Skills Exam

Question 1

Critical step for applying a knee-high anti-embolic stocking to one leg

Answer 1

Leave resident with stocking that is smooth/wrinkle free

Question 2

Supplies for applying a knee-high anti-embolic stocking to one leg

Answer 2

Anti-embolic stocking

Question 3

Critical step for assisting resident to ambulate using a gait belt

Answer 3

(1) Lock bed brakes to ensure resident’s safety before assisting to stand
(2) Lock wheelchair brakes to ensure resident’s safety

Question 4

Supplies for assisting resident to ambulate using a gait belt

Answer 4

Gait belt, wheelchair

Question 5

Critical step for assisting resident with the use of a bedpan, measure and record urine output with hand washing

Answer 5

(1) Candidate’s recorded measurement is within 25 mL’s of RN test observer’s reading
(2) Scrub/wash hands together for at least twenty seconds with soap
(3) Do not re-contaminate hands at any time during the hand washing procedure

Question 6

Supplies for assisting resident with the use of a bedpan, measure and record urine output with hand washing

Answer 6

Gloves, bedpan, tissues, graduate

Question 7

Critical step for catheter care for a female resident with hand washing

Answer 7

(1) While holding catheter at the meatus, wash at least 4 inches away from the meatus down the drainage tube (wash w/ strokes only away from meatus)
(2) Use a clean portion of the washcloth for each stroke
(3) While holding catheter at the meatus, rinse at least 4 inches away from the meatus down the drainage tube (rinse w/ strokes only away from meatus)
(4) Rinse using a clean portion of the washcloth for each stroke
(5) Do not allow the tube to be tugged/pulled at any time during the procedure
(6) Scrub/wash hands together for at least twenty seconds with soap
(7) Do not recontaminate hands at any time during the hand washing procedure

Question 8

Supplies for catheter care for a female resident with hand washing

Answer 8

Basin, gloves, two washcloths

Question 9

Critical step for denture care - cleaning upper and lower denture

Answer 9

None

Question 10

Supplies for denture care - cleaning upper and lower denture

Answer 10

Towel (for bottom of sink), gloves, denture cleanser, denture brush, dentures

Question 11

Critical step for donning PPE (gown and gloves), emptying a urinary drainage bag, measure and record urine output and remove PPE with hand washing

Answer 11

(1) Candidate’s recorded measurement is within 25 mL’s of the RN test observer’s measurement
(2) Remove gloves before removing gown with one gloved hand grasping the other glove at the palm to remove
(3) Slip fingers from ungloved hand underneath cuff of remaining glove at the wrist and remove glove turning inside out as it is removed
(4) Scrub/wash hands together for at least twenty seconds with soap
(5) Do not re-contaminate hands at any time during the hand washing procedure

Question 12

Supplies for donning PPE (gown and gloves), emptying a urinary drainage bag, measure and record urine output and remove PPE with hand washing

Answer 12

Gown, gloves, graduate, alcohol wipe

Question 13

Critical step for dressing a resident with an affected (weak) side

Answer 13

(1) When dressing the resident in a button-up shirt, always dress from the affected (weak) side first
(2) When dressing the resident in pants, always dress the affected (weak) side leg first

Question 14

Supples for dressing a resident with an affected (weak) side

Answer 14

Resident’s clothes

Question 15

Critical step for foot care on one foot

Answer 15

None

Question 16

Supplies for foot care on one foot

Answer 16

Basin, gloves, three washcloths, lotion

Question 17

Critical step for modified bed bath - face and one arm, hand and underarm

Answer 17

Beginning with eyes, wash eyes WITHOUT SOAP using a clean portion of the washcloth for each stroke, washing inner aspect to outer aspect

Question 18

Supplies for modified bed bath - face and one arm, hand and underarm

Answer 18

Bath blanket, basin, gloves, two towels, four washcloths, soap

Question 19

Critical step for perineal care for a female resident with hand washing

Answer 19

(1) Wash genital area from front to back
(2) Use a clean portion of the washcloth for each stroke
(3) Using a clean washcloth, rinse soap from genital area from front to back
(4) Use a clean portion of the washcloth for each stroke
(5) Wash rectal area from front to back using a clean portion of a washcloth with each stroke
(6) Scrub/wash hands together for at least twenty seconds with soap
(7) Do not re-contaminate hands at any time during the hand washing procedure

Question 20

Supplies for perineal care for a female resident with hand washing

Answer 20

Basin, gloves, pad/linen protector, two towels, four washcloths

Question 21

Critical step for positioning resident on one side

Answer 21

None

Question 22

Supplies for positioning resident on one side

Answer 22

4 Pillows

Question 23

Critical step for range of motion for one knee and one ankle/shoulder

Answer 23

Candidate must ask at least once during the ROM exercise if there is/was any discomfort/pain

Question 24

Supplies for range of motion for one knee and one ankle/shoulder

Answer 24

None