NC SKILLS EXAM

1. Hand Hygiene: What is the FIRST step?

Address the client by name and introduce yourself by name.

1. Hand Hygiene: After this step — “Address the client by name and introduce yourself by name.” — what is the NEXT step?

Turn on the water at the sink.

1. Hand Hygiene: After this step — “Turn on the water at the sink.” — what is the NEXT step?

Wet hands and wrists thoroughly.

1. Hand Hygiene: After this step — “Wet hands and wrists thoroughly.” — what is the NEXT step?

Apply soap.

1. Hand Hygiene: After this step — “Apply soap.” — what is the NEXT step?

Lather all surfaces of wrists, hands, and fingers with friction for at least 20 seconds; keep hands below elbows and fingertips pointing down.

1. Hand Hygiene: After this step — “Lather all surfaces of wrists, hands, and fingers with friction for at least 20 seconds; keep hands below elbows and fingertips pointing down.” — what is the NEXT step?

Clean fingernails by rubbing fingertips against the opposite palm.

1. Hand Hygiene: After this step — “Clean fingernails by rubbing fingertips against the opposite palm.” — what is the NEXT step?

Rinse all surfaces, keeping hands below elbows and fingertips pointing down.

1. Hand Hygiene: After this step — “Rinse all surfaces, keeping hands below elbows and fingertips pointing down.” — what is the NEXT step?

Dry all surfaces from fingertips toward wrists with clean paper towels; discard towels.

1. Hand Hygiene: After this step — “Dry all surfaces from fingertips toward wrists with clean paper towels; discard towels.” — what is the NEXT step?

Turn off faucet with a clean paper towel and discard it, or use knee/foot controls.

1. Hand Hygiene: After this step — “Turn off faucet with a clean paper towel and discard it, or use knee/foot controls.” — what is the NEXT step?

Never touch the inside of the sink.

1. Hand Hygiene: What is the FINAL step or closing action?

Never touch the inside of the sink.

2. Applies One Knee-High Elastic Stocking: What is the FIRST step?

Explain the procedure clearly.

2. Applies One Knee-High Elastic Stocking: After this step — “Explain the procedure clearly.” — what is the NEXT step?

Provide full 360-degree privacy as required in North Carolina.

2. Applies One Knee-High Elastic Stocking: After this step — “Provide full 360-degree privacy as required in North Carolina.” — what is the NEXT step?

Position the client lying on their back (supine).

2. Applies One Knee-High Elastic Stocking: After this step — “Position the client lying on their back (supine).” — what is the NEXT step?

Turn the stocking inside out at least to the heel.

2. Applies One Knee-High Elastic Stocking: After this step — “Turn the stocking inside out at least to the heel.” — what is the NEXT step?

Place the stocking over the toes, foot, and heel.

2. Applies One Knee-High Elastic Stocking: After this step — “Place the stocking over the toes, foot, and heel.” — what is the NEXT step?

Pull the top of the stocking over the foot, heel, and leg.

2. Applies One Knee-High Elastic Stocking: After this step — “Pull the top of the stocking over the foot, heel, and leg.” — what is the NEXT step?

Move the foot and leg gently; avoid force or overextension.

2. Applies One Knee-High Elastic Stocking: After this step — “Move the foot and leg gently; avoid force or overextension.” — what is the NEXT step?

Check for no twists or wrinkles and correct heel/toe-opening placement.

2. Applies One Knee-High Elastic Stocking: After this step — “Check for no twists or wrinkles and correct heel/toe-opening placement.” — what is the NEXT step?

Leave the signaling device within reach and bed in low position.

2. Applies One Knee-High Elastic Stocking: After this step — “Leave the signaling device within reach and bed in low position.” — what is the NEXT step?

Wash hands.

2. Applies One Knee-High Elastic Stocking: What is the FINAL step or closing action?

Wash hands.

3. Assists to Ambulate Using Transfer Belt: What is the FIRST step?

Explain the procedure clearly.

3. Assists to Ambulate Using Transfer Belt: After this step — “Explain the procedure clearly.” — what is the NEXT step?

Provide full 360-degree privacy as required in North Carolina.

3. Assists to Ambulate Using Transfer Belt: After this step — “Provide full 360-degree privacy as required in North Carolina.” — what is the NEXT step?

