CNA Skills Study Guide – Flashcards

1. Address client by name and introduces self to client by name 2. Turns on water at sink 3. Wets hands and wrists thoroughly 4. Applies soap to hands 5. L athers all surfaces of wrists, hands, and fingers, producing friction for at least 15 (fifteen) seconds 6. Cleans fingernails by rubbing fingertips against palms of the opposite hand 7. After lathering for at least 15 seconds, rinses all surfaces of wrists, hands, and fingers keeping hands lower than the elbows and the fingertips down 8. Uses clean, dry paper towel to dry all surfaces of hands, wrists, and fingers then disposes of paper towel into waste container 9. Uses clean, dry paper towel to turn off faucet then disposes of paper towel into waste container or uses knee/foot control to turn off faucet 10. Does not touch inside of sink at any time

1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2. Privacy is provided with a curtain, screen, or door 3. Client is in supine position (lying down in bed) while stocking is applied 4. Turns stocking inside-out 5. Places foot of stocking over toes, foot, and heel 6. Pulls top of stocking over foot, heel, and leg 7. Moves foot and leg gently and naturally, avoiding force and over-extension of limb and joints 25 Skill continues 8. Finishes procedure with no twists or wrinkles and heel of stocking (if present) is over heel and opening in toe area (if present) is either over or under toe area 9. Signaling device is within reach and bed is in low position 10. Washes hands

1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2. Before assisting to stand, candidate ensures client is wearing shoes 3. Before assisting to stand, bed is at a safe level 4. Before assisting to stand, checks and/or locks bed wheels 5. Before assisting to stand, client is assisted to sitting position with feet flat on the floor 6. Before assisting to stand, applies transfer belt securely over clothing/gown 7. Before assisting to stand, provides instructions to enable client to assist in standing including prearranged signal to alert client to begin standing 8. Stands facing client positioning self to ensure safety of candidate and client during transfer. Counts to three (or says other prearranged signal) to alert client to begin standing 9. On signal, gradually assists client to stand by grasping transfer belt on both sides with an upward grasp (candidate's hands are in upward position), and maintaining stability of client's legs 10. Walks slightly behind and to one side of client for a distance of ten (10) feet, while holding onto the belt 11. After ambulation, assists client to bed and removes transfer belt 12. Signaling device is within reach and bed is in low position 13. Washes hands

1. Explains procedure speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2. Privacy is provided with a curtain, screen, or door 3. Before placing bedpan, lowers head of bed 4. Puts on clean gloves before handling bedpan 5. Places bedpan correctly under client's buttocks 6. Removes and disposes of gloves (without contaminating self) into waste container and washes hands 7. After positioning client on bedpan and removing gloves, raises head of bed 8. Toilet tissue is within reach 9. Hand wipe is within reach and client is instructed to clean hands with hand wipe when finished 10. Signaling device within reach and client is asked to signal when finished 11. Puts on clean gloves before removing bedpan 12. Head of bed is flat before bedpan is removed 13. Avoids overexposure of client 14. Removes, empties, and rinses bedpan and pours rinse into toilet 15. After rinsing bedpan, places bedpan in designated dirty supply area 16. After placing bedpan in designated dirty supply area, removes and disposes of gloves (without contaminating self) into waste container and washes hands 17. Signaling device is within reach and bed is in low position

1. Puts on clean gloves before handling dentures 2. Sink is lined and/or sink is partially filled with water before denture is held over sink 3. Rinses denture in tepid/moderate temperature running water before brushing them 4. Applies toothpaste to toothbrush 5. Brushes surfaces of denture 6. Rinses surfaces of denture under tepid/moderate temperature running water 7. Before placing denture into cup, rinses denture cup and lid 8. Places denture in denture cup with tepid/moderate temperature water and places lid on cup 9. Rinses toothbrush and places in designated toothbrush basin/container 10. Maintains clean technique with placement of toothbrush and denture 11. Sink liner is removed and disposed of appropriately and/or sink is drained 12. After rinsing equipment and disposing of sink liner, removes and disposes of gloves (without contaminating self ) into waste container and washes hands

1. Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2. Places fingertips on thumb side of client's wrist to locate radial pulse 3. Count beats for one full minute 4. Signaling device is within reach 5. Washes hands 6. After obtaining pulse by palpating in radial artery position, records pulse rate within plus or minus 4 beats of evaluator's reading * Count for one full minute.

