D&S Diversified
Technologies
dba HEADMASTER
406-442-8656 --
fax 3357 -- www.hdmaster.com
Providing CNA testing solutions throughout
Please direct your inquiries as follows:
˜ Test
Dates & Location Options
˜ Test
Results
HEADMASTER…………………………………………...…………….
(406) 442-8656
˜ Cancellations
or Rescheduling
˜ Name
or Address Changes
˜ Nurse
Aide Registry Questions
South
Dakota Department of Health…………………………………..(605) 773-3356
˜ State & Federal
Regulations
Table of Contents
Introduction………………………………………………………………………...……2
The Written/Oral
Test..…………………………………………………………...……2
Written Test Content
Outline……..……………………………………………...……3
The Skill
Test………..…………………………………………………..…...…………3
Cancellations-Reschedules-No
Shows……………………………………………..4
Latex/Powder Allergies —
Accommodations/Disabilities……………………….4-5
Manual Skills
Listing……...…………………………..………………...…………..6-16
Test
Day….………………………………………………………...………….…..…...16
Testing
Policy………………………………………………………………………….17
Security……………………………………………………………………………....…17
Test
Results………………………………………………………………………...…18
The
Registry……………………………………………………………...……………18
Reporting
Irregularities……………………………………………………………….18
Sample
Questions…………………………………...……………...…………….18-19
Introduction
In 1987, the
Nursing Home Reform Act was adopted by Congress as part of the Omnibus Budget
Reconciliation Act (OBRA ’87). It was
designed to improve the quality of care in long-term health care facilities and
to define training and evaluation standards for nurse aides who work in such
facilities. Each state is responsible
for following the terms of this federal law.
The South Dakota Department of Health monitors
approved OBRA nurse aide training programs which provide specific standards for
nurse aide related knowledge, skills and abilities. Their purpose is to make
sure that Candidates who are seeking nurse aide certification understand these
standards, can competently and safely perform the job of an entry-level nurse
aide and are prepared to test.
The South Dakota Health Care Association has
contracted with D&S Diversified Technologies, dba
HEADMASTER, to provide tests and scoring services for the Certified Nurse Aide
Test. This handbook is designed to help
prepare Candidates for the
To learn how to apply to take the Certified Nurse
Aide Test, please contact the South Dakota Health Care Association at (800)
952-3052. This handbook should be kept
for future reference.
The Written/Oral Test
The Test Administrator will hand out materials and
give instructions for taking the Written/Oral Test. You will have ninety (90) minutes to complete
the Test. You will be told when fifteen
(15) minutes are left to finish. You may
not ask questions about the content of the Test (such as “What does this
question mean?”). Fill in only one (1)
oval on the answer sheet for each question.
DO NOT mark in the testing booklet. Markings in the testing booklet will not be
acceptable answers. Your answers must
appear on the separate answer sheet.
You must score at least a 75% in order to pass the Written Test.
An Oral Tape Test may be taken in place of the
Written Test if you have difficulty reading English. If you want to take the Oral Test you must
request it when you submit your application.
The standard Oral Test is given in the form of a cassette tape with the
test questions read to you. The ESL
(English as a Second Language) Oral Test Tape is the same as the standard Oral
Test Tape only read more slowly.
Your test may contain questions on which
statistical information will be collected for use in constructing future
tests. Your responses to these questions
do not affect your score. They are mixed
in with the scored questions and are not identified.
All test materials must be left in the testing
room. Anyone who takes or tries to take
materials or information from the testing room is subject to prosecution.