Ensure the client wears non-skid footwear.

3. Assists to Ambulate Using Transfer Belt: After this step — “Ensure the client wears non-skid footwear.” — what is the NEXT step?

Set the bed at a safe level.

3. Assists to Ambulate Using Transfer Belt: After this step — “Set the bed at a safe level.” — what is the NEXT step?

Check and/or lock the bed wheels.

3. Assists to Ambulate Using Transfer Belt: After this step — “Check and/or lock the bed wheels.” — what is the NEXT step?

Assist the client to sit with feet flat on the floor.

3. Assists to Ambulate Using Transfer Belt: After this step — “Assist the client to sit with feet flat on the floor.” — what is the NEXT step?

Secure the transfer belt at the waist over clothing or gown.

3. Assists to Ambulate Using Transfer Belt: After this step — “Secure the transfer belt at the waist over clothing or gown.” — what is the NEXT step?

Explain how the client can help and agree on a signal to stand.

3. Assists to Ambulate Using Transfer Belt: After this step — “Explain how the client can help and agree on a signal to stand.” — what is the NEXT step?

Face the client safely and count to three or give the agreed signal.

3. Assists to Ambulate Using Transfer Belt: After this step — “Face the client safely and count to three or give the agreed signal.” — what is the NEXT step?

On the signal, help the client stand using an upward grasp on both sides of the belt and stabilize the legs knee-to-knee or toe-to-toe.

3. Assists to Ambulate Using Transfer Belt: After this step — “On the signal, help the client stand using an upward grasp on both sides of the belt and stabilize the legs knee-to-knee or toe-to-toe.” — what is the NEXT step?

Walk slightly behind and to one side for 10 feet while holding the belt.

3. Assists to Ambulate Using Transfer Belt: After this step — “Walk slightly behind and to one side for 10 feet while holding the belt.” — what is the NEXT step?

Assist the client back to bed and remove the belt.

3. Assists to Ambulate Using Transfer Belt: After this step — “Assist the client back to bed and remove the belt.” — what is the NEXT step?

Leave the signaling device within reach and bed in low position.

3. Assists to Ambulate Using Transfer Belt: After this step — “Leave the signaling device within reach and bed in low position.” — what is the NEXT step?

Wash hands.

3. Assists to Ambulate Using Transfer Belt: What is the FINAL step or closing action?

Wash hands.

4. Assists With Use of Bedpan: What is the FIRST step?

Explain the procedure clearly.

4. Assists With Use of Bedpan: After this step — “Explain the procedure clearly.” — what is the NEXT step?

Provide full 360-degree privacy as required in North Carolina.

4. Assists With Use of Bedpan: After this step — “Provide full 360-degree privacy as required in North Carolina.” — what is the NEXT step?

Lower the head of the bed before placing the bedpan.

4. Assists With Use of Bedpan: After this step — “Lower the head of the bed before placing the bedpan.” — what is the NEXT step?

Put on clean gloves.

4. Assists With Use of Bedpan: After this step — “Put on clean gloves.” — what is the NEXT step?

Place the bedpan correctly under the client's buttocks.

4. Assists With Use of Bedpan: After this step — “Place the bedpan correctly under the client's buttocks.” — what is the NEXT step?

Remove gloves safely and wash hands.

4. Assists With Use of Bedpan: After this step — “Remove gloves safely and wash hands.” — what is the NEXT step?

Raise the head of the bed after positioning the client on the bedpan.

4. Assists With Use of Bedpan: After this step — “Raise the head of the bed after positioning the client on the bedpan.” — what is the NEXT step?

Place toilet tissue within reach.

4. Assists With Use of Bedpan: After this step — “Place toilet tissue within reach.” — what is the NEXT step?

Place a hand wipe within reach and instruct the client to clean their hands when finished.

4. Assists With Use of Bedpan: After this step — “Place a hand wipe within reach and instruct the client to clean their hands when finished.” — what is the NEXT step?

Place the signaling device within reach and ask the client to signal when finished.

4. Assists With Use of Bedpan: After this step — “Place the signaling device within reach and ask the client to signal when finished.” — what is the NEXT step?

Put on clean gloves before removing the bedpan.

4. Assists With Use of Bedpan: After this step — “Put on clean gloves before removing the bedpan.” — what is the NEXT step?

