Skills

Question 1

Peri Care for Female w/ Hand Washing

Answer 1

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform Peri Care task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - barrier for table, bath basin, privacy blanket, gloves, chucks, 4 washcloths, soap, and a towel

1. hand Sanitize
2. fill basin w/ warm water, ask resident is temp is okay
3. RAISE BED HEIGHT
4. put privacy blanket on resident and pull top sheet down to feet
5. put on gloves
6. place chucks under resident
7. wet FIRST WASHCLOTH, make three leaves, and apply soap
8. separate labia
9. with one leaf, clean one side of labia front to back
10. with second leaf. clean other side of labia front to back
11. with third leaf, clean vaginal area front to back
12. wet SECOND WASHCLOTH, make three leaves
13. with one leaf, rinse one side of labia front to back
14. with second leaf, rinse other side of labia front to back
15. with third leaf, rinse vaginal area front to back
16. pat dry with towel
17. assist resident to turn on side, facing away
18. wet THIRD WASHCLOTH, make two leaves, and apply soap
19. with one leaf, wash from vaginal to rectal area
20. with second leaf, wash from vaginal to rectal area
21. with FOURTH WASHCLOTH, wet and make two leaves
22. with one leaf, rinse from vaginal to rectal area
23. with second leaf, rinse from vaginal to rectal area
24. pat dry with clean portion of towel
25. safely remove chucks from under resident
26. position resident on back, in center of bed
27. place washcloths and towel in dirty linen
28. bring basin to sink; rinse and dry basin, using paper towel to touch basin
29. pick up soap with paper towel and place in basin, bring both back to storage
30. throw away paper towels and barrier
31. remove gloves
32. remove pull up top sheet while removing privacy blanket, and place privacy blanket in dirty linen
33. LOWER BED HEIGHT
34. place call light within reach of resident
35. wash hands

Question 2

Catheter Care for Female Resident w/ Hand Washing

Answer 2

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform Catheter Care task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - barrier for table, bath basin, privacy blanket, gloves, chucks, 3 washcloths, and soap

1. Hand Sanitize
2. fill bath w/ warm water, ask resident if temp is okay
3. RAISE BED HEIGHT
4. put privacy blanket on resident and pull top sheet down to feet
5. put on gloves
6. place chucks under resident
7. roll privacy blanket up to resident’s waist, exposing only catheter area
8. wet FIRST WASHCLOTH, make 2 leaves, and apply soap
9. while holding catheter, use first leaf to wipe 3 - 4 inches down drainage tube
10. while holding catheter, use second leaf to wipe 3 - 4 inches down drainage tube
11. wet SECOND WASHCLOTH and make 2 leaves
12. while holding catheter, use first leaf to rinse 3 - 4 inches down drainage tube
13. while holding catheter, use second leaf to rinse 3 - 4 inches down drainage tube
14. using THIRD WASHCLOTH, pat dry 3 - 4 inches down drainage tube
15. unroll privacy to fully cover resident
16. safely remove chucks from under resident
17. place washcloths in dirty linen
18. bring basin to sink; rinse and dry basin, using paper towel to touch basin
19. pick up soap with paper towel and place in basin, bring both back to storage
20. throw away paper towels and barrier
21. remove gloves
22. pull up top sheet while removing privacy blanket, and place privacy blanket in dirty linen
23. LOWER BED HEIGHT
24. place call light within reach of resident
25. wash hands

Question 3

Modified Bed Bath - One Arm, Hand, and Underarm w/out Back Rub

Answer 3

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform Modified Bed Bath task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - barrier for table, bath basin, privacy blanket, 2 pairs of gloves, 3 washcloths, soap, 2 towels, and clean gown

