CNA testing skills Flashcards
(16 cards)
- APPLY AN ANTI-EMBOLIC STOCKING ON A RESIDENT’S LEG
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Raise the bed between mid-thigh and waist level.
4) Provide privacy for the resident; pull the privacy curtain.
5) Provide for the resident’s privacy by only exposing one leg.
6) Roll, gather, or turn the stocking down inside out to the heel.
7) Place stocking over resident’s toes, foot, and heel.
8) Roll or pull stocking up one leg.
9) Check toes for possible pressure from the stocking and adjust as needed.
10) Leave the resident with a stocking that is smooth and wrinkle-free.
11) Lower bed.
12) Open the privacy curtain.
13) Maintain respectful, courteous interpersonal interactions at all times.
14) Place the call light or signal device within easy reach of the resident.
15) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
- ASSIST A RESIDENT TO AMBULATE USING A GAIT BELT
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Obtain a gait belt for the resident.
4) Lock designated bed brake(s) to ensure resident’s safety.
5) Lock wheelchair brakes to ensure resident’s safety.
6) Assist the resident in putting on non-skid footwear.
7) Lower the bed so the resident’s feet are flat on the floor when sitting on the edge of the bed.
8) Bring the resident to a sitting position with the resident’s feet flat on the floor.
9) Place a gait belt around the resident’s waist.
10) Tighten the gait belt to the appropriate fitting/size.
11) Check the gait belt for tightness by slipping fingers between it and the resident to ensure it is
secure.
12) Face the resident and grasp the gait belt with both hands.
13) Bring the resident to a standing position using proper body mechanics at all times.
14) Grasp the gait belt with one hand and stabilize the resident with the other hand by holding
the forearm or shoulder or using another appropriate method.
15) Position yourself behind and slightly to the side of the resident.
16) Ambulate the resident at least ten steps to the wheelchair.
17) Assist the resident in pivoting/turning and sitting in the wheelchair in a controlled manner,
ensuring safety at all times.
18) Remove gait belt.
19) Maintain respectful, courteous interpersonal interactions at all times.
20) Place the call light or signal device within easy reach of the resident.
21) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
- ASSIST A RESIDENT TO AMBULATE WITH A WALKER USING A GAIT BELT
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Obtain a gait belt for the resident.
4) Lock designated bed brake(s) to ensure resident’s safety.
5) Lock wheelchair brakes to ensure resident’s safety.
6) Assist the resident in putting on non-skid footwear.
7) Bring the resident to a sitting position with the resident’s feet flat on the floor when sitting on
the edge of the bed.
8) Place the gait belt around the resident’s waist.
9) Tighten the gait belt to the appropriate fitting/size.
10) Check the gait belt for tightness by slipping fingers between it and the resident to ensure it is
secure.
11) Grasp the gait belt with one hand.
12) Position the walker in front of the resident.
13) Assist resident to standing position using proper body mechanics.
14) Stabilize the walker using your hand and/or foot.
15) Position yourself behind and slightly to the side of the resident.
16) Ambulate the resident at least ten steps to the wheelchair.
17) Assist the resident in pivoting/turning and sitting in the wheelchair in a controlled manner,
ensuring safety at all times.
18) Remove gait belt.
19) Maintain respectful, courteous interpersonal interactions at all times.
20) Place the call light or signal device within easy reach of the resident.
21) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
- BED BATH (PARTIAL) FOR A RESIDENT- WHOLE FACE AND ONE ARM, HAND AND UNDERARM
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Fill a basin with warm water.
4) Provide privacy for the resident; pull the privacy curtain.
5) Raise the bed between mid-thigh and waist level.
6) Cover the resident with a bath blanket or clean sheet.
7) Fanfold bed linens down to the resident’s waist or move linens to the opposite side.
8) Remove the resident’s gown without exposing the resident.
9) Place the gown in a designated container.
10) Wash the resident’s face WITHOUT SOAP and pat dry.
11) Place a towel under the resident’s arm, exposing one arm.
12) Wash the resident’s arm, hand and underarm using soap and water.
13) Rinse the resident’s arm, hand, and underarm.
14) Pat dry the resident’s arm, hand, and underarm.
15) Assist the resident in putting on a clean gown.
16) Empty, rinse, and dry equipment and return to storage.
17) Place soiled linen in a designated container.
18) Lower bed.
19) Open the privacy curtain.
20) Maintain respectful, courteous interpersonal interactions at all times.
21) Place the call light or signaling device within easy reach of the resident.
22) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
- DENTURE CARE – CLEAN A RESIDENT’S UPPER OR LOWER DENTURE
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Line the bottom of the sink with a protective lining to help prevent damage to the dentures.
(Use a cloth towel or washcloth; do not use paper towels.)
4) Put on gloves.
5) Remove the denture from the cup.
