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OpenExam.CNA WRITTEN KNOWLEDGE · FOUNDATION PRACTICE

Mixed skills

Name: __________________________Date: __________________

10 original practice questions · Untimed · Follow each question’s response instructions

1. An aide enters the room of a resident with a severe vision difficulty. Which response is most appropriate for the nurse aide in this situation?

A. Identify yourself and explain the relevant care or environmental changes before touching the resident or moving familiar personal items.B. Begin guiding the resident by touch before identifying yourself because the resident is unable to see your approach.C. Ask a visitor to make every choice because the resident cannot visually inspect the items being discussed.D. Rearrange personal supplies silently to create a tidier room without telling the resident where the familiar items moved.

cna-vision-1

2. A resident with communication difficulty grimaces during a familiar movement. Which response is most appropriate for the nurse aide in this situation?

A. Report the resident's pain description, the observed behavior and the time it started to the nurse.B. Select a medication from another resident's supply to relieve the discomfort before contacting the nurse about it.C. Document no pain because the resident remains calm, even though a new painful sensation has been reported.D. Tell the resident that pain is expected at this age and wait until the next routine review.

cna-pain-report-3

3. A resident who could swallow earlier begins repeatedly coughing with food and is still able to breathe and speak. Which response is most appropriate for the nurse aide in this situation?

A. Offer smaller amounts of the same food to check whether repeated coughing improves before notifying the nurse.B. Replace the meal with an unapproved consistency and continue feeding while documenting the change for later review.C. Pause oral intake, maintain the resident's safety, and promptly report the new swallowing change to the nurse.D. Finish the meal slowly because the resident can still speak, then mention the coughing at routine handoff.

cna-cough-meal-1

4. A walking aid has a visibly loose part before planned use. Which response is most appropriate for the nurse aide in this situation?

A. Leave the spill until scheduled cleaning because the resident has not yet slipped while walking past it today.B. Control the immediate hazard safely and report relevant equipment defects or risks requiring another team member.C. Use visibly damaged equipment for a brief task and report the defect only after the resident has finished.D. Move the obstruction into another resident's usual walking route so the first resident can pass immediately.

cna-environment-3

5. A resident fears a complaint will cause staff to provide less help. Which response is most appropriate for the nurse aide in this situation?

A. Listen respectfully, explain how to contact the appropriate person, and support access to the concern or grievance process without retaliation.B. Keep the written concern from the designated person so the unit can avoid an unfavorable record of the event.C. Tell the resident that repeated concerns may lead to less assistance during later shifts because staff time is limited.D. Accept concerns only after the resident promises to withdraw the complaint if staff say the current care is adequate.

cna-complaint-3

6. An aide is tempted to skip toileting assistance during a busy period. Which response is most appropriate for the nurse aide in this situation?

A. Request routine catheter use solely to avoid repeated assistance, without assessment of a clinical indication.B. Reduce all beverages without an order so fewer toileting trips will be required during a busy assignment.C. Follow the current individualized toileting plan and report a new elimination change to the nurse for assessment.D. Leave the new change out of handoff because the resident already has a scheduled toileting program.

cna-continence-plan-3

7. An aide considers restraining a resident instead of obtaining assigned supervision. Which response is most appropriate for the nurse aide in this situation?

A. Threaten restraint whenever the resident asks to move so that supervision requests will become less frequent during the assignment.B. Use an unapproved restraint briefly when staff are busy, and remove it before the next scheduled round or visit.C. Follow the assessed plan and seek help rather than applying a restraint for convenience or discipline.D. Apply a restrictive device because a visitor requested it, without obtaining the required individualized assessment and lawful care instructions.

cna-restraint-3

8. A wheelchair weight has not been subtracted from the measured total. Which response is most appropriate for the nurse aide in this situation?

A. Copy the preceding weight when the assigned measurement method is unavailable, then correct the record next week.B. Use the assigned safe weighing method, record the actual weight and units, and report an unusual change to the nurse.C. Change the resident's food or fluid plan independently after seeing an unexpected difference from the last weight.D. Record the scale display without its unit because the numerical change is the only information needed for the trend.

cna-weight-trend-4

9. A resident who usually converses clearly is newly difficult to understand. Which response is most appropriate for the nurse aide in this situation?

A. Wait for another staff member to observe the same change before deciding whether it is worth reporting.B. Promptly report the specific change, when it began, and how today's observation differs from usual function.C. Record only that the resident needs more help today, without describing what changed or when it was noticed.D. Try an independently chosen treatment first and report the change only if the treatment does not work.

cna-report-change-3

10. A resident asks to explain why a routine task is upsetting. Which response is most appropriate for the nurse aide in this situation?

