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CNA WRITTEN EXAM (PROMETRIC PRACTICE TEST) LATEST 2022-2023 EXAM WITH 300+ QUESTIONSAND ANSWERS (VERIFIED ANSWERS)/CNA WRITTEN EXAM (PROMETRIC PRACTICE TEST) LATEST 2022-2023 EXAM WITH 300+ QUESTIONSAND ANSWERS (VERIFIED ANSWERS)/CNA WRITTEN EXAM (PROMETRIC PRACTICE TEST) LATEST 2022-2023 EXAM WITH 300+ QUESTIONSAND ANSWERS (VERIFIED ANSWERS)
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D. Fowler's - ANSWER- Fowlers speaking - ANSWER- look directly at the client when speaking (D) look directly at the client when (C)speak in a loud and slow man speaking (B)stand behind the client wh
Which of the following best helps reduce pressure on the bony prominences? A. Several pillows B. Sheepskin C. Flotation mattress D. Repositioning every shift - ANSWER- Flotation mattress The most comfortable position for a resident with a respiratory problem is: A. Prone B. Supine C. Lateral prone - ANSWER- is a position of the body lying face down. supine - ANSWER- Lying on back with head supported on a pillow. fowlers - ANSWER- is a position where the head is raised above the feet In order to communicate clearly with a client who has hearing loss, the nurse aide should: (A) speak in a high pitched tone of voice en ner Which of the following is a correct measurement of urinary output? (A) 40 oz (B) 300 cc
The best way to control the spread of C. difficile is – (B) after the procedure (A) before the procedu nurse aide should wash (D) check (C) offer the client a drink of water for signs of injury - ANSWER- B (C) 2 cups (D) 1 quart - ANSWER- 300 cc = 300 ml = about 10 oz or about 1.25 cups
. When changing an unsterile dressing, the hands : re (C) before and after the procedure (D) before, after removal of the soiled dressing, and after the procedure - ANSWER- D The nurse aide finds a conscious client lying on the bathroom floor. The FIRST thing the nurse aide should do is: (A) help the client into a sitting position (B) call for assistance from the nurse in charge a. by limiting contact of the infected resident and family with others b. by using more powerful antibiotics and antivirals c. by giving more enemas and fiber to clean out the GI tract d. through proper handwashing and handling of contaminated wastes The government agency helping to define Utah's nursing assistant scope of responsibility in long-term care facilities is - ANSWER- a. JCAHO b. OBRA c. OSHA d. UNAR** Oral care performed: - ANSWER- a. at least three times a week b. once daily c. only when requested by the resident d. at least twice a day****** Mr. King cannot get out of bed. You place him in position for meal. - ANSWER- semi or high fowlers? SEMI Transfers and discharge preparations are the responsibility of the – a. Social Worker
b. nursing assistant
c. Nurse d. Medical Doctor The best way to control the spread of MRSA is by - ANSWER- ...(DIRECT CONTACT) PROPER HANDWASHING Mr. Dodds is in a bad mood and yelling profanities at you. You tell him if he doesn't stop you will lock him in his room. This would be a. false imprisonment* b. assault and battery- c. abandonment- d. neglect and abuse- - ANSWER- ... Bending of a joint in PROM is called –
Mrs. Jones just had a stroke and is unable to swallow. The type of diet she should have is (^) –
d. they must be provided with a written copy of these rights** c. the right to refuse medication is not one of these rights b. greater than 100 bpm a. greater than 60 bpm The best description of Tachycardia is a heart rate c. less than 60 bpm d. less than 100 bpm - ANSWER- B
The master gland that controls the hormone production of other glands is known as the gland. - ANSWER- PITUITARY OBRA requires that on admission, residents must be told of their legal rights. You know that – a. the right to file a complaint is not one of these rights b. a lawyer must be present to witness the giving of the rights Transfers and discharge preparations are the responsibility of the - ANSWER- RN* Peripheral Vascular Disease affects the – - a. muscloskeletal system b. respiratory system* c. endocrine system d. cardiovascular system THIRD STAGE OF GREIVING PROCESS IS? - ANSWER- ANGER WHAT SHOWS EMPATHY a. "I wonder what is making the resident so uncooperative." b. "Is that resident as disrespectful to everyone as he is to me?" c. "I'll spend extra time with the resident to help him feel welcomed." d. "He must be in pain; I'll let the nurse know he needs medication." - ANSWER- C ITCHY COND WHERE MITE BURROWS IN SKIN. - ANSWER- IS SCABIES BUT TEST SAYS PINWORMS TUBURCOLOSIS IS MOST LIKELY SPREAD BY - ANSWER- COUGHING ANGINA PECTORIS - ANSWER- ANXIETY (CHEST PAIN OCCURING W STRESS) The federal regulation that was established to improve the quality of care given in long- term care facilities is called - ANSWER- OBRA
