Activities of Daily Living (ADLs) Practice Test

“improving posture.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “improving circulation.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “increasing one-to-one interaction.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “relaxing the client.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“report it to the charge nurse.” is correct. Provide prompt hygiene and toileting to protect skin integrity, reduce infection risk, and preserve dignity. “give the client an enema.” is incorrect because it administering medications is not within the CNA scope; the nurse manages meds. “offer the client prune juice” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “encourage the client to drink more fluids.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“They use a “clock” system to find their food.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “They prefer to eat alone.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “They prefer to be fed.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “They need liquid diets.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“left Sim's” is correct. Positioning reduces aspiration risk and increases comfort; follow safe feeding and positioning guidelines. “supine” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Fowler’s” is incorrect because it does not reduce aspiration risk; use upright positioning and safe feeding techniques. “prone” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“protect the client from injury.” is correct. Restraints/protective devices require an order, frequent checks, and release; use least‑restrictive alternatives first. “keep the client in bed.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “provide additional warmth.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “remind the client of home.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“flat on their back” is correct. Positioning reduces aspiration risk and increases comfort; follow safe feeding and positioning guidelines. “flat on their stomach” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “standing up with feet shoulder width apart” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “in the most comfortable position for the patient” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“from front to back.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “without soap.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “with a disinfectant.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “from front to back.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“Check for kinks in the tube.” is correct. Maintain a closed urinary drainage system with the bag below bladder level to prevent backflow and infection. “Irrigate the catheter.” is incorrect because it risks urine backflow and infection; drainage bags must stay below bladder level. “Replace the drainage bag.” is incorrect because it risks urine backflow and infection; drainage bags must stay below bladder level. “Replace the catheter.” is incorrect because it risks urine backflow and infection; drainage bags must stay below bladder level.

“turn the client to the side while holding the pan.” is correct. Safe transfers and equipment use follow the care plan; position/lock equipment, use ordered devices, and protect the client from falls. “use a mechanical lifting device.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “have another nursing assistant lift the client.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “slowly slide the pan from under the client.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“after every 3-4 bites of food” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “after every 1-2 bites of food” is incorrect because it delays needed care and can worsen the problem; timely action prevents harm. “once at the beginning of the meal and once at the end” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “never. The client will tell the nurse aide when he / she is thirsty.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“not force the leg to move any further and continue ambulating other extremities” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “gently force the leg to stretch the muscles and extend the range of motion” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “stop the ambulation session for the day” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “call for the nurse in charge” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“2 hours” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “4 hours” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “6 hours” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “8 hours” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“clean the client immediately and get to breakfast as soon as possible thereafter.” is correct. Provide prompt hygiene and toileting to protect skin integrity, reduce infection risk, and preserve dignity. “continue with the schedule, take the client to breakfast, and clean up after breakfast.” is incorrect because it delays needed care and can worsen the problem; timely action prevents harm. “call the nurse supervisor and ask for instructions.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “inform the client that he / she needs to clean themselves quickly and get to breakfast on their own.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“nausea.” is correct. Provide prompt hygiene and toileting to protect skin integrity, reduce infection risk, and preserve dignity. “headache.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “leg cramps.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “chest pain.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

This is a select‑all‑that‑apply item. The correct choices are “sit at eye-level to the client”, “try to interact with the client as much as possible”, “wait for the client to finish one bite before offering another”. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “speak condescendingly to the client” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“in a denture cup with the client's name on it.” is correct. Protect personal devices from loss/damage; store/clean per policy and label clearly. “in the client's bathroom on the sink.” is incorrect because it introduces water where it can spread contamination or, with electricity, cause shock. “in tissue on the bedside stand.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “under the client's pillow.” is incorrect because it administering medications is not within the CNA scope; the nurse manages meds.

“urine.” is correct. Provide prompt hygiene and toileting to protect skin integrity, reduce infection risk, and preserve dignity. “feces.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “emesis.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “blood.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“respect the client's wishes and inform the nurse in charge.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “respect the client's wishes and do nothing.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “force the client to eat even if it means strapping him to his bed and force-feeding him.” is incorrect because it does not reduce aspiration risk; use upright positioning and safe feeding techniques. “take the client out to McDonald's to increase his appetite.” is incorrect because it does not match standard precautions/PPE sequence for the task.