6) Handle the denture carefully to avoid damage being careful to avoid contamination.
7) Empty and rinse denture cup.
8) Apply toothpaste.
9) Thoroughly brush denture, including the inner, outer, and chewing surfaces of an upper or
lower denture. (Only one plate is used during testing. Toothettes may be utilized instead of a
toothbrush as long as all surfaces listed are cleaned.)
10) Rinse the denture using clean, cool water.
11) Place the denture in the rinsed denture cup.
12) Add cool, clean water to the denture cup.
13) Clean and dry equipment and return to storage.
14) Place the protective lining in a designated container.
15) Maintain respectful, courteous interpersonal interactions at all times.
16) Place the call light or signaling device within easy reach of the resident.
17) Remove gloves, turning them inside out as they are removed.
18) Dispose of gloves in a designated container.
19) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
- DRESS A BEDRIDDEN RESIDENT WITH AN AFFECTED (WEAK) SIDE
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Provide privacy for the resident; pull the privacy curtain.
4) Raise the bed between mid-thigh and waist level.
5) Cover the resident with a sheet, top cover, or bath blanket while removing the gown.
6) Remove the gown from the unaffected side first.
7) Place the soiled gown in a designated container.
8) When dressing the resident in a shirt or blouse, insert your hand through the sleeve of the
shirt or blouse and grasp the resident’s hand.
9) When dressing the resident in a shirt or blouse, always dress from the affected side first.
10) When dressing the resident in pants, assist the resident in raising their hips or turning the
resident from side to side and pulling the pants over the buttocks and up to the resident’s
waist.
11) When dressing the resident in pants, always dress the resident from the affected side first.
12) Apply the resident’s non-skid footwear.
13) Leave the resident comfortably and properly dressed and in a position of safety.
14) Lower bed.
15) Open the privacy curtain.
16) Maintain respectful, courteous interpersonal interactions at all times.
17) Place the call light or signaling device within easy reach of the resident.
18) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
- FEED A DEPENDENT RESIDENT IN BED
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Verbalize identifying the resident’s name against the diet card and verbalize that the resident
has received the correct tray while checking the diet card and tray.
4) Position the resident in an upright position that is at least 45 degrees.
5) Protect clothing from soiling using a napkin, clothing protector, or towel.
6) Wash and dry the resident’s hands BEFORE feeding.
7) Place soiled linen in a designated container.
8) Remain at eye level, facing the resident while feeding the resident.
9) Describe the foods being offered to the resident.
10) Offer each fluid frequently.
11) Offer food in small amounts at a reasonable rate, allowing the resident time to chew and
swallow.
12) Wipe the resident’s face during the meal if needed.
13) Leave the resident in bed with the head of the bed set up to at least 30 degrees.
14) Record intake in the percentage of total solid food eaten on the provided, previously signed
recording form.
15) The candidate’s recorded consumed food intake must be within 25 percentage points of the
RN Test Observer’s recorded food intake.
16) Record the sum of total fluid consumed in ml on the provided, previously signed recording
form.
17) The candidate’s recorded total consumed fluid intake is within 60 mls of the RN Test
Observer’s recorded fluid intake.
18) Remove the clothing protector and place it in an appropriate container.
19) Leave the resident clean.
20) Maintain respectful, courteous interpersonal interactions at all times.
21) Place the call light or signaling device within easy reach of the resident.
22) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
- HAIR CARE FOR A RESIDENT
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Provide privacy for the resident; pull the privacy curtain.
4) Place a towel on the resident’s shoulders.
5) Ask the resident how they would like their hair styled.
6) Comb/brush/style hair gently and completely.
7) Place linen in a designated container.
8) Leave hair neatly brushed/combed/styled.
9) Open the privacy curtain.
10) Maintain respectful, courteous interpersonal interactions at all times.
11) Place the call light or signaling device within easy reach of the resident.
12) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
- MAKE AN OCCUPIED BED
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Gather linen and transport it correctly.
3) Place linen on a clean surface. You may place linen on the over-bed table, the back of a chair, a
bedside stand, or the foot of the bed.
4) Explain the procedure to be performed to the resident.
5) Provide privacy for the resident; pull the privacy curtain.
6) Raise the side rail on the side of the bed opposite the working side or request the RN Test
Observer to stand on the side of the bed opposite the working side.
7) Raise the bed to between mid-thigh and waist level.
8) Assist the resident in rolling onto the side toward the raised side rail or the RN Test Observer.
9) Roll or fan fold soiled linen, soiled side inside, to the center of the bed.
10) Place the clean bottom sheet along the center of the bed, roll or fan fold the linen against the
resident’s back, and unfold the remaining half.
11) Secure two fitted corners of the clean bottom sheet.
12) Raise the side rail on the other side of the bed or request the RN Test Observer to stand on
the other side of the bed.
