NA Skills - Critical Steps

Question 1

Skill #1 - Hand Hygiene

Answer 1

Lathers all surfaces of of wrists, hands, and fingers producing friction, for at least 20 seconds, keeping hands lower than the elbows and the fingertips down.

Question 2

Skill #2 - Applies One Knee-High Elastic Stocking

Answer 2

Finishes procedure with no twists or wrinkles. Heel of stocking, if present, is over the heel and opening toe area (if present) is either over or under the toe area.

If using a mannequin, candidate may state stocking needs to be wrinkle free.

Question 3

Skill #3 - Assists to Ambulate Using a Transfer Belt

Answer 3

Before Assisting to stand, client is wearing non-skid shoes/footwear.

Before assisting to stand, client is ASSISSTED to sitting position with feet flat on the floor.

Question 4

Skill #4 - Assists with the Use of Bedpan

Answer 4

There are no critical steps in the completion of this task.

Question 5

Skill #5 - Cleans Upper or Lower Denture

Answer 5

There are no critical steps in the completion of this task.

Question 6

Skill #6 - Counts and Records Radial Pulse

Answer 6

Records pulse rate within +/- 4 beats of evaluator’s reading.

Question 7

Skill #7 - Counts and Records Respirations

Answer 7

Records respiration rate within +/- 2 breaths of evaluator’s reading.

Question 8

Skill #8 - Donning and Removing PPE (Gown and Gloves)

Answer 8

Before removing gown, with one gloved hand, grasps the other glove at the palm, removes glove.

Slips finger from ungloved hand underneath cuff of remaining glove at wrist, and removes glove turning it inside out as it is removed.

Question 9

Skill #9 - Dresses Client with Affected (Weak) Right Arm

Answer 9

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

Question 10

Skill #10 - Feeds Client Who Cannot Feed Self

Answer 10

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

Question 11

Skill #11 - Gives Modified Bed Bath (Face, One Arm, Hand, and Underarm)

Answer 11

Beginning with the 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.

Question 12

Skill #12 - Measures and Records Electronic Blood Pressure

Answer 12

After obtaining reading using BP cuff, records both systolic and diastolic pressures exactly as displayed on the digital screen.

Question 13

Skill #13 - Measures and Records Urinary Output

Answer 13

Records contents of container within +/- 25 ml/cc of evaluator’s reading.

Question 14

Skill #14 - Measures and Records Weight of Ambulatory Client

Answer 14

Records weight based on indicator on scale. Weight is within +/- 2 lbs of evaluator’s reading.

Question 15

Skill #15 - Performs Modified Passive Range of Motion (PROM) for One Knee and One Ankle

Answer 15

While supporting the leg at knee and ankle, bends the knee and then returns leg to client’s normal position (flexion/extension). This is repeated AT LEAST 3 TIMES unless pain is verbalized. Moves joints gently, slowly, and smoothly through the range of motion, discontinuing if the client verbalizes pain.

While supporting the foot and ankle close to the bed, pushes/pulls foot toward head (dorsiflexion), and pushes/pulls foot down, toes pointing down (plantar flexion). This is repeated AT LEAST 3 TIMES unless pain is verbalized. Moves joints gently, slowly, and smoothly through the range of motion, discontinuing if the client verbalizes pain.

Question 16

Skill #16 - Performs Modified Range of Motion (PROM) for One Shoulder

Answer 16

While supporting 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). This is repeated AT LEAST 3 TIMES unless pain is verbalized. Moves joints gently, slowly, and smoothly through the range of motion, discontinuing if the client verbalizes pain.

While supporting arm at the elbow and at the wrist, moves client’s straightened arm away from the side of the body to shoulder level and returns to side of body (abduction/adduction). This is repeated AT LEAST 3 TIMES unless pain is verbalized. Moves joints gently, slowly, and smoothly through the range of motion, discontinuing if the client verbalizes pain.

Question 17

Skill #17 - Positions on Side (Lateral)

Answer 17

There are no critical steps to complete this task.

Question 18

Skill #18 - Provides Catheter Care of Female

Answer 18

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.

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.

Question 19

Skill #19 - Provides Foot Care for One Foot

Answer 19

There are no critical steps to complete this task.

Question 20

Skill #20 - Provides Mouth Care

Answer 20

Cleans mouth, including tongue and all surfaces of teeth, using gentle motions.

Must use washcloth or towel across client chest.

Question 21

Skill #21 -Provides Perineal Care (Peri-Care) for Female

Answer 21

Washes genital area, moving from front to back, while using a clean area of the washcloth for each stroke.

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

Question 22

Skill #22 - Transfers from Bed to Wheelchair Using a Transfer Belt

Answer 22

Before assisting to stand, locks wheels on wheelchair.

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