CALIFORNIA CNA STATE EXAM
1. SKILL 1 — HAND 1) Address client by name and introduces self to client by name
HYGIENE (HAND 2) Turns on water at sink
WASHING) 3) Wets hands and wrists thoroughly
4) Applies soap to hands
5) Lathers all surfaces of wrists, hands, and fingers producing friction, for at least
20 seconds, keeping hands lower than the elbows and the fingertips down
6) Cleans fingernails by rubbing fingertips against palms of the opposite hand
7) Rinse all surfaces of wrists, hands, and fingers, keeping hands lower than the
elbows and the fingertips down
8) Uses clean, dry paper towel/towels to dry all surfaces of fingers, hands and
wrists starting at fingertips then disposes of paper towel/towels into waste con-
tainer
9) Uses clean, dry paper towel/towels to turn off faucet then disposes of paper
towel/towels into waste container or uses knee/foot control to turn off faucet
10) Does not touch inside of sink at any time
2. SKILL 2 — 1) Explains procedure, speaking clearly, slowly, and directly, maintaining
APPLIES ONE face-to-face contact whenever possible
KNEE-HIGH ELAS- 2) Privacy is provided with a curtain, screen, or door
TIC STOCKING 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, heel, and leg
7) Moves foot and leg gently and naturally, avoiding force and 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; if
using a mannequin, candidate may state stocking needs to be wrinkle-free
9) Signaling device is within reach and bed is in low position
10) After completing skill, wash hands
3.
, CALIFORNIA CNA STATE EXAM
SKILL 3 — AS- 1) Explains procedure, speaking clearly, slowly, and directly, maintaining
SISTS TO AM- face-to-face contact whenever possible
BULATE USING 2) Privacy is provided with a curtain, screen, or door
TRANSFER BELT 3) Before assisting to stand, client is wearing non-skid shoes/footwear
4) Before assisting to stand, bed is at a safe level
5) Before assisting to stand, checks and/or locks bed wheels
6) Before assisting to stand, client is assisted to sitting position with feet flat on the
floor
7) Before assisting to stand, applies transfer belt securely at the waist over cloth-
ing/gown
8) Before assisting to stand, provides instructions to enable client to assist in
standing including prearranged signal to alert client to begin standing
9) Stands facing client positioning self to ensure safety of candidate and client
during transfer. Counts to three (or says other prearranged signal) to alert client
to begin standing
10) On signal, gradually assists client to stand by grasping transfer belt on both
sides with an upward grasp (candidate's hands are in upward position), and
maintaining stability of client's legs by standing knee to knee, or toe to toe with
client 11) Walks slightly behind and to one side of client for a distance of ten (10)
feet, while holding onto the belt
12) Assists client to bed and removes transfer belt
13) Signaling device is within reach and bed is in low position 14) After completing
skill, wash hands
4. SKILL 4 — AS- 1) Explains procedure speaking clearly, slowly, and directly, maintaining
SISTS WITH USE face-to-face contact whenever possible
OF BEDPAN 2) Privacy is provided with a curtain, screen, or door
3) Before placing bedpan, lowers head of bed
4) Puts on clean gloves before placing bedpan under client
5) Places bedpan correctly under client's buttocks
6) Removes and disposes of gloves (without contaminating self) into waste con-
tainer and washes hands
1. SKILL 1 — HAND 1) Address client by name and introduces self to client by name
HYGIENE (HAND 2) Turns on water at sink
WASHING) 3) Wets hands and wrists thoroughly
4) Applies soap to hands
5) Lathers all surfaces of wrists, hands, and fingers producing friction, for at least
20 seconds, keeping hands lower than the elbows and the fingertips down
6) Cleans fingernails by rubbing fingertips against palms of the opposite hand
7) Rinse all surfaces of wrists, hands, and fingers, keeping hands lower than the
elbows and the fingertips down
8) Uses clean, dry paper towel/towels to dry all surfaces of fingers, hands and
wrists starting at fingertips then disposes of paper towel/towels into waste con-
tainer
9) Uses clean, dry paper towel/towels to turn off faucet then disposes of paper
towel/towels into waste container or uses knee/foot control to turn off faucet
10) Does not touch inside of sink at any time
2. SKILL 2 — 1) Explains procedure, speaking clearly, slowly, and directly, maintaining
APPLIES ONE face-to-face contact whenever possible
KNEE-HIGH ELAS- 2) Privacy is provided with a curtain, screen, or door
TIC STOCKING 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, heel, and leg
7) Moves foot and leg gently and naturally, avoiding force and 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; if
using a mannequin, candidate may state stocking needs to be wrinkle-free
9) Signaling device is within reach and bed is in low position
10) After completing skill, wash hands
3.
, CALIFORNIA CNA STATE EXAM
SKILL 3 — AS- 1) Explains procedure, speaking clearly, slowly, and directly, maintaining
SISTS TO AM- face-to-face contact whenever possible
BULATE USING 2) Privacy is provided with a curtain, screen, or door
TRANSFER BELT 3) Before assisting to stand, client is wearing non-skid shoes/footwear
4) Before assisting to stand, bed is at a safe level
5) Before assisting to stand, checks and/or locks bed wheels
6) Before assisting to stand, client is assisted to sitting position with feet flat on the
floor
7) Before assisting to stand, applies transfer belt securely at the waist over cloth-
ing/gown
8) Before assisting to stand, provides instructions to enable client to assist in
standing including prearranged signal to alert client to begin standing
9) Stands facing client positioning self to ensure safety of candidate and client
during transfer. Counts to three (or says other prearranged signal) to alert client
to begin standing
10) On signal, gradually assists client to stand by grasping transfer belt on both
sides with an upward grasp (candidate's hands are in upward position), and
maintaining stability of client's legs by standing knee to knee, or toe to toe with
client 11) Walks slightly behind and to one side of client for a distance of ten (10)
feet, while holding onto the belt
12) Assists client to bed and removes transfer belt
13) Signaling device is within reach and bed is in low position 14) After completing
skill, wash hands
4. SKILL 4 — AS- 1) Explains procedure speaking clearly, slowly, and directly, maintaining
SISTS WITH USE face-to-face contact whenever possible
OF BEDPAN 2) Privacy is provided with a curtain, screen, or door
3) Before placing bedpan, lowers head of bed
4) Puts on clean gloves before placing bedpan under client
5) Places bedpan correctly under client's buttocks
6) Removes and disposes of gloves (without contaminating self) into waste con-
tainer and washes hands
