NURSING ASSISTANT CNA 2026
COMPETENCY EVALUATION EXAM
◉ suffocation prevention. Answer: - never leave a patient
unattended in a bathtub , even if small amount of water
- notice difficulty chewing or swallowing, report supervising nurse
immediately
- check restraints, does not interfere with breathing
- recognize and know signs of an obstructed airway and be prepared
to perform Heimlich maneuver
◉ body mechanics. Answer: special techniques to coordinate
balance and movement in order to prevent strain and injury
◉ basic rules of proper body mechanics. Answer: - watch posture
- avoid lifting whenever possible
- keep back straight
- stay balanced
- avoid twisting body
- hold heavy objects close to body
- lift smoothly
- if an object or patient is too heavy, ask for help
,- plan and think your move
◉ restraints. Answer: belts, straps, or garments used to hold a
patient in position or to restrict the movement of a limb
◉ chemical restraint. Answer: certain drugs (sedatives) that restrain
a person by controlling his/ her behavior
◉ Consider use of restraints. Answer: - restraints may be used only
on written order by physician
- apply restraints only when directed by licensed nurse
- avoid the need for restraints
- follow federal guidelines
- apply restraints properly
- provide for patient's basic needs
◉ clove hitch. Answer: a type of knot that can be easily released in
case of emergency
◉ using restraints. Answer: - written physician's order for restraint
- apply restraints if trained, request help
- explain what you are doing before applying restraint
- protect bony areas with soft padding
,- allow circulation
- tie restraints to the bed or wheelchair frame, not side rails, use
clove hitch knot
- place call button within easy reach
- check breathing and circulation every 30min
- remove restraints periodically, 10min every 2 hours
◉ start a fire. Answer: - fuel
- heat
- oxygen
◉ fire prevention. Answer: - report all frayed cords, faulty wires, and
damaged electrical equipment
- avoid overloading circuits with too many electrical cords
- dispose all trash
- smell burn or see smoke, report immediately
- know facility's fire plan
- practice fire emergency procedures
- know facility's floor plan and location of all exits, fire alarms,
extinguishers and how to use
- keep fire exits clear of obstacles
, ◉ RACE. Answer: sequence of actions to take in case of fire:
- R: remove patients to a safe zone
- A: activate alarm
- C: contain fire
- E: extinguish fire
◉ PASS. Answer: steps for to use fire extinguisher:
-P: pull pin
-A: aim nozzle
-S: squeeze handle
-S: sweep extinguisher side to side
◉ shock. Answer: body's reaction to a strong and sudden
disturbance, marked by rapid, weak pulse; shallow, rapid
respiration; pale, cool, clammy skin; and lowered bloody pressure
- occurs when not enough blood is getting to vital parts of body
◉ carotid pulse. Answer: carotid artery that can be palpated with
two fingers placed lightly on either side of the neck close to the
trachea
COMPETENCY EVALUATION EXAM
◉ suffocation prevention. Answer: - never leave a patient
unattended in a bathtub , even if small amount of water
- notice difficulty chewing or swallowing, report supervising nurse
immediately
- check restraints, does not interfere with breathing
- recognize and know signs of an obstructed airway and be prepared
to perform Heimlich maneuver
◉ body mechanics. Answer: special techniques to coordinate
balance and movement in order to prevent strain and injury
◉ basic rules of proper body mechanics. Answer: - watch posture
- avoid lifting whenever possible
- keep back straight
- stay balanced
- avoid twisting body
- hold heavy objects close to body
- lift smoothly
- if an object or patient is too heavy, ask for help
,- plan and think your move
◉ restraints. Answer: belts, straps, or garments used to hold a
patient in position or to restrict the movement of a limb
◉ chemical restraint. Answer: certain drugs (sedatives) that restrain
a person by controlling his/ her behavior
◉ Consider use of restraints. Answer: - restraints may be used only
on written order by physician
- apply restraints only when directed by licensed nurse
- avoid the need for restraints
- follow federal guidelines
- apply restraints properly
- provide for patient's basic needs
◉ clove hitch. Answer: a type of knot that can be easily released in
case of emergency
◉ using restraints. Answer: - written physician's order for restraint
- apply restraints if trained, request help
- explain what you are doing before applying restraint
- protect bony areas with soft padding
,- allow circulation
- tie restraints to the bed or wheelchair frame, not side rails, use
clove hitch knot
- place call button within easy reach
- check breathing and circulation every 30min
- remove restraints periodically, 10min every 2 hours
◉ start a fire. Answer: - fuel
- heat
- oxygen
◉ fire prevention. Answer: - report all frayed cords, faulty wires, and
damaged electrical equipment
- avoid overloading circuits with too many electrical cords
- dispose all trash
- smell burn or see smoke, report immediately
- know facility's fire plan
- practice fire emergency procedures
- know facility's floor plan and location of all exits, fire alarms,
extinguishers and how to use
- keep fire exits clear of obstacles
, ◉ RACE. Answer: sequence of actions to take in case of fire:
- R: remove patients to a safe zone
- A: activate alarm
- C: contain fire
- E: extinguish fire
◉ PASS. Answer: steps for to use fire extinguisher:
-P: pull pin
-A: aim nozzle
-S: squeeze handle
-S: sweep extinguisher side to side
◉ shock. Answer: body's reaction to a strong and sudden
disturbance, marked by rapid, weak pulse; shallow, rapid
respiration; pale, cool, clammy skin; and lowered bloody pressure
- occurs when not enough blood is getting to vital parts of body
◉ carotid pulse. Answer: carotid artery that can be palpated with
two fingers placed lightly on either side of the neck close to the
trachea
