Certified Nursing Assistant Practical Skills Quiz

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1. Proper Hand Washing Procedure

1. Turn on Water first before addressing the Client

1. Address Client2. Turn on Water3. Wet hands & wrist4. Apply Soap5. Lather wrist, hands & fingers, producing friction for... 1. Address Client2. Turn on Water3. Wet hands & wrist4. Apply Soap5. Lather wrist, hands & fingers, producing friction for at least 15 seconds. (sing abc's twice or happy birthday)6. Clean fingernails by rubbing fingertips against palms of the opposite hand.7. Rinse wrists, hands & fingers keeping hands lower than the elbows & fingertips down.8. Use clean dry paper towel to dry wrist, hands & fingers then dispose of paper towel.9. Use clean dry paper towel to turn off faucet then dispose of paper towel.10. Do not touch inside of sink at any time

3. Dry hands with a dirty towel after washing

2. Apply Lotion before Wetting hands & wrist

Hand washing is an essential skill in maintaining hygiene and preventing the spread of infections. Following the correct procedure outlined helps ensure thorough cleansing of hands.

Explanation

Hand washing is an essential skill in maintaining hygiene and preventing the spread of infections. Following the correct procedure outlined helps ensure thorough cleansing of hands.

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About This Quiz

Certified Nursing Assistant Practical Skills Quiz - Quiz

This assessment focuses on the essential skills required for Certified Nursing Assistants (CNA). It evaluates practical competencies necessary in daily healthcare settings, emphasizing real-world application and adherence to... see moreprofessional standards. Ideal for aspiring CNAs to validate their practical knowledge and readiness. see less

2. What are the steps for applying One Knee-High Elastic Stocking?

2. Apply stockings with the bed in a raised position

1. Skip explaining the procedure to the client

1. Explain Procedure to Client 2. Provide Privacy (curtain, screen or door)3. Lower bed Flat if not already (client needs... 1. Explain Procedure to Client 2. Provide Privacy (curtain, screen or door)3. Lower bed Flat if not already (client needs to be lying down *Supine Position* while appling stockings)4. Turn stockings inside-out5. Place foot of stocking over toes, foot & heel6. Pulls top of stocking over foot, heel & leg7. Move foot & leg gently (avoiding foce)8. Make sure there are no wrinkles or twists & heel of stocking is over heel & toe opening is either over or under toe aea.9. Signaling device is in reach and bed in low position10. Wash Hands

3. Apply the stocking over shoes or slippers

Incorrect answer choices include skipping essential steps, applying stockings incorrectly, and disregarding patient privacy and safety measures.

Explanation

Incorrect answer choices include skipping essential steps, applying stockings incorrectly, and disregarding patient privacy and safety measures.

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3. Assist to Ambulate using Transfer Belt

1. Assist Client to standing position 2. Communicate the steps to the patient 3. Make sure the bed is at... 1. Assist Client to standing position 2. Communicate the steps to the patient 3. Make sure the bed is at a comfortable level 4. Always keep the bed wheels locked 5. Provide support when the patient is trying to stand up

1. Explain Procedure 2. Assist Client to sitting position with feet flat on the floor 3. Secure the bed wheels... 1. Explain Procedure 2. Assist Client to sitting position with feet flat on the floor 3. Secure the bed wheels 4. Apply transfer belt over patient's clothing 5. Stand to the side of the client during ambulation

1. Ensure patient is wearing shoes before assisting to stand 2. Secure the bed wheels before transferring the patient 3.... 1. Ensure patient is wearing shoes before assisting to stand 2. Secure the bed wheels before transferring the patient 3. Have the patient seated with feet dangling 4. Hold onto the patient's arms during the transfer process 5. Walk ahead of the patient during ambulation

1. Explain Procedure2. Before assisting to stand, ensure client is wearing shoes3. Before assisting to stand make sure bed is... 1. Explain Procedure2. Before assisting to stand, ensure client is wearing shoes3. Before assisting to stand make sure bed is at safe level & bed wheels are locked4. Assist Client to sitting position with feet flat on the floor5. Apply transfer belt securely over clothing/gown6. Provide instructions to enable client to assist in standing with prearranged signal7. Stand facing client position self with one foot between clients legs8. on count of three, gradually assists client to stand by grasping transfer belt on both sides (clients hands should be on your shoulders)9. Walk slightly behind and to one side of client for a distance of ten (10) feet, while holding on to belt10. After ambulation, assists client to bed and remove transfer belt11. Signaling device is in reach & bed in low position12. Wash Hands

The correct answer provides a detailed step-by-step guide for assisting a client to ambulate using a transfer belt. The incorrect answers include misleading or missing steps in the procedure, such as not securing the bed wheels, standing to the side of the client, holding onto the patient's arms, or having the patient seated with feet dangling.

