
Can a CNA flush a feeding tube? Your scope and what to do
A real r/cna question about a PEG tube that leaked after a water flush — what a CNA can flush, when to stop pushing, and what to tell the family asking for extra water.
Practical advice from nurses who passed the CNA exam. Looking for your state? See the state requirements by state instead.
Practice questions with kind explanations, and 23 clinical skills walkthroughs with critical steps flagged.
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Exam provider, training hours, fees and retake rules where we could verify them — with a pointer to your state registry for the rest.

A real r/cna question about a PEG tube that leaked after a water flush — what a CNA can flush, when to stop pushing, and what to tell the family asking for extra water.

A real r/cna question about a resident who nods yes to everything but clearly isn't understanding you. Why language barriers get mislabeled as confusion, and how to actually get through to him.

A real r/cna scenario about a normally oriented resident suddenly confused overnight — why sudden confusion is a change in condition, not a dementia stage, and what a CNA is supposed to do about it.

A real r/cna thread on why laxatives are the default constipation fix in nursing homes, and the daily-care steps that actually move a resident's bowels without overstepping your scope.

A real r/cna question about whether CNAs are allowed to empty an ostomy bag and what to do when one leaks at 3am. Where the line actually is, and how to do the job right.

You flip a resident during a bed bath and find a sore you've never seen on their sacrum. Is it new? Did someone miss it? Did you cause it? Here's exactly what to do — and what not to do.

A real r/cna question about a dysphagia resident who pushes away thickened water and is tanking intake. What's actually happening and what to try before it becomes a hospital trip.

You know the steps. The question is how the state evaluator scores them — and the small habits that turn a 'passing' skill into a confident one.

You emptied a resident's trash and a used lancet or insulin syringe was sitting on top of the garbage. Is this a med-pass issue, a safety issue, or both — and what's your next move.

A real r/cna question about a CNA who opened the wrong door and saw a resident undressed. What you do in the next five seconds matters more than you think, and the wrong move can become a dignity, HIPAA, or abuse-report issue.

A real r/cna question about a SNF resident who hides food in drawers and trash cans. Why it's happening, the safety risks no one talks about, and what actually works.

A real r/cna situation: the agency CNA never showed, you're now holding 18 residents on day shift, and charge isn't answering. Here's the order of operations.

A real r/cna scenario where a charge nurse tells a CNA to clock out and finish charting. Why this happens, why it's illegal, and what to actually do without losing your job.

A new CNA on r/cna asked what to do when a resident coded on their first solo shift. Here's the actual order of operations, what to do, what not to do, and how to be useful instead of frozen.

A real r/cna question about a resident who grabs your arms and begs to be pulled up by the armpits. Axilla lifting can dislocate shoulders and tear skin — here's the safe alternative, every time.

A real r/cna question about sticking herself with an insulin syringe she was disposing of. The steps you take in the first five minutes matter for your health and for whether workers' comp covers you.

A real r/cna question about a resident's wedding ring that went through the wash in a gown pocket. Who's on the hook, what to do in the next 10 minutes, and how to stop it from happening again.

A dying resident asks you to pray with them. You're not religious, or you're a different religion, or you just don't know what to say. What's the right move at the bedside?

A real r/cna question about a resident who accused the CNA of stealing cash and jewelry after their room was cleaned. What actually happens, what's at stake, and how to protect yourself without escalating the situation.

A real r/cna scenario about a resident who won't stay in bed or the wheelchair, has fallen before, and keeps standing up the second you leave. What the CNA's role actually is, and what isn't.

A real r/cna scenario about a post-op resident whose pain medication isn't touching the pain. What a CNA can and can't do, when to call the nurse, and how to document so the team can fix it.

A real r/cna question about a resident who took a fall, told the CNA they're fine, and begged them not to report it. Why the cover-up puts everyone at risk and what to actually do in the moment.

A real r/cna question about a coworker asking a CNA to mark a turn, an I&O, or a vitals check as done when it wasn't. Why this is different from 'just helping out,' and what to actually do.

A real r/cna scenario about two dementia residents getting into a physical fight in the day room. What you do in the first five seconds, what you do after, and what to document so you're covered.

A CNA asked whether she has to start CPR on a resident with a DNR tattoo. The real answer about code status, your scope, and the gray zones you need to be ready for.

A real r/cna question about a resident's daughter slipping a $100 bill into a thank-you card. The ethics, the policy, the awkwardness, and what to actually say without making the family feel rejected.

