HCA Washington Skills Exam 2024 Questions and
Answers (Graded A)
Hand Washing - ANSWER 1. Turn on sink water
2. Wet hand thoroughly
3. Apply soap
4. Lather hands for 20 seconds causing friction (palms, back of hands, thumbs,
between fingers, 2 in above wrist, nails)
5. Rinse (zombie)
6. Leave water on and dry with paper towel
7. Discard paper towel & use clean on to turn faucet off (DO NOT TOUCH SINK AT
ANY TIME)
Putting on gloves - ANSWER 1. Wash hands
2. Fill glove with air to check for holes/tears *verbalize checking for holes
3. Put gloves on
4. Interlace fingers *verbalize checking for fit
Taking gloves off - ANSWER 1. pinch middle of one gloved hand
2. pull glove down so it comes off inside out
3. crumple glove into ball in the gloved hand
4. use two fingers to pull glove off hand and twist the top of the glove as you remove
it
5. throw away
Assist a client to walk - ANSWER 1. Script
2. Wash hands
3. put on gloves
4. verbalize client is in proper body alignment
5. discuss destination
6. check that consumer is wearing non-skid shoes
7. ask client to move forward on seat before standing
8. check body position (position knees and feet)
9. stand on consumers effected side (if applicable)
10. ask them to place their hand on the chair arm
11. ask client to rock forward 3 times and push up from chair with arm
12. walk with hand near clients back
13. ask how they feel
14. walk to designated destination
15. have client stand with back to chair, back up until they can feel the chair on the
back of their legs
16. stand on affected side, ask them to reach hand back for chair arm
17. on the count of three ease into chair
18. ensure proper body alignment, remove gloves/wash hands, ask if you can get
anything, ending script
, Supplies for assist to walk - ANSWER gloves
supplies for transfer from bed to wheelchair - ANSWER gloves, transfer belt,
wheelchair
transfer from bed to wheelchair - ANSWER 1. beginning script, wash hands, gather
supplies, put on gloves
2. make sure client is in proper body alignment *verbalize they are a safe distance
from the bed
3. make sure wheelchair is ready (brakes set, legs out of the way, next to bed)
4. bend knees, place hand on consumers shoulder and hip, roll toward you, have
them push themselves up while guiding legs off mattress *safe distance from bed,
feet flat on floor
5. ask client if they feel safe and steady
6. *verbalize CLIENT IS WEARING NON-SKID SHOES
7. put gait belt on *DON'T wrap around head
8. ask client to put hands on shoulders, grab gait belt, ask client to move closer to
edge of bed
9. rock on the count of 3 and stand client up
10. have client take small steps towards wheelchair, ask if they can feel the
wheelchair on the back of their legs, ask them to reach back to sit down, lower down
onto wheelchair on the count of 3 *verbalize
11. check for proper body alignment, ask if you can remove the gait belt, put
footrests down, unlock wheels and move client
12. ask if they want the wheels locked, check for proper body alignment, put supplies
away, wash hands, ending script
supplies for turn and reposition - ANSWER gloves, 4 pillows
turn and reposition - ANSWER 1. opening script, gather supplies, wash hands,
gloves, body alignment
2. ask if you can remove bed coverings and pillows
3. ask client to bend knees, place one hand on hip and one on shoulder
4. roll consumer towards you on the count of 3
5. put pillow behind their back, then allow them to roll back onto pillow
6. use one hand to life clients head and place pillow under head
7. place pillow under arm on chest for client to grab
8. place pillow under top knee
9. make sure client is not too close to edge of bed, check for pressure point
10. ask if they want bed coverings replace
11. ensure proper body alignment and skin integrity
12. remove gloves, wash hands, leave phone, water, remote in arms reach
13. ending script
supplies for range of motion - ANSWER gloves
range of motion - ANSWER 1. opening script, wash hands, gloves, proper body
alignment
2. ask if you can removed covers
Answers (Graded A)
Hand Washing - ANSWER 1. Turn on sink water
2. Wet hand thoroughly
3. Apply soap
4. Lather hands for 20 seconds causing friction (palms, back of hands, thumbs,
between fingers, 2 in above wrist, nails)
5. Rinse (zombie)
6. Leave water on and dry with paper towel
7. Discard paper towel & use clean on to turn faucet off (DO NOT TOUCH SINK AT
ANY TIME)
Putting on gloves - ANSWER 1. Wash hands
2. Fill glove with air to check for holes/tears *verbalize checking for holes
3. Put gloves on
4. Interlace fingers *verbalize checking for fit
Taking gloves off - ANSWER 1. pinch middle of one gloved hand
2. pull glove down so it comes off inside out
3. crumple glove into ball in the gloved hand
4. use two fingers to pull glove off hand and twist the top of the glove as you remove
it
5. throw away
Assist a client to walk - ANSWER 1. Script
2. Wash hands
3. put on gloves
4. verbalize client is in proper body alignment
5. discuss destination
6. check that consumer is wearing non-skid shoes
7. ask client to move forward on seat before standing
8. check body position (position knees and feet)
9. stand on consumers effected side (if applicable)
10. ask them to place their hand on the chair arm
11. ask client to rock forward 3 times and push up from chair with arm
12. walk with hand near clients back
13. ask how they feel
14. walk to designated destination
15. have client stand with back to chair, back up until they can feel the chair on the
back of their legs
16. stand on affected side, ask them to reach hand back for chair arm
17. on the count of three ease into chair
18. ensure proper body alignment, remove gloves/wash hands, ask if you can get
anything, ending script
, Supplies for assist to walk - ANSWER gloves
supplies for transfer from bed to wheelchair - ANSWER gloves, transfer belt,
wheelchair
transfer from bed to wheelchair - ANSWER 1. beginning script, wash hands, gather
supplies, put on gloves
2. make sure client is in proper body alignment *verbalize they are a safe distance
from the bed
3. make sure wheelchair is ready (brakes set, legs out of the way, next to bed)
4. bend knees, place hand on consumers shoulder and hip, roll toward you, have
them push themselves up while guiding legs off mattress *safe distance from bed,
feet flat on floor
5. ask client if they feel safe and steady
6. *verbalize CLIENT IS WEARING NON-SKID SHOES
7. put gait belt on *DON'T wrap around head
8. ask client to put hands on shoulders, grab gait belt, ask client to move closer to
edge of bed
9. rock on the count of 3 and stand client up
10. have client take small steps towards wheelchair, ask if they can feel the
wheelchair on the back of their legs, ask them to reach back to sit down, lower down
onto wheelchair on the count of 3 *verbalize
11. check for proper body alignment, ask if you can remove the gait belt, put
footrests down, unlock wheels and move client
12. ask if they want the wheels locked, check for proper body alignment, put supplies
away, wash hands, ending script
supplies for turn and reposition - ANSWER gloves, 4 pillows
turn and reposition - ANSWER 1. opening script, gather supplies, wash hands,
gloves, body alignment
2. ask if you can remove bed coverings and pillows
3. ask client to bend knees, place one hand on hip and one on shoulder
4. roll consumer towards you on the count of 3
5. put pillow behind their back, then allow them to roll back onto pillow
6. use one hand to life clients head and place pillow under head
7. place pillow under arm on chest for client to grab
8. place pillow under top knee
9. make sure client is not too close to edge of bed, check for pressure point
10. ask if they want bed coverings replace
11. ensure proper body alignment and skin integrity
12. remove gloves, wash hands, leave phone, water, remote in arms reach
13. ending script
supplies for range of motion - ANSWER gloves
range of motion - ANSWER 1. opening script, wash hands, gloves, proper body
alignment
2. ask if you can removed covers