best source of carbs d. provide perineal care QOD Before entering a patient's room, a CNA should: K Check the resident's care plan. nock on the resident's door before entering. B When caring for a female resident with an indwelling catheter. You should - a. attach the drainage bag to the bed rail b. insure the resident is lying on the tubing c. keep the drainage bag below the bladder* Hospice is available to the resident and their family - ANSWER- whenever needed A student fails a test and blames a friend for not helping with studying. This is an example of a defense mechanism called - ANSWER- rationalization a. candy, fish , pasta, peas b. meat, bread, broccoli , beans c. beef, fish, peanut butter, beans d. pasta, cereal, bread, candy**** - ANSWER- ... Cystitis is an inflammation of the - ANSWER- bladder Disorder that causes reocurring seizures - ANSWER- i say epilepsy. they say cva What should a CNA do if he or she sees a small fire in an unoccupied patient room? A. Extinguish the fire. B. Rescue residents in the rooms next door. C. Activate the fire alarm. D. Close all fire doors. - ANSWER- C. Activate the fire alarm. When encountering a fire use the acronym RACE (Rescue, Activate the alarm, Confine the fire, Extinguish the fire). Since no residents are in immediate danger, the CNA should activate the alarm. . C. Make sure that the supplies are stocked for the unit. D. All of the above. - ANSWER- A. Knock on the resident's door before entering. It is important to remember that the residents live in the facility. This is their home. Thus, it is important to knock on the door of a resident's room before walking in. Understanding the care plan is very important, but the CNA may not need to
read this document before entering a resident's room on each and every occasion during a shift. Restocking the resident's room is also important, but the CNA may not need to do this
blood test. What should the CNA say? A patient's family asks the CNA caring for a loved one about the results of a recent A. I think everything is normal, which is great! Let me find the nurse to talk to you about the results. Oh, he had a blood test? That is news to me. I cannot comment on patient treatment. Sorry. - ANSWER- B. Let me find the nurse to talk If a patient refuses treatment and the CNA performs this care on the patient anyway, wha What needs are found on the lowest level of Maslow's hierarchy of needs? A. Love and belonging B. Self-esteem C. Safety and security D. Physical - ANSWER- D. Physical All humans must meet their basic physical needs for survival first (which means food, water, shelter, etc.). Once those are met, people need safety and security, followed by love and belonging, self-esteem, and finally, self- actualization. The CNA should not comment on medical procedures or diagnostic information. The patient has a right to privacy. When a family member asks about a patient's care or health, help the family and ask the nurse on duty to speak with them about a procedure of this kind. A patient is refusing to drink fluids even though he is beginning to show signs of dehydration (concentrated urine, headache, sunken eyes, low energy). What should the CNA do? A. Tell the patient to go home because he knows what is best for his care. B. Explain the risks of dehydration, respect his decision, and inform the nurse about his condition. C. Request an IV for the patient so that the patient can get fluids without drinking anything. D. Force him to drink water immediately, because dehydration is dangerous. - ANSWER- B. Explain the risks of dehydration, respect his decision, and inform the nurse about his condition. A patient has the right to refuse treatment even if this is not in his best interest. In this situation, the CNA should explain that being hydrated is very important for a person's health, and then let the nurse know that the patient is refusing treatment. Forcing a patient to drink water is abuse. A CNA should NEVER hook up an IV and the CNA has no authority to discharge a patient.
