CALIFORNIA NURSE ASSISTANT STATE SKILLS TEST EXAM

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CALIFORNIA NURSE ASSISTANT STATE SKILLS TEST EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -24 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: Counts and records radial pulse*

Answer:

• Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever

possible

• Places fingertips on thumb side of client's wrist to locate radial pulse
• Count beats for one full minute
• Signaling device is within reach
• Washes hands
• 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.

Question 2: measures and reCords Weight of ambulatory Client

Answer:

• Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever

possible

• Candidate ensures client has shoes on before walking to scale
• Sets scale to zero before weighing client
• While client steps onto scale, candidate stands next to scale and assists client, if needed, onto center

of scale, then determines client's weight

• While client steps off scale, candidate stands next to scale and assists client, if needed, off scale

before recording weight

• 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)

• Washes hands

Question 3: gives modified bed bath

(faCe and one arm, hand and underarm)

Answer:

• Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever

possible

• Privacy is provided with a curtain, screen, or door
• Removes gown while keeping client covered
• Before washing, checks water temperature for safety

and comfort and asks client to verify comfort of water

• Puts on clean gloves before washing client
• 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

• Dries face with towel
• Exposes one arm and places towel underneath arm
• Applies soap to wet washcloth

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

Question 4: measures and reCords blood pressure*

Answer:

• Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever

possible

• Before using stethoscope, wipes bell/diaphragm and earpieces of stethoscope with alcohol
• Client's arm is positioned with palm up and upper arm is exposed
• Feels for brachial artery on inner aspect of arm, at bend of elbow
• Places blood pressure cuff snugly on client's upper arm, with sensor/arrow over brachial artery site
• Earpieces of stethoscope are in ears and bell/ diaphragm is over brachial artery site

7 Candidate does one of the following:

• 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

• Inflates cuff 30 mm Hg beyond where radial or brachial pulse was last heard or felt
• 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)

• 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.

Question 5: provides mouth Care

Answer:

• Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever

possible

• Privacy is provided with a curtain, screen, or door
• Before providing mouth care, client is in upright sitting position (45-90 degrees)
• Puts on clean gloves before cleaning mouth
• Places clothing protector across chest before providing mouth care
• Moistens toothbrush
• Applies toothpaste to toothbrush
• Cleans mouth (including tongue and surfaces of

teeth) using gentle motions

• 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

Question 6: provides Catheter Care for female

Answer:

• Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever

possible

• Privacy is provided with a curtain, screen, or door

• Before washing checks water temperature for safety and comfort and asks client to verify comfort of

water

• Puts on clean gloves before washing
• Places linen protector under perineal area before washing
• Exposes area surrounding catheter while avoiding overexposure of client
• Applies soap to wet washcloth
• 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

• 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 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

Question 7: provides fingernail Care on one hand

Answer:

• Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever

possible

• Before immersing fingernails, checks water temperature for safety and comfort and asks client to

verify comfort of water

• Basin is in a comfortable position for client
• Puts on clean gloves before cleaning fingernails
• Fingernails are immersed in basin of water
• Cleans under each fingernail with orangewood stick
• Wipes orangewood stick on towel after each nail
• Dries fingernail area
• 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