Nursing assistant (CNA) knowledge worksheet with answers

When may a nursing assistant use an alcohol-based hand rub instead of soap and water?

1. AWhen the hands are not visibly soiled
2. BWhen there is blood on the hands
3. CAfter caring for a resident with C. difficile diarrhea
4. DWhen the hands are greasy with food

Which is an example of verbal abuse?

1. AAsking a resident what clothes she wants to wear
2. BExplaining a procedure before starting it
3. CCalling a resident names or using insulting words
4. DSpeaking slowly to a resident who is hard of hearing

What is muscle atrophy?

1. AWasting or shrinking of a muscle from lack of use
2. BSudden tightening of a muscle
3. CSwelling of a muscle after an injury
4. DGrowth of a muscle in size and strength from extra exercise

What is needed before a physical restraint may be used on a resident?

1. AAgreement from the resident's roommate
2. BA request from the resident's family
3. CA decision by the nursing assistant when the unit is short-staffed
4. DA doctor's order, after less restrictive measures have been tried

Which position often makes breathing easier for a resident with COPD who is short of breath?

1. ASitting up and leaning forward over an overbed table
2. BLying with the head lower than the feet
3. CLying flat on the back without a pillow under the head
4. DLying on the stomach

With aging, which kind of sounds are often the first to become hard to hear?

1. AHigh-pitched sounds
2. BThe person's own voice
3. CLoud sounds
4. DLow-pitched sounds

While eating, a resident suddenly has a drooping face on one side and slurred speech. What should the nursing assistant do?

1. AWait 15 minutes to see whether it passes
2. BHelp the resident finish the meal first, then go and tell the nurse
3. CGet the nurse immediately and note the time the signs started
4. DHelp the resident lie down for a nap

A resident with a do-not-resuscitate (DNR) order starts choking on food at lunch and cannot speak. What should the nursing assistant do?

1. AWait for the nurse to read the DNR order before doing anything
2. BGive abdominal thrusts and call for help; DNR does not forbid this
3. CDo nothing, because the DNR order means no emergency care at all
4. DGive the resident water to wash the food down