Idaho CNA Exam Flashcards

Q: Who administers the Idaho CNA exam?

Prometric administers the Idaho CNA competency evaluation for the Idaho Department of Health and Welfare. The IDHW Bureau of Facility Standards maintains the Idaho Nurse Aide Registry.

Q: How many training hours does Idaho require for CNA candidates?

Local Idaho exam metadata lists a minimum of 120 approved training hours: 80 classroom or lab hours and 40 clinical hours.

Q: How does Idaho CNA renewal work?

The local metadata states that Idaho CNA certification renews every 2 years with 8 consecutive paid hours of CNA work during the renewal period and no required CE hours.

Question 1

What agency maintains the Idaho Nurse Aide Registry?

Accepted Answer

The Idaho Department of Health and Welfare (IDHW) Bureau of Facility Standards maintains the Idaho Nurse Aide Registry. It is not maintained by the Idaho Board of Nursing.

Question 2

What is the basic format of the Idaho CNA competency evaluation?

Accepted Answer

Idaho uses a Prometric-administered written knowledge test plus a clinical skills demonstration. Both parts must be passed before placement on the Idaho Nurse Aide Registry.

Question 3

How many approved training hours does Idaho require for CNA candidates?

Accepted Answer

Idaho requires at least 120 approved training hours: 80 classroom or lab hours and 40 supervised clinical hours.

Question 4

What is Idaho's 3-attempt CNA testing rule?

Accepted Answer

Local Idaho materials state that candidates have a maximum of 3 attempts within 12 months after completing training. After exhausting attempts, the candidate must complete new approved training before retesting.

Question 5

What work requirement renews an Idaho CNA certification?

Accepted Answer

Renewal requires 8 consecutive paid hours of work as a nurse aide during the 2-year renewal period. Local metadata notes that Idaho does not require CNA CE hours for renewal.

Question 6

When can an out-of-state CNA seek Idaho reciprocity?

Accepted Answer

Idaho reciprocity is available to an active out-of-state CNA with no abuse findings when the person resides in Idaho or has a job offer in Idaho.

Question 7

What is the CNA's role when a resident has a change in condition?

Accepted Answer

The CNA observes, measures, documents as required, and reports promptly to the nurse. The CNA does not diagnose, prescribe, or decide treatment.

Question 8

Who delegates nursing tasks to an Idaho CNA?

Accepted Answer

Tasks are delegated and supervised by licensed nursing staff, such as an RN or LPN, according to the care plan and facility policy.

Question 9

What should a CNA do if asked to perform a task outside CNA scope?

Accepted Answer

Politely decline, explain that it is outside CNA scope, and report the request to the nurse or supervisor. Performing out-of-scope care can put the resident and CNA at risk.

Question 10

What format helps a CNA give a clear handoff report?

Accepted Answer

SBAR: Situation, Background, Assessment or observations, and Recommendation or follow-up needed. It helps prevent missed information between shifts.

Question 11

How should a CNA respond to a resident's refusal of care?

Accepted Answer

Respect the refusal, offer a reasonable alternative when appropriate, document according to policy, and report the refusal to the nurse.

Question 12

What does HIPAA require when family asks for a resident's records?

Accepted Answer

A cognitively intact resident controls access to their health information. The CNA should not disclose records to family unless proper authorization exists; refer the request to the nurse or records process.

Question 13

How does a CNA protect privacy during personal care?

Accepted Answer

Knock, wait for permission, close the door and curtain, expose only the area being washed or dressed, and keep conversations respectful and private.

Question 14

Why should a CNA not hold a resident's valuables in a personal pocket?

Accepted Answer

It creates risk of loss or allegations of misappropriation. Use the facility's approved valuables process, such as a locked drawer, safe, or administrative envelope.

Question 15

What must an Idaho CNA do with suspected abuse or neglect?

Accepted Answer

Report it immediately through the facility chain of command and to the required protective-services process. Idaho materials identify CNAs as mandatory reporters for vulnerable adults.

Question 16

What is the correct clean-to-dirty order for a complete bed bath?

Accepted Answer

Start with the face and neck, then upper body, abdomen, legs, back, and perineal area last. This order reduces cross-contamination.

Question 17

How should bath water temperature be checked before resident care?

Accepted Answer

Test it before contact with the resident, commonly using the inside of the wrist or a facility-approved thermometer. Never rely on steam or ask an impaired resident to judge safety.

Question 18

What areas are essential in a partial bath?

Accepted Answer

At minimum, clean the face, hands, underarms, perineal area, and any area causing odor, discomfort, or skin risk.

Question 19

What direction is used for female perineal care?

Accepted Answer

Clean from front to back with gentle single strokes, using a clean area of cloth or a new wipe each time. This helps prevent urinary tract contamination.

Question 20

What is the key rule for male perineal care with an uncircumcised resident?

Accepted Answer

Retract the foreskin gently to clean the glans, then return the foreskin to its normal position. Failing to replace it can restrict circulation.

Question 21

How should dentures be cleaned safely?

Accepted Answer

Handle them over a towel-lined basin or sink with water, brush with denture cleaner, and store them in cool water or denture solution when not worn.

Question 22

What is safest during oral care for an unconscious resident?

Accepted Answer

Position the resident side-lying with the head turned so fluid can drain from the mouth. Avoid toothpaste and rinsing that could be aspirated.

Question 23

What should a CNA do after seeing red, moist skin between skin folds?