Lower the head of the bed before removing the bedpan.

4. Assists With Use of Bedpan: After this step — “Lower the head of the bed before removing the bedpan.” — what is the NEXT step?

Keep the client covered except when placing or removing the bedpan.

4. Assists With Use of Bedpan: After this step — “Keep the client covered except when placing or removing the bedpan.” — what is the NEXT step?

Empty and rinse the bedpan; pour rinse into the toilet.

4. Assists With Use of Bedpan: After this step — “Empty and rinse the bedpan; pour rinse into the toilet.” — what is the NEXT step?

Place the bedpan in the designated dirty supply area.

4. Assists With Use of Bedpan: After this step — “Place the bedpan in the designated dirty supply area.” — what is the NEXT step?

Remove gloves safely and wash hands.

4. Assists With Use of Bedpan: After this step — “Remove gloves safely and wash hands.” — what is the NEXT step?

Leave the signaling device within reach and bed in low position.

4. Assists With Use of Bedpan: What is the FINAL step or closing action?

Leave the signaling device within reach and bed in low position.

5. Cleans Upper or Lower Denture: What is the FIRST step?

Put on clean gloves before handling the denture.

5. Cleans Upper or Lower Denture: After this step — “Put on clean gloves before handling the denture.” — what is the NEXT step?

Line the sink or partially fill it with water to protect the denture if dropped.

5. Cleans Upper or Lower Denture: After this step — “Line the sink or partially fill it with water to protect the denture if dropped.” — what is the NEXT step?

Rinse the denture under moderately warm running water.

5. Cleans Upper or Lower Denture: After this step — “Rinse the denture under moderately warm running water.” — what is the NEXT step?

Apply denture toothpaste to the toothbrush.

5. Cleans Upper or Lower Denture: After this step — “Apply denture toothpaste to the toothbrush.” — what is the NEXT step?

Brush all surfaces of the denture.

5. Cleans Upper or Lower Denture: After this step — “Brush all surfaces of the denture.” — what is the NEXT step?

Rinse all surfaces of the denture under moderately warm running water.

5. Cleans Upper or Lower Denture: After this step — “Rinse all surfaces of the denture under moderately warm running water.” — what is the NEXT step?

Rinse the denture cup and lid.

5. Cleans Upper or Lower Denture: After this step — “Rinse the denture cup and lid.” — what is the NEXT step?

Place denture in the cup with water/solution and put on the lid.

5. Cleans Upper or Lower Denture: After this step — “Place denture in the cup with water/solution and put on the lid.” — what is the NEXT step?

Rinse the toothbrush and place it in the designated container.

5. Cleans Upper or Lower Denture: After this step — “Rinse the toothbrush and place it in the designated container.” — what is the NEXT step?

Maintain clean technique with the toothbrush and denture.

5. Cleans Upper or Lower Denture: After this step — “Maintain clean technique with the toothbrush and denture.” — what is the NEXT step?

Remove/dispose of the sink liner or drain the sink appropriately.

5. Cleans Upper or Lower Denture: After this step — “Remove/dispose of the sink liner or drain the sink appropriately.” — what is the NEXT step?

Remove gloves safely and wash hands.

5. Cleans Upper or Lower Denture: What is the FINAL step or closing action?

Remove gloves safely and wash hands.

6. Counts and Records Radial Pulse: What is the FIRST step?

Explain the procedure clearly.

6. Counts and Records Radial Pulse: After this step — “Explain the procedure clearly.” — what is the NEXT step?

Place fingertips on the thumb side of the wrist to locate the radial pulse.

6. Counts and Records Radial Pulse: After this step — “Place fingertips on the thumb side of the wrist to locate the radial pulse.” — what is the NEXT step?

Count beats for one full minute.

6. Counts and Records Radial Pulse: After this step — “Count beats for one full minute.” — what is the NEXT step?

Leave the signaling device within reach.

6. Counts and Records Radial Pulse: After this step — “Leave the signaling device within reach.” — what is the NEXT step?

Wash hands before recording.

6. Counts and Records Radial Pulse: After this step — “Wash hands before recording.” — what is the NEXT step?

Record the pulse rate within ±4 beats of the evaluator's reading.

6. Counts and Records Radial Pulse: What is the FINAL step or closing action?

Record the pulse rate within ±4 beats of the evaluator's reading.

