cna skills

What is the first step in indirect care when entering a resident's room?

Knock, greet the resident, address them by name, and introduce yourself.

What should you do before beginning care with a resident?

Provide explanations about the care before and during the procedure.

How should you promote resident preferences during care?

Ask the resident about their preferences and give choices as much as possible.

What precautions should be taken regarding infection control during care?

Use Standard Precautions and infection control measures.

What should you do to ensure resident safety during care?

Promote resident safety as it is the number one priority.

What should you do with linen when providing care?

Keep linen away from scrubs at all times and ensure scrubs never touch the floor.

What is the proper procedure for handwashing in a clinical setting?

Wash hands for a minimum of 20 seconds without recontamination, using friction and keeping hands below the elbow.

What should you do immediately after removing gloves?

Wash hands immediately after removing gloves.

What should you do with unused linen?

Place any unused linen in the hamper.

How should you communicate with patients regarding medical terminology?

Avoid using medical terminology; speak in layman's terms.

What is the minimum time required for handwashing?

A minimum of 20 seconds.

What should you do with your hands while washing them?

Keep hands below the elbow with fingers pointing down.

What should you do with the faucet after washing your hands?

Use a dry piece of paper towel to turn off the faucet.

What is the last step you should take when leaving a room?

Wash hands before exiting.

What should you do with basins after use?

Rinse, dry, and store them in the proper place.

What is the protocol for entering a room?

Follow the established entry protocol, which includes knocking and greeting the resident.

What should you do to ensure the resident's comfort before leaving the room?

Ask if they are comfortable and if they need anything.

What is the required position of the bed when leaving the room?

In the lowest position.

What equipment is needed to count and record a resident's radial pulse and respirations?

Pen and Vital Sign Measurement Form.

What should you do to ensure an accurate reading of respirations?

Pretend to take the pulse without informing the resident that you are counting their breathing.

What should you do after counting the resident's pulse?

Record the pulse on the Vital Sign Measurement Form.

What is the first step when providing passive range of motion to a resident's shoulder?

Knock before entering.

How many repetitions of each exercise are required for passive range of motion?

3 repetitions.

What should you explain to the resident before starting the shoulder exercises?

That you will be doing two exercises for the shoulder.

What is the purpose of the privacy curtain during the entry and exit protocols?

To maintain the resident's privacy.

What should you do with all belongings before leaving the room?

Put them within reach of the resident.

What is the importance of raising the bed to working height during procedures?

To ensure the caregiver can work comfortably and safely.

What is the first exercise for arm movement in passive range of motion?

Flexion and extension (lifting the arm from next to the body to above the head).

How many times should each exercise in passive range of motion be performed?

Three times.

What should be done if a resident reports pain during an exercise?

Stop the exercise immediately.

How should the arm be supported during exercises?

Always support the arm with two hands from underneath.

What is the second exercise for arm movement in passive range of motion?

Abduction and adduction (taking the arm away from the side and back to the side).

What should be done before starting a new exercise with a resident?

Explain/show the next exercise to the resident.

What should be checked regarding the resident's belongings before starting exercises?

Ensure all belongings are within reach (e.g., over bed table, TV remote, glasses, water).

What position should the bed be in during passive range of motion exercises?

The bed should be in the lowest position.

What is the first exercise for the hip during passive range of motion?

Abduction and adduction of the hip.

What should be avoided when performing hip abduction and adduction?

Dragging the leg on the mattress.

What is the second exercise for the hip and knee in passive range of motion?

Flexion and extension of the hip and knee.

How should the leg be moved during hip and knee flexion?

Lift the entire leg off the mattress toward the torso and back down.

What is the procedure for applying a knee-high anti-embolic stocking?

Roll the stocking down, place it over the toes, and roll it up the leg gently.

What should be checked after applying the anti-embolic stocking?

Check toes for possible pressure and adjust if necessary.

What should be ensured about the anti-embolic stocking after application?

The stocking should be smooth and free of wrinkles.

What should be done if the resident needs anything during the procedure?

Ask if the resident is comfortable or needs anything.

What should be done to ensure the resident's comfort during exercises?

Ask if they are having pain or discomfort during each movement.

What is the first step when entering a room to assist a resident?

Knock before entering.

What is the purpose of raising the bed to working height?

To ensure proper ergonomics and safety while performing tasks.

What is the correct positioning of the resident's arm when preparing to turn them onto their side?

Place the arm farthest away from you away from the resident's body.

What should be placed under the resident's back when turning them onto their side?

A pillow vertically between their shoulders and hips.

How should the second pillow be positioned between the resident's legs?

Lengthwise, between both knees and ankles, with the upper leg slightly in front of the lower.

What should you check regarding the resident's shoulder after positioning them on their side?

Ensure the resident is not lying directly on the bottom of the shoulder, arm, or hand.

What should you do after positioning the resident and ensuring their comfort?

Ask if they would like the privacy curtain opened or closed.

What supplies are needed to change an occupied bed?

Bath blanket, top sheet, bottom sheet, pillowcase, and gloves.

