HCA Washington Skills Exam Questions and Answers Graded A+

HCA Washington Skills Exam Questions and Answers Graded A+ Handwashing 1. wet hands and wrists under running water to begin cleansing 2. apply soap to hands to begin washing 3. lather all surfaces of hands and to wrists 4. use friction rubbing soapy hands together for a minimum of 20 seconds 5. rinse hands and wrists under running water to remove soap 6. keep hands pointed downward while washing and rinsing 7. use clean dry paper towel to dry hands and wrists 8. confine drying to areas washed 9. use paper towel to turn water off after hands cleansed 10. dispose of used paper towel in trash 11. end procedure with clean hands avoiding contamination (e.g., direct contract with faucet controls, paper towel dispenser, sink or trash can) Common Care Practices 1. identify self to the client when beginning care 2. use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 3. promote client's social and human needs throughout procedure 4. promote client's rights throughout procedure 5. promote client's safety throughout procedure 6. promote client's comfort throughout procedure 7. leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water) Feed a Client 1. identify self to client when beginning care 2. ensure client is sitting upright in chair before begins feeding? 3. sit to feed the client 4. offer the client fluid to drink during the meal 5. talk to client during meal 6. wait to offer another bite of food or fluid to drink until client swallowed or client's mount is ensured empty 7. alternate the type of food offered with bites or ask about client's preference for each bite 8. limit the amount of food on fork or spoon to provide as bite-size 9. leave the client with a clean mouth area at the end of the skill 10. offer or apply clothing protector before beginning skill and remove before completing procedure 11. leave overbed table clean and dry and cleared of meal items (e.g. food, dishes, tableware) at end of the procedure? 12. dispose of clothing protector (if used) and trash appropriately 13. use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 14. promote client's social and human needs throughout procedure 15. promote client's rights throughout procedure 16. promote client's safety throughout procedure 17. promote client's comfort throughout procedure 18. leave common use items within client's reach at end of care (e.g. phone, glasses, remote, tissues, glass of water) Help a Client to Walk 1. identify self to the client when beginning care 2. explain walking destination before the client begins walking 3. have client lean forward on the seat of the chair before standing 4. cue client to push up with arms from chair to stand 5. prepare client for standing by positioning knees at 90 degree angle with feet flat on floor 6. place hand on client's arm, back or waist when client stands 7. cue client to stand 8. walk slightly behind and to one side of client while walking 9. ambulate client the required distance 10. ask how client feels after standing or while walking 11. cue positioning before client sits, with legs centered against seat of chair for safe seating 12. cue client to reach for chair before sitting 13. place hand on client's arm, back, or waist when client sits 14. leave client sitting safely in chair with hips against the back of seat 15. use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 16. promote client's social and human needs throughout procedure 17. promote client's rights throughout procedure 18. promote client's safety throughout procedure 19. promote client's comfort throughout procedure 20. leave common use items within client's reach at end of care (e.g. phone, glasses, remote, tissues, glass of water)? Help a Client Take Medication 1. identify self to client when beginning care 2. check client's medication schedule 3. advise client it is time to take medicine 4. select the medication labeled with the client's name 5. select the correct medication bottle 6. review the medication label before removing medication from the bottle 7. pour pills into cap of medicine bottle without touching medication 8. give client correct medication dose placed into hand from the cap of the medication bottle without the candidate touching the medication 9. cue client to take medication 10. assist client to take medication without having the candidate's hand over the client's hand, or tipping client's hand to place pill(s) into mouth, or placing the pills directly into the mouth (two-finger rule) 11. provide client cup of water to use for swallowing medication 12. cue client to drink full cup of water 13. ask client or check if medication is swallowed or check that swallowed 14. close medication bottle and return to box before ending procedure 15. use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 16. promote clients social and human needs throughout procedure 17. promote client's rights throughout procedure 18. promote client's safety throughout procedure 19. promote client's comfort throughout procedure 20. leave common use items within client's reach at end of care (e.g. phone, glasses, remote, tissues, glass of water) Provide Mouth Care to a Client 1. Identify self to the client when beginning care 2. apply clean gloves before brushing teeth 3. wet toothbrush with water before brushing teeth 4. apply toothpaste to toothbrush before brushing client's teeth 5. brush tops and side surfaces of client's teeth 6. use gentle circular motions when brushing side surfaces of client's teeth and gums 7. brush, or offer to brush, the client's tongue 8. provide client clean water in cup to rinse mouth 9. hold basin or a cup (separate cup) near client's chin to collect rinse water and spit 10. leave client's mouth area clean and dry at completion of mouth care 11. use barrier (e.g. towel) to protect client's clothing while providing mouth care and remove at completion of procedure 12. rinse and dry basin and rinse toothbrush before storing 13. dispose of used linen(s) and trash appropriately and leave overbed table dry at completion of procedure e gloves without contaminating self after rinsing and storing equipment 15. use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 16. promote client's social and human needs throughout procedure 17. promote client's rights throughout procedure 18. promote client's safety throughout procedure 19. promote client's comfort throughout procedure 20. leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water)? Clean and Store a Client's Denture 1. identify self to the client when beginning care 2. apply gloves before handling denture 3. use cool or tepid water when cleaning and rinsing denture 4. use toothpaste to cleanse denture 5. brush inner and outer surfaces of denture 6. rinse denture in water to remove toothpaste after brushing 7. place clean denture in denture cup filled with clean, cool, or tepid clean water or denture solution 8. prevent contamination of denture throughout procedure (e.g. floating in sink water or setting denture directly on unprotected surface)? 9. use technique to reduce the risk of denture breakage if dropped during cleaning (e.g., brushing washcloth/paper towel/towel, filled with water, inside basin) 10. drain sink and remove liner (if used) at the end of skill 11. rinse toothbrush, store equipment, and dispose of trash and used linens appropriately 12. remove gloves without contaminating self after rinsing and storing equipment 13. use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 14. promote client's social and human needs throughout procedure 15. promote client's rights throughout procedure 16. promote client's safety throughout procedure 17. promote client's comfort throughout procedure 18. leave common use items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water)? Provide Fingernail and Hand Care to a Client 1. identify self to the client when beginning care 2. use water of safe temperature for soaking hand 3. ask client if water temperature is comfortable 4. soak client's fingers in basin of water before cleaning or shaping nails 5. dry client's client, including between fingers, after removing from water and before cleaning under or shaping fingernails 6. dry client's hand by patting with towel, not rubbing 7. use orange stick to clean under fingernails and remove residue 8. wipe orange stick on towel to remove residue before cleaning under another fingernail 9. use emery board to file fingernails 10. leave fingernail tips smooth and free of rough edges 11. offer or apply hand lotion to hand after fingernail care is completed 12. wear gloves when providing fingernail care and while rinsing and storing equipment 13. store equipment, dispose of used linen(s) and trash appropriately and leave overbed table dry at completion of procedure 14. remove gloves without contaminating self after rinsing and storing equipment 15. use infection control measures and Standard Precautions to protect the client and the HCA throughout procedure 16. promote client's social and human needs throughout procedure 17. promote client's rights throughout procedure 18. promote client's safety throughout procedure 19. promote client's comfort throughout procedure 20. leave common us items within client's reach at end of care (e.g., phone, glasses, remote, tissues, glass of water)