1. Explains procedure (for testing purposes), speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2. Counts respirations for one full minute 3. Signaling device is within reach 4. Washes hands 5. Records respiration rate within plus or minus 2 breaths of evaluator's reading * Count for one full minute. For testing purposes you may explain to the client that you will be counting the respirations.

1. Picks up gown and unfolds 2. Facing the back opening of the gown places arms through each sleeve 3. Fastens the neck opening 4. Secures gown at waist making sure that back of clothing is covered by gown (as much as possible) 5. Puts on gloves 6. Cuffs of gloves overlap cuffs of gown 7. With one gloved hand, grasps the other glove at the palm, pulls glove off 8. Slips fingers from ungloved hand underneath cuff of remaining glove at wrist, and removes glove turning it inside out as it is removed 9. Disposes of gloves into designated waste container without contaminating self 10. After removing gloves, unfastens gown at neck and waist 11. Removes gown without touching outside of gown 12. While removing gown, holds gown away from body, turns gown inward and keeps it inside out 13. Disposes of gown in designated container without contaminating self 14. Washes hands

1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2 Privacy is provided with a curtain, screen, or door 3 Asks which top he/she would like to wear and dresses him/her in top of choice 4 While avoiding overexposure of client, removes gown from the unaffected side first, then removes gown from the affected side 5 Assists to put the right (affected/weak) arm through the right sleeve of the top before placing garment on left (unaffected) arm 6 While putting on items, moves body gently and naturally, avoiding force and over-extension of limbs and joints 7 Finishes with clothing in place 8 Disposes of gown into soiled linen container 9 Signaling device is within reach and bed is in low position 10 Washes hands

1 Explains procedure to client, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2 Before feeding, candidate picks up name card from tray and asks client to state name 3 Before feeding client, client is in an upright sitting position (45-90 degrees) 4 Places tray where it can be easily seen by client 5 Client's hands are cleaned with hand wipe before beginning feeding 6 Candidate sits facing client during feeding 7 Tells client what foods are on tray and asks what client would like to eat first 8 Using spoon, offers client one bite of each type of food on tray, telling client the content of each spoonful 9 Offers beverage at least once during meal 10 Makes sure client's mouth is empty before offering next bite of food or sip of beverage 11 At end of meal, client's mouth is wiped and hands are cleaned with hand wipe 12 Removes food tray and places tray in designated dirty supply area 13 Signaling device is within client's reach 14 Washes hands

1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2 Privacy is provided with a curtain, screen, or door 3 Removes gown while keeping client covered 4 Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water 5 Puts on clean gloves before washing client 6 Beginning with eyes, washes eyes with wet washcloth (no soap), using a different area of the washcloth for each eye, washing inner aspect to outer aspect then proceeds to wash face 7 Dries face with towel 8 Exposes one arm and places towel underneath arm 9 Applies soap to wet washcloth 30 Skill continues 10 Washes arm, hand, and underarm, keeping rest of body covered 11 Rinses and dries arm, hand, and underarm 12 Moves body gently and naturally, avoiding force and over-extension of limbs and joints 13 Puts clean gown on client 14 Empties, rinses, and dries basin 15 After rinsing basin, places basin in designated dirty supply area 16 Disposes of used gown and linen into soiled linen container 17 Avoids contact between candidate clothing and used linens 18 After placing basin in designated dirty supply area, and disposing of used linen, removes and disposes of gloves (without contaminating self ) into waste container and washes hands 19 Signaling device is within reach and bed is in low position