A personal disagreement with a patient's family is not a valid reason for refusing to undertake a task. If the task is outside of the CNA's standard of care, the task is dangerous, or if the CNA believes it is unethical, then the CNA should explain to the nurse, in a calm professional manner, why she is refusing to undertake A. Nothing. CNAs should always perform care on patients regardless of patient wishes. B. The CNA could be given an award for performing care under challenging conditions. C. The CNA could be promoted as leader on the floor because he can get things done. D. The CNA could be charged with assault or battery. - ANSWER- D. The CNA could be charged with assault or battery. A CNA can be charged with assault for threatening to perform care or battery for touching a patient (providing care) without the patient's consent. A patient must give consent for treatment. Treating a patient without the patient's consent violates the patient's rights. A CNA could be fired or arrested for this kind of behavior. Which is NOT a reason why a CNA should refuse an assignment? A. The CNA is upset because of a personal conflict with the patient's family. B. The CNA believes the task is unethical. C. The task is outside of the CNA's standard of care. D. Performing the task could be harmful to the CNA. - ANSWER- A. The CNA is upset because of a personal conflict with the patient's family. Which should the CNA NOT do as a healthcare professional? A. Arrive to work on time, or even 5- minutes early. B. Work single-handedly to take care of patients. C. Eat well and get plenty of exercise and sleep. D. Arrive at work well groomed in a clean uniform. - ANSWER- B. Work single- handedly to take care of patients. A professional CNA is well groomed, arrives on time, and takes care of himself or herself outside of work. A CNA must be part of the healthcare team and not do the job alone. While standing in the elevator, a CNA overhears his colleagues speaking about a resident's care. What is this a violation of? A. The patient's right to
medical care. B. A DNR order C. Patient confidentiality D. It is not a violation of anything as professionals are discussing resident care. - ANSWER- C. Patient confidentiality
D. Assault - ANSWER- C. Negligence C. Negligence Discussing a resident's care in a public space, like an elevator, is a violation of the patient's right to confidentiality under the HIPAA guidelines. DNR stands for do not resuscitate, which is when a patient does not want to receive care if he or she stops breathing. Patients have the right to receive medical care, but they also have the right to refuse medical care if they wish.
Which of the following is NOT a normal part of changes in all older adults? A. Bones become more brittle and can break more easily
C. Speak loudly and clearly so that the resident can hear the CNA When speaking with a resident, the CNA should NOT: Listen to what the resident is saying Address the resident by Mr. Mrs. or Ms. and his or her last name personal details of his or her D. Share intimate or personal details of his or her life - ANSWER- D. Share intimate or task to another C D. Communicate with other members of the healthcare team - ANSWER- A. Delegate a C. Understand delegation guidelines completely before performing a task Hand-washing is the most important action that a nursing assistant can take to help preve B. The person is confused all the time C. Night vision decreases D. The skin becomes more fragile - ANSWER- B. The person is confused all the time Not all older adults are confused or suffer from dementia. Older adults have more brittle and weaker bones than younger adults. The skin of older adults is more fragile than the skin of younger adults. Older adults will not see as well as night as younger adults. life A CNA should not share intimate personal details of his or her private life. This is a violation of professional boundaries. A CNA should address a resident using Mr., Mrs. or Ms. and the resident's last name. A CNA should speak loudly and clearly enough so that the resident can hear the CNA. The CNA should listen closely to what the resident says. A CNA should NOT: A. Delegate a task to another CNA B. Help other CNAs with their residents NA A CNA should never delegate a task to another CNA. This is outside the role of the CNA. A CNA should: communicate clearly with other members of the healthcare team, help other CNAs with their patients (when needed) and make sure to understand the delegation guidelines completely before undertaking a task. Which of the following is the first step in preventing the spread of germs? A. Keeping living areas clean B. Emptying trash cans every day C. Covering the resident's mouth when she sneezes D. Hand-washing - ANSWER- D. Hand-washing
C. An environment completely free from microorganisms. preventing disea The term medical asepsis means: Practices designed to reduce the number of pathogenic microorganisms and limit their gro The injection of a killed microbe in order to stimulate the immune system, thereby se. keeping living areas clean, and emptying trash are all important, but they are not the first step in preventing the spread of infection. In which of the following facilities do CNAs work? A. Hospitals B. Long-term residential nursing care C. Rehabilitative care D. All of the above - ANSWER- D. All of the above CNAs can work in a wide array of medical settings including: long-term residential nursing care, hospitals, and others (such as assisted living facilities). D. The process of killing microorganisms using chemicals or heat. - ANSWER- A. Practices designed to reduce the number of pathogenic microorganisms and limit their growth and transmission in the patient's environment. Medical asepsis is defined as: practices designed to reduce the number of pathogenic microorganisms and limit their growth and transmission in the patient's environment. An environment completely free of microorganisms is called a sterile environment. Disinfection is the term used to describe the process of killing microorganisms using chemicals or heat. A vaccination is the injection of a killed microbe in order to stimulate the immune system, thereby preventing disease. When is a cold pack used? A. To stop pain B. To stop bleeding C. To decrease swelling D. To increase circulation - ANSWER- C. To decrease swelling A cold pack is used to decrease swelling. A hot pack can improve circulation. Medical professionals use direct pressure to slow or stop bleeding. A cold pack can help temporarily decrease pain, but it will not stop pain. Which of the following practices ensures adequate protection when wearing gloves? A. Hand-washing before and after glove use. B. Only use gloves when touching a resident's blood. C. A small tear in the glove will still keep out germs.