“taking a lunch break” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “feeding a client” is incorrect because it does not reduce aspiration risk; use upright positioning and safe feeding techniques. “ambulating someone who is mobility-impaired” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “maintaining accurate records / reports” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“retract the foreskin if uncircumcised.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “clean the scrotum first.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “clean from front to back.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “hold the penis at a 90-degree angle.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“ask the client why he has not finished.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “notify the charge nurse.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “remove the tray.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “urge the client to eat all the food.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“rectum.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “pancreas.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “vulvus.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “meatus.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“face, hands, axillae, genitals, and buttocks.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “face, neck, ears, arms, and hands.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “face, axillae, hands, and buttocks.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “face, hands, axillae, and legs.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“tea, broth, and gelatin.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “coffee, milk, and soup.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “milk, soup, and ice cream.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “coffee, broth, and crackers.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“only a wet washcloth” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “only facility-approved soaps” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “whichever soap or cleaner the patient prefers” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “commercial anti-bacterial face wash” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“take a bath or shower themselves to make sure it's working correctly” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “check the temperature of the water” is incorrect because it introduces water where it can spread contamination or, with electricity, cause shock. “shampoo the client's hair” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “apply lotion to the client's skin” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“Bring the tray into the room when you are ready to feed the client.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “Serve the tray along with all the other trays, and then come back to feed the client.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Bring the tray to the client first, and feed the client before serving the other clients.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Have the kitchen hold the tray for one hour.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

This is a select‑all‑that‑apply item. The correct choices are “use a protective pad under the pan to protect the bed linens”, “raise the back of the bed so that the patient can be in a more natural "seated" position”. Safe transfers and equipment use follow the care plan; position/lock equipment, use ordered devices, and protect the client from falls. “watch the patient's groin intently to make sure they are in fact using the restroom” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “let the patient do the whole procedure on their own” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“a diabetic client” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “a cancer client” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “a stroke client” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “a developmentally disabled client” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“voiding.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “defecation.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “enuresis.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “flatus.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“an electric razor” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “a safety razor” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “a disposable razor” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “a straight edged razor” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“once each shift” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “twice a day” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “every four hours” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “whenever the patient requests an intake and
output be totaled” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

This is a select‑all‑that‑apply item. The correct choices are “bedpan”, “bedside commode”. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “wheel chair” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “electric mobility scooter” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“removing oxygen before brushing.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “wearing gloves.” is incorrect because it does not match standard precautions/PPE sequence for the task. “handling and storing dentures carefully.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “using dental floss.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“baked fish, whipped potatoes, spinach soufflé, and tapioca.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “hamburger, french fries, corn, and ice cream.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “baked chicken, dressing, green beans, and coconut macaroons.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “spare ribs, macaroni and cheese, coleslaw, and fruit cocktail.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“be unable to urinate.” is correct. Maintain a closed urinary drainage system with the bag below bladder level to prevent backflow and infection. “urinate large volumes.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “urinate frequently.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “be incontinent of urine.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“diabetes” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “stroke” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “cancer” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Alzheimer’s disease” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“constipation” is correct. Infection control requires proper hand hygiene and task‑appropriate PPE, using clean‑to‑dirty technique. “blood clots” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “infection” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “foot drop” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“All clients need nail care.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “Nail care is not needed for the elderly.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Use scissors for all nail care.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Check with the charge nurse for nail care instructions.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“a patient cannot get out of bed an must urinate and/or defecate.” is correct. Safe transfers and equipment use follow the care plan; position/lock equipment, use ordered devices, and protect the client from falls. “a patient is bedridden and must cook for themselves.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “to put under an incontinent patient at bed time so that any accidental nighttime urination is confined and does not run onto the floor.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Bedpans are no longer used in favor of bedside commodes.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“not force the client to eat since she knows her body best.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “force the client to finish the meal because doctor's orders.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “tell the client that she will get no more food until she finishes what's in front of her.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “immediately report to the nurse in charge that one of your clients is on a hunger strike.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“on the left side.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “on the right side.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “when he is lying flat in bed.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “as he lies on either side.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“wash your hands” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “wash the client's hands” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “warm up the food” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “put an apron or bib on the client” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“notify the nurse in charge immediately” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “wash those areas extra hard to make sure they are completely clean” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “use an anti-bacterial gel on those areas to prevent infection” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “wait for two days as these types of minor contusions typically resolve themselves on their own” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“360 cc” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “180 cc” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “240 cc” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “400 cc” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“Activities of Daily Living; a category of nurse aide responsibilities / activities.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “Apply Directly to the Lesion; instructions from a physician on how to apply an ointment to a client.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Assist with Disruptive Client; a request-for-help announcement that a nurse aide might hear on the center intercom.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Activities that Drive Life; a quick reminder that a nurse aide is responsible to provide life-giving activities to his / her clients.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“place them on a towel in the sink with cool water.” is correct. Protect personal devices from loss/damage; store/clean per policy and label clearly. “wash them in boiling water.” is incorrect because it introduces water where it can spread contamination or, with electricity, cause shock. “hold them under warm running water.” is incorrect because it introduces water where it can spread contamination or, with electricity, cause shock. “dunk them in and out of cool water.” is incorrect because it introduces water where it can spread contamination or, with electricity, cause shock.