1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2 Privacy is provided with a curtain, screen, or door 3 Lowers head of bed before moving client 4 Client is covered while linens are changed 5 Loosens top linen from the end of the bed 6 Raises side rail on side to which client will move and client moves toward raised side rail 7 Loosens bottom used linen on working side and moves bottom used linen toward center of bed 8 Places and tucks in clean bottom linen or fitted bottom sheet on working side and tucks under client 9 Before going to other side, client moves back onto clean bottom linen 10 Raises side rail then goes to other side of bed 11 Removes used bottom linen 12 Pulls and tucks in clean bottom linen, finishing with bottom sheet free of wrinkles 13 Client is covered with clean top sheet and bath blanket/used top sheet has been removed 14 Changes pillowcase 31 Skill continues 15 Linen is centered and tucked at foot of bed 16 Avoids contact between candidate's clothing and used linen 17 Disposes of used linen into soiled linen container and avoids putting linen on floor 18 Signaling device is within reach and bed is in low position 19 Washes hands

1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2 Before using stethoscope, wipes bell/diaphragm and earpieces of stethoscope with alcohol 3 Client's arm is positioned with palm up and upper arm is exposed 4 Feels for brachial artery on inner aspect of arm, at bend of elbow 5 Places blood pressure cuff snugly on client's upper arm, with sensor/arrow over brachial artery site 6 Earpieces of stethoscope are in ears and bell/ diaphragm is over brachial artery site 7 Candidate does one of the following: a. Inflates cuff between 160 mm Hg to 180 mm Hg. (If beat heard immediately upon cuff deflation, completely deflate cuff.) Re-inflate cuff to no more than 200 mm Hg. OR b. Inflates cuff 30 mm Hg beyond where radial or brachial pulse was last heard or felt 8 Deflates cuff slowly and notes the first sound (systolic reading), and last sound (diastolic reading) (If rounding needed, measurements are rounded UP to the nearest 2 mm of mercury) 9 Removes cuff 10 Signaling device is within reach 11 Washes hands 12 After obtaining reading using BP cuff and stethoscope, records both systolic and diastolic pressures each within plus or minus 8 mm of evaluator's reading * This is a one-step blood pressure procedure. However, if a candidate correctly performs a two-step blood pressure procedure that includes step 7b, the candidate will not be penalized and will be given credit for step 7.

1 Puts on clean gloves before handling bedpan 2 Pours the contents of the bedpan into measuring container without spilling or splashing urine outside of container 3 Measures the amount of urine at eye level with container on flat surface 4 After measuring urine, empties contents of measuring container into toilet 5 Rinses measuring container and pours rinse into toilet 6 Rinses bedpan and pours rinse into toilet 7 After rinsing equipment, and before recording output, removes and disposes of gloves (without contaminating self ) into waste container and washes hands 8 Records contents of container within plus or minus 25 ml/cc of evaluator's reading

1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2 Candidate ensures client has shoes on before walking to scale 3 Sets scale to zero before weighing client 4 While client steps onto scale, candidate stands next to scale and assists client, if needed, onto center of scale, then determines client's weight 5 While client steps off scale, candidate stands next to scale and assists client, if needed, off scale before recording weight 6 Records weight based on indicator on scale. Weight is within plus or minus 2 lbs of evaluator's reading (If weight recorded in kg weight is within plus or minus 0.9 kg of evaluator's reading) 7 Washes hands

