MARYLAND GNA SKILLS TEST
Dresses client with affected (weak) right arm - CORRECT ANSWER-1. Explains
procedure, speaking clearly, slowly & directly, maintaining face-to-face contact
whenever possible
2. Privacy is provided with a curtain, screen or door
3. Asks which shirt he/she would like to wear and dresses him/her in shirt of choice
4. While avoiding overexposure of client, removes gown from the unaffected side first,
then removes gown from the affected side & disposes of gown into soiled linen
container
5. * Assists to put the right (affected/weak) arm through the right sleeve of the shirt
before placing garment on left (unaffected) arm
6. While putting on shirt, moves body gently and naturally, avoiding force and over
extension of limbs and joints
7. Finishes with clothing in place
8. Signaling device is within reach & bed is in low position
9. After completing skill, washes hands
Applies one knee-high elastic stocking - CORRECT ANSWER-1. 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, heal and leg
7. Moves foot & leg gently and naturally, avoiding force & 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 - CORRECT ANSWER-1. Explains procedure,
speaking clearly, slowly and directly, maintaining face-to-face contact whenever
possible
2. * Before assisting to stand, 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
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 at the waist 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 & 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 gasp (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 10 feet, while
holding onto the belt
11. After ambulation, assists client to bed & removes transfer belt
12. Signaling device is within reach & bed is in low position
13. After completing skill, wash hands
Hand hygiene (Hand washing) - CORRECT ANSWER-1. Address client by name and
introduces self to client by name
2. turns on water at sink
3. wets hands and wrists throughly
4. applies soap to hands
5. * lathers all surfaces of wrists, hands, and fingers producing friction for at least 20
seconds, keeping hands lower that the elbows and the fingertips down
6. cleans fingernails by rubbing fingertips against palms of the opposite hands
7. * Rinse all surfaces of wrists, hands, and fingers, keeping hands lower than the
elbows & the fingertips down
8. Uses clean, dry paper towels to dry all surfaces of hands, wrists & fingers 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 waster container or uses knee/foot to control to turn off faucet
10. does not touch inside of sink at any time
Assists with use of Bed pan - CORRECT ANSWER-1. Explains procedure speaking
clearly, slowly & directly, maintaining face-to-face contact whenever possible
2. Privacy is provided w/ a curtain, screen or door
3. Before placing bedpan, lowers head of the bed
4. Puts on clean gloves before handling bedpan
5. * Places bedpan correctly under client's buttocks
6. Removes & disposes of gloves (w/out contaminating self) into waste container &
washes hands
7. After positioning client on bedpan & removing gloves, raises head of bed
8. Toilet tissue is w/in reach
9. Hand wipe is w/in reach & client is instructed to clean hands w/ hand wipe when
finished
10. Signaling device w/in reach & client is asked to signal when finished
11. Puts on clean gloves before removing bed pan
12. Head of bed is lowered before bedpan is removed
13. Avoids over exposure of client
14. Empties & rinses bedpan & pours rinse into toilet
15. After rinsing bedpan, places bedpan in designated dirty supply area
16. After placing in designated dirty supply area, removes & disposes of gloves (w/out
contaminating self) into waste container & washes hands
17. Signaling device is within reach & bed is in low position
Cleans upper or lower denture - CORRECT ANSWER-1. Puts on clean gloves before
handling denture
2. Bottom of sink is lined &/or sink is partially filled w/ 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 dentures
6. Rinses surfaces of denture under moderate temperature running water
7. Before placing denture into cup, rinses denture cup and lid.
Dresses client with affected (weak) right arm - CORRECT ANSWER-1. Explains
procedure, speaking clearly, slowly & directly, maintaining face-to-face contact
whenever possible
2. Privacy is provided with a curtain, screen or door
3. Asks which shirt he/she would like to wear and dresses him/her in shirt of choice
4. While avoiding overexposure of client, removes gown from the unaffected side first,
then removes gown from the affected side & disposes of gown into soiled linen
container
5. * Assists to put the right (affected/weak) arm through the right sleeve of the shirt
before placing garment on left (unaffected) arm
6. While putting on shirt, moves body gently and naturally, avoiding force and over
extension of limbs and joints
7. Finishes with clothing in place
8. Signaling device is within reach & bed is in low position
9. After completing skill, washes hands
Applies one knee-high elastic stocking - CORRECT ANSWER-1. 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, heal and leg
7. Moves foot & leg gently and naturally, avoiding force & 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 - CORRECT ANSWER-1. Explains procedure,
speaking clearly, slowly and directly, maintaining face-to-face contact whenever
possible
2. * Before assisting to stand, 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
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 at the waist 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 & 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 gasp (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 10 feet, while
holding onto the belt
11. After ambulation, assists client to bed & removes transfer belt
12. Signaling device is within reach & bed is in low position
13. After completing skill, wash hands
Hand hygiene (Hand washing) - CORRECT ANSWER-1. Address client by name and
introduces self to client by name
2. turns on water at sink
3. wets hands and wrists throughly
4. applies soap to hands
5. * lathers all surfaces of wrists, hands, and fingers producing friction for at least 20
seconds, keeping hands lower that the elbows and the fingertips down
6. cleans fingernails by rubbing fingertips against palms of the opposite hands
7. * Rinse all surfaces of wrists, hands, and fingers, keeping hands lower than the
elbows & the fingertips down
8. Uses clean, dry paper towels to dry all surfaces of hands, wrists & fingers 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 waster container or uses knee/foot to control to turn off faucet
10. does not touch inside of sink at any time
Assists with use of Bed pan - CORRECT ANSWER-1. Explains procedure speaking
clearly, slowly & directly, maintaining face-to-face contact whenever possible
2. Privacy is provided w/ a curtain, screen or door
3. Before placing bedpan, lowers head of the bed
4. Puts on clean gloves before handling bedpan
5. * Places bedpan correctly under client's buttocks
6. Removes & disposes of gloves (w/out contaminating self) into waste container &
washes hands
7. After positioning client on bedpan & removing gloves, raises head of bed
8. Toilet tissue is w/in reach
9. Hand wipe is w/in reach & client is instructed to clean hands w/ hand wipe when
finished
10. Signaling device w/in reach & client is asked to signal when finished
11. Puts on clean gloves before removing bed pan
12. Head of bed is lowered before bedpan is removed
13. Avoids over exposure of client
14. Empties & rinses bedpan & pours rinse into toilet
15. After rinsing bedpan, places bedpan in designated dirty supply area
16. After placing in designated dirty supply area, removes & disposes of gloves (w/out
contaminating self) into waste container & washes hands
17. Signaling device is within reach & bed is in low position
Cleans upper or lower denture - CORRECT ANSWER-1. Puts on clean gloves before
handling denture
2. Bottom of sink is lined &/or sink is partially filled w/ 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 dentures
6. Rinses surfaces of denture under moderate temperature running water
7. Before placing denture into cup, rinses denture cup and lid.
