Nursing assistant (CNA) knowledge worksheet with answers

When washing the hands with soap and water, how long should the hands be rubbed together with soap?

1. AAt least 20 seconds
2. BOnly until the soap has foamed
3. CAbout 5 seconds
4. DAt least 5 minutes

Which action keeps a professional boundary with residents?

1. AKeeping your personal problems and phone number private
2. BLending a resident money until payday
3. CInviting a resident to your home for a family dinner on a day off
4. DAccepting an expensive watch as a gift

Why are warm applications especially risky for older residents?

1. AThey always feel heat more strongly than younger adults
2. BTheir skin is thicker than younger skin and does not let heat in
3. CTheir thin skin may not sense heat well, so they burn easily
4. DWarm applications have no effect on older skin

Which way of giving directions works best for a resident with dementia?

1. AAll the steps at once, so the resident can plan ahead
2. BDetailed explanations of why each step is needed
3. CShort, simple sentences with one step at a time
4. DWritten instructions left on the bedside table

Before giving care in bed, such as a bed bath, how high should the nursing assistant raise the bed?

1. ALeave it in the lowest position for safety
2. BRaise only the head of the bed to about 45 degrees
3. CTo a comfortable working height, about waist level
4. DTo the highest position the bed can reach

Which observation uses the sense of smell?

1. ANoticing a foul odor from a resident's wound dressing
2. BHearing a resident wheeze when breathing
3. CSeeing a red area on a resident's heel
4. DFeeling that a resident's skin is cool and damp to the touch

A resident with dementia keeps going through her roommate's drawers and taking items. What is the best approach?

1. AMove all of the roommate's belongings out of the room without asking
2. BTell her each time that stealing is wrong
3. CGently redirect her and offer a drawer or box of her own items to sort, then report it
4. DLock the resident in her room when the roommate is out

A resident with heart failure tells the nursing assistant that she now needs three pillows to breathe at night instead of one. What should the nursing assistant do?

1. ATell her to sleep flat to strengthen her lungs
2. BRemove her pillows so she sleeps better
3. CReport it, because it may mean her heart failure is worse
4. DGive her more pillows and say nothing, since she is comfortable