What should you do to avoid skin shearing when changing sheets?

Gently pull the top sheet out from under the bath blanket without creating friction.

How should you position the resident when rolling them to change sheets?

Always keep the resident positioned a safe distance from the edge of the bed.

What should you do with the dirty bottom sheet after rolling it towards the resident?

Roll it inside out towards the resident and tuck it under them.

What should you ensure when applying the new bottom sheet?

It should be free of creases or wrinkles.

What should you do with the top sheet after placing it over the bath blanket?

Gently remove the bath blanket while avoiding friction or shearing of skin.

How should the top sheet be secured at the foot of the mattress?

Tuck it under the foot of the mattress.

What is the final step in the process of changing an occupied bed?

Ensure the resident is covered up to their shoulders throughout the skill.

What is the first step before entering a resident's room?

Knock before entering.

How should you greet a resident?

Address them by name, introduce yourself, and explain what you are going to do.

What should you do to your hands before interacting with a resident?

Sanitize hands by covering all surfaces with sanitizer and rubbing until dry.

What should you do if clean linens touch the floor?

Consider them dirty and place them directly in the hamper.

What is the purpose of a toe pleat in bed-making?

To decrease pressure on the toes.

How should you replace a pillowcase?

Turn the pillowcase inside out, roll it up, place your hand inside at the center, and pull it over the pillow until smooth.

What should you do after removing gloves?

Wash hands.

What should you check before transferring a resident from bed to wheelchair?

Check the resident's ID.

What position should the height of the bed be in when assisting a resident to sit up?

Raised to allow the resident's hips to be at a 90-degree angle.

What should you do before moving a resident from the bed to a wheelchair?

Count to three to prepare the resident for movement.

How should a gait belt be applied?

It should be tight enough to allow flat fingers to fit between the resident and the belt.

What should you ensure about the wheelchair before transferring a resident?

It should be locked and positioned as close to the bed as possible at a slight angle.

What should you do after sitting the resident in the wheelchair?

Remove the gait belt without pulling and have the resident lean forward if able.

What should you do after completing a transfer or ambulation?

Clean up and ask the resident if they would like their privacy curtain opened or closed.

What should you do if a resident feels dizzy or lightheaded after sitting up?

Ask them if they are okay and monitor their condition.

What should be done with all belongings after assisting a resident?

Ensure all belongings are within reach of the resident.

What should you do with the call light after assisting a resident?

Place it in the resident's hand.

What is the final step after completing the procedure?

Sanitize hands by rubbing sanitizer on all surfaces until dry.

What should you do with footrests on a wheelchair before transferring a resident?

Swing them to the side or remove them to prevent tripping hazards.

How should you support a resident when assisting them to sit up?

Place one hand behind their back and one hand under their legs.

What should you do after placing the resident in the wheelchair?

Put the footrests back to their original position and place the resident's feet on them.

What should you do if a resident needs assistance after being transferred?

Ask if they are comfortable or need anything.

What is the purpose of the privacy curtain during resident care?

To ensure the resident's privacy during the procedure.

What should be done to prevent trip hazards when assisting a resident in a wheelchair?

Open the legs of the wheelchair and lock the wheelchair brakes.

What is the proper bed height for a resident in a sitting position?

The bed height should allow the resident's feet to be flat on the floor with hips at a 90-degree angle.

What should you do after raising the head of the bed (HOB) to a sitting position?

Support the resident by placing one hand behind their back and one hand under their legs.

What should you ask the resident after they are sitting up?

Ask if they feel dizzy or lightheaded.

What type of footwear should be placed on the resident's feet?

Nonskid footwear.

What is the correct position for the resident's knees when seated?

Knees should be at a 90-degree angle with feet flat on the floor.

Where should a gait belt be placed on the resident?

The gait belt should be placed mid-waist, tight enough to allow only a hand or flat finger to fit.

How should you grasp the gait belt when assisting the resident?

Grab the gait belt on the side of the resident by going under their arms and grasping the belt on both sides with palms against their back.

What should the resident do when getting up from the bed?

The resident should push up from the bed without hanging on to you.

How should you position your feet when assisting the resident to stand?

Place one foot in front of the resident's feet horizontally and the other foot shoulder-width apart.

What should you explain to the resident before standing up?

Explain that you will stand up on the count of three.

What should you do after the resident stands?

Ask how they feel and give them 5-10 seconds to adjust to the change in position.

What should you explain to the resident before walking?

Inform them that you will be walking 10 steps and then sitting in the wheelchair.

How should you position yourself while walking with the resident?

Stand slightly to the side and behind the resident, grasping the gait belt.

What should you do when reaching the wheelchair?

Have the resident turn to face you and ask them to back up until they feel the chair on the back of their knees.

What should you explain to the resident before they sit in the wheelchair?

Explain that on the count of three, they will sit all the way back in the wheelchair.

What should you check after the resident is seated in the wheelchair?

Ensure the resident is aligned properly with their hips at the back of the chair and place their feet on the footrests.

What should you do after removing the gait belt from the resident?

Gently remove the gait belt without harming the resident and clean up.