13) Assist the resident in rolling over the bottom linen, preventing trauma and avoidable pain at all
times.
14) Remove soiled linen without shaking.
15) Avoid touching linen to uniform.
16) Place soiled linen in a designated container.
17) Pull through and smooth out the clean bottom linen.
18) Secure the other two fitted corners.
19) Place clean top linen and blanket or bedspread over the covered resident while removing used
linen.
20) Keep the resident unexposed at all times.
21) Tuck in top linen and blanket or bedspread at the foot of the bed.
22) Make mitered corners at the foot of the bed.
23) Apply a clean pillow case with zippers and tags of the pillow to the inside.
24) Gently lift the resident’s head while replacing the pillow.
25) Leave the bed completely and neatly made without wrinkles.
26) Ensure the sheet and top linen do not constrict the resident’s feet.
27) Lower bed.
28) Lower side rails, if side rails were used.
29) Open the privacy curtain.
30) Maintain respectful, courteous interpersonal interactions at all times.
31) Place the call light or signaling device within easy reach of the resident.
32) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
- MOUTH CARE—BRUSH A RESIDENT’S TEETH
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Put on gloves.
4) Gather equipment/supplies.
5) Provide privacy for the resident; pull the privacy curtain.
6) Drape the chest with a chest barrier (cloth or paper towel) to prevent soiling.
7) Wet the toothbrush and apply a small amount of toothpaste to the toothbrush. (If available,
toothettes may be utilized instead of the toothbrush as long as all the surfaces listed are
cleaned.)
8) Brush the resident’s teeth, including the inner, outer, and chewing surfaces of all upper and
lower teeth.
9) Clean the resident’s tongue.
10) Assist the resident in rinsing their mouth. (You may use an emesis basin or disposable cup for
the resident to spit in.)
11) Wipe the resident’s mouth.
12) Remove the clothing protector and place it in an appropriate container.
13) Empty, rinse, and dry the emesis basin, if used, or dispose of the cup in a trash container.
14) Rinse toothbrush.
15) Return equipment to storage.
16) Leave the resident in a position of comfort.
17) Open the privacy curtain.
18) Maintain respectful, courteous interpersonal interactions at all times
19) Place the call light or signaling device within easy reach of the resident.
20) Remove gloves, turning them inside out as they are removed.
21) Dispose of gloves in a designated container.
22) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
- NAIL CARE FOR A RESIDENT
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Provide privacy for the resident; pull the privacy curtain.
4) Immerse the resident’s nails in warm water.
5) Soak nails for at least five minutes. (The five minutes may be verbalized by the candidate and
acknowledged by the RN Test Observer.)
6) Gently push cuticles back with a wet washcloth. (DO NOT use an orange stick to push back
cuticles.)
7) Dry the resident’s hand thoroughly, making sure to dry carefully between the fingers.
8) Gently clean under the nails with an orange stick.
9) Wipe the orange stick at least one time during the procedure.
10) File each fingernail.
11) Empty, rinse, dry, and return equipment to storage.
12) Place soiled linen in a designated container.
13) Discard the orange stick in a designated container.
14) Open the privacy curtain.
15) Maintain respectful, courteous interpersonal interactions at all times.
16) Place the call light or signaling device within easy reach of the resident.
17) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry
- POSITION A RESIDENT IN BED ON THEIR SIDE
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Provide privacy for the resident; pull the privacy curtain.
4) Position bed flat.
5) Raise the bed between mid-thigh and waist level.
6) Raise the side rail on the side of the bed opposite the working side or request the RN Test
Observer to stand on the side of the bed opposite the working side.
7) From the working side of the bed, gently move the resident’s upper body toward yourself.
8) From the working side of the bed, gently move the resident’s hips toward yourself.
9) From the working side of the bed, gently move the resident’s legs toward yourself.
10) Assist/turn the resident onto the correct side, as the RN Test Observer stated in the scenario.
11) Ensure the resident’s face is never obstructed by the pillow.
12) Check to be sure the resident is not lying on their downside arm.
13) Readjust or place a support device under the resident’s head.
14) Place a support device under the resident’s head, the upside arm, behind the back, and
between the knees.
15) Ensure the resident is in correct body alignment. Physically check that the resident is in
correct body alignment.
16) Leave the resident in a position of comfort and safety.
17) Lower side rails, if side rails were used.
18) Lower bed.
19) Open the privacy curtain.
20) Maintain respectful, courteous interpersonal interactions at all times.
21) Place the call light or signaling device within easy reach of the resident.
22) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
- RANGE OF MOTION FOR A RESIDENT’S HIP AND KNEE
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Raise the bed between mid-thigh and waist level.
4) Provide privacy for the resident; pull the privacy curtain.
5) Position resident supine (bed flat).
6) Leave the resident in good body alignment.
