cna skils exam
How much space should be allowed between the gait belt and the resident's waist?
Four fingers
When undressing a resident with a weak arm, which arm should be undressed first?
The strong arm
Besides the teeth and gums, what other specific part of the mouth should be brushed?
The tip of the tongue
What should be done with the emesis basin after the resident has finished rinsing?
Empty, rinse, and disinfect it
When walking a resident with a gait belt, where should the CNA hold the belt?
With one hand on the farthest side
What should be placed on the resident's chest before starting mouth care with teeth?
A clean towel
To prevent aspiration during mouth care, how high should the head of the bed be positioned?
ALL THE WAY UP (90 degrees)
Before ambulating a resident, what must be ensured regarding their footwear?
That they have non-skid footwear on
What should be done immediately after assisting a patient to stand with a gait belt?
Let them stand for a few seconds and ask about dizziness
When dressing a resident with a weak arm, which arm should be dressed first?
The weak arm
What technique helps remember the order for dressing/undressing a resident with a weak arm?
The "USA FIRST" rule
What types of motions should be used when brushing all surfaces of a resident's teeth and gums?
Up/down and side to side motions
When lowering a patient back into a chair after ambulation, what instruction should be given?
Lower on the count of three
To avoid making the resident aware, how should the CNA hold the resident's wrist when counting respirations?
So they do not know you are counting
How should a resident rinse their mouth after brushing during mouth care?
Offer water to rinse and spit into an emesis basin
What should a CNA frequently ask the resident about during ambulation with a gait belt?
Their comfort, dizziness, or weakness
How long should a CNA count a resident's respirations?
For one full minute
What is a necessary supply for accurately measuring a resident's respirations?
A watch or clock with a second hand
How should the CNA handle supplies after mouth care when cleaning up and storing them?
Use a clean paper towel to pick up supplies
After dressing a resident, what is an important final check regarding their clothing?
That it is appropriately fastened and neat
Where should a patient place their hands when being assisted to stand using a gait belt?
On the CNA's shoulders
Which personal protective equipment (PPE) is essential when providing mouth care?
Gloves
Before applying toothpaste, what should be done to the toothbrush for mouth care?
Wetted with water
After mouth care, where should soiled linens be placed?
In an inappropriate place for linens
What item should be used to maintain a resident's privacy during the dressing procedure?
A bath blanket
After Flexion/Extension of the hip, what is the next movement in Passive ROM?
Adduction/Abduction
What is the final step listed for performing Passive ROM for all sections?
Closing the procedure
After Flexion/Extension of the ankle, what is the next movement in Passive ROM?
Adduction/Abduction
When performing Passive ROM for hip rotation, what mnemonic helps recall the movement?
Rolling cookie dough
What is the mnemonic for Rotation of the ankle?
Circles
The mnemonic "Snow Angel" is used for which Passive ROM movement of the shoulder?
Abduction/Adduction
To remember Flexion/Extension of the wrist, which phrase is used?
Rev a motorcycle
The "USA" mnemonic (Up/Down, Side/Side, Around) is used to remember the types of movements for which joints?
All listed joints (shoulder, wrist, hip, ankle)
After Flexion/Extension, what is the next movement for Passive ROM of the shoulder?
Abduction/Adduction
Which phrase helps remember Add/Abd-duction of the wrist?
Beauty Pageant Wave
When performing Passive ROM for shoulder rotation, what phrase is used to remember the movement?
Rolling cookie dough
Which of the following is the correct initial patient position for performing Passive ROM for the shoulder?
Patient flat on their back
How many times should each Passive ROM exercise be repeated for comfort?
Three times
The mnemonic "Beauty Pageant Wave" applies to Add/Abd-duction of which two joints?
Wrist and Ankle
What should the CNA ask the patient about during the repetition of Passive ROM exercises?
Their comfort level
What crucial action should be taken for the extremity during Passive ROM exercises?
Provide firm support
The phrase "Climbing stairs" is used to remember which movement of the hip?
Flexion/Extension
What mnemonic is used for Flexion/Extension of the ankle?
Pressing gas
After Flexion/Extension of the wrist, what is the next movement in Passive ROM?
Abduction/Adduction
The mnemonic "Snow Angel" applies to Add/Abd-duction of which two joints?
Shoulder and Hip
What is the mnemonic for Rotation of the wrist?
Wave a Magic Wand
What mnemonic is associated with Flexion/Extension of the elbow?
Make a muscle
What mnemonic is used for Flexion/Extension of the shoulder?
Asking a question
Which phrase is associated with Add/Abd-duction of the ankle?
Beauty Pageant Wave
Which phrase is used to remember Add/Abd-duction of the hip?
Snow Angel
What specific questions should be asked while the resident holds a sitting position on the side of the bed?
