Prometric CNA Skills rubrics Exam
Questions with 100% Complete
Solutions Graded A+
Hand Washing - ANSWER-1.) Begin Handwashing by wetting hands and applying soap
to hands
2.) Use friction to distribute soap and create lather cleansing front and back of hands,
between fingers, around cuticles, under nails, and wrists
3.) Provide cleansing friction for a minimum of 20 seconds with hands lathered with
soap
4.) Rinse hands and wrists removing soap
5.) Use clean paper towels to dry hands and wrists and dispose of paper towel in trash
6.) End handwashing with clean hands avoiding re contamination of hands before
completion (DO NOT touch faucet handles or sink surfaces and use paper towels to
turn off sink)
Indirect Care - ANSWER-1.) Greet resident, address by name, and introduce self
2.) Provide explanations to residents about care before beginning and during care
3.) Ask resident about preferences during care
4.) Use standard precautions and infection control measures when providing care
5.) Ask resident about comfort or needs during care or before care completed
6.) Promote residents rights and residents safety during care
Ambulate The Resident Using A Transfer/Gait Belt - ANSWER-1.) Greet resident,
address by name, and introduce self
2.) Provide explanations to residents about care before beginning and during care
,3.)Apply transfer/gait belt before standing resident, placing around th residents waist
and over clothing, secure so that only flat fingers/hand fit under belt, and the belt does
not catch skin or skin folds (e.g. breast tissue)
4.) Provide signal or cue to resident before assisting to stand
5.) Assist resident to stand while holding belt only at the front or only at the nearest side.
(if assisting to stand from the side.)
6.) Ask how resident feels upon standing
7.)Walk resident while standing to the side and slightly behind resident
8.) Provide support while walking resident with an arm around residents back holding
transfer/gait belt
9.) Ask how the resident feels during ambulation
10.) Walk resident at least 10 steps
11.) Assist resident to turn and have back of legs positioned against the seat of chair
before the resident sits.
12.) Provide support to sit resident back into chair
13.) Remove transfer/gait belt from residents waist without harming resident (e.g. pulling
transfer/gait belt.) when seated in chair after ambulation
14.)Maintain own body mechanics when assisting the resident to stand and sit
15.)Leave resident positioned in chair in proper body alignment and hips against back of
seat
16.) Ask resident about preferences during care
17.) Use standard precautions and infection control measures when providing care
18.) Ask resident about comfort or needs during care or before care completed
19.) Promote residents rights and residents safety during care
Assist Resident Needing To Use A Bedpan - ANSWER-1.) Greet resident, address by
name, and introduce self
2.) Provide explanations to residents about care before beginning and during care
,3.) Place protective pad on bed over bottom sheet, under buttocks/upper thigh area
before placing bed pan and remove the pad after bedpan is removed
4.)Place and remove bedpan by either having resident positioned on side to turn on/off
back, onto/ off bedpan, or having resident raise hips off bed
5.) Position bedpan under resident according to form/shape of the selected bedpan
6.) Position bedpan to allow for collection
7.) Raise the head of the bed after positioning the resident on the bedpan, and lower the
head of the bed before removing bedpan
8.) Ask resident to call when finished or if needs help, leaving call light within the
residents reach before leaving resident to use bedpan
9.) Leave toilet paper within residents reach before leaving resident to use bedpan
10.) Wear gloves when removing bedpan and while emptying and cleaning bedpan
11.) Empty contents of bedpan into toilet, rise bedpan pouring contents into toilet and
dry bedpan
12.) Offer resident damp washcloth or paper towel, or hand wipe, to cleanse hands after
bedpan used or before end of care
13.) Complete skill storing bedpan and toilet paper, placing soiled linen in hamper, and
disposing of trash
14.) Keep resident positioned a safe distance from the edge of the bed at all times
15.) Ask resident about preferences during care
16.) Use standard precautions and infection control measures when providing care
17.) Ask resident about comfort or needs during care or before care completed
18.) Promote residents rights and residents safety during care
Indwelling Catheter Care - ANSWER-1. Position resident. Female, dorsal recumbent
(on back) with head slighly elevated and knees bent. Male, supine or Fowler's position.