A. Provide a reassuring promise before asking what the resident means or whether the aide can deliver the requested result.B. Describe another resident's private experience to show why this concern is not important enough to report.C. Move directly to the next scheduled task because the concern has not yet been expressed using clinical terms.D. Listen to the concern, clarify its meaning, and communicate relevant needs through the care team.

cna-listen-3

OpenExam.ANSWER KEY · KEEP SEPARATE

Answers & reasoning

1. Identify yourself and explain the relevant care or environmental changes before touching the resident or moving familiar personal items. · Choice A

Identify the relevant observation or expressed preference: An aide enters the room of a resident with a severe vision difficulty. Clear verbal orientation and consistent placement support independence. Describe relevant changes and ask before assistance instead of treating a visual difficulty as inability to participate. Therefore the aide should: Identify yourself and explain the relevant care or environmental changes before touching the resident or moving familiar personal items.

cna-vision-1

2. Report the resident's pain description, the observed behavior and the time it started to the nurse. · Choice A

Identify the relevant observation or expressed preference: A resident with communication difficulty grimaces during a familiar movement. Pain information includes the person's own words, location, timing, and relevant observations. The aide communicates that information without independently selecting a medication or diagnosis. Therefore the aide should: Report the resident's pain description, the observed behavior and the time it started to the nurse.

cna-pain-report-3

3. Pause oral intake, maintain the resident's safety, and promptly report the new swallowing change to the nurse. · Choice C

Identify the relevant observation or expressed preference: A resident who could swallow earlier begins repeatedly coughing with food and is still able to breathe and speak. A change during a meal is a reason to pause the task and obtain qualified help. This pilot does not teach emergency choking maneuvers; inability to breathe or speak requires the facility emergency response immediately. Therefore the aide should: Pause oral intake, maintain the resident's safety, and promptly report the new swallowing change to the nurse.

cna-cough-meal-1

4. Control the immediate hazard safely and report relevant equipment defects or risks requiring another team member. · Choice B

Identify the relevant observation or expressed preference: A walking aid has a visibly loose part before planned use. Accident prevention includes the environment and the person's assistance needs. Correct a simple hazard safely and escalate defects or conditions that require another team member. Therefore the aide should: Control the immediate hazard safely and report relevant equipment defects or risks requiring another team member.

cna-environment-3

5. Listen respectfully, explain how to contact the appropriate person, and support access to the concern or grievance process without retaliation. · Choice A

Identify the relevant observation or expressed preference: A resident fears a complaint will cause staff to provide less help. Residents may voice concerns without discrimination or reprisal. The aide supports access to the appropriate process rather than deciding that a complaint is disloyal. Therefore the aide should: Listen respectfully, explain how to contact the appropriate person, and support access to the concern or grievance process without retaliation.

cna-complaint-3

6. Follow the current individualized toileting plan and report a new elimination change to the nurse for assessment. · Choice C

Identify the relevant observation or expressed preference: An aide is tempted to skip toileting assistance during a busy period. Continence support uses the person's pattern, ability, preferences, and assessed plan. New difficulties are observations to communicate, not grounds for punishment or unprescribed devices. Therefore the aide should: Follow the current individualized toileting plan and report a new elimination change to the nurse for assessment.

cna-continence-plan-3

7. Follow the assessed plan and seek help rather than applying a restraint for convenience or discipline. · Choice C

Identify the relevant observation or expressed preference: An aide considers restraining a resident instead of obtaining assigned supervision. A resident is entitled to care free of restraints used for discipline or convenience. The aide follows the assessed plan and obtains help rather than inventing a restrictive solution. Therefore the aide should: Follow the assessed plan and seek help rather than applying a restraint for convenience or discipline.

cna-restraint-3

8. Use the assigned safe weighing method, record the actual weight and units, and report an unusual change to the nurse. · Choice B

Identify the relevant observation or expressed preference: A wheelchair weight has not been subtracted from the measured total. Weights are comparable only when the technique and units are understood. Record the measurement accurately and communicate an unexpected change for assessment. Therefore the aide should: Use the assigned safe weighing method, record the actual weight and units, and report an unusual change to the nurse.

cna-weight-trend-4

9. Promptly report the specific change, when it began, and how today's observation differs from usual function. · Choice B

Identify the relevant observation or expressed preference: A resident who usually converses clearly is newly difficult to understand. A useful report describes what is different, when it began, and what was observed. The nurse assesses the clinical meaning; the aide does not need a diagnosis before reporting. Therefore the aide should: Promptly report the specific change, when it began, and how today's observation differs from usual function.

cna-report-change-3

10. Listen to the concern, clarify its meaning, and communicate relevant needs through the care team. · Choice D

Identify the relevant observation or expressed preference: A resident asks to explain why a routine task is upsetting. Effective communication starts with the person's account. Clarifying what was meant is more useful than assumptions, false reassurance, or discussing someone else. Therefore the aide should: Listen to the concern, clarify its meaning, and communicate relevant needs through the care team.

cna-listen-3

Original source-grounded practice. Content and reasoning checks are separate from professional educator review, which remains pending. Not an official exam paper.