About dizziness, lightheadedness, and weakness
After performing peri-care, what is an important check regarding the catheter tubing and drainage bag?
That the patient is not laying on tubing and the bag is not touching the floor
How should the urine contents in the graduate be accurately measured?
At eye level on a flat surface
What is an important check regarding the drainage bag and tubing after measuring the contents?
The bag is not touching the floor and tubing is not kinked
After the transfer, once the patient is seated in the wheelchair, what is a crucial check to ensure for their position?
The patient is as far back in the chair as possible
After removing the chucks and disposing of linens, what is the next step in female catheter care?
Lower the bed using a paper towel
After emptying urine into the graduate, what is the next action listed in the procedure?
Close the clamp and clean the tube opening with an alcohol pad
How far away from the meatus should the catheter tubing be cleaned during female catheter care?
Four inches
When positioning the wheelchair for a transfer, on what side should it be placed relative to the patient?
On the patient's strong side
What specific item is used to clean the tube opening after emptying the urine from the drainage bag?
An alcohol pad
What item should be placed under the patient before applying gloves for female catheter care?
A protective pad (chucks)
Which of the following is NOT a required supply for providing female catheter care?
A surgical mask
How long should the resident be encouraged to hold a sitting position on the side of the bed before transferring?
5-10 seconds
Where should the towel be specifically placed during the female catheter care procedure?
Underneath the catheter tubing
What is the final step before the 'Closing' action after providing female catheter care?
Replace the sheet and remove the bath blanket
What is the correct guideline for placing the gait belt on the patient during a transfer?
Allowing approximately four finger space
Which of the following is NOT a supply needed for measuring urinary drainage bag contents?
A stopwatch
How should the patient's feet be positioned just before assisting them to stand from the bed?
One foot in front and the other parallel to their feet
Where should the barrier be placed when measuring the contents of a urinary drainage bag?
On the floor
How many times should the catheter tubing be washed, rinsed, and dried as per the procedure?
Four times
When assisting a resident to a sitting position at the side of the bed, how should the CNA place their hands?
Under the shoulders and under the legs
What is the initial action a CNA should take after filling the basin with water for female catheter care?
Allow the patient to check the water temperature
What crucial action should be taken with the wheelchair wheels before the transfer begins?
LOCK them securely
What information should be documented after measuring the urinary drainage bag contents?
Time, type, amount (cc's) and initials
What should be done with the graduate after emptying its contents into the toilet?
Fill with water, empty that, then disinfect and store
Where should a towel be placed during a partial bed bath to maintain dryness?
Under the specific areas being washed.
What is the final step involving the bath basin and other supplies after completing perineal care?
Rinsing, cleaning, disinfecting, and storing them.
What should not be used when washing the patient's face during a partial bed bath?
Antibacterial soap.
What happens to the bath blanket immediately after replacing the chucks under the patient in perineal care?
It is removed from the patient.
Where should the used washcloths from washing and rinsing the perineum be placed?
On a barrier.
What is the correct way to expose the perineum for care?
By exposing the perineum and placing a towel over the legs.
After the perineum is washed, what is the next area to be addressed for cleaning?
The anal area.
When are gloves applied during female perineal care?
At the fourth step of the procedure.
What is used as a barrier when lowering the bed after a partial bed bath?
A disposable paper towel.
Which of the following supplies is specifically listed for perineal care but not for a partial bed bath?
Protective pads.
Which washcloth number is designated for washing the patient's face during a partial bed bath?
Washcloth number one.
Who is responsible for checking the water temperature in the bath basin for a partial bed bath?
The patient receiving care.
How is the patient's gown removed at the start of a partial bed bath?
Removed from the side nearest the caregiver.
According to the instructions, when dressing the patient in a clean gown during a partial bed bath, which arm is dressed first?
The arm that has been washed.
What is done with the top sheets and bath blanket at the conclusion of a partial bed bath?
The top sheets are replaced, and the bath blanket is removed.
Which item is not listed as a required supply for a partial bed bath?
An antiseptic wipe.
How should the bath basin and supplies be handled after the partial bed bath?
Cleaned and stored appropriately using a paper towel barrier.
How many strokes are used when washing, rinsing, and drying the perineum?
Five specific strokes.
How should the backrub be performed during a partial bed bath?
Up the middle and then in circles down, three times.
What is the initial action for the nurse when beginning a partial bed bath?
Raise the patient's bed.
In what direction should the perineum be wiped during female perineal care?
From front to back.
What action should be taken regarding soiled chucks during perineal care?
They should be replaced with clean ones.
What instruction is given for the patient to facilitate washing the anal area?
To roll over onto their side.
After filling the basin and allowing the patient to check water temperature, what is the next step in female perineal care?
Place the bath blanket over the patient.
When washing the front of the torso, how should a female patient's breast be handled?
The breast should be lifted with the back of the hand.