2. Place waterproof pad under buttocks.
3. Cover resident so only perineal is exposed.
4. Female, use non-doiminant hand to gently pull open labia to fully expose urethral
meatus and catheter insertion site; keep hand in position throughout. Male, use non-
, dominant hand to retract foreskin; hold penis firmly at shaft below glans (end of penis);
keep position throughout.
5. Observe urethral meatus and tissue for color, swelling, and consistency of discharge.
6. Cleanse perineal tissue. Female, use clean, soapy cloth and cleanse around urethral
meatus and catheter from top towards anus. Male, while spreading urethral meatus,
cleanse around catheter and wipe in circular motion around meatus and glans to base
of penis. Dry.
7. While holding the catheter withh non-dominant hand, cleanse length of catheter from
meatus to connective tubing in circular motion.
8. If uncircumcised male, replace foreskin over glans.
9. Position resident for comfort.
10. Report and record characteristics of drainage, appearance of perineal area, or any
discomfort.
Heimlich Maneuver - ANSWER-1. Ask resident "are you choking?" or "can you speak?"
If yes, encourage resident to try to cough until object clears throat; stay with resident
and call for help.
2. If resident cannot speak or cough, perform Heimlich maneuver.
3. If resident is sitting or standing, stand behind him/her.
4. Wrap your arms around resident, above the waist.
5. Make a fish in your hand.
6. Place thumb side of your fist in the center of resident's abdomen, above the umbilicus
and below the sternum.
7. Grasp fist with other hand.
8. Quickly pull inward and upward with quick thrusts.
9. Repeat until foreign object is dislodged or resident loses consciousness.
10. If resident loses consciousness, ease to the floor and check respirations. If no
respirations, begin rescue breathing until relieved; if no pulse, begin CPR until relieved.
11. After emergency, prepare incident report.
Questions with 100% Complete
Solutions Graded A+
Hand Washing - ANSWER-1.) Begin Handwashing by wetting hands and applying soap
to hands
2.) Use friction to distribute soap and create lather cleansing front and back of hands,
between fingers, around cuticles, under nails, and wrists
3.) Provide cleansing friction for a minimum of 20 seconds with hands lathered with
soap
4.) Rinse hands and wrists removing soap
5.) Use clean paper towels to dry hands and wrists and dispose of paper towel in trash
6.) End handwashing with clean hands avoiding re contamination of hands before
completion (DO NOT touch faucet handles or sink surfaces and use paper towels to
turn off sink)
Indirect Care - ANSWER-1.) Greet resident, address by name, and introduce self
2.) Provide explanations to residents about care before beginning and during care
3.) Ask resident about preferences during care
4.) Use standard precautions and infection control measures when providing care
5.) Ask resident about comfort or needs during care or before care completed
6.) Promote residents rights and residents safety during care
Ambulate The Resident Using A Transfer/Gait Belt - ANSWER-1.) Greet resident,
address by name, and introduce self
2.) Provide explanations to residents about care before beginning and during care
,3.)Apply transfer/gait belt before standing resident, placing around th residents waist
and over clothing, secure so that only flat fingers/hand fit under belt, and the belt does
not catch skin or skin folds (e.g. breast tissue)
4.) Provide signal or cue to resident before assisting to stand
5.) Assist resident to stand while holding belt only at the front or only at the nearest side.
(if assisting to stand from the side.)
6.) Ask how resident feels upon standing
7.)Walk resident while standing to the side and slightly behind resident
8.) Provide support while walking resident with an arm around residents back holding
transfer/gait belt
9.) Ask how the resident feels during ambulation
10.) Walk resident at least 10 steps
11.) Assist resident to turn and have back of legs positioned against the seat of chair
before the resident sits.
