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CNA practice questions

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Question 1Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

Which task falls within the nurse aide's scope of practice?

  1. Changing a sterile surgical dressing
  2. Helping a resident with a shower Correct answer.
  3. Deciding how much pain medication to give
  4. Explaining a new diagnosis to the family

Explanation

Nurse aides provide personal care and activities of daily living that are covered in their training program and assigned by licensed staff. Sterile procedures, medication decisions, and disclosure of diagnoses require a licensed nurse or provider.

Question 2Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident who walked with a walker yesterday now cannot bear weight on the left leg. What should the aide do first?

  1. Report the change to the nurse right away Correct answer.
  2. Wait until the end of the shift to chart it
  3. Help the resident walk anyway and note it later
  4. Ask another aide what to do about it

Explanation

A new inability to bear weight is a significant change in condition that must be reported to the nurse promptly so it can be assessed. Charting later or consulting a peer delays care and exceeds the aide's role.

Question 3Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A coworker who does not care for the resident asks about the resident's test results. What is the aide's best response?

  1. Share the results since the coworker works there
  2. Look up the results together on the computer
  3. Explain that resident information is kept private Correct answer.
  4. Tell the coworker to ask the resident's roommate

Explanation

Health information is shared only with those who need it to provide care. A coworker who is not involved in the resident's care has no right to the results.

Question 4Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

Which entry is written objectively?

  1. Resident is a difficult resident to care for
  2. Resident probably did not sleep well
  3. Resident ate 50% of the lunch tray Correct answer.
  4. Resident seemed unhappy during lunch

Explanation

Objective entries describe what can be seen, heard, measured, or counted. Words such as 'seemed' or 'probably' express opinions and do not belong in the record.

Question 5Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident begins to cry while talking about a spouse who died last year. What should the aide do?

  1. Leave the room so the resident can be alone
  2. Change the subject to something cheerful
  3. Tell the resident that crying is not helpful
  4. Stay quietly with the resident and listen Correct answer.

Explanation

Crying is a normal expression of grief, and quiet presence shows respect for the resident's feelings. The aide stays, listens, and lets the resident set the pace of the conversation.

Question 6Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident refuses a scheduled bath. What is the aide's best action?

  1. Respect the refusal and offer the bath later Correct answer.
  2. Report the resident for being uncooperative
  3. Ask the roommate to convince the resident
  4. Give the bath anyway because it was ordered

Explanation

Residents have the right to refuse care, including a bath. The aide respects the decision, offers the bath again later, and reports the refusal to the nurse.

Question 7Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

An aide sees a coworker speak harshly and yank a resident's arm. What should the aide do?

  1. Say nothing since the coworker is more experienced
  2. Confront the coworker in front of residents
  3. Wait to see whether it happens again
  4. Report the incident to the nurse immediately Correct answer.

Explanation

Yanking a resident's arm and speaking harshly are potential abuse, and nurse aides are mandatory reporters. The aide must tell the nurse or charge nurse at once, following facility policy.

Question 8Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A nurse asks the aide to insert a urinary catheter, a task the aide was never trained to do. What should the aide do?

  1. Complete the task and let the nurse know afterward
  2. Attempt the procedure and ask for help if it is difficult
  3. Ask a more experienced aide to do the procedure instead
  4. Say that the task is outside the aide's training Correct answer.

Explanation

An aide may perform only tasks taught in the training program and delegated by licensed staff. The aide declines and explains why so the nurse can arrange for proper care.

Question 9Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

The aide realizes a paper flow sheet entry was written in the wrong resident's record. What is the correct action?

  1. Erase the entry and write the correct information in its place
  2. Draw a line through it, mark 'error', and initial Correct answer.
  3. Cover the entry with correction fluid and rewrite the note
  4. Remove the page from the chart and recopy the entries

Explanation

Paper records must stay legible and honest, so a mistake is corrected with a single line, the word 'error', and the aide's initials. Erasing, whiting out, or recopying makes the record look altered.

