.
4. Put on gloves
5. Place an emesis basin under resident's chin.
6. Dip swab in cleaning solution of 1/2 mouthwash and 1/2 water and wipe teeth, gums, tongue and inside surfaces of mouth, changing swab frequently.
7. Rinse with clean swab dipped in water.
8. Check teeth mouth, tongue, and lips for odor, cracking, sores, bleeding and discoloration. Check for loose teeth. Report any unusual findings to the nurse.
9. Cover lips with a thin layer of moisturizer.
11. Remove gloves
12. Do final steps.
What are some examples of residents rights?
See survey results, voice grievances, self administer meds, be free from abuse, free to make choices
What is the difference between passive range of motion and active range of motion?
PROM are done by caregivers moving the residents limbs and joints while AROM are done by the resident themselves
What are the steps when using a bedpan/fracture pan?
1. Do initial steps.
2. Lower head of bed.
3. Put on gloves (according to procedure 2).
4. Turn resident away from you.
5. Place bedpan or fracture pan according to manufacturer's directions.
6. Gently roll resident back onto pan and check for correct placement.
7. Cover resident with sheet/blanket
8. Raise head of bed to comfortable position for resident
9. Give resident call light and toilet paper.
10. Leave resident and return when called.
11. Lower head of bed.
12. Press bedpan flat on bed and turn resident.
13. Wipe resident from front to back.Wash hands and change gloves
14. Provide perineal care if necessary
15. Cover bedpan and take to bathroom
16. Check urine and or feces for color, odor, amount, and character and report unusual findings to nurse.
17. Dispose of urine and/or feces, sanitize pan and return according to current facility policies.
18. Remove gloves and wash hands
19. Assist resident to wash hands.
20. Do final steps.
What are the reasons for IV or PICC line?
Nutrition, Medicine, Blood
What are the steps when completing a stool specimen collection?
1. Do initial steps.
2. Prepare label for specimen with appropriate information and place it on specimen container, not the lid.
3. Put on gloves
4. When resident is ready to move bowels, ask him/her not to urinate at the same time. Ask the resident not to put toilet paper with the sample.
5. Provide resident with a bedpan, assisting if needed.
6. After the bowel movement, assist as needed with perineal care.
7. Remove gloves, wash hands and put on clean gloves.
8. Using two tongue blades, take about two tablespoons full of stool and put it in the container, Try to collect material from different areas from the stool.
9. Cover the container with lid. Label as directed per facility policy and procedure and place in the plastic bag supplied by the lab for transport. Dispose the remaining stool; clean and disinfect equipment as per facility policy. Notify nurse of collection.
10. Do final steps
What to do when a resident becomes combative?
Remain calm, step out of the way, remove other residents, never strike back or respond verbally, leave resident alone to calm down (if safe) and report the behaviors to the nurse immediately