Skills Exam

Question 1

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

Answer 1

• 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

Question 2

Explain how to perform hand hygiene.

Answer 2

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

Question 2

Explain how to perform hand washing.

Answer 2

• 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

Question 2

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

Answer 2

• Leg stocking

Question 3

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

Answer 3

• 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

Question 3

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

Answer 3

• Gait belt
• Non skid socks
• Wheelchair

Question 3

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

Answer 3

• 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

Question 4

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

Answer 4

• Golves
• Bedpan
• Graduate
• Reporting form
• Tissue paper
• 3 Washcloths
• Soap

Question 5

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

Answer 5

• 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

Question 6

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

Answer 6

• Golves
• 3 Washcloths
• Basin
• Soap
• Waterproof barrier

Question 7

Explain how to provide catheter care.

Answer 7

• 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

Question 8

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

Answer 8

• Gloves
• Wash cloth
• Dentures
• Toothbrush
• Toothpaste

Question 9

Explain how to provide denture care.

Answer 9

• 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

Question 10

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

Answer 10

• Gloves
• Gown
• Mask
• Alcohol wipe
• Reporting form
• Graduate

Question 11

Explain how to empty a urinary drainage bag.

Answer 11

• 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

Question 12

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

Answer 12

• Residents clothes

Question 13

Explain how to dress a resident with a affected side.

Answer 13

• 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

Question 14

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

Answer 14

• Napkin/Clothing protector
• Recording form

Question 15

Explain how to feed a dependent resident.

Answer 15

• 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

Question 16

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

Answer 16

• 3 washcloths
• 1 big towel
• Basin
• Soap
• Sock

Question 17

Explain how to provide foot care.

Answer 17

• 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

Question 18

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

Answer 18

• Bath blanket
• Basin
• Gown
• 1 towels
• 4 washcloths
• Soap

Question 19

Explain how to give a modified bed bath.

Answer 19

• 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

Question 20

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

Answer 20

• Golves
• Towel
• 2 Disposable cups
• Toothbrush
• Toothpaste

Question 21

Explain how to brush a residents teeth.

Answer 21

• 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

Question 22

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

Answer 22

• None

Question 23

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

Answer 23

• 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

Question 24

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

Answer 24

• None

Question 25

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

Answer 25

• 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

Question 26

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

Answer 26

• Basin
• Gloves
• Soap
• Waterproof pad
• 6 washcloths

Question 27

Explain how to provide perinal care to a female.

Answer 27

• 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

Question 28

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

Answer 28

• 4-3 Pillows

Question 29

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

Answer 29

• 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

Question 30

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

Answer 30

• Gait belt
• Non skid socks
• Wheelchair

Question 31

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

Answer 31

• 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

Question 32

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

Answer 32

• Recording form

Question 33

Explain how to take vital signs.

Answer 33

• 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

Question 34

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

Answer 34

• 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