1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2 Privacy is provided with a curtain, screen, or door 3 Instructs client to inform nurse aide if pain is experienced during exercise 33 Skill continues 4 Supports leg at knee and ankle while performing range of motion for knee 5 Bends the knee and then returns leg to client's normal position (extension/flexion) (AT LEAST 3 TIMES unless pain is verbalized) 6 Supports foot and ankle close to the bed while performing range of motion for ankle 7 Pushes/pulls foot toward head (dorsiflexion), and pushes/pulls foot down, toes point down (plantar flexion) (AT LEAST 3 TIMES unless pain is verbalized) 8 While supporting the limb, moves joints gently, slowly, and smoothly through the range of motion, discontinuing exercise if client verbalizes pain 9 Signaling device is within reach and bed is in low position 10 Washes hands

1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2 Privacy is provided with a curtain, screen, or door 3 Instructs client to inform nurse aide if pain is experienced during exercise 4 Supports client's arm at elbow and wrist while performing range of motion for shoulder 5 Raises client's straightened arm from side position upward toward head to ear level and returns arm down to side of body (extension/flexion) (AT LEAST 3 TIMES unless pain is verbalized) 6 Moves client's straightened arm away from the side of body to shoulder level and returns to side of body (abduction/adduction) (AT LEAST 3 TIMES unless pain is verbalized) 7 While supporting the limb, moves joint gently, slowly, and smoothly through the range of motion, discontinuing exercise if client verbalizes pain 8 Signaling device is within reach and bed is in low position 9 Washes hands

1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2 Privacy is provided with a curtain, screen, or door 3 Before turning, lowers head of bed 4 Raises side rail on side to which body will be turned 5 Slowly rolls onto side as one unit toward raised side rail 6 Places or adjusts pillow under head for support 7 Client is positioned so that client is not lying on arm 8 Supports top arm with supportive device 9 Places supportive device behind client's back 10 Places supportive device between legs with top knee flexed; knee and ankle supported 11 Signaling device is within reach and bed is in low position 12 Washes hands

1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2 Privacy is provided with a curtain, screen, or door 3 Before washing checks water temperature for safety and comfort and asks client to verify comfort of water 4 Puts on clean gloves before washing 5 Places linen protector under perineal area before washing 6 Exposes area surrounding catheter while avoiding overexposure of client 7 Applies soap to wet washcloth 8 While holding catheter near meatus without tugging, cleans at least four inches of catheter nearest meatus, moving in only one direction, away from meatus, using a clean area of the cloth for each stroke 9 While holding catheter near meatus without tugging, rinses at least four inches of catheter nearest meatus, moving only in one direction, away from meatus, using a clean area of the cloth for each stroke 10 While holding catheter near meatus without tugging, dries four inches of catheter moving away from meatus Skill continues 35 11 Empties, rinses, and dries basin 12 After rinsing basin, places basin in designated dirty supply area 13 Disposes of used linen into soiled linen container and disposes of linen protector appropriately 14 Avoids contact between candidate clothing and used linen 15 After disposing of used linen and cleaning equipment, removes and disposes of gloves (without contaminating self ) into waste container and washes hands 16 Signaling device is within reach and bed is in low position

1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2 Before immersing fingernails, checks water temperature for safety and comfort and asks client to verify comfort of water 3 Basin is in a comfortable position for client 4 Puts on clean gloves before cleaning fingernails 5 Fingernails are immersed in basin of water 6 Cleans under each fingernail with orangewood stick 7 Wipes orangewood stick on towel after each nail 8 Dries fingernail area 9 Candidate feels each nail and files as needed 10 Disposes of orangewood stick and emery board into waste container (for testing purposes) 11 Empties, rinses, and dries basin 12 After rinsing basin, places basin in designated dirty supply area 13 Disposes of used linen into soiled linen container 14 After cleaning nails and equipment, and disposing of used linen, removes and disposes of gloves (without contaminating self ) into waste container and washes hands 15 Signaling device is within reach