7. Counts and Records Respirations: What is the FIRST step?

Explain the procedure for testing.

7. Counts and Records Respirations: After this step — “Explain the procedure for testing.” — what is the NEXT step?

Count respirations for one full minute.

7. Counts and Records Respirations: After this step — “Count respirations for one full minute.” — what is the NEXT step?

Leave the signaling device within reach.

7. Counts and Records Respirations: After this step — “Leave the signaling device within reach.” — what is the NEXT step?

Wash hands before recording.

7. Counts and Records Respirations: After this step — “Wash hands before recording.” — what is the NEXT step?

Record the respiration rate within ±2 breaths of the evaluator's reading.

7. Counts and Records Respirations: What is the FINAL step or closing action?

Record the respiration rate within ±2 breaths of the evaluator's reading.

8. Donning and Removing PPE (Gown and Gloves): What is the FIRST step?

Pick up and unfold the gown.

8. Donning and Removing PPE (Gown and Gloves): After this step — “Pick up and unfold the gown.” — what is the NEXT step?

Face the back opening and place arms through the sleeves.

8. Donning and Removing PPE (Gown and Gloves): After this step — “Face the back opening and place arms through the sleeves.” — what is the NEXT step?

Fasten the neck opening.

8. Donning and Removing PPE (Gown and Gloves): After this step — “Fasten the neck opening.” — what is the NEXT step?

Secure the gown at the waist, covering the back of clothing as much as possible.

8. Donning and Removing PPE (Gown and Gloves): After this step — “Secure the gown at the waist, covering the back of clothing as much as possible.” — what is the NEXT step?

Put on gloves, overlapping the gown cuffs.

8. Donning and Removing PPE (Gown and Gloves): After this step — “Put on gloves, overlapping the gown cuffs.” — what is the NEXT step?

With one gloved hand, grasp the other glove at the palm and remove it.

8. Donning and Removing PPE (Gown and Gloves): After this step — “With one gloved hand, grasp the other glove at the palm and remove it.” — what is the NEXT step?

Slide fingers of the ungloved hand under the remaining glove cuff at the wrist and remove it inside out.

8. Donning and Removing PPE (Gown and Gloves): After this step — “Slide fingers of the ungloved hand under the remaining glove cuff at the wrist and remove it inside out.” — what is the NEXT step?

Discard gloves without contaminating yourself.

8. Donning and Removing PPE (Gown and Gloves): After this step — “Discard gloves without contaminating yourself.” — what is the NEXT step?

Unfasten the gown at the waist and neck.

8. Donning and Removing PPE (Gown and Gloves): After this step — “Unfasten the gown at the waist and neck.” — what is the NEXT step?

Remove the gown without touching its outside.

8. Donning and Removing PPE (Gown and Gloves): After this step — “Remove the gown without touching its outside.” — what is the NEXT step?

Hold the gown away from the body and floor, turn it inward, and keep it inside out.

8. Donning and Removing PPE (Gown and Gloves): After this step — “Hold the gown away from the body and floor, turn it inward, and keep it inside out.” — what is the NEXT step?

Discard the gown without contaminating yourself.

8. Donning and Removing PPE (Gown and Gloves): After this step — “Discard the gown without contaminating yourself.” — what is the NEXT step?

Wash hands.

8. Donning and Removing PPE (Gown and Gloves): What is the FINAL step or closing action?

Wash hands.

9. Dresses Client with Affected (Weak) Right Arm: What is the FIRST step?

Explain the procedure clearly.

9. Dresses Client with Affected (Weak) Right Arm: After this step — “Explain the procedure clearly.” — what is the NEXT step?

Provide full 360-degree privacy as required in North Carolina.

9. Dresses Client with Affected (Weak) Right Arm: After this step — “Provide full 360-degree privacy as required in North Carolina.” — what is the NEXT step?

Ask which shirt the client would like and use the shirt chosen.

9. Dresses Client with Affected (Weak) Right Arm: After this step — “Ask which shirt the client would like and use the shirt chosen.” — what is the NEXT step?

Keep the client's chest covered to avoid overexposure.

9. Dresses Client with Affected (Weak) Right Arm: After this step — “Keep the client's chest covered to avoid overexposure.” — what is the NEXT step?

Remove the gown from the unaffected left side first, then the affected right side.