TL;DR
Learn proper incident reporting procedures and essential medical terminology used in healthcare documentation. Accurate reporting and correct terminology prevent miscommunication and are consistently tested on the CNA Written Examination (NNAAP).
Free Reporting & Medical Terminology Practice Questions
CNA Written Examination (NNAAP) · Communication & Documentation
This module covers Reporting & Medical Terminology as part of the Communication & Documentation section, testing your understanding of core concepts and their practical application.
| Exam | CNA Written Examination (NNAAP) |
| Pass Rate | 87% |
| Duration | 90 minutes |
| Module | Reporting & Medical Terminology |
Why Reporting & Medical Terminology matters
Reporting & Medical Terminology is a commonly tested topic on the CNA Written Examination (NNAAP) because it covers fundamental knowledge required for competent professional practice.
Sample Practice Questions (5)
1. The difference between "reporting" and "recording" is that reporting is:
- Written documentation in the resident's chart
- Verbal communication of information to the nurse
- Filing paperwork in the medical record
- Typing information into the computer system
2. The CNA should report observations to:
- The resident's family members
- The charge nurse or supervising nurse
- Other CNAs on the unit
- The resident's physician directly
3. When documenting in a resident's medical record, the CNA should use:
- A pencil so mistakes can be easily erased
- Black or blue ink pen, writing legibly, and signing each entry with name and title
- Correction fluid (white-out) to fix any errors
- Their own personal shorthand that only they can understand
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Start practicing free →4. A resident's care plan indicates "I&O" should be measured. This abbreviation means the CNA should track the resident's:
- Illnesses and observations
- Intake and output (fluids consumed and fluids eliminated)
- Injuries and occurrences
- Insurance and orders
5. Which of the following changes should the CNA report to the nurse IMMEDIATELY?
- The resident ate 50% of their lunch
- The resident's blood pressure dropped significantly from their baseline
- The resident took a 30-minute afternoon nap
- The resident watched television for two hours
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