Arizona Certified Nursing Assistant (CNA) Practice Test

If a resident is choking and cannot speak, what is the first action a nurse aide should take?

1. Call for help immediately

2. Give the resident water to drink

3. Provide abdominal thrusts from behind

4. Check the resident's airway visually

The correct answer is: Provide abdominal thrusts from behind

When a resident is choking and unable to speak, the priority is to clear the airway to prevent further harm. Providing abdominal thrusts from behind is the appropriate response in this situation as it is the most effective first aid technique for someone who is choking and unresponsive. This method works by creating an upward pressure in the abdomen, which can help dislodge the object blocking the airway. Immediately attempting to provide rescue measures is vital because the longer the airway remains obstructed, the greater the risk of severe complications, including loss of consciousness or even death. In contrast, calling for help can be important as well but should generally be done after initiating abdominal thrusts, especially if the situation appears life-threatening. Giving a resident water to drink is not advisable, as it can worsen the choking. Visually checking the airway may provide some information, but it delays the critical intervention needed to assist the resident. Therefore, abdominal thrusts are the correct first action to take.