Master the essential skills of healthcare documentation with our free CNA practice test on data collection and reporting. Accurate documentation is crucial for patient safety and quality care, making it a key component of your CNA certification exam.
What You’ll Practice:
• Vital signs documentation
• Patient observation reporting
• Chart reading and interpretation
• Incident reporting
• Change in condition documentation
• Communication with healthcare team
• Medical terminology usage
• Recording intake and output
This practice test features 15 carefully selected questions that reflect real documentation scenarios you’ll encounter in healthcare settings. Each question includes detailed explanations to help you understand proper documentation procedures.
Why Data Collection and Reporting Matter:
Accurate documentation is the backbone of quality healthcare. As a CNA, your observations and reports will be vital for patient care decisions and legal documentation. These skills are extensively tested on the CNA certification exam and used daily in your career.
Test Format:
• 15 multiple-choice questions
• Timed practice session
• Instant feedback
• Detailed explanations
• Score tracking
Ready to Test Your Knowledge?
Take this free practice test to evaluate your understanding of proper documentation practices. Use it to identify areas where you might need additional study.
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Question 1 of 15
1. Question
1. You have been taught that sodium control is important in your residents with congestive heart failure. What symptoms should you look out for and report?
CorrectIncorrectHint
Pay close attention to signs of fluid retention, particularly in the ankles and legs, and watch for significant weight changes, as these can indicate worsening heart failure.
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Question 2 of 15
2. Question
2. Which is not an acceptable abbreviation?
CorrectIncorrectHint
Consider the potential for confusion between multiple meanings when abbreviating terms, especially in healthcare settings where clarity is critical.
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Question 3 of 15
3. Question
3. You are beginning a new career as a CNA. Which of the following senses will you not use throughout your new career?
CorrectIncorrectHint
Consider which senses are actively involved in patient care and interactions, and think about the appropriateness of using them in a clinical setting.
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Question 4 of 15
4. Question
4. For how many milligrams of sodium are in one teaspoon of normal table salt?
CorrectIncorrectHint
Consider the composition of table salt and how its weight relates to sodium content. Remember that sodium chloride is about 40% sodium by weight, and pay attention to the conversion from grams to milligrams.
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Question 5 of 15
5. Question
5. An example of point of care testing would be:
CorrectIncorrectHint
Think of tests that give quick results right where the patient is, like monitoring blood sugar or rapid strep tests.
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Question 6 of 15
6. Question
6. The CNA observes sudden changes in their patient’s health status. Which of the following changes is the highest in terms of priority?
CorrectIncorrectHint
Prioritize physical changes in health status, as they often indicate urgent medical needs that require immediate action over emotional or socioeconomic factors.
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Question 7 of 15
7. Question
7. Mrs. B curses at you and tries to strike you after you knock on the door to greet her at the beginning of the shift. What should you do?
CorrectIncorrectHint
Prioritize safety by removing yourself from the situation and alerting a nurse or appropriate staff member about the incident. Recognize that direct intervention is not within your responsibilities.
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Question 8 of 15
8. Question
8. Your resident voided 60 mL of urine at 10:00 p.m. in the afternoon; your facility uses International time (the 24-hour clock). How will you document the time of this resident action?
CorrectIncorrectHint
Remember to convert the time from the 12-hour format to the 24-hour format by adding 12 to the hour for any time in the evening. Also, ensure you only use numerical notation without “a.m.” or “p.m.” when documenting.
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Question 9 of 15
9. Question
9. Your resident has a history of somnambulism. What is this?
CorrectIncorrectHint
Consider a sleep-related behavior where individuals perform activities while still in a deep sleep state, often appearing awake but not actually being aware of their actions.
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Question 10 of 15
10. Question
10. Mr. Delgado states he is having severe pain at his fracture site. You report this to the nurse. What type of information is this observation?
CorrectIncorrectHint
Consider the distinction between what a patient expresses versus what can be objectively measured or observed. Focus on the personal nature of the patient’s experience in your answer.
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Question 11 of 15
11. Question
11. Mrs. Pope wants a shower and is demanding it right now. It is not her scheduled day or shift and you have others to shower. You hear her on the phone telling her daughter she has not had a shower in days and that you are refusing to do it. How should you handle this?
CorrectIncorrectHint
Consider balancing Mrs. Pope’s immediate emotional needs with the established care schedule. Validation of her feelings is key, followed by a clear explanation of the situation. Look for ways to potentially accommodate her request while ensuring that the needs of other residents are also met. Encouraging her to discuss any concerns with the nursing staff can help address her frustrations appropriately.
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Question 12 of 15
12. Question
12. Your resident is NPO. This means:
CorrectIncorrectHint
Remember that NPO prohibits all oral intake, including food, drinks, and medications, primarily for medical safety and preparation purposes.
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Question 13 of 15
13. Question
13. Your resident put on her call light multiple times during the shift with requests to be toileted; however, each time she only voided scant amounts of urine. What can this be a sign of?
CorrectIncorrectHint
Consider conditions that could irritate the bladder or impact urinary function, such as infections or obstruction, which can lead to frequent urges and limited output.
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Question 14 of 15
14. Question
14. Your resident is a diabetic who is bedbound. When you do his bath, you notice white crusted material under his foreskin. What should you do?
CorrectIncorrectHint
Focus on ensuring thorough hygiene in the affected area, while also documenting your findings and reporting to the nurse for further assessment.
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Question 15 of 15
15. Question
15. You are working in an assisted living facility where some residents have kitchens in their units. You have noticed that one resident often puts something on the stove and forgets she has done this. What must you do?
CorrectIncorrectHint
Consider the potential risks involved and the responsibility you have towards the resident’s safety. Think about how to effectively communicate your observations while ensuring appropriate action is taken.
More Practice Tests
Priorities and Priority Setting
Data Collection and Reporting (you are here)
Care of Cognitively Impaired Residents
End of Life Care
Patient Rights