CALIFORNIA NURSE ASSISTANT STATE SKILLS TEST
Washes hands - 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 15 (fifteen) seconds
6 Cleans fingernails by rubbing fingertips against palms of the opposite hand
7 After lathering for at least 15 seconds, rinses all surfaces of wrists, hands, and fingers keeping hands
lower than the elbows and the fingertips down
8 Uses clean, dry paper towel to dry all surfaces of hands, wrists, and fingers then disposes of paper
towel into waste container
9 Uses clean, dry paper towel to turn off faucet then disposes of paper towel 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
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
Skill continues
,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 Washes hands
assists to ambulate using transfer belt - ANSWER1 Explains procedure, speaking clearly, slowly, and
directly, maintaining face-to-face contact whenever possible
2 Before assisting to stand, candidate ensures client is wearing shoes
3 Before assisting to stand, bed is at a safe level
4 Before assisting to stand, checks and/or locks bed wheels
5 Before assisting to stand, client is assisted to sitting position with feet flat on the floor
6 Before assisting to stand, applies transfer belt securely over clothing/gown
7 Before assisting to stand, provides instructions
to enable client to assist in standing including prearranged signal to alert client to begin standing
8 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
9 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
10 Walks slightly behind and to one side of client for a distance of ten (10) feet, while holding onto the
belt
11 After ambulation, assists client to bed and removes transfer belt
12 Signaling device is within reach and bed is in low position
13 Washes hands
assists with use of bedpan - ANSWER1 Explainsprocedurespeakingclearly,slowly,anddirectly, 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 Removesanddisposesofgloves(withoutcontaminating
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 flat before bedpan is removed
13 Avoids overexposure of client
14 Removes, empties, and rinses bedpan and pours rinse
into toilet
15 After rinsing bedpan, places bedpan in designated dirty supply area
16 Afterplacingbedpanindesignateddirtysupplyarea, 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 dentures
2 Sink is lined and/or sink is partially filled with water before denture is held over sink
3 Rinses denture in tepid/moderate temperature running water before brushing them
4 Applies toothpaste to toothbrush
5 Brushes surfaces of denture
6 Rinses surfaces of denture under tepid/moderate
temperature running water
7 Before placing denture into cup, rinses denture cup and lid
Washes hands - 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 15 (fifteen) seconds
6 Cleans fingernails by rubbing fingertips against palms of the opposite hand
7 After lathering for at least 15 seconds, rinses all surfaces of wrists, hands, and fingers keeping hands
lower than the elbows and the fingertips down
8 Uses clean, dry paper towel to dry all surfaces of hands, wrists, and fingers then disposes of paper
towel into waste container
9 Uses clean, dry paper towel to turn off faucet then disposes of paper towel 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
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
Skill continues
,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 Washes hands
assists to ambulate using transfer belt - ANSWER1 Explains procedure, speaking clearly, slowly, and
directly, maintaining face-to-face contact whenever possible
2 Before assisting to stand, candidate ensures client is wearing shoes
3 Before assisting to stand, bed is at a safe level
4 Before assisting to stand, checks and/or locks bed wheels
5 Before assisting to stand, client is assisted to sitting position with feet flat on the floor
6 Before assisting to stand, applies transfer belt securely over clothing/gown
7 Before assisting to stand, provides instructions
to enable client to assist in standing including prearranged signal to alert client to begin standing
8 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
9 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
10 Walks slightly behind and to one side of client for a distance of ten (10) feet, while holding onto the
belt
11 After ambulation, assists client to bed and removes transfer belt
12 Signaling device is within reach and bed is in low position
13 Washes hands
assists with use of bedpan - ANSWER1 Explainsprocedurespeakingclearly,slowly,anddirectly, 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 Removesanddisposesofgloves(withoutcontaminating
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 flat before bedpan is removed
13 Avoids overexposure of client
14 Removes, empties, and rinses bedpan and pours rinse
into toilet
15 After rinsing bedpan, places bedpan in designated dirty supply area
16 Afterplacingbedpanindesignateddirtysupplyarea, 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 dentures
2 Sink is lined and/or sink is partially filled with water before denture is held over sink
3 Rinses denture in tepid/moderate temperature running water before brushing them
4 Applies toothpaste to toothbrush
5 Brushes surfaces of denture
6 Rinses surfaces of denture under tepid/moderate
temperature running water
7 Before placing denture into cup, rinses denture cup and lid