A daughter is on the phone with the charge nurse swearing you never changed her mother all shift, and you changed her three times. How to handle false complaints from families without losing your job or your cool.

An r/cna question about a resident who breaks down crying every time her daughter walks out the door, then calls the daughter begging to be taken home. What's happening, and what CNAs can actually do to help.

A coworker on the end-of-shift rush asks you to chart a temp or BP they took but didn't get to document. It's a small ask, they're nice about it, and you're trying to get out the door. Saying no doesn't sound right. Here's why you say no anyway.

A real r/cna scenario about a dementia resident who keeps walking toward the exit and once made it to the parking lot. What's an elopement, what to do in the moment, and how to prevent the next attempt.

You walk in for rounding and the resident is slumped over, not responding, not breathing. What you do in the first minute decides everything, and most CNAs freeze. Here's the actual sequence.

When a dementia resident calls you by their daughter's name, asks where you are while you're standing right there, or says 'I love you, mom' at the dinner tray — what to do, what not to do, and how to protect your own heart.

A real r/cna question about a schedule that always seems to favor the same two CNAs while everyone else gets stuck with weekends, holidays, and short-staffed shifts. What's actually going on, and what you can do about it.

A resident keeps removing their nasal cannula or BiPAP mask and your nurse is frustrated. Why they're doing it, what works, what to document, and what you should never do.

A real r/cna scenario about dropping a resident's glasses during transfer. What you're actually required to do, what to say, what NOT to do, and how to keep it from happening again.

A real r/cna question about what a CNA is supposed to do when a resident starts seizing — and the mistakes that can hurt them before the nurse even gets there.

Your partner CNA is sleeping in the break room while you're answering call lights for 20 residents. What you actually do — without burning out, without covering for them forever, and without getting blamed when something goes wrong.

A real r/cna question about a long-term resident who keeps offering cash, gift cards, and homemade food. The ethics, the facility policy angle, and what to actually say when refusing feels cruel.

A real r/cna question about a resident who fights being turned and repositioned every 2 hours. Why turning matters, how to handle the refusal, and what to document so you and the resident are protected.

A real r/cna question about walking into a room and finding a resident holding their own Foley catheter, balloon and all. What's actually going on, what to do first, and what not to do.

A real r/cna question about a dementia resident who asks 'When is my daughter coming?' or 'What day is it?' on a 30-second loop. Why it happens, why correcting them backfires, and what actually works.

A real r/cna-style scenario about a long-term care resident who asks every hour when their daughter is coming, gets upset when she doesn't show, and the CNA is left absorbing the grief. What's actually going on and what to do.

You caused a skin tear, pulled a muscle, or hurt someone during a transfer. The panic is real. Here's exactly what to do in the next 30 seconds, and what to do after.

Hearing aids keep disappearing at your SNF. The resident can't find them, the family is asking pointed questions, and the charge nurse wants answers. What's actually going on, and how to protect yourself.

A real r/cna question about a dementia resident who told family the CNA stole from her and hit her. What to do in the moment, what to document, and how to keep your name clear when the accusation is wrong.

A real r/cna question from a brand-new CNA who got a full 12-resident assignment on day one and is drowning. What actually helps when the workload is real and you don't know where to start.

A real r/cna scenario about a long-term resident who tells you they want to die. What you're allowed to say back, what you must report, and what helps in the moment without crossing your scope.

A CNA on r/cna told the nurse a resident looked off for hours and nothing changed. How to escalate a change of condition when the nurse isn't responding — without overstepping your scope.

A real r/cna question about being assigned a resident with active C. difficile for the first time. What PPE to wear, how to handle the room, and how to keep everyone safe.

A CNA on r/cna got an SpO2 of 82 on routine vitals. The resident looked 'fine.' Here's how to handle a low reading without either ignoring it or over-reacting and embarrassing yourself in front of the nurse.

A real r/cna question about a family member cornering a CNA in the hallway asking whether their mother is dying. What's the right answer when the family is asking you, not the nurse?

A CNA on r/cna described a resident who started choking mid-bite during meal assist. Here's what the textbook says to do, what actually happens in real SNFs, and the mistakes that get people fired.

A new CNA asked r/cna what to say during handoff when the oncoming staff is impatient, you have 8 residents, and report is supposed to take 5 minutes. Here's what goes in, what stays out, and how to not get steamrolled.

A real r/cna question about a resident who soils themselves constantly, the CNA falling behind on everyone else, and whether they're missing a sign of something serious. Here's what's actually going on and what works.