1. Hand Sanitize
2. fill basin w/ warm water, ask resident is temp is okay
3. RAISE BED HEIGHT
4. put privacy blanket on resident and pull top sheet down to feet
5. remove soiled gown, place in dirty linen
6. put on FIRST PAIR OF GLOVES
7. wet FIRST WASHCLOTH and make 4 leaves (NO SOAP)
8. using first leaf, wash one eye from inner to outer aspect
9. using second leaf, wash other eye from inner to outer aspect
10. using third leaf, wash one side of the face
11. using fourth leaf, wash the other side of the face
12. pat dry face with FIRST TOWEL
13. place SECOND TOWEL under resident’s arm, and pull privacy blanket to only expose resident’s arm
14. wet SECOND WASHCLOTH and apply soap
15. wash from arm, to hand, and then to underarm
16. wet THIRD WASHCLOTH
17. rinse from arm, to hand, and then to underarm
18. using FIRST TOWEL, pat dry arm, hand, and underarm
19. remove SECOND TOWEL from under resident’s arm
20. take off FIRST PAIR OF GLOVES
21. put on SECOND PAIR OF GLOVES
22. put clean gown on resident
23. place washcloths in dirty linen
24. bring basin to sink; rinse and dry basin, using paper towel to touch basin
25. pick up soap with paper towel and place in basin, bring both back to storage
26. throw away paper towels and barrier
27. remove gloves
28. pull up top sheet while removing privacy blanket, and place privacy blanket in dirty linen
29. LOWER BED HEIGHT
30. place call light within reach of resident
31. hand sanitize

Question 4

Denture Care - Cleaning Upper or Lower Denture w/out Mouth Care

Answer 4

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform Denture Care task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - barrier for table, denture cup, denture paste, denture brush, emesis basin, sink liner (washcloth), and gloves

1. hand sanitizer
2. bring denture cup to the sink
3. apply denture paste to denture brush and put in emesis basin
4. bring emesis basin, gloves, and washcloth to sink
5. line the bottom of sink with washcloth
6. put on gloves
7. remove denture from cup
8. using paper towel, turn on the cold water knob of sink
9. rinse denture under cool water
10. brush inner surfaces of upper or lower denture
11. brush outer surfaces of upper or lower denture
12. brush chewing surfaces of upper or lower denture
13. rinse all surfaces of denture under cool water
14. rinse denture cup and lip
15. place denture into rinsed denture cup
16. add cool clean water to denture cup and replace lip on denture cup
17. place denture cup in safe spot
18. rinse, dry, and return equipment to storage
19. place sink liner (washcloth) in dirty linen
20. throw barrier in trash
21. remove gloves
22. hand sanitize
23. place call light within reach of patient

Question 5

Mouth Care - Brushing Resident’s Teeth

Answer 5

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe, my name is Connor and I will be your CNA today. How are you? I need to perform Mouth Care task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - barrier for table, clothing protector (towel), gloves, cup of water, toothbrush, toothpaste, and emesis basin

1. hand sanitize
2. put towel around resident’s chest
3. put on gloves
4. wet toothbrush and apply small amount of toothpaste
5. gently brush the inner surfaces of resident’s upper and lower teeth
6. gently brush the outer surfaces of resident’s upper and lower teeth
7. gently brush chewing surfaces of resident’s upper and lower teeth
8. gently brush resident’s tongue
9. have resident spit toothpaste into emesis basin
10. give resident cup of water to rinse, and have them spit in emesis basin
11. wipe resident’s mouth with towel
12. remove towel and place in dirty linen
13. bring emesis basin and toothbrush to the sink
14. rinse, dry and return emesis basin and toothbrush to storage; picking up toothpaste along the way
15. throw barrier in trash
16. remove gloves
17. hand sanitize
18. place call light within reach of resident

Question 6

Assist Resident w/ the use of a Bedpan, Measure and Record Urine Output w/ Hand Washing

Answer 6

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform Bedpan task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - barrier for table, privacy blanket, 2 pairs of gloves, chucks, bedpan, tissue paper, graduate, bath basin, 2 washcloths, soap, towel, and documentation sheet

