CNA SKILLS FROM NORTH CAROLINA HANDBOOK EXAM

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CNA SKILLS FROM NORTH CAROLINA HANDBOOK EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -26 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: POSITION ON SIDE

Answer:

Supplies: 4 pillows

• do not touch clean pillows against your clothing or bare surface (use a sanitary barrier)

• lower head of bed if not down

• raise side rail on side body will be turned

• assist client slowly roll onto that side

• adjust or place pillow under head
• make sure not lying on arm
• pillow #1 under top arm, fold in half
• fold pillow #2 lengthwise & tuck by their back, having them lay on it
• pillow #3 between legs and ankle w top knee flexed naturally
• ask if comfortable

Question 2: DONNING & REMOVING PPE (GOWN & GLOVES)

Answer:

Supplies: Gown & Gloves

• unfold gown

• place arms through sleeve, fasten neck opening

• secure at waist, ensuring clothing is covered by gown

• put on gloves (over cuff)

• remove & dispose gloves w out contaminating
• untie gown at neck & waist
• roll off dirty side in (w out touching outside of gown or floor)

Question 3: MEASURE & RECORD URINARY OUTPUT

Answer:

Supplies: Gloves

• pour the contents from bedpan into measuring container over toilet

• place container flat, record at eye level

• empty into toilet

• rinse bedpan & measuring container, pour rinse into toliet

• trash gloves w out contaminating
• wash hands
• record within 25 ml/cc of evaluator (30 ml/cc = 1 oz)

Question 4: MOUTH CARE

Answer:

Supplies: emesis basin (c shape basin), tooth brush, tooth paste, small cup of water, cloth protector, gloves, paper towel

• ensure client is upright (75-90 degrees)

• put on gloves

• place clothing protector across clients chest

• moisten toothbrush & apply toothpaste

• gently clean mouth including tongue & surfaces of teeth
• place toothbrush on paper towel
• while placing basin under chin, have client rinse mouth
• wipe mouth & remove clothing protector
• empty, rinse, & dry basin; place toothbrush in basin & then in dirty area
• dispose of clothing protector

Question 5: FIRST STEPS OF EVERY SKILL

Answer:

• knock & wait

• introduce yourself

• explain procedure clearly, slowly while maintaining eye contact

• pull back privacy curtain

Question 6: HAND WASHING

Answer:

• Turns on water at sink

• Wets hands and wrists thoroughly

• Applies soap to hands

• Lathers all surfaces of wrists, hands, and fingers producing friction, for at least 20 seconds, keeping

hands lower than the elbows and the fingertips down

• Cleans fingernails by rubbing fingertips against palms of the opposite hand
• Rinse all surfaces of wrists, hands, and fingers, keeping hands lower than the elbows and the

fingertips down

• Uses clean, dry paper towel/towels to dry all surfaces of hands, wrists, and fingers then disposes of

paper towel/towels into waste container

• Uses clean, dry paper towel/towels to turn off faucet then disposes of paper towel/towels into waste

container or uses knee/foot control to turn off faucet

• Does not touch sink or countertop at any time

Question 7: DENTURE CARE

Answer:

Supplies: Tooth brush, tooth paste, gloves, paper towel, small wash cloth, basin, dentures & cup

• Put on gloves

• Line sink w/ liner (e.g. wash cloth) or partially fill with water

• Pickup dentures, rinse under warm running water

• Apply toothpaste to toothbrush

• Brush dentures
• Rinse dentures under warm running water
• Rinse cup and lid, place dentures in cup, fill with warm water, lid on cup
• Rinse toothbrush, put back
• Remove sink liner or drain sink
• Dispose gloves & wash hands

Question 8: KNEE HIGH ELASTIC STOCKING (TED HOSE)

Answer:

Supplies: Elastic Stocking

• supine position (lying down in bed), check for skin irritation

• turn stocking inside out

• pull over toe, foot & heel

• gently pull up leg

• no twists or wrinkles, heel of stocking (if present) is over heel and toe opening over toe area

[hold knee down to prevent flexion, ask if too tight]

Question 9: DRESSING CLIENT W/AFFECTED RIGHT ARM

Answer:

Supplies: two options (shirts or gowns)

• give client choice of clothing

• remove gown from unaffected arm (left arm) 1st, then affected side (right arm)