resident's skin, as this could hurt the resident or damage more susceptible to that you may come into contact with a resident's body fluids, including: blood, mucus, urin them will not ensure adequate protection. You should use gloves any time you suspect protection. Washing your hands only after glove use or using gloves with a small tear in You must wash your hands before and after using gloves to ensure adequate B. Older residents have slower reaction times A. Older residents sleep less deeply Which of the following is true about older residents? Scrub the resident's skin vigorously to make sure she is clean. When assisting a resident with a bed bath, what should the CNA do? D. Wash hands only after removing gloves. - ANSWER- A. Hand-washing before and after glove use. C. Older residents have reduced sensitivity to touch and to pain D. All of the above - ANSWER- D. All of the above As people age, their reaction times slow down, they sleep less deeply and may sleep for fewer hours each night, and they have reduced sensitivity to touch and to pain. All of this means that CNAs must be aware that: residents could slip and/or fall more easily because of their slower reaction times, some residents may nap during the day or go to bed early and wake early, and residents may not notice pain as quickly, so they are A. B. Close the curtain to provide privacy. C. Make sure that the water temperature is between 85-95 degrees Fahrenheit. D. Start bathing the resident's feet first. - ANSWER- B. Close the curtain to provide privacy. Before giving the resident a bed bath, the CNA should close the curtain to provide for resident privacy. The CNA should not start the bed bath at the resident's feet. The CNA should start the bed bath starting at the head and moving down the body (wash from the cleanest to the dirtiest areas of the body). A water temperature of 85-95 degrees Fahrenheit is too cold and will chill the resident. The CNA should not scrub the While a nursing assistant is caring for a resident, the CNA notices a foul smell coming from the resident's wound. What should the CNA do? A. Clean the wound immediately. B. Give the resident an antibiotic because the wound may be getting infected. C. Inform the nurse. D. Nothing, wound care is not part of the role of the CNA. - ANSWER- C. Inform the nurse.
to B. On the side with a pillow under the head, a seco On the back with the bed at a 45-degree angle. nd pillow under the top arm, and a pillow under the top leg. C. On the stomach with the head to one side and pillows under the belly and feet. D. Flat on the back with a pillow under the lower back. - ANSWER- B. On the side with a pi p leg. A. Diastolic blood pressure is the patient's blood pressure when it is too high. What does the diastolic blood pressure number, or bottom number, refer to? If a CNA notices a foul smell coming from a wound, the CNA should inform the nurse immediately, as this could signal an infection. CNAs should not clean wounds unless this is part of the standard care in the facility that they work in. CNAs should never give a resident medication. A resident's health and wellness is part of the CNAs job, so the CAN should always pay close attention to the resident's health. Which of the following is not part of the admissions process? A. Making the resident feel comfortable and welcome in the facility. B. Preparing the resident's room. C. Signing admitting papers and consent for treatment. D. The resident goes home. - ANSWER- D. The resident goes home. The admission process helps the resident begin her stay in the facility, thus it is important to: sign admitting paperwork and a consent for treatment, prepare the resident's room, and make her feel welcome and comfortable. The resident goes home after the discharge process. If a patient's chart notes that he be placed in a lateral position, he should lie: A. In a lateral position, a patient lies on the side. In a prone position, a resident lies on the stomach. In the supine position, a resident lies on the back. In the semi-Fowler's position, a resident lies on the back with the bed at a 45- degree angle. B. Diastolic blood pressure is the pressure in the arteries when the heart contracts. C. Diastolic blood pressure is the pressure in the arteries when the heart rests. D. Diastolic blood pressure is the patient's blood pressure when it is too low. - ANSWER- C. Diastolic blood pressure is the pressure in the arteries when the heart rests. Diastolic blood pressure (the bottom number) measures the pressure when the heart is at rest between beats. Systolic blood pressure (the top number)
Who is the most important member of the care plan meeting? measures the pressure when the heart contracts. The average blood pressure for adults is 120/80.
