9 RETPAHC · ANC
CNA Nurse Assistant Training Program
EST. 1881
SAVING LIVES, CHANGING LIVES
CNA Chapter 9 — Final Examination
R E H A B I L I TAT I O N · R E STO RAT I V E C A R E · M O B I L I TY · P O S I T I O N I N G · R O M ·
P R O ST H E T I CS
INSTITUTION American Red Cross — Nurse PROGRAM Certified Nursing Assistant (CNA)
Assistant Training
ACADEMIC YEAR EXAM TITLE Chapter 9 — Final Examination
TOTAL QUESTIONS 65 Questions COURSE TITLE Nurse Assistant Training —
Chapter 9
FORMAT Multiple Choice — Select the HQ Washington, D.C.
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Content covers rehabilitation, restorative care, mobility devices, positioning, range of motion,
prosthetics, and bowel/bladder training.
▸ Correct answers and detailed rationales appear below each question for certification preparation.
, SECTION I — REHABILITATION & RESTORATIVE CARE Questions 1 – 12
1. What is rehabilitation?
A. Care that only focuses on physical needs after surgery
B. Care managed by professionals that helps restore a person to his highest possible level of
functioning
C. Long-term custodial care with no therapeutic goals
D. Care provided only by physical therapists
CORRECT ANSWER B — Care managed by professionals that helps restore a person to his
highest possible level of functioning
RATIONALE Rehabilitation is a comprehensive, interdisciplinary process that helps residents
move from illness, disability, and dependence toward health, ability, and
independence. It involves ALL parts of the person's disability — both physical and
psychosocial. It is not limited to physical needs (A) or provided solely by PTs (D). It
is an active therapeutic process, not passive custodial care (C).
2. Which of the following is a goal of rehabilitation?
A. To keep the resident dependent on staff for all care
B. To help a resident accept or adapt to the limitations of a disability
C. To ensure the resident never leaves the facility
D. To limit the resident's control over his own life
CORRECT ANSWER B — To help a resident accept or adapt to the limitations of a disability
RATIONALE Rehabilitation goals include: helping residents regain function,
developing/promoting independence, helping residents feel in control of their
lives, and accepting or adapting to disability limitations. Promoting dependence
(A), restricting freedom (C), and limiting control (D) are contrary to rehabilitation
philosophy.
,3. What is the goal of restorative care?
A. To replace rehabilitation entirely
B. To keep the resident at the level achieved by rehabilitative services
C. To cure the resident's underlying condition
D. To discharge the resident as quickly as possible
CORRECT ANSWER B — To keep the resident at the level achieved by rehabilitative services
RATIONALE Restorative care FOLLOWS rehabilitation — its purpose is to MAINTAIN the
function that rehabilitation achieved. It does not replace rehabilitation (A),
promise cure (C), or focus on discharge speed (D). It prevents decline and
preserves maximum independence. CNAs play a crucial role in restorative care
through daily encouragement and assistance.
4. Which of the following is a guideline for restorative care?
A. Focus on large, ambitious goals to motivate the resident
B. Break tasks down into small steps and do one at a time
C. Expect steady progress without setbacks
D. Complete tasks for the resident to save time
CORRECT ANSWER B — Break tasks down into small steps and do one at a time
RATIONALE Restorative care guidelines include: being patient, positive, and supportive;
focusing on SMALL tasks and accomplishments; breaking tasks into small steps;
recognizing that setbacks are normal; being sensitive to resident needs;
encouraging independence; and involving residents in their care. Large goals (A)
overwhelm. Setbacks DO occur (C). Doing tasks for residents (D) undermines
independence.
, 5. What should the NA observe and report regarding restorative care?
A. Only physical changes — emotional changes are not relevant
B. Any increase or decrease in abilities, changes in attitude, and signs of depression
C. Only the number of times the resident refuses care
D. Only changes that the resident reports verbally
CORRECT ANSWER B — Any increase or decrease in abilities, changes in attitude, and signs of
depression
RATIONALE CNAs must observe and report: any increase or decrease in abilities, any change
in attitude or motivation (positive or negative), any change in general health (skin
condition, appetite, energy, appearance), and signs of depression or mood
changes. Emotional changes ARE relevant (A is wrong). Observations include
what the CNA sees, not just what the resident reports (D is wrong).
6. Which of the following problems can result from inactivity and immobility?
A. Improved muscle tone and strength
B. Muscle atrophy, contractures, and pressure ulcers
C. Increased appetite and improved mood
D. Enhanced circulation and faster healing
CORRECT ANSWER B — Muscle atrophy, contractures, and pressure ulcers
RATIONALE Inactivity and immobility cause numerous complications: muscle atrophy
(wasting), contractures (shortening/tightening of muscles), increased pressure
ulcer risk, pneumonia, UTI, constipation, blood clots, dulling of senses,
depression, and loss of self-esteem. Options A, C, and D describe benefits of
ACTIVITY, not consequences of immobility.