1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2 Privacy is provided with a curtain, screen, or door 3 Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water 4 Basin is in a comfortable position for client and on protective barrier 5 Puts on clean gloves before washing foot 6 Client's bare foot is placed into the water 7 Applies soap to wet washcloth 8 Lifts foot from water and washes foot, including between the toes 9 Foot is rinsed, including between the toes 10 Dries foot, including between the toes 11 Applies lotion to top and bottom of foot, removing excess (if any) with a towel 12 Supports foot and ankle during procedure 13 Empties, rinses, and dries basin 14 After rinsing basin, places basin in designated dirty supply area 15 Disposes of used linen into soiled linen container 16 After cleaning foot and equipment, and disposing of used linen, removes and disposes of gloves (without contaminating self ) into waste container and washes hands 17 Signaling device is within reach

1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2 Privacy is provided with a curtain, screen, or door 3 Before providing mouth care, client is in upright sitting position (45-90 degrees) 4 Puts on clean gloves before cleaning mouth 5 Places clothing protector across chest before providing mouth care 6 Moistens toothbrush 7 Applies toothpaste to toothbrush 8 Cleans mouth (including tongue and surfaces of teeth) using gentle motions 9 Maintains clean technique with placement of toothbrush 10 Holds emesis basin to chin while client rinses mouth 11 Wipes mouth and removes clothing protector 12 Empties, rinses, and dries basin 13 Places used toothbrush in basin 14 After rinsing basin, places basin in designated dirty supply area 15 Disposes of clothing protector appropriately 16 After placing basin in designated dirty supply area, and disposing of used linen, removes and disposes of gloves (without contaminating self ) into waste container and washes hands 17 Signaling device is within reach and bed is in low position

1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2 Privacy is provided with a curtain, screen, or door 3 Before washing checks water temperature for safety and comfort and asks client to verify comfort of water 4 Puts on clean gloves before washing perineal area 5 Places pad/linen protector under perineal area before washing 6 Exposes perineal area while avoiding overexposure of client 7 Applies soap to wet washcloth 8 Washes genital area, moving from front to back, while using a clean area of the washcloth for each stroke 9 Using clean washcloth, rinses soap from genital area, moving from front to back, while using a clean area of the washcloth for each stroke 10 Dries genital area moving from front to back with towel 11 After washing genital area, turns to side, then washes and rinses rectal area moving from front to back using a clean area of washcloth for each stroke. Dries with towel 12 Repositions client 13 Empties, rinses, and dries basin 14 After rinsing basin, places basin in designated dirty supply area 15 Disposes of used linen into soiled linen container and disposes of linen protector appropriately 16 Avoids contact between candidate clothing and used linen 17 After disposing of used linen, and placing used equipment in designated dirty supply area, removes and disposes of gloves (without contaminating self ) into waste container and washes hands 18 Signaling device is within reach and bed is in low position

1 Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2 Privacy is provided with a curtain, screen, or door 3 Before assisting to stand, wheelchair is positioned along side of bed, at head of bed, and facing the foot of the bed 4 Before assisting to stand, footrests are folded up or removed 5 Before assisting to stand, bed is at a safe level 6 Before assisting to stand, locks wheels on wheelchair 7 Before assisting to stand, checks and/or locks bed wheels 8 Before assisting to stand, client is assisted to a sitting position with feet flat on the floor 9 Before assisting to stand, candidate ensures client is wearing shoes 10 Before assisting to stand, applies transfer belt securely over clothing/gown 11 Before assisting to stand, provides instructions to enable client to assist in transfer including prearranged signal to alert when to begin standing 12 Stands facing client positioning self to ensure safety of candidate and client during transfer. Counts to three (or says other prearranged signal) to alert client to begin standing 13 On signal, gradually assists client to stand by grasping transfer belt on both sides with an upward grasp (candidates hands are in upward position) and maintaining stability of client's legs 14 Assists client to turn to stand in front of wheelchair with back of client's legs against wheelchair 15 Lowers client into wheelchair 16 Positions client with hips touching back of wheelchair and transfer belt is removed 17 Positions feet on footrests 18 Signaling device is within reach 19 Washes hands