Explanation

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4. What are the steps to assist a client with the use of a bedpan?

B. Skip washing hands after glove removal and ignore providing privacy to the client

A. Place the bedpan anywhere close to the client without explaining the procedure

1. Explain Procedure2. Provide Privacy 3. Lower Head of the bed 4. Put clean gloves on 5. Place bedpan correctly... 1. Explain Procedure2. Provide Privacy 3. Lower Head of the bed 4. Put clean gloves on 5. Place bedpan correctly under client's buttocks6. Remove & disposes of gloves (without contamination self) into waste container & Wash Hands7. After positioning client on bedpan & removing gloves, raise head of bed8. Place toilet tissue & hand wipes with in reach of client, make sure client is instructed to clean hands with wipe when finished9. Signaling device with in reach & client is aksked to signal when finished10. Put on clean gloves and lower bed before removing bedpan (avoid overexposure of client)11. Remove, empties & rinses bedpan and pours rinse into toilet12. Place bedpan in designated dirty supply area13. Remove & disposes of gloves (without contaminating self) & Wash Hands14. Signaling device is within reach & bed is in low position

C. Remove bedpan and dispose of waste in the regular trash can

The correct answer outlines the detailed steps and precautions to assist a client with the use of a bedpan in a safe and hygienic manner. Options A, B, and C are incorrect as they do not follow proper protocol for assisting with a bedpan and could lead to hygiene issues or discomfort for the client.

Explanation

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5. How should you clean dentures?

2. Clean dentures with mouthwash

1. Clean dentures with soap and water

1. Puts on clean gloves before handling dentures2. Sink is lined and/or sink is partilly filled with water ( before... 1. Puts on clean gloves before handling dentures2. Sink is lined and/or sink is partilly filled with water ( before denture is held over sink)3. Rinse denture in tepid tempertature running water 4. Apply toothpaste to toothbrush5. Brush surface of denture6. Rinses surface of denture under tepid temperature running water7. Rinse denture cup & lid8. Place denture in denture cup with tepid temperature water & place lid on cup9. Rinses thoothbrush & places in designated toothbrush basin/container10. Maintain clean technique with placement of toothbrush & denture11. Sink liner is removed & disposed of appropriately &/or sink drained12. Remove & disposes of gloves (without contamination self) & Wash Hands

3. Clean dentures by soaking in bleach

Proper denture cleaning involves a specific step-by-step process to ensure cleanliness and hygiene. Simply using soap and water, mouthwash, or bleach may not effectively clean the dentures and can be harmful to oral health.

Explanation

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6. How to perform and record radial pulse?

1. Count the pulse for 30 seconds and double the number.

3. Ask the client to count their own pulse and report back.

2. Use a stethoscope to listen for the pulse.

1. Explain Procedure2. Place fingertips on thumb side of client's wrist to locate radial pulse3. Count beats for one full... 1. Explain Procedure2. Place fingertips on thumb side of client's wrist to locate radial pulse3. Count beats for one full minute (60-100 per min.)4. Signaling Device is within reach5. Wash Hands6. Records pulse rate (within plus or minus 4 beats of evaluator's reading)*count for one full minute

Pulse rate should be counted for a full minute to get an accurate reading, using a stethoscope or asking the client to self-report may not provide accurate results.

Explanation

Pulse rate should be counted for a full minute to get an accurate reading, using a stethoscope or asking the client to self-report may not provide accurate results.

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7. What steps are involved in counting and recording respirations?

2. Observing the patient's temperature

1. Listening to music while counting respirations

1. Explains Procedure ( for test purposes)2. Counts respirations for one full minute3. Signaling device within reach4. Wash Hands5. Records... 1. Explains Procedure ( for test purposes)2. Counts respirations for one full minute3. Signaling device within reach4. Wash Hands5. Records pulse rate (within plus of 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.

3. Measuring blood pressure

When counting and recording respirations, it is important to follow a set procedure including explaining the process, counting respirations for a full minute, ensuring a signaling device is within reach, washing hands, and recording pulse rate.