7) Place one hand under the resident’s knee and the other hand under the resident’s ankle.
8) Move the entire leg away from the resident’s body. (abduction)
9) Move the entire leg back toward the resident’s body. (adduction)
10) Complete abduction and adduction of the resident’s hip at least three times.
11) Continue correctly supporting joints by placing one hand under the resident’s knee and the
other under the resident’s ankle.
12) Bend the resident’s knee and hip toward the resident’s trunk. (flexion of the hip and knee at
the same time)
13) Straighten the resident’s knee and hip. (extension of the knee and hip at the same time)
14) Complete flexion and extension of the resident’s knee and hip at least three times.
15) The candidate must ask the resident at least once if they are causing any pain or discomfort.
16) Do not force any joint beyond the point of free movement.
17) Leave the resident in a comfortable position.
18) Lower bed.
19) Open the privacy curtain.
20) Maintain respectful, courteous interpersonal interactions at all times.
21) Place the call light or signaling device within easy reach of the resident.
22) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
- RANGE OF MOTION FOR A RESIDENT’S SHOULDER
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Raise the bed between mid-thigh and waist level.
4) Provide privacy for the resident; pull the privacy curtain
5) Position resident supine (bed flat).
6) Leave the resident in good body alignment.
7) Place one hand under the resident’s elbow and the other hand under the resident’s wrist.
8) Raise the resident’s arm up and over the resident’s head. (flexion)
9) Bring the resident’s arm back down to the resident’s side. (extension)
10) Complete flexion and extension of the resident’s shoulder at least three times.
11) Continue correctly supporting joints by placing one hand under the resident’s elbow and the
other under the resident’s wrist.
12) Move the resident’s arm away from the resident’s body. (abduction)
13) Return the resident’s arm to the resident’s side. (adduction)
14) Complete abduction and adduction of the shoulder at least three times.
15) The candidate must ask at least once if they are causing any pain or discomfort.
16) Do not force any joint beyond the point of free movement.
17) Leave the resident in a comfortable position.
18) Lower bed.
19) Open the privacy curtain.
20) Maintain respectful, courteous interpersonal interactions at all times.
21) Place the call light or signaling device within easy reach of the resident.
22) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
- STAND AND PIVOT-TRANSFER A RESIDENT FROM THEIR BED TO A WHEELCHAIR USING A GAIT BELT
1) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Obtain a gait belt for the resident.
4) Position the wheelchair close to the bed.
5) Lock wheelchair brakes to ensure resident’s safety.
6) Lock designated bed brake(s) to ensure resident’s safety.
7) Assist the resident in putting on non-skid footwear.
8) Assist the resident in a sitting position and lower the bed so the resident’s feet are flat on the
floor when sitting on the edge of the bed.
9) Place a gait belt around the resident’s waist.
10) Tighten the gait belt to the appropriate fitting/size.
11) Check the gait belt for tightness by slipping fingers between it and the resident to ensure it is
secure.
12) Face the resident and grasp the gait belt with both hands.
13) Bring the resident to a standing position using proper body mechanics.
14) Assist the resident in pivoting and sitting in the wheelchair in a controlled manner that
ensures safety.
15) Remove the gait belt.
16) Maintain respectful, courteous interpersonal interactions at all times.
17) Place the call light or signaling device within easy reach of the resident.
18) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry
- VITAL SIGNS – TAKE AND RECORD A RESIDENT’S PULSE AND RESPIRATIONS
1) Perform hand hygiene.
a. Covers all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
2) Explain the procedure to be performed to the resident.
3) Provide privacy for the resident; pull the privacy curtain.
4) Locate the radial pulse by placing the tips of fingers on the thumb side of the resident’s wrist.
5) Count pulse for a full 60 seconds, or count for 30 seconds times two.
a. Must verbally tell the RN Test Observer if you are counting for 60 seconds or 30 seconds
times two.
b. Verbally tell the RN Test Observer when you start and stop counting.
6) Record the resident’s pulse rate on the provided, previously signed recording form.
7) The candidate’s recorded pulse rate is within four (4) beats of the RN Test Observer’s
recorded pulse rate.
8) Count respirations for a full 60 seconds, or count for 30 seconds times two.
a. Must verbally tell the RN Test Observer if you are counting for 60 seconds or 30 seconds
times two.
b. Verbally tell the RN Test Observer when you start and stop counting.
9) Record the resident’s respirations on the provided, previously signed recording form.
10) The candidate’s recorded respiratory rate is within two (2) breaths of the RN Test Observer’s
recorded respiratory rate.
11) Open the privacy curtain.
12) Maintain respectful, courteous interpersonal interactions at all times.
13) Place the call light or signaling device within easy reach of the resident.
14) Perform hand hygiene.
a. Cover all surfaces of the hands with hand sanitizer.
b. Rub hands together to dry.
