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CNA > Skills Exam > Flashcards

Skills Exam Flashcards

1
Q

What should be done before every skill? (before skills)

A
  • Knock and introduce yourself
  • Perform hand hygiene
  • Check to make sure that is the correct resident
  • Explain the procedure to the resident
  • Provide privacy (pull curtian)
  • Make sure the bed wheels are locked
  • Place a barrier before putting any materials down
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2
Q

Explain how to perform hand hygiene.

A
  • Cover all surfaces of hands with hand sanitizer
  • Rub hands together until hands are completely dry
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2
Q

Explain how to perform hand washing.

A
  • Wet hands and wrists thoroughly and apply soap to hands
  • Rub hands together using friction with soap
  • Scrub/wash hands together for at least twenty (20) seconds with soap
  • Scrub/wash with interlace fingers pointing downward with soap
  • Wash all surfaces of hands and wrist with soap
  • Clean fingernails by rubbing fingertips against palm of the opposite hand
  • Rinse fingers, hands and wrists thoroughly with fingers pointed downward
  • Dry fingers, hands and wrists on clean paper
    towels
  • Discard paper towels to trash container as used
  • Turn off faucet with a clean, dry paper towel and discard paper towel
  • Do not re-contaminate hands at any time during the hand washing procedure
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2
Q

What material(s) are needed when applying a knee- high elastic stocking to one leg?

A
  • Leg stocking
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3
Q

Explain how to apply a knee-high elastic stocking to one leg.

A
  • Perform before skills
  • Get materials
  • Raise bed to waist height
  • Provide privacy by olny exposing one leg
  • Roll stocking and place on residents foot
  • Pull it up to residents leg and adjust as needed
  • Leave resident with stocking that is smooth/wrinkle free
  • Lower bed
  • Give resident call light
  • Preform hand hygeine
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3
Q

What material(s) are needed when assistating a resident to ambulate using a gait belt?

A
  • Gait belt
  • Non skid socks
  • Wheelchair
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3
Q

Explain how to assist a resident to ambulate using a gait belt.

A
  • Perform before skills
  • Get materials
  • Lock wheelchair breaks
  • Lock bed breaks
  • Assist resident to put on non skid socks
  • Postion bed all the way down
  • Bring resident to a sitting postion
  • Place gait belt on resident and tigheten using 4 fingers
  • Face resident and bring them to a standing postion using gait belt
  • Amblulate resident 10 steps to wheelchair
  • Assist resident to turn then sit in the wheelchair
  • Remove gait belt
  • Give resident call light
  • Preform hand hygeine
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4
Q

What material(s) are needed when assisting a resident with the use of a bedpan?

A
  • Golves
  • Bedpan
  • Graduate
  • Reporting form
  • Tissue paper
  • 3 Washcloths
  • Soap
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5
Q

Explain how to assist a resident with the use of a bedpan.

A
  • Preform before skills
  • Put on gloves
  • Get materials
  • Position resident on bedpan safely and correctly
  • Raise the head of the bed to comfortable level
  • Give resident tissue paper and call light
  • Step behind privacy curtian then return when RN Tester indicates
  • Lower head of the bed
  • Gently remove bedpan
  • Hold bedpan for RN Tester to fill with liquid
  • Place graduate on a flat surface and fill with liquid
  • Mesure output in ml’s
  • Empty liquid into toliet
  • Rinse bedpan and graduate and empty water into toliet
  • Complelety dry both and store away
  • Assist resident to wash and dry hands with soap and water using 3 wash clothes
  • Place dirty wash clothes in laundry hamper
  • Remove gloves properly and dispose them
  • Record output in ml’s on the reporting form
  • Candidate’s recorded measurement is within 25ml’s of RN Test Observer’s reading
  • Give resident call light
  • Preform hand washing
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6
Q

What material(s) are needed when providing catheter care?

A
  • Golves
  • 3 Washcloths
  • Basin
  • Soap
  • Waterproof barrier
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7
Q

Explain how to provide catheter care.