Explanation

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8. Proper Donning and Removing of PPE (Gown and Gloves)

3. Disposes of gown before gloves

2. Removes gloves first before gown

1. Picks up gown & unfolds2. Facing the back opening of the gown place arms through each sleeve3. Fasten the... 1. Picks up gown & unfolds2. Facing the back opening of the gown place arms through each sleeve3. Fasten the neck 4. Secure gown at waist making sure that back of clothing is covered by gown (as much as possible)5. Puts on clean gloves,make sure cuffs of gloves overlap cuff of gown6. With one gloved hand, grasps the other glove at the palm, pull glove off7. slip fingers from ungloved hand underneath cuff of remaining glove at wrist, and remove glove turning it inside out as it is removed8. Dispose of gloves (without contaminating self)9. Unfasten gown at neck & waist10. Remove gown without touching outside of gown, hold gown away from body, turn gown inward & keeps it inside out10.Dispose of gown (without contaminatiating self)11. Wash Hands

1. Puts on gloves first before gown

Proper procedure for donning and removing PPE (gown and gloves) is crucial to prevent contamination and ensure safety. Following the correct steps in the correct order is essential to maintain a sterile environment and protect oneself and others from potential infection.

Explanation

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9. How should you dress a client with an affected (weak) right arm?

1. Skip explaining the procedure and privacy 2. Remove gown from affected side first without considering over exposure of the... 1. Skip explaining the procedure and privacy 2. Remove gown from affected side first without considering over exposure of the client 3. Put the left arm through the right sleeve before the right arm 4. Finish dressing the client without disposing of the gown into a soiled linen container or washing hands.

1. Explain Procedure2. Provide Privacy 3. Ask client which top he/she would like to wear4. While avoiding over exposure of... 1. Explain Procedure2. Provide Privacy 3. Ask client which top he/she would like to wear4. While avoiding over exposure of client, remove gown from the unaffected side first, then remove gown from the affected side5. Assists to put the right (affected/weak) arm through the right sleeve of the top before placing garment on left (unaffected) arm moves body gently and naturally, avoiding force6. Finish with clothing in place7. Disposes of gown into soiled linen container8. Signaling device is within reach and bed in low position9. Wash Hands

It is crucial to ensure that the dressing procedure is explained, privacy is provided, gown removal is done correctly, and the client's weak arm is dressed appropriately before finishing the process. Skipping any step can compromise the client's comfort and safety.

Explanation

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10. What steps should be followed when feeding a client who cannot feed themselves?

1. Place tray where it is out of client's sight 2. Offer client a whole plate of food at once... 1. Place tray where it is out of client's sight 2. Offer client a whole plate of food at once 3. Perform the feeding procedure without washing hands

1. Explain Procedure2. Pick up name card from tray & ask client to state name3. Adjust bed to upright position... 1. Explain Procedure2. Pick up name card from tray & ask client to state name3. Adjust bed to upright position (45-90 degrees)4. Place tray where it can be easily seen by client5. Clean client's hands with hand wipe before feeding6. Sit facing client, tell client what foods are on tray & ask what client would like to eat first7. Using Spoon , offer client one bite of each type of food on tray, telling client the contents of each spoonful8. Offer beverage at least onece during meal9. Make sure client's mouth is empty before offering next bite of food/beverage10. End of meal wipe client's mouth & hands with hand wipe11. Remove food tray & place tray in dirty supply area12. Signaling device within reach 13. Wash Hands

When feeding a client who cannot feed themselves, it is important to follow a specific procedure to ensure the client's safety and well-being. The incorrect answers go against the proper feeding protocol and could potentially harm the client.

Explanation

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11. What is the correct procedure for giving a Modified Bed Bath (Face & One Arm, Hand & Underarm)?