Question 10Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident who had a stroke understands speech but cannot find words to reply. Which approach helps most?

  1. Speak loudly and repeat the same word over and over
  2. Guess what the resident means and finish the sentence
  3. Use yes-or-no questions and allow time to answer Correct answer.
  4. Ask the family to speak for the resident from now on

Explanation

For a resident who understands but cannot retrieve words, yes-or-no questions reduce the search for language, and extra time lowers pressure. Louder speech does not help when the problem is word finding.

Question 11Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident with a signed do-not-resuscitate order is found with no pulse. What does the order mean for the aide?

  1. Do not start CPR; call for the nurse right away Correct answer.
  2. Begin chest compressions until the nurse arrives
  3. Give the resident water and check again later
  4. Wait for the family to arrive and decide what to do

Explanation

A do-not-resuscitate order means CPR is not started when breathing or heartbeat stops. The aide stays with the resident and notifies the nurse immediately.

Question 12Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident's family offers the aide $50 for good care. What is the best response?

  1. Split the cash with the other aides on the shift
  2. Keep the money because the care was excellent work
  3. Politely decline and tell the nurse about the offer Correct answer.
  4. Ask the family to give the money to the whole unit instead

Explanation

Accepting money for care blurs the professional boundary and can look like a bribe. The aide declines politely and tells the nurse so the offer is handled according to policy.

Question 13Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

An aide wants to post a photo of a resident's birthday party on social media. What is required?

  1. Approval from the resident's roommate in the room
  2. Nothing, as long as the resident's name is not shown with it
  3. Signed permission from the resident or representative Correct answer.
  4. Only a verbal OK from a coworker on the unit

Explanation

Photos of residents are protected health information, and posting them requires written authorization from the resident or the person who represents them. Removing the name does not make the image safe.

Question 14Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

How should the aide speak to a resident who is hard of hearing?

  1. Shout from the doorway of the room
  2. Write everything down instead of speaking
  3. Stand behind the resident and speak into the better ear
  4. Face the resident and speak clearly at eye level Correct answer.

Explanation

Speaking face to face at eye level lets the resident see the aide's mouth and expression. Clear, slightly slower speech helps more than increased volume.

Question 15Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

What is the purpose of an incident report?

  1. To decide whether the aide should be disciplined
  2. To give the family a written account of the event
  3. To record facts about an unusual event for follow-up Correct answer.
  4. To replace the entry in the resident's medical record

Explanation

An incident report records the facts of an unusual event so the facility can investigate and prevent a repeat. It is a separate internal document and does not assign blame.

Question 16Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident's religion requires a specific diet that the facility is not providing. What should the aide do?

  1. Ask the family to bring in food from home each day
  2. Serve the regular tray and chart that it was refused
  3. Tell the resident that the diet is a doctor's order
  4. Report the need to the nurse so the diet can change Correct answer.

Explanation

Meeting religious and cultural needs is part of resident rights, and diet changes must go through the nurse and dietitian. The aide reports the need rather than deciding on a substitute.

Question 17Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident with dementia insists it is time to go to work. What is the best response?

  1. Agree and help the resident find a coat and shoes to wear
  2. Redirect the resident to a simple activity instead Correct answer.
  3. Explain that the resident retired many years ago
  4. Tell the resident to sit down and stop arguing

Explanation

For dementia, redirection to a simple, familiar activity works better than correction or argument. Arguing with a false belief usually increases confusion and distress.

Question 18Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

Which statement belongs in the aide's note?

  1. Resident probably has another urinary infection
  2. Resident reports pain level of 6 out of 10 Correct answer.
  3. Resident's daughter seemed relieved today
  4. Resident is a very unhappy person overall

Explanation

A resident's own report of pain is factual, observable information for the record. Guesses, labels, and assumptions about feelings are subjective and do not belong in charting.

Question 19Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

The aide believes a resident's care plan is unsafe. What is the correct step?

