Basic Nursing Skills 19 Flashcards
6 cards from real CNA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Basic Nursing Skills 19 flashcards as text
Which resident is at the HIGHEST risk for developing pressure injuries and would require the most frequent repositioning?
Answer: A comatose, incontinent resident with a BMI of 16 (severely underweight) on corticosteroids
Coma (cannot reposition independently), incontinence (moisture destroys skin integrity), severe malnutrition (skin fragility), and corticosteroids (impair wound healing and skin strength) create the highest combined pressure injury risk.
When the CNA moves a patient from the supine to a side-lying position, the patient's top leg should be:
Answer: Flexed at the hip and knee and supported on a pillow in front of the body
In side-lying position, the top leg is flexed and supported on a pillow to maintain hip and spinal alignment, prevent the knee from pressing on the bottom leg, and avoid sacral rotation.
What does the term 'pressure redistribution' mean in the context of pressure ulcer prevention?
Answer: Spreading body weight across a larger surface area to reduce peak pressure at any single point
Pressure redistribution devices (specialty mattresses, cushions) spread weight over more surface area, lowering the pressure per square centimeter at high-risk bony prominences.
What is the role of skin moisture in pressure ulcer development?
Answer: Moisture weakens skin integrity, making it more susceptible to breakdown from pressure and friction
Excessive skin moisture from incontinence, perspiration, or wound drainage softens the stratum corneum, making skin more vulnerable to friction damage and reducing its tolerance to pressure.
Which documentation entry is the MOST appropriate after repositioning a patient?
Answer: 'Patient repositioned to right lateral position at 0800; skin inspected: sacrum, heels intact; patient tolerated procedure without complaint'
Complete repositioning documentation includes position, time, skin findings at key pressure points, and patient response — vague entries fail to provide a clinical baseline.
What is an important consideration when repositioning a patient who has an IV line, urinary catheter, and nasogastric tube?
Answer: Ensure all tubes and lines are secured and have adequate slack before repositioning to prevent pulling or dislodgement
Before repositioning a patient with multiple lines and tubes, the CNA must ensure all tubes have enough slack and are secured to prevent accidental dislodgement, pulling, or kinking during the position change.