FLORIDA CNA CLINICAL SKILLS TEST CHECKLIST

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FLORIDA CNA CLINICAL SKILLS TEST CHECKLIST

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -100 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: Provide resident hand and nail care (e)

Answer:

• Ask resident about comfort or needs during care or before care completed? (IC)
• Promote resident's rights during care? (IC)
• Promote resident's safety during care? (IC)

Question 2: Provide resident hand and nail care (a)

Answer:

The candidate is asked to provide hand and nail care to one hand. The role of the resident is played by a person.

Question 3: Handwashing (a)

Answer:

When taking the test, candidates are not given instructions about when to wash their hands. This is because nurse aides are expected to know that their hands should be washed before any physical contact with a resident. Candidates are evaluated on how well they wash their hands (technique) during the first skill. In Florida, where two nurses will be observing your performance throughout the test, one nurse will observe your handwashing at the beginning of the first skill, and

the other nurse will observe your handwashing at the end of first skill. After the first skill is completed, for the remainder of the test, handwashing is evaluated as a part of Indirect Care with the checkpoint, "Use Standard Precautions and Infection Control Measures when providing care."

Question 4: Change bed linen while the resident remains in bed (a)

Answer:

The candidate is asked to change the top and bottom sheets and pillowcase on the bed while the resident stays in the bed. The role of the resident is played by a person.Question 5: Handwashing: Examiner Checklist For This Skill

Answer:

1) Stood in such a way that the clothes did not touch the sink.

2) Turned on the water and adjusted temperature to warm; left the water running.

3) Wet wrists and hands; At all times kept the level of hands lower than that of the elbow.

4) Applied soap or cleaning agent to hands using available products.

5) Washed both hands and wrists using friction for 20 seconds.6) Rinsed both hands and wrists properly under running water with fingertips pointed down.7) Dried hands properly with paper towel(s) from fingertips to wrists.8) Disposed of all used paper towel(s).9) Used dry paper towel between hand and faucet to turn off water.10) Disposed of used paper towels.

Question 6: Provide foot care to a resident who is sitting in a chair (b)

Answer:

• Greet resident, address by name and introduce self? (IC)

• Provide explanations to resident about care before beginning and during care? (IC)

• Place water filled basin on protective barrier on floor to prepare for foot care?

• Use water of safe temperature for soaking foot?

• Soak resident's foot in basin of water?
• Use soapy washcloth to wash foot without adding soap directly to basin of water?

Question 7: Indirect Care (a)

Answer:

Indirect Care is a skill that is evaluated while you perform each skill. This skill evaluates behaviors that are common to any resident care such as: infection control, safety, communication, and resident preferences, needs, comfort and rights. You are not given instructions to perform the Indirect Care skill.The nurse watches for these behaviors while you perform each skill. In the checkpoints provided for each skill below, Indirect Care checkpoints are identified with an "(IC)" at the end. Indirect Care is one of the five skills scored in every Clinical Skills Test. The Indirect Care checkpoints are:

Question 8: Provide mouth care to a resident who has a denture (d)

Answer:

• Provide mouth care cleaning upper and lower gums, using moistened foam-tipped applicator or

toothbrush with toothpaste?

• Offer resident cup of water to rinse mouth after mouth care?
• Provide emesis basin or disposable cup to resident to use for spitting as needed?
• Leave area around resident's mouth clean and dry when care is completed?
• Complete skill having rinsed, dried and stored basin (if used), emptying sink of water and removing

barrier from sink (if used), placing soiled linens in hamper, storing or disposing of used toothbrush, disposing of trash, and leaving overbed table dry?

Question 9: Ambulate the resident using a transfer/gait belt (a)

Answer:

The candidate is asked to walk a resident who needs some assistance to stand. A transfer/gait belt is used while walking the resident. The role of the resident is played by a person.

Question 10: Handwashing

Answer:

• Before you wash your hands, remove any jewelry on your hands or wrists, such as rings, watches, or

bracelets.

• Turn on the water and make sure it is comfortably warm, but not so hot it burns your hands. Get your

hands wet all the way up to your wrists.

• Use a dime-sized amount of liquid or foam soap.

• Begin to lather the soap for at least thirty seconds. One tip- sing the "Happy Birthday Song" or "ABC

song" twice to make sure you have washed for long enough. Press hands firmly together as you wash - friction is an important factor as you wash. Be sure to work soap under and around your fingernails, as this is a prime spot for germs to hide.

• As you wash, be sure your hands are positioned downward, lower than your elbows, to keep

microorganisms from travelling up the arm. If your hands touch the inside surface of the sink, start the hand washing procedure again to ensure hands have not become contaminated.

• If your hands have been in contact with bodily fluids such as blood, urine, mucus, or vomit, you need

to spend at least one minute washing hands, even after visible dirt is gone.

• Rinse hands under warm water, and then dry your hands with a clean towel. Disposable towels are

preferred since towels that are re-used may contain more germs.

Question 11: Provide resident hand and nail care (c)

Answer:

• Use flat edge of orangewood stick to remove residue under tips of each fingernail, and remove

residue from edge of orangewood stick, if present, before using again to clean under another fingernail?

• Rest resident's hand on barrier such as a dry towel once removed from basin while providing nail and

hand care?

• Dry hand before completing care?
• Leave nails smooth (e.g., free of jagged edges)?
• Apply lotion to cleaned hand after nail care finished?

Apply lotion to cleaned hand after nail care finished?Question 12: Empty contents of resident's urinary drainage bag, and measure and record urine

output on an Intake and Output (I&O) form (e):

To check urinary output for a patient using a bedpan:

1.When the patient has finished using the bedpan, ensure that the patient has sufficient privacy.Wash your hands and put on gloves.

2.Lower the head of the bed so the bed is flat, and turn the patient onto his or her side. Support the bedpan to prevent leakage. Remove the bedpan and set it aside.

3.Ensure the patient's buttocks and genital area is properly cleaned, and then help the patient into a comfortable position.

4.Measure urine output, and then dispose of the urine in the toilet or as directed.

5.Remove gloves, and wash hands.

Answer:

1.Use the markings on the side of the collection bag to determine output. Normal output is between 30 and 400 ccs per hour. If the patient is producing significantly more or less than this, notify the nurse.

2.Note the appearance of urine. It should be clear and pale yellow in color. If any abnormalities are observed, report this information to the nurse. Abnormalities include cloudiness, sediment, or unusual colors such as dark amber, pinkish, or green.

3.If you observe blood or an unusually bad odor, you should also notify the nurse.

4.Empty or replace the bag if directed, then wash your hands.