Accepted Answer

Clean gently, dry thoroughly, follow the care plan for any ordered barrier product, and report the finding to the nurse.

Question 24

How should a CNA care for reddened skin over a pressure area?

Accepted Answer

Do not massage or scrub. Keep the area clean and dry, relieve pressure per the care plan, and report any redness, warmth, pain, drainage, or skin opening.

Question 25

What is the single most important infection-control practice?

Accepted Answer

Hand hygiene. Gloves do not replace handwashing or hand antisepsis, and hands must be cleaned before and after resident contact and after glove removal.

Question 26

When does a CNA use Standard Precautions?

Accepted Answer

Use Standard Precautions for every resident, every time. Treat blood, body fluids, secretions, excretions except sweat, non-intact skin, and mucous membranes as potentially infectious.

Question 27

What PPE is expected for Contact Precautions?

Accepted Answer

Wear gown and gloves when entering or providing care, because contact organisms spread by touch or contaminated surfaces.

Question 28

What precautions apply to active pulmonary tuberculosis?

Accepted Answer

Airborne Precautions: negative-pressure room when available, door closed, and an N95 or higher respirator for staff entering the room.

Question 29

What is the safest way to dispose of a used needle or lancet?

Accepted Answer

Do not recap it. Place the sharp immediately into an approved puncture-resistant sharps container.

Question 30

What does breaking the chain of infection mean?

Accepted Answer

It means interrupting any link needed for disease spread, such as source, portal of exit, mode of transmission, portal of entry, or susceptible host.

Question 31

Which residents are high risk for falls?

Accepted Answer

Risk is higher with prior falls, confusion, gait or balance problems, weakness, urinary urgency, sedating medications, and recent condition or medication changes.

Question 32

What should a CNA do if a resident starts to fall?

Accepted Answer

Use a controlled descent: widen stance, bend knees, guide the resident to the floor, protect the head, call for help, and do not lift until assessed.

Question 33

What are the core rules of body mechanics during transfers?

Accepted Answer

Use a wide base, bend at the knees, keep the back aligned, hold the resident close, avoid twisting, and use leg muscles rather than the back.

Question 34

What does RACE mean in a fire emergency?

Accepted Answer

Rescue residents in immediate danger, Activate the alarm, Contain the fire by closing doors, and Extinguish if safe or Evacuate.

Question 35

What does PASS mean for using a fire extinguisher?

Accepted Answer

Pull the pin, Aim at the base of the fire, Squeeze the handle, and Sweep side to side. Use only if the fire is small and you can do so safely.

Question 36

What makes a device a physical restraint?

Accepted Answer

A restraint is any device or method that restricts a resident's freedom of movement and cannot be removed easily by the resident. It requires proper authorization and alternatives review.

Question 37

What is the immediate concern with elopement risk?

Accepted Answer

A confused resident leaving unsupervised can be in serious danger. Follow the individual care plan, monitor closely, and start the facility search protocol immediately if the resident is missing.

Question 38

What adult blood pressure is considered normal in local Idaho CNA materials?

Accepted Answer

Normal adult blood pressure is described as systolic below 120 mmHg and diastolic below 80 mmHg. Report readings outside baseline or facility parameters.

Question 39

Where is the stethoscope placed for blood pressure measurement?

Accepted Answer

Place it over the brachial artery at the inner elbow area, with the cuff positioned correctly on the upper arm.

Question 40

How long should an irregular pulse be counted?

Accepted Answer

Count an irregular pulse for a full 60 seconds and report the irregularity to the nurse.

Question 41

What is the normal adult resting pulse range?

Accepted Answer

Local Idaho CNA materials list 60-100 beats per minute as the normal adult resting pulse range. Report values outside baseline or ordered parameters.

Question 42

What is the normal adult respiration range?

Accepted Answer

Local Idaho CNA materials list 12-20 breaths per minute. Count respirations quietly so the resident does not change their breathing pattern.

Question 43

What should a CNA do with a fever reading?

Accepted Answer

Report it promptly to the nurse and document according to policy. The CNA does not give medication, apply treatment, or decide the cause.

Question 44

What is the goal of restorative nursing?

Accepted Answer

Restorative care helps residents maintain or regain the highest practical level of function through mobility, range of motion, self-care, and communication support.

Question 45

How should passive range-of-motion exercises be performed?

Accepted Answer

Move the joint slowly and gently, support above and below the joint, stay within the care plan, and stop for pain or resistance.

Question 46

What is a contracture?

Accepted Answer

A contracture is permanent shortening of muscles, tendons, or tissues around a joint that limits normal movement. Regular positioning and ROM help prevent it.

Question 47

How should a walker be fitted for a resident?

Accepted Answer

Handgrips should align near the resident's wrist crease when standing upright with arms relaxed, allowing slight elbow flexion while holding the walker.

Question 48

How should a CNA communicate with an anxious resident?

Accepted Answer

Use a calm voice, short clear sentences, reduced stimulation, and validation such as acknowledging that the resident seems worried.

Question 49

What resident changes can suggest depression?

Accepted Answer

Watch for withdrawal, loss of interest, sleep or appetite changes, hopeless statements, weight loss, or slowing. Report patterns to the nurse for assessment.

Question 50

How should a CNA respond to a resident's delusion?

Accepted Answer

Do not argue or agree with the false belief. Acknowledge the feeling, support safety, reduce stimulation if helpful, and report the change to the nurse.

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