1. hand sanitize
2. put privacy blanket over resident, and pull top sheet down to foot of bed
3. put on FIRST PAIR OF GLOVES
4. put chucks under resident
5. put bedpan under resident
6. take off FIRST PAIR OF GLOVES
7. raise head of bed
8. leave tissue paper and call light within reach of resident
9. step behind privacy curtain, and wait until RN Observer instructs you to return
10. lower head of bed
11. put on SECOND PAIR OF GLOVES
12. cover top of bedpan with chucks and remove from under resident
13. hold bedpan for RN Observer to pour an unknown quantity of liquid into
14. place graduate on surface level
15. pour bedpan contents into graduate
16. measure urine output
17. empty bedpan contents into toilet
18. rinse equipment used and empty rinse water into toilet
19. return equipment to storage
20. take off SECOND PAIR OF GLOVES
21. fill bath basin with water
22. wet FIRST WASHCLOTH, apply soap
23. using FIRST WASHCLOTH, wash resident’s hands
24. wet SECOND WASHCLOTH
25. using SECOND WASHCLOTH, rinse resident’s hands
26. use towel to dry resident’s hands
27. put washcloths and towel in dirty linen
28. empty and rinse bath basin in sink
29. return bath basin to storage; picking up soap along the way
30. throw barrier in trash
31. remove privacy blanket from resident, pulling up top sheet
32. throw privacy blanket in dirty linen
33. record urine output in mL’s
34. place call light within reach of resident
35. wash hands

Question 7

Donning Gown and Gloves, Emptying Urinary Drainage Bag, Measure and Record Urine Output, and Doffing Gown and Gloves

Answer 7

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform Urinary Drainage Bag task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - gown, gloves, barrier for floor, graduate, alcohol wipe, and documentation sheet

1. hand sanitize
2. put on gown: unfold gown, face back of opening, place arms through each sleeve, secure neck opening, secure gown at waist
3. put on gloves: cuffs of gloves overlap cuffs of gown
4. place barrier on floor under drainage bag
5. place graduate on barrier
6. open drain, allowing urine to flow into graduate until bag is empty
7. close drain
8. wipe drain w/ alcohol wipe before placing drain back into bag
9. place graduate on flat surface
10. measure output
11. empty graduate into toilet
12. rinse graduate, emptying rinse water into toilet
13. return graduate to storage
14. remove and dispose of gloves
15. remove gown: remove gown at the neck, then waist, and finally remove whole gown by rolling soiled area to soiled area, and dispose of gown
16. record output in mL’s
17. place call light within reach of resident
18. wash hands

Question 8

Foot Care on One Foot

Answer 8

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform Foot Care task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - barrier for floor, bath basin, towel, 2 washcloths, soap, and lotion

1. hand sanitizer
2. fill bath basin w/ warm water, have resident check temp
3. place bath basin on barrier
4. remove resident’s sock
5. immerse resident’s foot in warm water
6. verbalize the 5 TO 20 MINUTE SOAKING TIME
7. place resident’s foot on towel
8. wet FIRST WASHCLOTH, and apply soap
9. using first washcloth, wash entire foot, getting between toes as well
10. place resident’s foot back into bath basin
11. wet SECOND WASHCLOTH
12. using second washcloth, rinse resident’s entire foot, getting between toes as well
13. place resident’s foot back onto towel
14. dry resident’s entire foot, getting between toes as well
15. apply lotion to your hands and warm it up by rubbing hands together
16. apply lotion to top and bottom of resident’s foot, avoid getting lotion between toes
17. using the towel, wipe off any excess lotion from resident’s foot
18. replace resident’s sock
19. empty, rinse, and return bath basin to storage; picking up soap and lotion along the way
20. place washcloths and towel in dirty linen
21. throw barrier in trash
22. hand sanitize
23. place call light within reach of resident

Question 9

Nail Care on One Hand

Answer 9

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform Nail Care task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - barrier for table, bath basin, towel, orange sticks, and nail file