  1. Ignore the plan and use personal judgment
  2. Ask the resident's family to call the doctor
  3. Discuss the concern with the charge nurse Correct answer.
  4. Change the care plan in the chart directly

Explanation

Concerns about a care plan go up the chain of command to the charge nurse, who can evaluate and revise it. Aides do not change care plans or decide to work outside them.

Question 20Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A coworker ties a resident's wheelchair to the table so the resident cannot stand. What should the aide do?

  1. Ask the resident to promise to stay seated
  2. Remove the restraint and mention it at shift end
  3. Loosen the ties a little so the resident is safer
  4. Free the resident and report it to the nurse now Correct answer.

Explanation

Using a sheet or tie to hold a resident in a chair is a restraint and is not allowed without an order, monitoring, and proper devices. The aide frees the resident and reports the coworker immediately.

Question 21Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

An aide takes a resident's wristwatch home 'to keep it safe.' This is best described as:

  1. Misappropriation of resident property Correct answer.
  2. Neglect of the resident
  3. A minor charting error that needs correcting
  4. An acceptable safety practice

Explanation

Taking a resident's belongings for personal use is misappropriation of resident property, a form of abuse that must be reported. Neglect means failing to provide needed care, which is a different violation.

Question 22Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident's family mentions they may sue the facility. How should the aide's documentation be affected?

  1. Chart only what was seen, heard, and done, factually Correct answer.
  2. Add opinions about how the injury happened
  3. Stop charting until the legal case is settled
  4. Write the note later from memory at the end of the week

Explanation

Charting is a legal record, so entries stay factual, timely, and limited to what the aide observed and did. Speculation or opinion weakens the record and can be used against the facility.

Question 23Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A more experienced aide asks a newly hired aide to perform a task the new aide was never trained for. The new aide should:

  1. Try the task once and stop if it feels wrong
  2. Ask a different coworker to watch and learn together
  3. Decline and tell the nurse the task is not in the aide's training Correct answer.
  4. Do the task since the senior aide asked

Explanation

Each aide is accountable for working within their own training and the delegation of a licensed nurse. Declining and informing the nurse protects both the resident and the aide.

Question 24Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident has died. Which statement about the resident's health information is correct?

  1. It becomes public record once the death is filed
  2. It can be shared freely because the resident has died
  3. It stays protected and is shared only as policy allows Correct answer.
  4. It may be discussed with anyone who asks politely

Explanation

Confidentiality continues after death, and the resident's information is released only as law and facility policy permit. Death does not open the record to casual discussion.

Question 25Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

An aide notices the care plan calls for turning a resident every 2 hours, but the resident is rarely turned. The aide should:

  1. Write in the chart that turning was done every 2 hours
  2. Follow the plan when possible and report the gap to the nurse Correct answer.
  3. Turn the resident alone even if it takes extra time off the unit
  4. Tell the resident's family that the staff are not doing their jobs

Explanation

The aide provides the care possible during the shift and reports the missed turning to the nurse, who can address staffing or plan problems. Advocacy means reporting problems honestly, never charting care that was not given.

Question 26Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

Which task is within a nurse aide's scope of practice?

  1. Inserting a urinary catheter
  2. Giving an oral pain medication
  3. Giving a bed bath to a dependent resident Correct answer.
  4. Changing the rate of an IV infusion

Explanation

Nurse aides are trained and permitted to perform basic personal care such as bathing, grooming, and toileting assistance. Tasks that involve assessment, sterile technique, or medication administration belong to licensed nurses. An aide may help with many tasks but must not perform those that require a nursing license.

Question 27Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A nurse aide is about to enter a resident's room to give morning care. What should the aide do first?

  1. Knock, identify herself, and wait for permission Correct answer.
  2. Call out the resident's name from the doorway
  3. Ask the roommate whether the resident is awake
  4. Open the door quietly so the resident is not disturbed

Explanation

Residents have a right to privacy, including privacy in their own rooms. Knocking, stating who you are, and waiting to be invited in respects that right and protects the resident's dignity. Entering without permission or calling from the doorway does not protect the resident's privacy.