2. Check water temperature only for safety, not for comfort

1. Explain Procedure 2. Provide Privacy3. Remove gown while keeping client covered4. Check water temperatue for safty and comfort &... 1. Explain Procedure 2. Provide Privacy3. Remove gown while keeping client covered4. Check water temperatue for safty and comfort & ask client to check water temp5. Put on clean gloves6.Begin with eye's, wash eye's (No Soap), using different area of washcloth for each eye, wash enter and outer aspects then wash face7. Dry face with towel8. Expose one arm and place towel underneah arm9. Apply soap to wet washcloth10. Wash arm, hand & underarm, keep rest of body covred10. Rinse and dry arm, hand & underarm (move body gently & naturally avoiding force)11. Put clean gown on client12. Empty, rinses, & dry basin & place in desinated dirty area13. Dispose of used gown & linen (avoid contact with your clothing)14. Remove & dispose of gloves (without contaminating self)15. Wash Hands16. Signaling device in reach & low bed

3. Wash the entire body before washing the arm, hand & underarm

1. Skip explaining the procedure and provide no privacy during the bath

The correct procedure for a Modified Bed Bath is detailed and involves specific steps to ensure the safety, privacy, and comfort of the client. The incorrect answers provided deviate from the necessary protocol and may compromise the quality of care provided.

Explanation

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12. What is the correct procedure for making an occupied bed?

2. Leave the patient uncovered and open the windows for ventilation

1. Explain Procedure2. Provide Privacy3. Lower head of bed 4. Client is covered & loosen top linen from end of... 1. Explain Procedure2. Provide Privacy3. Lower head of bed 4. Client is covered & loosen top linen from end of bed5. Raise side rail on side client will move to & ask client to roll to side rail6. Loosen used bottom linen & work towards center of bed7. Place and tuck clean bottom linen & tucks under client8. Have client roll over to clean linen side9. Raise side rail then move to other side of bed10. Removes used bottom linen11.Pulls & tucks in clean bottom linen, finishing with bottom sheet (wrinkle free)12.Client is covered with clean top sheet & bath blanket/used top sheet has been removed13. Change pillow case14. Linen is centered and tucked at foot of bed15. Avoid contact between clothing & used linen, dispose of used linen into soiled container (DO NOT PUT ON FLOOR)16.Signaling device is within reach & bed lowered 17. Wash Hands

3. Start making the bed without informing the patient or providing privacy

1. Pull down the sheets quickly and move the patient onto the floor

The correct procedure for making an occupied bed involves explaining the procedure to the patient, providing privacy, and ensuring the patient is covered throughout the process. It is important to follow the steps carefully to maintain the patient's comfort and dignity.

Explanation

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13. How to correctly measure and record blood pressure?

2. Inflate cuff to no less than 140mm Hg

1. Client's arm is positioned with palm down & lower arm covered

1. Explain Procedure2. Wipe bell/diaphragm & earpieces of stethoscope with alcohol3. Client's arm is positioned with palm up & upper... 1. Explain Procedure2. Wipe bell/diaphragm & earpieces of stethoscope with alcohol3. Client's arm is positioned with palm up & upper arm exposed4.Feel for brachial artery on inner aspect of arm, at bend of elbow5. places blood pressure cuff snugly on client's upper arm, with sensor/arrow over brachial artery site6. Stethoscope is in place7. Inflate cuff between 160mm Hg to 180mm Hg (If beat heard immediately upon cuff deflation, completely deflate cuff) Re-inflate cuff to no more than 200mm Hg or brachial pulse was last heard or felt8. Deflate cuff slowly and notes the first sound (systolic reading), and last sound (diastolic reading) If rounding needed, measurements are rounded UP to the nearest 2mm of mercury9. Remove cuff10. Signaling device within reach11. Wash Hands12. Record both systolic and diastolic pressures each within plus or minus 8mm of evaluator's reading* This is a on-step blood pressure procedure.

3. Wipe bell/diaphragm & earpieces of stethoscope with tap water

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14. What is the correct procedure for measuring and recording urinary output?

1. Put on clean gloves 2. Pour contents of bedpan into measuring container (without spilling or splashing urine)3. Measure the... 1. Put on clean gloves 2. Pour contents of bedpan into measuring container (without spilling or splashing urine)3. Measure the amount of urine at eye level with container on flat surface4. After measuring urine, emptie content of container into toilet5. Rinse measuring container & pour rinse into toilet6. Rinse bedpan & pour rinse into toilet7. After rinsing equipment remove & dispose of gloves8. Wash Hands9. Record contents of container within plus or minus 25 ml/cc of evaluator's reading

1. Touch urine with bare hands while measuring

3. Skip washing hands after the procedure

2. Use a dirty measuring container

The correct procedure for measuring and recording urinary output involves using gloves, handling the urine carefully to avoid spillage, washing hands, and ensuring accurate measurement and recording.