1. hand sanitize
2. fill bath basin w/ warm water, have resident check temp
3. immerse resident’s nails of one hand in warm water
4. verbalize AT LEAST 5 MINUTES SOAKING TIME
5. using towel, dry hand thoroughly; drying between fingers as well
6. gently clean under nails with orange stick, wiping orange stick on towel after each finger
7. gently push cuticle back with towel
8. file each fingernail, going from outer to inner nail on each side of finger
9. empty, rinse, and return equipment to storage
10. place towel in dirty linen
11. throw barrier in trash
12. place call light within reach of resident
13. hand sanitize

Question 10

Feeding a Dependent Resident w/ Resident in Bed

Answer 10

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe, my name is Connor and I will be your CNA today. How are you? I need to perform Feeding task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - clothing protector (towel), 2 disposable wipes, paper towels, and documentation sheet

1. hand sanitize
2. ask resident to state their name and verify name matches name on diet card
3. position resident in an upright sitting position before feeding (75 - 90 degrees)
4. place towel around resident’s chest to protect clothing before feeding
5. give resident disposable wipe to clean hands
6. after use, dispose of wipe in trash
7. give resident paper towel to dry hands
8. sit in chair facing the resident
9. describe the food and fluid being offered
10. offer small amounts of food at a reasonable rate, with time for the resident to chew and swallow; offer fluid after each bite
11. wipe resident’s hands and mouth after feeding
12. dispose of wipes in trash
13. remove clothing protector and place in dirty linen
14. leave resident sitting upright; but lower head of bed to at least 45 degrees
15. record intake for solid food and fluid consumed, in mL’s
16. place call light within reach of resident
17. hand sanitize

Question 11

Apply Knee-High Anti-Embolic Stocking to One Leg

Answer 11

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform Anti-Embolic Stocking task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - anti-embolic stocking

1. hand sanitize
2. move top sheet to only expose one leg
3. put hand in stocking until heel square is in the palm of hand
4. hold heel square by making a fist
5. turn stocking inside out, while still holding heel square at the back of stocking
6. scrunch sock up to the toes, keeping heel square at the back of sock
7. put the sock over the toes, heel square first, until the heel square is over heel
8. slide the rest of the stocking over the foot
9. smooth the stocking the rest of the way up the leg
10. make sure stocking is wrinkle-free
11. cover resident’s leg w/ top sheet
12. place call light within reach of resident
13. hand sanitize

Question 12

Dressing a Resident w/ an Affected (Weak) Side - shirt, pants, and socks

Answer 12

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform Dressing a Resident task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - privacy blanket, and resident’s clothes (shirt, pants, and socks)

1. hand sanitize
2. place privacy blanket over resident
3. pull down top sheet to foot of bed
4. remove resident’s gown, starting from unaffected side first
5. place gown in dirty linen
6. dress the resident in button-up shirt, dressing the affected side first; insert hand through sleeve of shirt and grasp resident’s hand while putting shirt on
7. button all of the buttons on resident’s shirt and smooth it out
8. pull privacy blanket up to resident’s ankles
9. put socks on resident
10. smooth out resident’s socks
11. scrunch up resident’s pants and place around resident’s ankles
12. have resident raise their hips while you pull their pants up and over their hips
13. remove privacy blank and place in dirty linen
14. place call light within reach of resident
15. hand sanitize

Question 13

Making an Occupied Bed

Answer 13

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform Making an Occupied Bed task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - barrier for table, privacy blanket, clean bottom sheet, clean top sheet, clean bedspread/blanket, and clean pillow case

1. hand sanitize
2. place privacy blanket on resident
3. remove soiled top sheet and place in dirty linen
4. roll resident on their side
5. roll soiled bottom sheet to the center of bed
6. tuck soiled bottom sheet under resident
7. place clean bottom sheet on bed and secure two fitted corners
8. roll clean bottom sheet and tuck under soiled sheet
9. roll resident on their other side
10. remove soiled bottom sheet and place in dirty linen
11. roll out the rest of clean bottom sheet and smooth out to ensure no wrinkles
12. secure other two fitted corners
13. place resident on their back
14. place clean top sheet over resident
15. remove privacy blanket and place in dirty linen
16. place clean bedspread/blanket over clean top sheet
17. tuck in clean top sheet at the foot of the bed, while providing room for resident’s feet to move freely
18. remove pillow from under resident
19. take off soiled pillow case and place in dirty linen
20. apply clean pillow case w/ tags/zippers on inside
21. gently lift resident’s head and replace pillow
22. place call light within reach of resident
    23.hand sanitize