A
  • Preform before care
  • Put on golves
  • Get materials
  • Fill basin with comfortably warm water
  • Place barrier under resident
  • Expose area surrounding catheter only
  • Hold catheter where it exits the urethra with one hand
  • Use a clean portion of the washcloth for each stroke with soap
  • Clean with strokes only away from the urethra 3 inches down
  • Rinse using strokes only away from the urethra
  • Rinse using a clean portion of the washcloth for each stroke
  • Pat dry
  • Replace top cover over resident
  • Remove and dispose barrier and place dirty linen in laundry hamper
  • Empty, rinse, dry and return basin
  • Properly remove gloves
  • Give resident call light
  • Preform hand washing
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8
Q

What material(s) are needed when providing denture care?

A
  • Gloves
  • Wash cloth
  • Dentures
  • Toothbrush
  • Toothpaste
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9
Q

Explain how to provide denture care.

A
  • Preform before care
  • Put on golves
  • Get materials
  • Place wash cloth in bottom of sink
  • Put toothpaste on toothbursh
  • Turn on cool temp water
  • Remove dentures from cup and pour out water
  • Rinse cup and place new water in
  • Brush and rinse all surfaces of dentures
  • Place dentures back in cup
  • Rinse and dry all materials
  • Return materials
  • Place wash cloth in laundry hamper
  • Remove gloves
  • Give resident call light
  • Preform hand hygeine
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10
Q

What material(s) are needed when emptying a urinary drainage bag?

A
  • Gloves
  • Gown
  • Mask
  • Alcohol wipe
  • Reporting form
  • Graduate
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11
Q

Explain how to empty a urinary drainage bag.

A
  • Preform before care
  • Put on gown
  • Put on mask
  • Put on golves and cuff over gown sleves
  • Place a barrier on the floor below drainage bag
  • Place graduate on barrier
  • Open drainage bag and completely empty
  • Avoid touching the graduate with the tip of the tubing
  • Close the drain
  • Wipe the drain with an alcohol wipe AFTER emptying drainage bag
  • Place graduate on a level flat surface and measure output
  • Empty graduate into toliet
  • Rinse, dry, and store graduate
  • Dispose barrier
  • Record the output in ml”s on reporting form
  • Candidate’s recorded measurement is within 25ml’s of the RN Test Observer’s measurement
  • Give resident call light
  • Remove gloves BEFORE removing gown and dispose
  • Remove gown without touching outside of the gown
  • Disposes of gown in designated container without contaminating self
  • Preform hand washing
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12
Q

What material(s) are needed when dressing a resident with a affected side?

A
  • Residents clothes
13
Q

Explain how to dress a resident with a affected side.

A
  • Preform before care
  • Get residents clothes
  • Raise the bed to waist level and raise head of the bed to sitting postion
  • Keep resident covered while removing gown
  • Remove gown from unaffected side first
  • Place soiled gown in designated laundry hamper
  • When dressing the resident in a button-up shirt, always dress from the affected (weak) side first
  • Assist the resident to raise her/his buttocks and draw the pants over the buttocks and up to the resident’s waist
  • When dressing the resident in pants, always dress the affected (weak) side leg first
  • Put on the resident’s socks
  • Lower bed
  • Give resident call light
  • Preform hand hygeine
14
Q

What material(s) are needed when feeding a dependent resident?

A
  • Napkin/Clothing protector
  • Recording form
15
Q

Explain how to feed a dependent resident.

A
  • Preform before skills
  • Ask resident to state name and verify name matches the name on the diet card
  • Get materials
  • Position the resident in an upright, sitting position BEFORE feeding
  • Protect clothing by using napkin or clothing protector
  • Provide hand hygiene for the resident BEFORE feeding and make sure there completely dry
  • Sit in a chair, facing the resident, while feeding the resident
  • Describe the food and fluid being offered to the resident
  • Feed the resident small portions and offer each fluid frequently
  • Wipe resident’s hands and mouth AFTER feeding
  • Remove napkin or clothing protecter and dispose
  • Leave resident sitting up right AFTER feeding
  • Record intake as a percentage of total solid food eaten on the previously signed recording form
  • Record estimated intake as the sum total fluid consumed in ml’s on the previously signed recording form
  • Give resident call light
  • Preform hand hygeine
16
Q

What material(s) are needed when providing foot care?

