HCA Skills Exam 2023

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 3. start with shoulder flexion exercise, support elbow and wrist, flex shoulder 3 TMES *verbalize that you would continue exercise on both sides if time allotted 4. perform shoulder abduction, 3 TIMES, support elbow and wrist, 5. flex elbow, perform internal and external rotation 3 TIMES 6. perform knee flexion, support knee and ankle, 3 TIMES 7. perform ankle flexion and dorsiflexion, support back of ankles, 3 TIMES 8. ensure proper body alignment, remove gloves and wash hands, ask if you can get them anything, closing script Mouth Care supplies - Answer- gloves, disposable clothing protector, 2 napkins (one to clean face, one for clean surface), toothbrush and toothpaste, 2 cups (one for rinse, one for spit), trash container Mouth Care - Answer- 1. opening script, gather supplies, wash hands, gloves 2. ensure client is in proper body alignment, ask if they would like clothing protector 3. wet tooth brush (from small amount in spit cup) 4. stand or sit on side of client 5. *check for skin integrity* brush in 4 quadrants, for each sound count to 3, VERBALIZE if time allotted i would brush teeth for 2 min and 30 seconds in all 4 quadrants in the same manner 6. ask if they would like their tongue brushed *verbalize* 7. assist client in rinsing mouth 8. assist client in spitting 9. ask if you can assist in wiping their mouth 10. ask if you can remove clothing protector 11. ensure proper body alignment 12. remove gloves, wash hands, clean up/disinfect 13. ask if you can get them anything, closing script supplies for cleaning and storing dentures - Answer- 2 pairs of gloves, denture toothbrush and toothpaste, denture soaking solution, trash can, laundry basket, denture cup, 3 washcloths (dirty, clean, in sink) Cleaning and storing dentures - Answer- 1. opening script, gather supplies (put all on dirty side), wash hands, gloves, ensure client is in proper body alignment 2. line sink with wash cloth (v shape) 3. put one wash cloth on each side of the sink 4. ask consumer to hand you dentures 5. *verbalize* inspect dentures for cracks and dents 6. rinse dentures with cool water 7. wet toothbrush, apply denture toothpaste 8. rinse dentures to remove toothpaste 9. place dentures on clean towel