Question 14

Positioning a Dependent Resident in Bed on Side

Answer 14

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform Positioning a Dependent Resident in Bed task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - barrier for table, privacy blanket, and four pillows (pillow on bed and 3 additional pillows)

1. hand sanitize
2. place privacy blanket over resident
3. pull top sheet down to foot of the bed
4. direct RN Observer to stand on opposite of working side or raise bed rail on opposite side
5. have resident scoot toward side of bed closest to you
6. assist resident to move furthest arm up and behind head (making a triangle)
7. assist resident to bend closest knee w/ foot flat on bed, and angle furthest knee out (making a triangle)
8. turn resident on their side
9. take first pillow and put at angle against the resident’s back, then tuck top edge of pillow underneath resident by pushing down on the pillow and under the resident’s back
10. tuck the bottom edge of the pillow under resident’s back as well by rolling up bottom edge and pushing under resident’s back
11. take the second pillow and position it between resident’s legs, by lifting top leg and laying pillow lengthwise between resident’s two legs; specifically between the knees and ankles
12. take the third pillow and place it underneath the upper arm
13. adjust pillow underneath resident’s head to make sure it’s not under the shoulder and remains only under head and neck; move the arm next to head under the pillow for a more comfortable position
14. remove privacy blanket, being careful not to dislodge any of the pillow; place in dirty linen
15. pull up top sheet to cover resident
16. place call light within reach of resident
17. hand sanitize

Question 15

Assist Resident to Ambulate using Gait Belt

Answer 15

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform Ambulation with a Gait Belt task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - barrier for bed, non-skid footwear, gait belt, and wheelchair

1. hand sanitize
2. place barrier on bed, under resident’s feet
3. assist resident to put on non-skid footwear
4. adjust bed height to ensure resident’s feet are flat on the floor when resident is sitting
5. place wheelchair facing the resident, and at the foot of the bed
6. lock wheelchair breaks to ensure resident’s safety; remove leg rests for resident’s safety
7. lock bed brakes to ensure resident’s safety
8. bring resident to a seated position; while lying down in bed, have resident cross their arms together, put on arm under resident’s upper back/ shoulder area and the other arm under resident’s opposing knee, bring resident to a seated position in one motion
9. ASK RESIDENT IF THEY ARE DIZZY
10. place gait belt around resident’s waist
11. ensure gait belt is tight but not too tight by putting 4 fingers under gait belt
12. face the resident and make sure both feet are flat on the ground and touching
13. position your left foot sideways, in-front of resident’s feet; and your right foot facing forwards of the right side of patient’s legs
14. grasp gait belt on both sides w/ an upward grasp
15. give the resident a countdown and bring them to their feet on “1”
16. ambulate resident 5 feet away from wheelchair and 5 feet back towards wheelchair
17. move resident backwards until the back of their legs touch the front of the wheelchair
18. give resident a countdown and sit them down in wheelchair in a controlled manner on “1”
19. remove gait belt from resident
20. unlock wheelchair breaks and face resident towards the front of room
21. lock wheelchair breaks again
22. place leg rests back onto wheelchair and place resident’s feet on leg rests
23. place call light within reach of resident
24. discard of barrier in trash
25. hand sanitize

Question 16

Transfer Resident from Bed to Wheelchair using a Gait Belt

Answer 16

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform Transfer from Bed to Wheelchair task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - barrier for bed, non-skid footwear, gait belt, and wheelchair