A
  • 3 washcloths
  • 1 big towel
  • Basin
  • Soap
  • Sock
17
Q

Explain how to provide foot care.

A
  • Preform before skills
  • Get materials
  • Fill basin with comfortably warm water
  • Remove sock from residents foot
  • Immerse resident’s foot in warm water for 10 mins (just say 10 mins)
  • Wash entire foot using different areas of the washcloth
  • Rinse entire foot using different areas of the washcloth
  • Dry foot thoroughly especially in between the toes
  • Apply lotion to the foot except in between the toes
  • Put sock on residents foot
  • Empty, rinse, dry and return basin
  • Place towels in laundry hamper
  • Give resident call light
  • Preform hand hygeine
18
Q

What material(s) are needed when giving a modified bed bath?

A
  • Bath blanket
  • Basin
  • Gown
  • 1 towels
  • 4 washcloths
  • Soap
19
Q

Explain how to give a modified bed bath.

A
  • Preform before care
  • Get materials
  • Raise bed height
  • Cover resident with bath blanket
  • Remove remainig top covers (fold to bottom of bed)
  • Remove residents gown without exposing them, and place in laundy hamper
  • Fill basin with comfortably warm water
  • Beginning with eyes, wash eyes WITHOUT SOAP using a clean portion of the washcloth for each stroke, washing inner aspect to outer aspect
  • Wash face WITHOUT soap
  • Pat dry face
  • Place towel under arm, exposing one arm
  • Wash arm, underarm, and hand with soap
  • Rinse arm, underarm, and hand
  • Pat dry arm, underarm, and hand
  • Assist resident to put on a clean gown without exposing them (put gown over bath blanket)
  • Put towels in laundry hamper
  • Remove bath blanket and put in laundry hamper and cover resident with blanket
  • Empty, rinse, dry, and store basin
  • Lower the bed
  • Give resident call light
  • Perform hand hygeine
20
Q

What material(s) are needed when brushing a residents teeth?

A
  • Golves
  • Towel
  • 2 Disposable cups
  • Toothbrush
  • Toothpaste
21
Q

Explain how to brush a residents teeth.

A
  • Preform before care
  • Get materials
  • Put on gloves
  • Make sure patient is sitting up right
  • Drape resident’s chest with a towel
  • Wet toothbrush and apply a small amount of toothpaste
  • Brush inner surfaces upper and lower
  • Brush outer surfaces upper and lower
  • Brush chewing surfaces upper and lower
  • Brush tounge
  • Assist the resident in rinsing mouth with 2 cups
  • Wipe resident’s mouth
  • Remove towel and put in laundry hamper
  • Empty and discard disposable cups
  • Rinse toothbrush and return equipment
  • Take off gloves properly
  • Give resident call light
  • Perform hand hygeine
22
Q

What material(s) are needed when preforming passive range of motion for the hip and knee?

A
  • None
23
Q

Explain how to preform passive range of motion for the hip and knee.

A
  • Preform before skills
  • Raise bed height
  • Make sure resident is supine
  • Support joints at all times by placing one hand under the resident’s knee and the other hand under the resident’s ankle
  • Move residents leg away from the body (abduction)
  • Move residents leg towards the body (adduction)
  • Complete abduction and adduction of the hip at least three times
  • Bend the resident’s knee and hip toward the resident’s trunk (flexion)
  • Straighten the resident’s knee and hip (extension)
  • Complete flexion and extension of the knee and hip at least three times
  • Must ask resident at least one time if they feel any pain or discomfort
  • Lower bed
  • Give resident call light
  • Preform hand hygeine
24
Q

What material(s) are needed when preforming passive range of motion for the shoulder?

A
  • None
25
Q

Explain how to preform passive range of motion for the shoulder.

A
  • Preform before skills
  • Raise bed height
  • Make sure resident is supine
  • Support joints at all times by placing one hand under the resident’s elbow or upper arm and the other hand under the resident’s wrist
  • Raise the resident’s straightened arm up and over the resident’s head to ear level (flexion)
  • Bring the resident’s arm back down to the side of the resident’s body (extension)
  • Complete flexion and extension of the shoulder at least three times
  • Move the resident’s entire arm away from the side of the resident’s body to shoulder level (abduction)
  • Return resident’s arm to the side of the resident’s body (adduction)
  • Complete abduction and adduction of the shoulder at least three times
  • Must ask resident at least one time if they feel any pain or discomfort
  • Lower bed
  • Give resident call light
  • Preform hand hygeine
26
Q

What material(s) are needed when providing perinal care to a female?