Explanation

The correct procedure for measuring and recording urinary output involves using gloves, handling the urine carefully to avoid spillage, washing hands, and ensuring accurate measurement and recording.

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15. How should the weight of an ambulatory client be measured and recorded?

2. Have the client weigh themselves without any assistance

1. Ask the client to estimate their weight before standing on the scale

3. Record the weight without setting the scale to zero before weighing the client

1. Explain Procedure2. Ensure client has shoes on before walking to scale3. Set scale to zero before weighing client4. Stand... 1. Explain Procedure2. Ensure client has shoes on before walking to scale3. Set scale to zero before weighing client4. Stand next to client to assists client while they step on the scale if needed5. Determine client's weigh6. Assist client in stepping off scale 7. Record weight based on indicator on scale. Weight is within plus of minus 2 lbs. of evaluator's8. Wash Hands

To ensure accurate measurement and recording of an ambulatory client's weight, it is important to follow a specific procedure as outlined in the correct answer. The incorrect answers suggested would not adhere to best practices for measuring and recording the client's weight.

Explanation

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16. What are the steps to perform Passive Range of Motion (PROM) for One Knee and One Ankle?

1. Explain Procedure 2. Provide Privacy 3. Ask client to let you know if any pain is experienced during exercise... 1. Explain Procedure 2. Provide Privacy 3. Ask client to let you know if any pain is experienced during exercise 4. Do not support the leg while performing range of motion

1. Explain Procedure 2. Provide Privacy 3. Ask client to let you know if any pain is experienced during exercise... 1. Explain Procedure 2. Provide Privacy 3. Ask client to let you know if any pain is experienced during exercise 4. Support leg at knee & ankle while performing range of motion. 5. Bend knee & then pull leg forcefully to the maximum range (extension/flexion) (AT LEAST 3 TIMES) *unless pain

1. Explain Procedure2. Provide Privacy3. Ask client to let you know if any pain is experienced during exercise4. Support leg... 1. Explain Procedure2. Provide Privacy3. Ask client to let you know if any pain is experienced during exercise4. Support leg at knee & ankle while proforming range of motion 5. Bend knee & then return leg to client's normal position (extension/flexion) (AT LEAST 3 TIMES)* unless pain6. Suppoert foot & ankle close to the bed while performing range of motion for ankle7. Push/pulls foot towards head (dorsiflexion) & pushes/pulls foot down, toes point down (plantar flexion) (AT LEAST 3 TIME) *unless pain 8. While supporting the limb, move joints gently, slowly & smoothly through the range of motion, discontinuing exercise if client verbalizes pain9. Signaling device within reach & lowered10. Wash Hands

1. Do not explain the procedure 2. Provide Privacy 3. Ask client to let you know if any pain is... 1. Do not explain the procedure 2. Provide Privacy 3. Ask client to let you know if any pain is experienced during exercise 4. Support leg at knee & ankle while performing range of motion

The correct steps for performing Passive Range of Motion (PROM) for One Knee and One Ankle involve explaining the procedure, providing privacy, supporting the leg at knee & ankle, and moving the joints gently through the range of motion. Supporting the limb is crucial for safety and proper execution, as well as ensuring the client is comfortable and communicating any pain experienced during the exercise.

Explanation

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17. What is the correct procedure for performing Passive Range of Motion (PROM) for One Shoulder?

3. Skip explaining the procedure and just start the exercise

2. Quickly move the client's arm through the range of motion to save time

1. Explain Procedure2. Provide Privacy3. Ask client to let you know if any pain is experienced during exercise4. Support client;s... 1. Explain Procedure2. Provide Privacy3. Ask client to let you know if any pain is experienced during exercise4. Support client;s arm at elbow & wrist while performing range of motion for shoulder5. Raise 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 pain6. Move client's straightened arm away from the side of the body to shoulder level and returns to side of body (abduction/adduction) (AT LEAST # TIMES) unless pain7. While supporting the limb, move joint gentley, slowly, & smoothly through the range of motion, discontionuing exercise if client verbalizes pain8. Signaling device is within reach & lower bed9. Wash Hands

1. Ask client to perform the range of motion themselves without assistance

The correct procedure for performing Passive Range of Motion (PROM) for One Shoulder involves explaining the procedure, providing privacy, supporting the client's arm, and moving the joint gently through the range of motion while monitoring for pain. It is important to follow these steps to ensure the safety and comfort of the client.

Explanation

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