A real r/cna scenario where a resident's daughter files a complaint against the CNA with the state board. What the process actually looks like, how long it takes, and what protects you.

A real r/cna scenario where a resident's daughter is an RN and keeps telling the CNA she's doing things wrong. How to stay professional, protect your license, and not lose your mind.

A real r/cna question about a pill found on the floor next to a resident's bed after the nurse passed meds. What CNAs should actually do in that moment, and what never to do.

You walk in for your shift and the resident has a skin tear you didn't see yesterday. Family is asking questions. The nurse is asking questions. Here's what to do in the first ten minutes, and how to document so you and the resident are protected.

A CNA posted a vent about a difficult resident on their private Instagram story — and a coworker saw it. What actually counts as a HIPAA violation, what doesn't, and what to do if you've already posted.

A real r/cna question about a SNF resident with decisional capacity who insists on going home right now. What 'AMA' actually means, what your role is, and what to do in the moment.

A real r/cna question about being asked to run a glucose check, wound dressing, or trach suction on day three with no facility check-off. What scope of practice actually says, and how to refuse without getting fired.

A real r/cna question about a resident who is incontinent but refuses perineal care every shift, putting them at risk for skin breakdown. How to handle refusal without forcing it, and what to document.

A real r/cna question from a new CNA who took a BP of 210/115 on a resident and panicked. Here's what your scope of practice actually allows, what to do in the moment, and what to never do.

A real r/cna question about a dementia resident who becomes confused, agitated, and sometimes combative every evening starting around 4pm. What's actually happening, and what CNAs can do to get through it.

A real r/cna question about residents asking personal questions — married, kids, religion, politics, age — and how to set a kind boundary without making the resident feel shut out.

A real r/cna question about a resident who stopped eating and barely drinks. How to encourage intake, when to push, and when it's time to flag it up.

A real r/cna scenario about a resident's daughter who got a CNAs personal number and now calls at 10pm. Where the line is, why it matters, and how to set it without burning the relationship.

A real r/cna scenario where a resident's daughter keeps asking you diagnosis, medication, and prognosis questions. The scope of your role is clear, but the conversation is hard — here's what to actually say.

A real r/cna question about a coworker who hides from call lights while the rest of the team drowns. What the charge nurse should do, what you can do, and what to never do — even when you're furious.

A real r/cna question about a diabetic resident whose family keeps bringing sugary snacks from home, and the CNA getting blamed for the diet not being followed.

A real r/cna question about a resident who keeps grabbing CNAs during care. What's actually going on, what to do in the moment, and how to document it so it stops.

A real r/cna scenario about a son who cornered a CNA in the hallway and started yelling about his mom's care. What de-escalates the moment, what makes it worse, and what to document afterwards.

A new CNA's first death on the floor — the practical steps, the emotional weight, and how to get through the rest of the shift.

You walk into a room and your resident is on the floor. The exact steps to take in the first 60 seconds, what to document, and how to protect yourself if the family asks why it happened.

A CNA on r/cna asked what to do when a confused resident keeps grabbing, hitting, and scratching during care. Why it's never your fault, what your facility has to do, and the exact steps to take in the moment.

A real r/cna question about a SNF resident who hits the call light every 3-5 minutes for non-urgent things. What's actually going on, and what works to reduce the calls without ignoring the patient.

A CNA on r/cna with endometriosis asked whether she could be fired for calling off when her cramps put her in the hospital. The legal answer is more protective than most CNAs realize.

A CNA on r/cna described being told to physically force a dementia patient into the shower when she refused. Why force is always the wrong answer, and what actually works.

A bed-bound resident told a CNA 'I feel like a body without a soul.' 675 upvotes, 316 comments, and a thread full of people sharing the moments they can't shake. Why this work hits the way it does, and what actually helps.

A 17-year-old CNA on r/cna asked if it was legal to be assigned to a convicted sex offender when she was a survivor of childhood sexual assault. The answer involves OSHA, facility policy, and your right to refuse unsafe work.

A real story from r/cna about a trach tube falling out during a shirt change. What the immediate response should be, what the CNA did right, and why the skin broke down around the stoma in the first place.

What the NNAAP written exam covers, how it is structured, and how to study for it in the right order instead of reading a textbook cover to cover.

Most NNAAP clinical skills failures aren't the steps you forget — they're the critical steps you forget to *verbalize*. Here's the small habit that fixes it.