Question 28Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident wants to open a letter from her daughter in private. What should the aide do?

  1. Take the letter to the nurse to be checked first
  2. Ask the resident to read the letter aloud so staff know the news
  3. Open the envelope first so the resident does not tear the contents
  4. Allow the resident privacy and offer help only if she asks Correct answer.

Explanation

Residents have the right to send and receive mail and to read it without staff interference. The aide's role is to deliver the mail and help only when the resident requests it. Staff may not open, screen, or require a resident to share correspondence.

Question 29Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

When should the nurse aide chart the care that was given?

  1. Only if the care was unusual in some way
  2. At the end of the shift from memory
  3. When there is free time in the afternoon
  4. Immediately after the care is completed Correct answer.

Explanation

Charting is a legal record of care and must reflect what actually happened at the time it happened. Writing entries right after care protects accuracy and keeps information available to the rest of the team. Waiting or charting from memory leads to errors and omissions.

Question 30Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident says, "I have crushing chest pain." What should the aide do first?

  1. Give the resident the prescribed nitroglycerin
  2. Wait a few minutes to see whether the pain passes
  3. Help the resident walk to the bathroom to see whether it helps
  4. Stay with the resident and call for the nurse Correct answer.

Explanation

A new complaint of chest pain must be reported to the nurse right away, and the aide should remain with the resident until help arrives. Reporting changes is a core aide responsibility; deciding on treatment is not. Aides do not give medications or decide to watch and wait.

Question 31Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A caller who says she is a resident's neighbor asks the aide for the resident's diagnosis. What is the best response?

  1. Give the diagnosis because the caller knows the resident well
  2. Say the resident is doing fine and change the subject
  3. Say you cannot share that information and get the nurse Correct answer.
  4. Read the chart aloud so the caller can decide

Explanation

Health information may be shared only with people the resident has authorized, and staff may not confirm anything to outside callers. The aide should decline politely and refer the caller to the nurse, who can follow facility policy. Giving or hinting at information is a privacy breach.

Question 32Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident refuses the afternoon walk that is on the care plan. What should the aide record?

  1. Nothing, because no care was provided at that time
  2. The refusal and the time the nurse was notified Correct answer.
  3. That the resident was lazy and would not cooperate
  4. That the resident seemed sad and stayed in bed

Explanation

Documentation should state the facts: what was offered, that the resident refused, and that the nurse was informed. Refusals are important observations that the nurse needs in order to follow up. Judgments and guesses about the resident's mood or character do not belong in the record.

Question 33Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

An aide leaves a resident sitting on the toilet for 45 minutes while talking with a coworker, ignoring the resident's repeated calls for help. This behavior is best described as:

  1. Physical abuse
  2. False imprisonment
  3. A minor lapse that needs no report
  4. Neglect Correct answer.

Explanation

Neglect is failing to provide the care and attention a resident needs, including failing to answer calls for help. Leaving a resident stranded and ignoring requests for assistance meets that definition. Neglect must be reported, and the resident must be helped immediately.

Question 34Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident tells the aide she plans to leave her jewelry to the aide in her will. What should the aide do?

  1. Explain that staff may not be named in a resident's will Correct answer.
  2. Ask the resident to put the promise in writing
  3. Thank the resident and keep the plan private
  4. Accept quietly as long as the family also agrees

Explanation

Staff may not accept gifts, inheritances, or tips from residents because such arrangements exploit the trust in the caregiving relationship. The aide should decline and, if needed, tell the nurse so the situation can be handled properly. Aides must also never take part in preparing a resident's legal documents.

Question 35Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident is blind. How should the aide begin a conversation with the resident?

