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Nursing Assistant Care: The Basics 6th ed. > Clinical Skills Testing (Materials and Bolded Steps) > Flashcards

Clinical Skills Testing (Materials and Bolded Steps) Flashcards

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1
Q

Hand Hygiene aka Handwashing (2:30)

A

Soap
Sink
Paper Towels

  1. Lathers all surfaces of wrists, hands, and fingers producing friction, for at least 20 (twenty) seconds, keeping hands lower than the elbows and the fingertips down
  2. Rinse all surfaces of wrists, hands, and fingers, keeping hands lower than the elbows and the fingertips down
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2
Q

Stocking (2:40)

A

Mannequin
Elastic Stocking

  1. Finishes procedure with no twists or wrinkles an heel of stocking, if present, is over hell and opening in toe area (if present) is either over or under toe area; if using a mannequin, candidate may state stocking needs to be wrinkle-free
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3
Q

Ambulate (5:00)

A

Transferbelt
Non-skid Footwear
Gown

  1. Before assisting to stand, client is wearing non-skid shoes/footwear
  2. Before assisting to stand, client is assisted to sitting position with feet flat on the floor
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4
Q

Bedpan (5:00)

A

Bedpan
Toilet Tissue
Handwipes
2 (two) sets of Gloves

No bolded steps but step 11 is important: Puts on clean gloves before removing bedpan

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5
Q

Denture Care (2:40)

A

Dentures
Denture Brush
Denture Toothpaste
Emesis Basin
Paper Towel
Gloves

No bolded steps

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6
Q

Pulse (2:15)

A

Recording Form
Pen
Second Hand Watch

  1. Records pulse rate within plus or minus 4 (four) beats of evaluator’s reading
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7
Q

Respirations (2:50)

A

Recording Form
Pen
Second Hand Watch

  1. Records respiration rate within plus or minus 2 (two) breaths of evaluator’s reading
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8
Q

Donning and Doffing PPE (3:10)

A

Gown
Gloves
Designated Trash

  1. Before removing gown, with one gloved hand, grasps the other glove at the palm, remove glove
  2. Slips fingers from ungloved hand underneath cuff of remaining glove at wrist, and removes glove turning it inside out as it is removed
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9
Q

Dressing Client (4:40)

A

2 (two) Shirts
Gown

  1. Assists to put the right (affected/weak) arm through the right sleeve of the shirt before placing garment on left (unaffected) arm
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10
Q

Feeding (3:30)

A

Tray with Diet Card
Plate with 2 (two) Food Options
Spoon
Water
Straw
Clothing Protector
Handwipes

  1. Before feeding client, client is in an upright sitting position (75-90 degrees)
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11
Q

Bed Bath (7:40)

A

Water Basin
Soap
4 (four) Washcloths
1 (one) Towel
Gown
Hamper

  1. Beginning with eyes, washes eyes with wet washcloth (no soap), using a different area of the washcloth for each stroke, washing inner aspect to outer aspect then proceeds to wash face
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12
Q

No Skill (Placeholder)

A

No Materials (Placeholder)

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13
Q

Urinary Output (2:00)

A

Recording Form
Pen
Bedside Commode
Graduate
Bedpan

  1. Records contents of container within plus or minus 25ml/cc of evaluator’s reading
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14
Q

Weight (2:10)

A

Recording Form
Pen
Non-Skid Shoes

  1. Records weight based on indicator on scale; weight is within plus or minus 2 lbs of evaluator’s reading (If weight is recorded in kg weight is within plus or minus 0.9 kg of evaluator’s reading
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15
Q

PROM Lower (2:40)

A

No materials needed

  1. While supporting the leg at knee and ankle, bends the knee and then returns leg to client’s normal position (flexion/extension) (AT LEAST 3 TIMES unless pain is verbalized). Moves joints gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.
  2. While supporting the foot and ankle close to the bed, pushes/pulls foot toward head (dorsiflexion), and pushes/pulls foot down, toes point down (plantar flexion) (AT LEAST 3 TIMES unless pain is verbalized). Moves joints gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.
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16
Q

PROM Upper (2:20)

A

No materials needed

  1. While supporting the arm at the elbow and at the wrist, raises client’s straightened arm from side position upward toward head to ear level and returns arm down to side of body (flexion/extension) (AT LEAST 3 TIMES unless pain is verbalized). Moves joints gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.
  2. While supporting arm at the elbow and at the wrist, moves client’s straightened arm away from the side of body to shoulder level and returns to side of body (abduction/adduction) (AT LEAST 3 TIMES unless pain is verbalized). Moves joints gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.
17
Q

Reposition (2:50)

A

3 (three) Pillows

No bolded steps

18
Q

Catheter Care (6:10)

A

Basin
Soap
3 (three) Washcloths
Bed Protector
Gloves
Hamper

  1. While holding catheter at meatus without tugging, cleans at least four inches of catheter from meatus, moving in only one direction, away from meatus, using a clean area of the washcloth for each stroke
  2. While holding catheter at meatus without tugging using a clean washcloth, rinses at least four inches of catheter from meatus, moving only in one direction, away from meatus, using a clean area of the washcloth for each stroke
19
Q

Foot Care (5:40)

A

Basin
Soap
Lotion
Floor Protector
2 (two) Washcloths
1 (one) Towel
Gloves
Hamper

No bolded steps

20
Q

Mouth Care (Par Time Missing)

A

2 (two) Washcloths
Toothbrush
Toothpaste
Emesis Basin
Cup of Water
Gloves

  1. Cleans mouth (including tongue and all surfaces of teeth), using gentle motions
21
Q

Perineal Care (7:20)

A

Basin
Soap
Bed Protector
6 (six) Washcloths
Gloves
Hamper

  1. Washes genital area, moving from front to back, while using a clean area of the washcloth for each stroke
  2. Using clean washcloth, rinses soap from genital area, moving from front to back, while using a clean area of the washcloth for each stroke
22
Q

Wheelchair Transfer (5:00)

A

Wheelchair
Transferbelt
Non-skid Shoes
Gown

  1. Before assisting to stand, client is assisted to a sitting position with feet flat on the floor
23
Q

Manual Blood Pressure (3:40)

A

Blood Pressure Cuff
Stethoscope
Recording Form
Pen
Alcohol Prep Pad
Pillow

  1. After obtaining reading using BP cuff and stethoscope, records both systolic and diastolic pressures each within plus or minus 8 mmhg of evaluator’s reading
24
Q

8 Ins

A

Knock
Sanitize
Greet
Identify Self
Check Wrist
Tell the Skill
Check Brakes
Privacy

25
Q

8 Outs

A

Anything Else?
Comfortable?
Call Light
Bed Low
Water
Side Rails Down
Privacy Open
Sanitize

Nursing Assistant Care: The Basics 6th ed. (13 decks)

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