Where can a CNA take a resident's temperature? A CNA is making an unoccupied bed and accidentally drops a clean sheet on the floor. Wh C. Brush any dirt off of the linen and make the bed. Place the linen in the hamper because it is now soiled. Refold the linen and put it back in the clean linens pile. A. The patient B. The CNA C. The nurse D. The doctor - ANSWER- A. The patient The patient is the most important member of the care plan meeting. All of the healthcare providers are there to help the patient. A. Oral B. Rectal C. Axilla D. All of the above - ANSWER- D. All of the above The most common way to take a temperature is under the resident's tongue (an oral temperature). A CNA can also take a temperature rectally (in the anus) or axillary (under the armpit). D. Pick the linen up and make the bed. - ANSWER- A. Place the linen in the hamper because it is now soiled. When an item is dropped on the floor, it may become contaminated with germs or bacteria and should NOT be used. The CNA should put the linen in the hamper to be washed. When a resident has a seizure she: A. Has convulsions. B. Has consumption. C. Has a heart attack. D. Has high blood sugar. - ANSWER- A. Has convulsions. Seizures are sometimes called convulsions. High blood sugar is sometimes used to describe diabetes. Consumption is sometimes used to describe pneumonia or tuberculosis. A heart attack is sometimes called a myocardial infraction. When performing oral care on an unconscious resident, a CNA must use: A. Mouthwash B. A soft toothette C. A toothbrush
D. All of the above - ANSWER- B. A soft toothette An unconscious resident cannot spit. Therefore, a CNA should not use mouthwash becau If a resident can sit up, pivot, and get out of bed with little assistance but has difficulty reaching the bathroom, which device is the most appropriate to use for elimination? B. Regular toilet A. Portable commode A. Place dentures on a shelf next to the sink to dry. dentures? Which is the proper safety technique for a CNA to use when cleaning a resident's Place a paper towel in the sink while cleaning the dentures. After cleaning, place the dentures in a glass next to the sink. Place a cloth towel in the sink while cleaning the dentures. - ANSWER- D. Place a cloth tow Dentures are expensive and hard to replace if they break, so a CNA must place a cloth D. Every 8 hours - ANSWER- A. For eating C. Every 2 hours C. Bedpan D. All of the above - ANSWER- A. Portable commode Since the resident can sit up and turn independently, a portable commode, which is placed near the bed, is the most appropriate device. It is important to use the device that gives the resident the most independence. Bedpans are used for residents who cannot get out of bed. The regular toilet is not appropriate because the bathroom is too difficult for the resident to get to. towel in the sink to cushion any falls should the dentures be dropped during cleaning; paper towels will not cushion the fall. A resident receives oxygen therapy through a face mask. When should the face mask be removed? A. For eating B. For sleeping The face mask covers the resident's nose and mouth. It should be removed to allow the resident to eat. Removing the mask every 2 hours, 8 hours, or while sleeping interrupts oxygen delivery and may delay or harm the resident's recovery. Which of the following is an objective sign or symptom and can be directly observed by a CNA?