  1. Say her name and tell the resident who she is Correct answer.
  2. Wait for the resident to ask who is there
  3. Take the resident's hand before speaking
  4. Speak loudly from the doorway so the resident can locate her

Explanation

A resident who cannot see needs to be told who is present, so the aide should give her name and role as soon as she approaches. Touching without warning can startle the resident, and shouting does not make a person with blindness hear better. Identifying herself also tells the resident that she is being addressed.

Question 36Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident begins to cry while talking about a recent loss. What is the best response?

  1. Promise the resident that things will get better soon
  2. Change the subject to something cheerful
  3. Stay with the resident and listen without interrupting Correct answer.
  4. Finish the care quickly so the resident can rest

Explanation

Acknowledging feelings and listening quietly lets residents express grief and shows respect for what they are experiencing. False reassurance or changing the subject tells the resident that sad feelings are not welcome. The aide can then report the resident's mood to the nurse if it continues.

Question 37Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A physician's office calls and asks the aide to take a telephone order for a new medication. What should the aide do?

  1. Repeat the order back and document it in the resident's chart
  2. Write the order down and give it to the nurse at the end of the shift
  3. Explain that a licensed nurse must take the order and get the nurse Correct answer.
  4. Take the order and have a coworker sign the record

Explanation

Telephone orders are accepted only by licensed nurses, who verify and document them according to policy. Aides are not authorized to receive, transcribe, or record orders of any kind. The aide should politely transfer the call to the nurse rather than acting on the request.

Question 38Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

An aide tells a resident, "If you do not get into the bath, you will not get any dinner." This statement is:

  1. A threat that may be considered abuse Correct answer.
  2. Fine because dinner is served later anyway
  3. A form of a restraint order
  4. Acceptable if the resident is on a tight schedule

Explanation

Threatening to withhold food or another basic need to force cooperation is a form of abuse and violates the resident's rights. Care must be offered respectfully, and a refusal should be reported to the nurse instead of punished. The aide could face discipline and legal consequences for such a threat.

Question 39Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

The aide forgot to record a resident's lunch intake. At 4:00 pm she remembers. What is the correct action?

  1. Ask a coworker to record the intake under the aide's name
  2. Record it now, marked as a late entry with the current time Correct answer.
  3. Leave the space blank and say nothing about it
  4. Write the intake in the progress notes as if it were charted at lunch

Explanation

A late entry is allowed when it is clearly labeled as late, dated and timed at the moment it is written, and accurate. Backdating an entry or having someone else chart in the aide's name makes the record false. Leaving out a known intake leaves the record incomplete.

Question 40Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

A resident who is alert and oriented tells the aide he is leaving the facility to go home. What should the aide do?

  1. Tell the resident that leaving is not permitted
  2. Physically block the door until the resident agrees to stay
  3. Lock the resident's belongings in the closet
  4. Notify the nurse and stay with the resident without using force Correct answer.

Explanation

A competent resident has the right to leave, but the facility must be informed so the nurse can follow policy and protect the resident's safety. The aide should alert the nurse promptly and remain nearby without physical intervention. Physically stopping a resident can be false imprisonment and is never the aide's role.

Question 41Promotion of Safety (infection control, body mechanics, environmental hazards, emergency response)

When should a nursing assistant perform hand hygiene?

  1. Before and after contact with each resident Correct answer.
  2. Only after wearing gloves
  3. Only at the beginning of the shift
  4. After completing all assigned tasks

Explanation

Hand hygiene is required before and after every resident contact, even when gloves are worn. This prevents transferring microorganisms between residents and the environment.

Question 42Promotion of Safety (infection control, body mechanics, environmental hazards, emergency response)

A nursing assistant is about to empty a urinary drainage bag. Which action is appropriate?

  1. Wear no gloves because the bag is a closed system
  2. Put on clean gloves before touching the bag Correct answer.
  3. Use a paper towel instead of gloves
  4. Put on sterile gloves

Explanation

Urine is a body fluid, so clean gloves are required for any contact with the drainage bag or tubing. Sterile gloves are not needed for this routine task.