A
  • Basin
  • Gloves
  • Soap
  • Waterproof pad
  • 6 washcloths
27
Q

Explain how to provide perinal care to a female.

A
  • Preform before care
  • Get materials
  • Put on golves
  • Raise bed height
  • Fill basin with comfortably warm water
  • Turn resident or raise hips and place a waterproof pad under them
  • Expose perineal area only
  • Separate labia
  • Use a clean portion of the washcloth, clean each part of the vaginal area from front to back
  • Use a clean portion of the washcloth, rinse each part of the vaginal area from front to back
  • Pat dry
  • Assist resident to turn onto side away from the candidate toward the center of the bed (ask RN Tester to hold resident)
  • Wash from vagina to rectal area
  • Use a clean portion of the washcloth with any stroke
  • Use a clean washcloth, rinse rectal area from front to back.
  • Pat dry
  • Remove waterproof pad from underneath resident
  • Postion resident back on their back
  • Place dirty towels in laundry hamper
  • Empty, rinse, dry, and store basin
  • Lower bed
  • Remove gloves properly
  • Give resident call light
  • Perform hand washing
28
Q

What material(s) are needed when positioning a dependent resident in bed on side?

A
  • 4-3 Pillows
29
Q

Explain how to position a dependent resident in bed on side.

A
  • Perform before skills
  • Position bed flat
  • Raise bed height.
  • Directs RN Tester to stand on side of the bed opposite working side of the bed to provide safety
  • Gently move resident’s upper body toward self (1)
  • Gently move resident’s hips toward self (2)
  • Gently move resident’s legs toward self (3)
  • Slowly turn resident on side
  • Place or adjust pillow under resident’s head for support
  • Reposition resident’s arm and shoulder so that the resident is not lying on arm
  • Place pillow behind residents back
  • Place pillow under residents arm
  • Place pillow between residents knees
  • Lower bed
  • Give resident call light
  • Preform hand hygeine
30
Q

What material(s) are needed when transfering resident from bed to wheelchair using a gait belt?

A
  • Gait belt
  • Non skid socks
  • Wheelchair
31
Q

Explain how to transfer a resident from bed to wheelchair using a gait belt.

A
  • Perform before skills
  • Get materials
  • Lock wheelchair breaks
  • Lock bed breaks
  • Assist resident to put on non skid socks
  • Postion bed all the way down
  • Bring resident to a sitting postion
  • Place gait belt on resident and tigheten using 4 fingers
  • Position the wheelchair arm/wheel touching the side of the bed
  • Face resident and bring them to a standing postion using gait belt
  • Assist resident to pivot in a controlled manner
  • Lower resident into the wheelchair in a controlled manner
  • Remove gait belt
  • Give resident call light
  • Preform hand hygeine
32
Q

What material(s) are needed when taking vital signs?

A
  • Recording form
33
Q

Explain how to take vital signs.

A
  • Preform before skills
  • Get recording form
  • Locate the resident’s radial pulse by placing fingertips on thumb side of the resident’s wrist
  • Count resident’ radial pulse for one full minute (tell RN Tester when you start and stop counting)
  • Record the resident’s radial pulse rate reading on the recording form
  • Radial pulse must be within 4 beats within the RN Tester
  • Count resident’s respirations for one full minute (tell RN Tester when you start and stop counting)
  • Record the resident’s respirations reading on the recording form
  • Respiratory rate must be within 2 breaths of the RN Tester
  • Give resident call light
  • Perform hand hygeine
34
Q

What should be done before every skill? (before skills)

A
  • Knock and introduce yourself
  • Perform hand hygiene
  • Check to make sure that is the correct resident
  • Explain the procedure to the resident
  • Provide privacy (pull curtian)
  • Make sure the bed wheels are locked
  • Place a barrier before putting any materials down

CNA (2 decks)

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