Free Oregon CNA Exam Flashcards

A wider base increases stability and makes loss of balance less likely. Keep the feet apart, bend at the hips and knees, and keep the load close rather than twisting at the waist.

Maintain alignment, protect tubes and vulnerable skin, and use enough help or equipment to avoid dragging. Reposition according to the care plan and leave the client supported and comfortable.

Stop the movement; never force the joint. Support the limb, note where the problem occurred, and report the pain or resistance to the nurse.

Place the client as upright as the care plan permits, with the head supported and chin in a safe swallowing position. Keep the client upright after the meal for the ordered time.

Leave the bed in its lowest safe position, place the call device and needed items within reach, remove hazards, and confirm the client is comfortably aligned.

Support the client and lower them to a secure seated or lying position; do not try to hold them upright by force. Call for help, stay with the client, and report the episode.

Allow extra response time, ask one simple question at a time, offer yes/no or picture choices when useful, and do not pretend to understand an unclear response.

Identify yourself before touching, explain the surroundings and each action, describe where items are using consistent clock-face or directional cues, and avoid moving possessions without telling the client.

It preserves or improves the client's highest practicable level of function and independence. Let the client do every safe part of the task rather than taking over for speed.

Respect the refusal, ask calmly about concerns, explain the immediate purpose without coercion, keep the client safe, and report and document the refusal according to policy.

Knock, identify yourself, explain the care, close doors or curtains, uncover only the area being washed or treated, and include the client in choices whenever possible.

Offer permitted choices, honor routines and preferences within the care plan, explain before acting, and relay requests or concerns to the nurse rather than making decisions for the client.

Protect the client from immediate danger and report the facts at once through required channels. Do not investigate, confront the suspected person, promise secrecy, or delay for proof.

Only for an authorized care or legal purpose and only with people who need the information. Never discuss clients in public places, on social media, or with curious friends or relatives.

It invites more than a yes/no response, such as “What is making you uncomfortable?” Open-ended questions help clients describe needs in their own words.

Include what you directly observed or measured, the time, the client's exact relevant words, actions already taken, and the response. Avoid diagnoses, blame, or unsupported conclusions.

Facial expression, posture, movement, tone, and withdrawal may reveal pain, fear, confusion, or an unmet need even when spoken words do not.

Use the facility's qualified interpreter process and approved communication aids. Speak to the client directly and do not rely on children or unapproved relatives to interpret clinical information.

Stay calm, keep a safe distance, listen without arguing, acknowledge the concern, offer simple choices if appropriate, and get help promptly if behavior threatens safety.

An observation is a specific fact the CNA sees, hears, measures, or is told. Diagnosing the cause or condition requires licensed-nurse assessment and is outside the CNA role.

Check that the measurement technique and equipment were correct, repeat it if safe and permitted, and promptly report the value together with symptoms and the client's usual pattern.

Measure and record the actual amount in milliliters at the required time, including relevant liquid foods and drainage specified by policy. Do not estimate when a calibrated container is available.

Pain is subjective. Record and report the client's stated location, rating, quality, timing, and aggravating or relieving factors without deciding whether the pain is believable.

Use the same scale, similar clothing, the same time of day, and the same conditions whenever possible. Report unexpected change because it may reflect fluid or nutrition problems.

Chart promptly, accurately, and objectively after care; use approved abbreviations; never pre-chart or alter facts; and correct errors only by the facility's approved method.

Facial droop, one-sided arm weakness, speech difficulty, sudden confusion, vision change, severe headache, or loss of balance are urgent. Note when symptoms began and summon emergency help immediately.

Sweating, shakiness, hunger, weakness, irritability, confusion, or decreased responsiveness may occur. Stay with the client, report immediately, and follow the nurse-directed care plan rather than improvising treatment.

New shortness of breath, rapid or labored breathing, bluish or gray color, chest pain, confusion, falling oxygen reading, or inability to speak normally can signal deterioration and require immediate help.

Clean hands before client contact or a clean task, after body-fluid risk or client contact, after touching the surroundings, and immediately after glove removal. Gloves do not replace hand hygiene.

They are infection-prevention practices used for every client based on the expected exposure, including hand hygiene, appropriate PPE, respiratory hygiene, injection and sharps safety, and safe handling of contaminated items.

Avoid touching contaminated surfaces to clothing, skin, face, or the environment. Remove the most contaminated items carefully, discard or contain them correctly, and perform hand hygiene at the required points.

Moving clean-to-dirty reduces transfer of microorganisms into cleaner body sites. Use a fresh area of the cloth or new supplies when returning to a cleaner area.

Hold it away from the uniform, do not shake it, roll the contaminated area inward, and place it directly in the designated container without setting it on the floor or furniture.

Immediately wash or flush the exposed area as directed, report the incident without delay, and follow the facility's exposure evaluation process. Do not conceal the event.

Acknowledge the emotion, avoid arguing or quizzing, reassure the client, and gently redirect to a safe familiar activity. Report sudden new confusion because it may have a medical cause.

Take every statement seriously, stay with the client, remove immediate hazards if safe, and notify the nurse at once. Do not promise confidentiality or dismiss the comment as attention-seeking.

Use a calm voice, explain one step at a time, allow time for questions, reduce noise and crowding, offer simple choices, and maintain a predictable routine when possible.

Agitation, withdrawal, or resistance may express pain, fear, hunger, toileting need, infection, medication effects, or another change. Observe triggers and report facts rather than labeling the client difficult.

Position the client upright or side-lying as directed, use small amounts of fluid, keep suction available if ordered, observe swallowing, and never leave an impaired client with fluid in the mouth.

Use the facility-approved thermometer or method and ask the client about comfort when they can respond. Never rely only on the CNA's hand, especially when the client has reduced sensation.

Offer small bites at the prescribed texture, allow each swallow before the next bite, alternate food and fluid as directed, avoid rushing, and stop and report coughing, choking, pocketing, or a wet voice.

Clean from the urinary opening toward the anus, using a clean area of the cloth for each stroke. This helps keep fecal organisms away from the urinary tract.

Dress the weak or affected side first and undress the strong side first, unless the care plan says otherwise. Support joints and encourage the client to do the safe portions independently.

Report persistent redness or discoloration, warmth, swelling, tenderness, blistering, or an open area over a pressure point. Relieve pressure as directed; massaging damaged tissue can worsen injury.

The CNA performs authorized tasks and observations that implement the RN-established plan, reports results and changes, and does not independently assess, diagnose, prescribe, or revise the plan.

Do not perform it. Explain the concern to the nurse, request clarification or assistance, and accept only work that is within Oregon CNA authority, the care plan, facility policy, and personal competency.

Only the limited non-injectable products allowed by Oregon CNA rules—such as specified bowel suppositories, barrier products, antifungal topicals, and pediculicides—and only under an RN plan of care or LPN focused plan. Other medication assistance is outside CNA authority.

Completing training or passing the competency tests alone does not authorize CNA practice. OSBN must finish the application requirements, issue an active certificate, and list the person on the registry before CNA duties begin.

Guide the client to the floor while protecting the head, call for help, stay with the client, and do not move them until assessed unless the location is immediately dangerous.

Rescue anyone in immediate danger, activate the alarm, contain the fire by closing doors, and extinguish or evacuate according to the facility plan. Personal safety and the facility procedure govern each action.