Question 43Promotion of Safety (infection control, body mechanics, environmental hazards, emergency response)

Which action best demonstrates good body mechanics when lifting an object?

  1. Hold the object far from the body
  2. Twist the upper body while lifting the object
  3. Bend the knees and keep the back straight Correct answer.
  4. Lift quickly with straight legs

Explanation

Good body mechanics means using the large leg muscles and keeping the back straight while holding the load close. Twisting and reaching away from the body increase the risk of injury.

Question 44Promotion of Safety (infection control, body mechanics, environmental hazards, emergency response)

A nursing assistant discovers a fire in a resident's wastebasket. What is the first action?

  1. Remove residents who are in immediate danger Correct answer.
  2. Use the elevator to evacuate residents
  3. Run down the hall to find the charge nurse
  4. Open the window to let the smoke out

Explanation

In the RACE sequence, rescue comes first: anyone in immediate danger is moved to safety. The alarm is then activated, the fire is contained, and the fire is extinguished if it is safe to do so.

Question 45Promotion of Safety (infection control, body mechanics, environmental hazards, emergency response)

A nursing assistant sees water spilled on the bathroom floor. Which action should be taken?

  1. Tell a coworker to clean it later
  2. Cover the spill with a towel and leave it
  3. Clean the spill and place a wet floor sign Correct answer.
  4. Wait until the housekeeping shift arrives

Explanation

Spills must be cleaned up promptly and the area marked to prevent slips and falls. Leaving a wet floor unattended creates an immediate hazard for residents and staff.

Question 46Promotion of Safety (infection control, body mechanics, environmental hazards, emergency response)

Which piece of personal protective equipment should be removed first after resident care?

  1. Mask
  2. Gown
  3. Gloves Correct answer.
  4. Goggles

Explanation

Gloves are the most contaminated item and are removed first, followed by goggles or face shield, gown, and mask. This order reduces contamination of the face and hair.

Question 47Promotion of Safety (infection control, body mechanics, environmental hazards, emergency response)

Which action helps prevent falls for a resident who uses a walker?

  1. Keep the call light on the wall out of reach
  2. Place the walker across the room
  3. Keep call light and walker within reach Correct answer.
  4. Raise the bed to the highest position

Explanation

Residents at risk for falls need their call light and assistive device within easy reach. A high bed and out-of-reach items increase the chance of an unassisted attempt to get up.

Question 48Promotion of Safety (infection control, body mechanics, environmental hazards, emergency response)

A resident is choking and cannot speak or cough. Which action should the nursing assistant take?

  1. Perform abdominal thrusts Correct answer.
  2. Lie the resident down and check the pulse
  3. Place a finger in the mouth to sweep the throat
  4. Give the resident a glass of water

Explanation

A resident who cannot speak or cough has a severe airway obstruction and needs abdominal thrusts. Blind finger sweeps and giving fluids can worsen the obstruction.

Question 49Promotion of Safety (infection control, body mechanics, environmental hazards, emergency response)

A resident has Clostridioides difficile infection. Which hand hygiene action is correct?

  1. Wash hands with soap and water after contact Correct answer.
  2. Use alcohol-based hand rub only
  3. Wear gloves and skip hand hygiene
  4. Use alcohol rub before gloves and after gloves

Explanation

C. difficile spores are not reliably killed by alcohol, so soap and water handwashing is required after contact. Gloves are worn for contact, but hand hygiene is still performed after glove removal.

Question 50Promotion of Safety (infection control, body mechanics, environmental hazards, emergency response)

In what order should a nursing assistant put on PPE?

  1. Gloves, gown, mask, goggles
  2. Gown, mask, goggles, gloves Correct answer.
  3. Goggles, gloves, mask, gown
  4. Mask, gloves, gown, goggles

Explanation

The usual donning order is gown first, then mask or respirator, then goggles or face shield, and gloves last. Gloves go on last so they can cover the gown cuffs.