The pulse oximeter is a sensor that measures the amount of oxygen in a person's blood B. Ensure that the stockings have no wrinkles in them. Pull the stockings up quickly from the resident's foot. When putting anti-embolism stockings on a patient, the CNA should: bubbles or wrinkles in them. antiembolism stockings on "quickly," rather it is important to ensure that they have A. Raising the patient's extremity above the heart Which intervention will NOT help a patient with edema? C. Using an ice pack or cold pack to reduce swelling B. Massaging the extremity with lotion to stimulate blood flow
Nausea B. Chills C. Blood pressure measurement D. Pain level - ANSWER- C. Blood pressure measurement A CNA can directly observe and measure a resident's blood pressure, and so it is considered an objective measurement. Subjective symptoms like pain, nausea, and chills cannot be observed, but instead residents must tell CNAs about these symptoms. A pulse oximeter can be effective when attached to a person's: A. Toe B. Finger C. Earlobe D. All of the above - ANSWER- D. All of the above A. C. Ensure that the stockings are very tight. D. All of the above - ANSWER- B. Ensure that the stockings have no wrinkles in them. Anti-embolism stockings should have no wrinkles, twists, or creases when they are worn. Wrinkles and creases can cause skin to breakdown and twists can affect circulation. They should not be so tight as to limit circulation, and the CNA should remove the stockings at least once every eight hours to encourage circulation and check the resident's skin for signs of rash or breakdown. It is not necessary to put no D. Encouraging the patient to complete range of motion (ROM) exercises - ANSWER- C. Using an ice pack or cold pack to reduce swelling Edema is the swelling of an extremity due to poor circulation. Applying ice or cold packs to reduce swelling will not help manage edema. Interventions that stimulate circulation, such as raising the body part above the heart, range of
motion exercises (ROM), and massaging the affected area can help.
Call for help immediately. B. Help the resident perform breathing exercises to increase her oxygen levels. C. Massage the area where the resident is in pain. D. Offer a pain reliever to help make the resident more comfortable. - ANSWER- A. Call for help immediately. give pain medication because this is outside the scope of her care. emergency situation. The CNA should call for help immediately. The CNA should never Chest pain can be a sign of a heart attack (myocardial infarction), which is an help a resident sit up in bed. and back again. A gait belt is used to help a resident stand or walk. A trapeze is used to CNA uses a Hoyer lift to transfer a weak or immobilized resident from the bed to a chair A slide board is used to transfer a resident from a bed to a stretcher and back again. A D. Fowler's position If a patient is actively dying, how often should a CNA record his or her vital signs? A. Never B. Once every 15 minutes C. Once every 30 minutes D. Once every 60 minutes - ANSWER- A. Never As a rule of thumb, a CNA should never record the vital signs of a patient who is actively dying. Rather, the CNA and other caregivers should take care to make the patient and his or her family as comfortable as possible. However, if a nurse or a doctor orders regular vital signs, the CNA should comply with this medical directive. When a resident complains of chest pains, what should a CNA do? A. Which device is used to transfer a resident from a bed to a stretcher? A. Trapeze B. Slide board C. Hoyer lift D. Gait belt - ANSWER- B. Slide board Which of the following positions will assist a patient who has difficulty with deep breathing? A. Lateral position B. Prone position C. Supine position
with breathing.
goal is to allow dying patients to live out the B. To provide assistance with activities for daily living A. To restore a person's range of motion Which of the following is the goal of hospice care? C. To meet the emotional, spiritual, and physical needs of a dying person D. To cure a person's illness - ANSWER- C. To meet the emotional, spiritual, and physical n Hospice care is for terminally ill patients who often have less than 6 months to live. The A new resident is having difficulty getting dressed. The CNA helps the resident. Which B. Minimum data set A. Progress notes document should the CNA use to record this information? What is the expected order of the five stages of grief? - ANSWER- Denial, anger, bargaining, depression, acceptance The expected order of the stages of grief is: denial, anger, bargaining, depression, and acceptance. However, not all patients express all of these stages explicitly to caregivers and family members. Additionally, not all patients go through every stage. Some stay in one stage or cycle back to an earlier stage in the process. ir remaining days with dignity and peace. No curative or restorative measures are taken. How should a CNA conduct oneself regarding a resident's religious beliefs? A. Leave it to the family to support the resident's religious beliefs. B. Provide support and allow the resident to practice his religious beliefs. C. Ignore the resident's religious beliefs. D. Try to convert the resident to the CNA's religious beliefs. - ANSWER- B. Provide support and allow the resident to practice his religious beliefs. The Residents' Bill of Rights protects the resident's right to practice his religious beliefs. The CNA must adhere to the Resident Bill of Rights. It is inappropriate for the CNA to ignore the resident's religious beliefs or try to convert the resident to another religion. The family may have different religious beliefs than the resident, so the CNA should allow the resident to practice their religious beliefs. C. Admission sheet D. Flow sheet - ANSWER- D. Flow sheet