CNA Resident-Based Competency Practice Test

Question 1

A resident with COPD becomes noticeably short of breath while getting dressed. What should the CNA do first?

Finish dressing quickly so the resident can rest afterward Lay the resident flat and raise both legs Offer a large meal to restore energy Pause the activity, help the resident sit upright, and encourage slow pursed-lip breathing

Correct Answer:

Pause the activity, help the resident sit upright, and encourage slow pursed-lip breathing

Explanation:

Pausing exertion and helping the resident sit upright can ease breathing. Pursed-lip breathing may help a person with COPD control exhalation. The CNA should also observe the resident and report worsening or unrelieved shortness of breath to the nurse.

Question 2

A resident with COPD says the oxygen does not feel strong enough and asks the CNA to increase the flow rate. What is the best response?

Remove the oxygen until the resident is less anxious Keep the oxygen at the prescribed setting and notify the nurse about the resident's breathing concern Increase the flow rate by one liter per minute and reassess in five minutes Turn the oxygen off briefly and restart it at a higher setting

Correct Answer:

Keep the oxygen at the prescribed setting and notify the nurse about the resident's breathing concern

Explanation:

Oxygen is a prescribed therapy. A CNA should not independently change the prescribed flow rate. The safest response is to keep the ordered setting, support the resident, and promptly report the breathing concern to the nurse.

Question 3

Which care approach best helps a resident with COPD conserve energy during morning care?

Complete all bathing, dressing, and walking without breaks Encourage the resident to hold the breath during difficult movements Limit the resident's participation in all self-care activities Schedule rest periods between tasks and allow extra time for activities

Correct Answer:

Schedule rest periods between tasks and allow extra time for activities

Explanation:

COPD can make ordinary activities tiring and breathless. Breaking care into smaller tasks with rest periods reduces exertion while still supporting as much independence as the resident can safely manage.

Question 4

A resident with heart failure is on a daily-weight program. Which method gives the most useful comparison from day to day?

Weigh only when ankle swelling is visible Weigh the resident after the largest meal of the day Use the same scale at about the same time of day with similar clothing Use any available scale as long as the number is documented

Correct Answer:

Use the same scale at about the same time of day with similar clothing

Explanation:

Daily weights are most meaningful when conditions are consistent. Using the same scale, a similar time of day, and similar clothing makes changes more likely to reflect true fluid gain or loss rather than measurement differences.

Question 5

A resident with heart failure has new ankle swelling and is more short of breath than usual while walking to the bathroom. What should the CNA do?

Report the new swelling and increased shortness of breath to the nurse promptly Give the resident extra fluids before reporting the change Encourage the resident to walk farther to move the fluid out of the legs Wait until the end of the shift to see whether the symptoms improve

Correct Answer:

Report the new swelling and increased shortness of breath to the nurse promptly

Explanation:

New edema and worsening shortness of breath can signal increasing fluid congestion in heart failure. These are changes in condition that should be reported promptly so the nurse can assess the resident.

Exam overview

About this Exam

The Certified Nursing Assistant (CNA) Resident-Based Competency Evaluation is the essential final milestone for individuals seeking to begin a career in nursing support, particularly within long-term care facilities, nursing homes, and assisted living communities.

This exam is rigorously designed to assess whether an aspiring nurse aide possesses the requisite knowledge, practical skills, and compassionate understanding to provide safe, dignified, and effective care to residents who cannot fully care for themselves.

Passing this exam validates that you are ready to be placed on the State Nurse Aide Registry, making it the gateway for dedicated individuals who want to make a meaningful difference in the lives of the elderly and chronically ill.

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