Measuring & Hand Washing (Required)

Question 1

Hand Washing

Answer 1

1. Address client by name and introduces self to client by name
2. Turns on water at sink
3. Wets hands and wrists thoroughly
4. Applies soap to hands
5. 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.
6. Cleans fingernails by rubbing fingertips against palms of the opposite hand
7. Rinse all surfaces of wrist, hands, and fingers, keeping hands lower than the elbows and the fingertips down.
8. Uses clean, dry paper towel/towels to dry all surfaces of fingers, hands, and wrists starting at fingertips then disposes of paper towel/towels into waste container.
9. Uses clean, dry paper towel/towels to turn off faucet then disposes of paper towel/towels into waste container or uses knee/foot control to turn off faucet
10. Does not touch inside of sink at any time

Question 2

MEASURES AND RECORDS MANUAL
BLOOD PRESSURE

Answer 2

1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
2. Before using stethoscope, wipes bell/diaphragm and earpieces of stethoscope with alcohol
3. Client’s arm is positioned with palm up and upper arm is exposed
4. Feels for brachial artery on inner aspect of arm, at bend of elbow
5. Places blood pressure cuff snugly on client’s upper arm, with sensor/arrow over brachial artery site
6. Earpieces of stethoscope are in ears and bell/diaphragm is over brachial artery site
7. Candidate inflates cuff between 160mm Hg to 180 mm Hg. If beat heard immediately upon cuff deflation, completely deflate cuff. Re-inflate cuff to no more than 200 mm Hg
8. Deflates cuff slowly and notes the first sound (systolic reading), and last sound (diastolic reading) (If rounding needed, measurements are rounded UP to the nearest 2 mm of mercury)
9. Removes cuff
10. Signaling device is within reach
11. Before recording, washes hands
12. After obtaining reading using BP cuff and stethoscope, records both systolic and diastolic pressures each within plus or minus 8 mm of evaluator’s reading

Question 3

MEASURES AND RECORDS WEIGHT OF
AMBULATORY CLIENT

Answer 3

1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
2. Client has non-skid shoes/footwear on before walking to scale
3. Before client steps on scale, candidate sets scale to zero
4. Asks client to step on center of scale and obtains client’s weight
5. Asks client to step off scale
6. Before recording, washes hands
7. Records weight based on indicator on scale. Weight is within plus or minus 2lbs of eval.

Question 4

MEASURES AND RECORDS URINARY
OUTPUT

Answer 4

1. Puts on clean gloves before handling bedpan
2. Pours the contents of the bedpan into measuring container without spilling or splashing urine outside of container
3. Rinses bedpan and pours rinse into toilet
4. Measures the amount of urine at eye level with container on flat surface (if between measurement lines, round up to nearest 25 ml/cc)
5. After measuring urine, empties contents of measuring container into toilet
6. Rinses measuring container and pours rinse into toilet
7. Before recording output, removes and disposes of gloves (without contaminating self ) into waste container and washes hands
8. Records contents of container within plus or minus 25ml/cc of eval’s reading

Question 5

COUNTS AND RECORDS RADIAL PULSE

Answer 5

1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
2. Places fingertips on thumb side of client’s wrist to locate radial pulse
3. Count beats for one full minute
4. Signaling device is within reach
5. Before recording, washes hands
6. Records pulse rate within plus or minus 4 beats of evaluator’s reading

Question 6

COUNTS AND RECORDS RESPIRATIONS

Answer 6

1. Explains procedure (for testing purposes), speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
2. Counts respirations for one full minute
3. Signaling device is within reach
4. Before recording, washes hands
5. Records respiration rate within plus or minus 2 breaths of evaluator’s reading