CNA COMPREHENSIVE FINAL EXAM
QUESTIONS AND ANSWERS
1. Which of the following describes the proper sequence for removing Personal Protective
Equipment (PPE) to prevent self-contamination?
A. Gown, gloves, goggles, mask
B. Mask, gown, goggles, gloves
C. Gloves, goggles, gown, mask
D. Goggles, mask, gloves, gown
Answer: C
Conceptual Explanation: Gloves are considered the most contaminated and are removed
first, followed by eye protection, the gown, and finally the mask.
2. A resident with Alzheimer’s disease is experiencing ‘sundowning.’ Which intervention is
most appropriate?
A. Increasing the room lighting in the late afternoon
B. Restricting fluids after 4:00 PM to prevent nocturia
C. Moving the resident to a higher stimulation environment
,D. Providing a heavy meal late in the evening
Answer: A
Conceptual Explanation: Sundowning is increased confusion and agitation in the late
afternoon/evening; adequate lighting helps minimize shadows and disorientation.
3. While performing passive Range of Motion (ROM) on a resident’s shoulder, the resident
grimaces and says, ‘That hurts.’ What should the Nursing Assistant do?
A. Stop the movement at the point of pain and notify the nurse
B. Continue but move the joint more slowly
C. Apply a warm compress and continue the exercises
D. Ask the resident to push through the pain to prevent contractures
Answer: A
Conceptual Explanation: ROM should never be performed past the point of pain or
resistance; pain must be reported to the supervising nurse.
4. Which of the following is considered a violation of a resident’s right to privacy?
A. Closing the curtain during a bed bath
B. Discussing a resident’s medical condition in the facility cafeteria
C. Knocking before entering a resident’s room
D. Allowing a resident to choose their own clothing
, Answer: B
Conceptual Explanation: Discussing clinical information in public areas violates HIPAA
and the resident’s right to privacy and confidentiality.
5. When measuring a blood pressure, the first sound heard through the stethoscope
represents which of the following?
A. Diastolic pressure
B. Pulse deficit
C. Systolic pressure
D. Mean arterial pressure
Answer: C
Conceptual Explanation: The systolic pressure is the top number and represents the
pressure when the heart ventricles contract.
6. A resident is on a restricted sodium diet. Which food item should be avoided?
A. Fresh steamed broccoli
B. Canned vegetable soup
C. Baked chicken breast
D. Fresh sliced apples
Answer: B
QUESTIONS AND ANSWERS
1. Which of the following describes the proper sequence for removing Personal Protective
Equipment (PPE) to prevent self-contamination?
A. Gown, gloves, goggles, mask
B. Mask, gown, goggles, gloves
C. Gloves, goggles, gown, mask
D. Goggles, mask, gloves, gown
Answer: C
Conceptual Explanation: Gloves are considered the most contaminated and are removed
first, followed by eye protection, the gown, and finally the mask.
2. A resident with Alzheimer’s disease is experiencing ‘sundowning.’ Which intervention is
most appropriate?
A. Increasing the room lighting in the late afternoon
B. Restricting fluids after 4:00 PM to prevent nocturia
C. Moving the resident to a higher stimulation environment
,D. Providing a heavy meal late in the evening
Answer: A
Conceptual Explanation: Sundowning is increased confusion and agitation in the late
afternoon/evening; adequate lighting helps minimize shadows and disorientation.
3. While performing passive Range of Motion (ROM) on a resident’s shoulder, the resident
grimaces and says, ‘That hurts.’ What should the Nursing Assistant do?
A. Stop the movement at the point of pain and notify the nurse
B. Continue but move the joint more slowly
C. Apply a warm compress and continue the exercises
D. Ask the resident to push through the pain to prevent contractures
Answer: A
Conceptual Explanation: ROM should never be performed past the point of pain or
resistance; pain must be reported to the supervising nurse.
4. Which of the following is considered a violation of a resident’s right to privacy?
A. Closing the curtain during a bed bath
B. Discussing a resident’s medical condition in the facility cafeteria
C. Knocking before entering a resident’s room
D. Allowing a resident to choose their own clothing
, Answer: B
Conceptual Explanation: Discussing clinical information in public areas violates HIPAA
and the resident’s right to privacy and confidentiality.
5. When measuring a blood pressure, the first sound heard through the stethoscope
represents which of the following?
A. Diastolic pressure
B. Pulse deficit
C. Systolic pressure
D. Mean arterial pressure
Answer: C
Conceptual Explanation: The systolic pressure is the top number and represents the
pressure when the heart ventricles contract.
6. A resident is on a restricted sodium diet. Which food item should be avoided?
A. Fresh steamed broccoli
B. Canned vegetable soup
C. Baked chicken breast
D. Fresh sliced apples
Answer: B