1. hand sanitize
2. place barrier on bed, under resident’s feet
3. assist resident to put on non-skid footwear
4. adjust bed height to ensure resident’s feet are flat on the floor when resident is sitting
5. place wheelchair facing the resident, and at the foot of the bed
6. lock wheelchair breaks to ensure resident’s safety; remove leg rests for resident’s safety
7. lock bed brakes to ensure resident’s safety
8. bring resident to a seated position; while lying down in bed, have resident cross their arms together, put on arm under resident’s upper back/ shoulder area and the other arm under resident’s opposing knee, bring resident to a seated position in one motion
9. ASK RESIDENT IF THEY ARE DIZZY
10. place gait belt around resident’s waist
11. ensure gait belt is tight but not too tight by putting 4 fingers under gait belt
12. face the resident and make sure both feet are flat on the ground and touching
13. position your left foot sideways, in-front of resident’s feet; and your right foot facing forwards of the right side of patient’s legs
14. grasp gait belt on both sides w/ an upward grasp
15. give the resident a countdown and bring them to their feet, pivot them, and sit them in wheelchair in a controlled manner on “1”
16. remove gait belt from resident
17. unlock wheelchair breaks and face resident towards the front of room
18. lock wheelchair breaks again
19. place leg rests back onto wheelchair and place resident’s feet on leg rests
20. place call light within reach of resident
21. discard of barrier in trash
22. hand sanitize

Question 17

PROM for One Hip and One Knee w/out PROM of Ankle

Answer 17

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform PROM for One Hip and One Knee task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - none

1. hand sanitize
2. correctly support joints at all time by placing one hand under resident’s knee and the other hand under resident’s ankle
3. gently move resident’s leg away from (to the side of) body (abduction) ASK ABOUT PAIN LEVELS
4. gently return resident’s leg towards the body (adduction) ASK ABOUT PAIN LEVELS
5. gently complete abduction and adduction of the hip 3 time ASK ABOUT PAIN LEVELS
6. gently bend the resident’s knee and hip towards the resident’s trunk (flexion) ASK ABOUT PAIN LEVELS
7. gently straighten the resident’s knee and hip (extension) ASK ABOUT PAIN LEVELS
8. gently complete flexion and extension of the knee and hip 3 time ASK ABOUT PAIN LEVELS
9. place call light within reach of resident
10. hand sanitize

Question 18

PROM to One Shoulder

Answer 18

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform PROM to One Shoulder task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - none

1. hand sanitize
2. correctly support joints by placing one hand under the resident’s elbow and the other hand under resident’s wrist
3. gently raise the resident’s straightened arm up and over resident’s head to ear level (flexion) *ASK ABOUT PAIN LEVELS
4. gently return resident’s arm back down to side of resident’s body (extension) *ASK ABOUT PAIN LEVELS
5. gently complete flexion and extension of the shoulder 3 times *ASK ABOUT PAIN LEVELS
6. gently move the resident’s entire arm away from the resident’s body (abduction) *ASK ABOUT PAIN LEVELS
7. gently return resident’s arm to the side of their body (adduction) *ASK ABOUT PAIN LEVELS
8. gently complete abduction and adduction of the shoulder 3 time *ASK ABOUT PAIN LEVELS
9. place call light within reach of resident
10. hand sanitize

Question 19

Vital Signs: Count and Record Resident’s Radial Pulse and Respirations

Answer 19

knock, identify patient, introduce yourself, and describe task
- Knock, Hello Mr/Mrs Doe , my name is Connor and I will be your CNA today. How are you? I need to perform Vital Signs\task , is that alright? Okay, let me close your curtain, wash my hands, and gather my supplies, I’ll be right back

Supplies - watch, documentation sheet

1. hand sanitize
2. locate resident’s radial pulse by placing fingertips on thumb side of resident’s wrist
3. count resident’s radial pulse for one full minute; tell RN Observer when you start and stop counting
4. record resident’s radial pulse rate reading on documentation sheet
5. count resident’s respirations for one full minute; tell RN Observer when you start and stop counting
6. record resident’s respiration reading on documentation sheet
7. place call light within reach of resident
8. hand sanitize