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CNA SKILLS TEST
CNA SKILLS EXAM
| Question | Answer |
|---|---|
| BACK RUB/ MASSAGE | apply lotion into palm, rub to warm, apply gently using both hands from bum to back to neck with firm strokes, both hands shor circular strokes across the shoulders, *inspect for redness and skin conditions. |
| FOOT/NAIL CARE | inspect for cracked, broken nails/skin and between toes and report. do not clip toenails. soak in warm water. drywell before shoes on |
| DRESSING/ UNDRESSING | dress weak side first. undress weak side first. |
| SHAVING | place towel. soften beard with warm cloth and apply shaving cream. *skin taut. short strokes with hair grain. rinse razor often. rinse and dry. *dispose in sharps. |
| BATHS | assist with removing clothes as needed. *exposing only area being washed (warm/privacy). using wash cloth front to back and clean to dirty. rinse and dry. redress.Partial=face, ands, axillary back buttocks and peri |
| BEDPAN/FRACTURE PAN | *position correctly under patient.(fracture= flat side toward the back of patient). raise head to comfort. *call light, tissues in reach. *privacy. remove pan. provide/assist peri care. empty/clean pan. residents hands. record. |
| POSITION FOR MEALS- IN BED | high fowlers or in comfort. *PROPER ANATOMICAL ALIGNMENT. |
| POSITION FOR MEALS- CHAIR OR W/C | high fowlers. feet support. *PROPER ANATOMICAL ALIGNMENT. |
| BEGINNING PROCEDURE ACTIONS | 1.wash hands in or out of room. 2. assemble equipment. 3. go to room, knock, pause before entering. 4. introduce self by name and title. 5. identify the resident by facility policies. 6. address resident by name. 7. visitors leave, where to wait. |
| BEGINNING PROCEDURE ACTIONS-2 | 8. provide privacy curtians and door. 9. explain, speak slow, clear, direct, eye to eye. 10. answer questions. 11. let resident help as much as possible. 12. raise bed to working level. |
| ENDING PROCEDURE ACTIONS | 1. position patient in comfort and safety. 2. bed lowest position. 3. leave signal, phone water in reach. 4 safety check. 5. open curtains. 6. care for equipment. 7. wash hands. 8. visitors return. 9. report complete and observations. 10. document action |
| BLOOD PRESSURE | 1 clean ear and diaphram. 2 arm resting firm palm up. 3 *cuff snug over artery 1" above. 4 ear in and diaphram artery. 5 deflate cuff, note reading. 6 *accurate reading 4mm. 7 record accuratly. |
| TYMPANIC TEMPERATURE | 1 place cover. 2 turn head toward you. 3*pull ear gently. 4 start therm. 5. wait for beep then remove. 6 *read and record accurately. |
| ELECTRONIC OR DIGITAL | *oral=person eaten or drank smoke last 15min. 2 *place sheath. 3 placement accurate. 4 hold if needed for oral, always axillary. 5 wait for beep. 6 remove and dispose sheath. 7 replace probe. 8 *document. |
| GLASS OR DISPOSABLE | 1*clean prior to use. 2**oral=person eaten or drank smoke last 15min. 3 *shake to below 95. 4 placement accurate. 5 hold if needed for oral, always axillary- for 3-5 min. 6 replace probe. 7 *document accurately. |
| HEIGHT- STANDING | assist patient to stand, face away from measuring bar. 2 balanced and centered with arms at side. 3 raise bar, open, place gently touching top of head. 4. *read and record. |
| HEIGHT- SUPINE | 1* body extended, bed flat, no pillow. 2 mark sheet at top head and bottom heal. measure marks, not over body. 3.*read and record. 4. return patient to comfort and safety. |
| TED HOSE | 1 resident in bed or elevated. 2 hold foot and heel of sock and gather up stocking, turning inside out down to heel. 3. *smooth up and over leg so hose is even, no twist or wrinkle. 4*heel in right position. |
| ROM | 1. exercise passively one extremeity. 2 *NEVER PAST POINT OF PAIN OR RESISTANCE. 3 *support for joint. 4 avoid fast jerky movements. use FLEXION, EXTENSION ADDUCTION AND ABDUCTION. 5 repeat at least 3 times or as ordered. |
| MOVING AND POSITIONING | 1 move using lift sheet. 2 *logroll 2 people. 3 position semi prone (sims). 4* raise rail. 5 supine, proper alignment. 6 fowlers, high-60-90, semi 3-45, all elevating knees 15 deg with pillow. 7 position in lateral side lying, pillows proper allignment. |
| MOVING AND POSITIONING-2 | 8* raise side rail. 9*position wheelchair with brakes applied. 10. *proper alignment. |
| ASSIST TO AMBULATE | 1*no skid footwear. 2. use good body mechanics. 3. *walk at residents side (weak side). 4. *use assistive devices. 5. *demonstrate use of gait belt. |
| BED TO WHEELCHAIR | 1. lock bed wheels. 2. move foot rests. 3. non skid footwear. 4. lower bed and rails. 5. sit up and dangle. 6. *lock wheelchair brakes. 7.*transfer to the strong side. 8. used safety devices as needed. |
| RESTRAINTS | 1. apply restraint properly, 1-2 fingers. 2*quick release knot. 3. assess breathing/circulation. 4. release Q2 hours, checking Q 15 min. |
| DENTURE CARE | 1*line sink with towel. 2. brush luke water brush and paste. 3. dentures in cup with cleaning. 4. perform oral care while dentures out. |
| ORAL CARE | 1 brush and paste. 2 brush all surfaces circular up and down, gum lines. 3 spit into container. 4. assist to rinse and wipe lips and mouth. 5. moisturize lips. 6. report abnormal. |
| ORAL CARE UNCONSCIOUS | verbalize frequency of oral care Q2 hours. 2. towel or drape. 3. *position per diag- side lying or head elevated and turned to side. 4. insert swab gently. 5. rotate against surfaces. 6. clean lips. 7. moisturize lips. 8. report abnormal. |
| OUNCES TO ML'S | 1. *30 mls = 1 ounce. 2. *read and record. |
| DOWN DRAINAGE BAG | 1. collect towel/measuring container. 2 tube from sheath. 3. unclamp directed container. 4. clean tip alcohol. 5. empty contents, tube no touch. 6. reclamp replace sheath. 7. *flat surface. 8. dispose. 9. rinse. 10 remove gloves, wash hands. 11 record. |
| MEASURE URINE OUTPUT | 1. *measure urinary output in urinal/hat/grad container. 2.* keep container level. 3.* read in MLs. 4. record on appropriate sheet. |
| POSITION FOR ENEMA | 1.*place in left sims or left side lying. 2. drape/cover appropriately. |
| ABDOMINAL THRUST | 1. able to identify symptoms of choking, **asks-are you choking? 2. call for help. 3. stand behind and arms around. 4. thumb side fist against abdomen. 5. *position fists above navel below xyphoid. 6. fist with other hand, press *inward and upward motion |
| WEIGHT | 1. check balance of scale before weighing. 2. assist resident to stand on scale. 3*ensure balance and centered on scale with arms at side. 4*read scale. |
Created by:
nursejulie