“safety” is correct. Provide prompt hygiene and toileting to protect skin integrity, reduce infection risk, and preserve dignity. “privacy” is incorrect because it fails to protect privacy and dignity; always provide privacy. “dignity” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “cleanliness” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“The client has not voided in eight hours.” is correct. Report concerns through the nursing chain of command—usually to the charge nurse/supervisor first. “The client states that he is not hungry.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “The client requests a bedpan.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “The client’s eight-hour output is 600 cc.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“defecation.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “voiding.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “enuresis.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “flatus.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“on the left side.” is correct. Safe transfers and equipment use follow the care plan; position/lock equipment, use ordered devices, and protect the client from falls. “on the right side.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “in front of the client.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “behind the client.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“before bedtime.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “before meals.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “after meals.” is incorrect because it delays needed care and can worsen the problem; timely action prevents harm. “upon awakening.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“expose only the area of the patient's skin that will be cleaned” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “only clean the areas of skin that are exposed” is incorrect because it fails to protect privacy and dignity; always provide privacy. “remove all of the patient's clothing and sheets so the entire body can be accessed” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “ask the patient what area(s) they would like to have bathed” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“take the breakfast tray to the charge nurse.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “remove the bacon from the tray.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “instruct the client not to eat the bacon.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “take the breakfast tray back to the dietician.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“increased exercise.” is correct. Infection control requires proper hand hygiene and task‑appropriate PPE, using clean‑to‑dirty technique. “decreased activity” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “bad dentures” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “decreased saliva.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“the rate of the client’s hair growth.” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “circulation to the client’s scalp.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “the client’s general appearance.” is incorrect because it does not match standard precautions/PPE sequence for the task. “the client’s sense of well-being.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“milk, custard, soup” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “milk, ham sandwich, ice cream bar” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “water, mashed potatoes, gelatin” is incorrect because it introduces water where it can spread contamination or, with electricity, cause shock. “orange juice, soft-boiled egg, toast” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“lateral” is correct. Positioning reduces aspiration risk and increases comfort; follow safe feeding and positioning guidelines. “supine” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “prone” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “Sim's” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“use a circular motion over bony areas” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “position the client in a supine position” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “use short, light strokes” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “warm the lotion in the microwave” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

This is a select‑all‑that‑apply item. The correct choices are “to keep the client happy”, “to prevent soiling of bed linens”, “to keep laundry costs down”. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “to remove feces and urine from the skin” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“occupied bedmaking procedure” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “unoccupied bedmaking procedure” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “circle bedmaking procedure” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “procedure using only fitted sheets” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“mechanical soft” is correct. Positioning reduces aspiration risk and increases comfort; follow safe feeding and positioning guidelines. “clear liquid” is only clear fluids at room temperature (e.g., broth, gelatin, tea)—no solid foods or milk., which does not best meet the clinical need in the scenario. “low residue” is limits fiber to reduce bowel volume; used for certain GI conditions., which does not best meet the clinical need in the scenario. “pureed” is foods blended to a smooth, pudding-like consistency for minimal chewing., which does not best meet the clinical need in the scenario.

“once per day” is correct. Follow the care plan, prioritize safety, maintain infection control, and stay within the CNA scope of practice. “once per week” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “whenever they request it” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “when their room mate complains of the smell” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.

“in need of medical attention.” is correct. Provide prompt hygiene and toileting to protect skin integrity, reduce infection risk, and preserve dignity. “unable to make decisions.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “unable to speak.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care. “experiencing a disorder that comes with aging.” is not the best practice for this situation; it conflicts with safety, scope, or the plan of care.