Exam (elaborations)
NNAAP Skills Exam Step by Step Questions and Answers
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NNAAP Skills Exam Step by Step
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NNAAP Skills Exam Step by StepHand Hygiene (Hand Washing) - answer1 Address client by name and introduces self to
client by name
2 Turns on water at sink
3 Wets hands and wrists thoroughly
4 Applies soap to hands
5 Lathers all surfaces of wrists, hands, and fingers producing friction, for at least 20
(twenty) seconds, keeping hands lower than the elbows and the fingertips down
6 Cleans fingernails by rubbing fingertips against palms of the opposite hand
7 Rinse all surfaces of wrists, hands, and fingers, keeping hands lower than the elbows
and the fingertips down
8 Uses clean, dry paper towel/towels to dry all surfaces of fingers, hands, and wrists
starting at fingertips then disposes of paper towel/towels into waste container
9 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
10 Does not touch inside of sink at any time
APPLIES ONE KNEE-HIGH ELASTIC STOCKING - answer1 Explains procedure,
speaking clearly, slowly, and directly, maintaining face-to-face contact whenever
possible
2 Privacy is provided with a curtain, screen, or door
3 Client is in supine position (lying down in bed) while stocking is applied
4 Turns stocking inside-out, at least to the heel
5 Places foot of stocking over toes, foot, and heel
6 Pulls top of stocking over foot, heel, and leg
7 Moves foot and leg gently and naturally, avoiding force and over-extension of limb and
joints
8 Finishes procedure with no twists or wrinkles and heel of stocking, if present, is over
heel and opening in toe area (if present) is either over or under toe area
9 Signaling device is within reach and bed is in low position
10 After completing skill, wash hands
ASSISTS TO AMBULATE USING TRANSFER BELT - answer1 Explains procedure,
speaking clearly, slowly, and directly, maintaining face-to-face contact whenever
possible
2 Privacy is provided with a curtain, screen, or door
3 Before assisting to stand, client is wearing nonskid shoes/footwear
4 Before assisting to stand, bed is at a safe level
5 Before assisting to stand, checks and/or locks bed wheels
6 Before assisting to stand, client is assisted to sitting position with feet flat on the floor
, 7 Before assisting to stand, applies transfer belt securely at the waist over
clothing/gown
8 Before assisting to stand, provides instructions to enable client to assist in standing
including prearranged signal to alert client to begin standing
9 Stands facing client positioning self to ensure safety of candidate and client during
transfer. Counts to three (or says other prearranged signal) to alert client to begin
standing
10 On signal, gradually assists client to stand by grasping transfer belt on both sides
with an upward grasp (candidate's hands are in upward position), and maintaining
stability of client's legs by standing knee to knee, or toe to toe with client
11 Walks slightly behind and to one side of client for a distance of ten (10) feet, while
holding onto the belt
12 Assists client to bed and removes transfer belt
13 Signaling device is within reach and bed is in low position
14 After completing skill, wash hands
ASSISTS WITH USE OF BEDPAN - answer1 Explains procedure speaking clearly,
slowly, and directly, maintaining face-to-face contact whenever possible
2 Privacy is provided with a curtain, screen, or door
3 Before placing bedpan, lowers head of bed
4 Puts on clean gloves before handling bedpan
5 Places bedpan correctly under client's buttocks
6 Removes and disposes of gloves (without
contaminating self) into waste container and washes hands
7 After positioning client on bedpan and removing gloves, raises head of bed
8 Toilet tissue is within reach
9 Hand wipe is within reach and client is instructed to clean hands with hand wipe when
finished
10 Signaling device within reach and client is asked to signal when finished
11 Puts on clean gloves before removing bedpan
12 Head of bed is lowered before bedpan is removed
13 Avoids overexposure of client
14 Empties and rinses bedpan and pours rinse into toilet
15 After rinsing bedpan, places bedpan in designated dirty supply area
16 After placing bedpan in designated dirty supply area, 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
CLEANS UPPER OR LOWER DENTURE - answer1) Puts on clean gloves before
handling denture
2) Bottom of sink is lined and/ or sink is partially filled with water before denture is held
over sink
3) Rinses denture in moderate temperature running water before brushing them
4) Applies toothpaste to toothbrush
5) Brushes surfaces of denture
6) Rinses surfaces of denture under moderate temperature running water
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