12.) Provide support to sit resident back into chair
13.) Remove transfer/gait belt from residents waist without harming resident (e.g. pulling
transfer/gait belt.) when seated in chair after ambulation
14.)Maintain own body mechanics when assisting the resident to stand and sit
15.)Leave resident positioned in chair in proper body alignment and hips against back of
seat
16.) Ask resident about preferences during care
17.) Use standard precautions and infection control measures when providing care
18.) Ask resident about comfort or needs during care or before care completed
19.) Promote residents rights and residents safety during care
Assist Resident Needing To Use A Bedpan - ANSWER-1.) Greet resident, address by
name, and introduce self
2.) Provide explanations to residents about care before beginning and during care
,3.) Place protective pad on bed over bottom sheet, under buttocks/upper thigh area
before placing bed pan and remove the pad after bedpan is removed
4.)Place and remove bedpan by either having resident positioned on side to turn on/off
back, onto/ off bedpan, or having resident raise hips off bed
5.) Position bedpan under resident according to form/shape of the selected bedpan
6.) Position bedpan to allow for collection
7.) Raise the head of the bed after positioning the resident on the bedpan, and lower the
head of the bed before removing bedpan
8.) Ask resident to call when finished or if needs help, leaving call light within the
residents reach before leaving resident to use bedpan
9.) Leave toilet paper within residents reach before leaving resident to use bedpan
10.) Wear gloves when removing bedpan and while emptying and cleaning bedpan
11.) Empty contents of bedpan into toilet, rise bedpan pouring contents into toilet and
dry bedpan
12.) Offer resident damp washcloth or paper towel, or hand wipe, to cleanse hands after
bedpan used or before end of care
13.) Complete skill storing bedpan and toilet paper, placing soiled linen in hamper, and
disposing of trash
14.) Keep resident positioned a safe distance from the edge of the bed at all times
15.) Ask resident about preferences during care
16.) Use standard precautions and infection control measures when providing care
17.) Ask resident about comfort or needs during care or before care completed
18.) Promote residents rights and residents safety during care
Indwelling Catheter Care - ANSWER-1. Position resident. Female, dorsal recumbent
(on back) with head slighly elevated and knees bent. Male, supine or Fowler's position.
2. Place waterproof pad under buttocks.
3. Cover resident so only perineal is exposed.
4. Female, use non-doiminant hand to gently pull open labia to fully expose urethral
meatus and catheter insertion site; keep hand in position throughout. Male, use non-
, dominant hand to retract foreskin; hold penis firmly at shaft below glans (end of penis);
keep position throughout.
5. Observe urethral meatus and tissue for color, swelling, and consistency of discharge.
6. Cleanse perineal tissue. Female, use clean, soapy cloth and cleanse around urethral
meatus and catheter from top towards anus. Male, while spreading urethral meatus,
cleanse around catheter and wipe in circular motion around meatus and glans to base
of penis. Dry.
7. While holding the catheter withh non-dominant hand, cleanse length of catheter from
meatus to connective tubing in circular motion.
8. If uncircumcised male, replace foreskin over glans.
9. Position resident for comfort.
10. Report and record characteristics of drainage, appearance of perineal area, or any
discomfort.
Heimlich Maneuver - ANSWER-1. Ask resident "are you choking?" or "can you speak?"
If yes, encourage resident to try to cough until object clears throat; stay with resident
and call for help.
2. If resident cannot speak or cough, perform Heimlich maneuver.
3. If resident is sitting or standing, stand behind him/her.
4. Wrap your arms around resident, above the waist.
5. Make a fish in your hand.
6. Place thumb side of your fist in the center of resident's abdomen, above the umbilicus
and below the sternum.
7. Grasp fist with other hand.
8. Quickly pull inward and upward with quick thrusts.
9. Repeat until foreign object is dislodged or resident loses consciousness.
10. If resident loses consciousness, ease to the floor and check respirations. If no
respirations, begin rescue breathing until relieved; if no pulse, begin CPR until relieved.
11. After emergency, prepare incident report.
