Virginia CNA case studies
Virginia CNA · Put your knowledge to work in context.
The Virginia Nurse Aide Competency Examination is the assessment a candidate must pass to be placed on the Virginia Nurse Aide Registry and work as a certified nursing assistant (CNA) in the state. It is intended for people who have completed a state-approved nurse aide training program - often through a community college, long-term care facility, or hospital-sponsored program - and for experienced aides who need to demonstrate competency. The Virginia CNA case studies are 5 cases and about 4,533 words.
1Found on the Floor at 0615: An Unwitnessed Fall in a Resident on Warfarin
R is 82 and has left-sided weakness from a stroke. She takes warfarin daily, uses a walker, and her care plan says 'assist of one with transfers; call light within reach.' At 0615 you answer her light and find her sitting on the floor beside the bed, glasses off, in a small amount of urine.
905 words, about 5 min290/54 Before Breakfast: Judging a Vital Sign Against the Resident's Own Baseline
T is 79 and was started on a new blood pressure medication three days ago. His usual readings run around 132/78 with a pulse in the low 70s.
879 words, about 4 min3The Milkshake at the Bedside: Dysphagia, Thickened Liquids, and a Family That Means Well
L is 74, six weeks after a stroke that left him with a mild swallowing difficulty. His chart lists nectar-thick liquids and a mechanical soft diet, and he has had aspiration pneumonia twice.
855 words, about 4 min4What You Saw in Room 12, and a Charge Nurse Who Says Stay Quiet
You work the 3-to-11 shift on a 30-bed unit. At about 1930 you see a coworker grab the right upper arm of Mrs.
916 words, about 5 min54:30 in the Afternoon: Exit-Seeking, a Push, and Pain Nobody Asked About
K is 86 with moderate Alzheimer's disease. She moved in six days ago from the home where she raised four children.
978 words, about 5 min