Arizona Certified Nursing Assistant (CNA) Practice Test

A nurse aide notices a resident with dementia is walking with a limp. What is the first response the nurse aide should take?

1. Ask the resident if they are in pain

2. Remove the resident's shoe and inspect the foot

3. Report it to the family immediately

4. Document the observation in the chart

The correct answer is: Remove the resident's shoe and inspect the foot

When a nurse aide observes a resident with dementia walking with a limp, the most immediate and appropriate response is to assess the situation directly, which involves inspecting the foot. This action helps determine if there is an underlying issue, such as an injury, improper footwear, or another condition affecting the resident's mobility. Inspecting the foot allows the nurse aide to gather crucial information that may require prompt attention, including whether there is swelling, redness, or any visible signs of trauma. It's essential to address the physical well-being of the resident first before notifying others or documenting the observation. This ensures that any potential harm can be evaluated and managed quickly, which is vital in providing quality care for residents, especially those with cognitive impairments who might not be able to communicate their discomfort effectively. Focusing on direct assessment prepares the aide to take the necessary next steps, whether that be reporting findings to a nurse for further evaluation or addressing immediate care needs.