Written Test Content Outline
The Written Test
consists of 75 questions SELECTED from
the nine(9) subject areas listed below:
1) Safety—safety of residents, CNA’s,
facility safety issues & safety of facility personnel in general. (7)
2) Communication
& Interpersonal Skills—any
type communication, both verbal & nonverbal, written & spoken; any
communication related to hearing, seeing, feeling, tasting or smelling. (6)
3) Infection
Control—relating to the
nature of infections; causes &
prevention, correct methods &
procedures for dealing with infection. (7)
4) Basic
Rights—rights residents are
legally entitled to; facility & CNA roles in insuring those rights; to
include the promotion of resident’s independence. (6)
5) Basic
Nursing Skills & Personal Care—broad
subject area including any act or activity that would be considered a basic
skill necessary to perform the job of a CNA, includes data acquisition,
handling & routing. (18)
6) Role
& Responsibility—broad
subject area including any act or activity or restorative services that would
be considered part of the basic role or responsibility of a CNA in the
workplace. (8)
7) Physical
Health & Illness—activities
or acts performed by a CNA for or to residents that are personal in nature and
accommodations necessary for functionally impaired residents. (14)
8) Mental
Health & Illness—mental
processes of residents, signs and stages of mental states of residents both
normal and care impaired; mental well-being & interaction of a CNA and
co-workers. (4)
9)
Aging Process—awareness of developmental
tasks associated with the aging process. (5)
The Skill Test
The
purpose of the Skill Test is to rate your nurse aide skills. You must score at least a 75% on each skill
task without missing any key steps in order to pass the skill test. You will find a complete list of skills
printed later in this handbook. Five (5)
scenarios will be randomly selected from this list for you to perform on your
Skill Test. The steps that are listed
for each skill are the minimum number of steps required for a nurse aide to
perform the skill. You will be evaluated
on these steps.
What
To Expect :
˜ Each
of the five skill scenarios with your assigned tasks will be read to you.
˜ Listen
carefully to all instructions given by the Test Administrator. You may have the scenario repeated.
˜ Be
sure you understand all instructions before you begin because you may not ask
questions after the test begins.
˜ You
will be given thirty (30) minutes to complete the five (5) nurse aide
scenarios.
˜ If
you make a mistake while performing a task, say so and then repeat the required
task. Once the Skill Test has begun, the
Test Administrator may not answer questions.
Cancellations—Reschedules—No Shows
With
a 24 Hour Notice for all scheduling changes, the following fees will be
assessed:
Reschedules:
$25.00
Cancellations: $35.00
If 24 hour notice is not given, the paying
entity will be assessed a full test cost.
If
a candidate needs to retake either the Written, Oral Test, or Manual Skill Test, the individual's name must be resubmitted
for testing on an Eligibility Verification Form.
Latex / Powder Allergies
If
you have an allergic reaction to latex or the powder in latex gloves, please
bring latex/powder free gloves with you to the test site to use during your
skill test.
Requests For Special Test Accommodations
If
the candidate is in need of special test accommodations, please contact the
SDHCA office to request an Accommodations Form or download it from the www.sdhca.org website and submit it to SDHCA along with
the rest of your application materials.
Candidates With Temporary Disabilities
Please
note that the Test Administrator has the authority to deny testing to any
candidate that expresses or has a noticeable temporary disability. The Manual
Skill Test includes some strenuous physical tasks. If the candidate cannot
perform even one of the skill tasks due to a temporary disability, they should
not come to the test site. Temporary
disabilities such as, knee injury, back injury, pregnancy, or recent surgery,
etc., which would preclude the candidate from safely performing even one of the
skill tasks are all reasons for denying testing unless the candidate has a
specific doctor's o.k. The South Dakota Health Care Association, HEADMASTER,
the Test Administrator or Actor do not cover personal bodily or physical
injury. Therefore, you will not be
allowed to test if you have a temporary disability.
If
a candidate is experiencing a temporary disability and does not test within
four months from their date of hire, just document the specifics of the situation
and file
the documentation in the
candidate’s personnel file. You may call
Dolly Hanson at the SD Department of Health (phone number 605-773-3356) and
obtain further information. Please remember, if a Test Administrator denies
testing to a candidate, because of a temporary disability they are acting in
the best interests of the candidate.
If
a candidate goes to test and the individual expresses a temporary disability, that
has not been pre-approved by the South Dakota Health Care Association, and the
Test Administrator denies the candidate testing, then the responsible party for paying for the test
will be charged a NO SHOW fee.
Candidates With Permanent Disabilities
If
a candidate has a permanent disability and needs an
Manual Skill Listing
Ambulation With Cane or
1. Knocks on door and introduces
himself/herself appropriately to the resident.
2. Properly washes hands.
3. Assembles equipment as required.
4. Explains procedure to resident.
5. Brings resident to sitting position.
6. Assists patient in putting on slippers,
robe, etc.
7. Positions ambulation equipment correctly.
8. Positions self for safe ambulation using
correct body mechanics.
9. Assists resident to stand. Stabilizes cane/walker. Insures resident stabilizes cane/walker.
10. Positions self behind and slightly to side of
resident.
11. Safely ambulates resident 10 feet.
12. Assists resident to pivot and sit.
13. Washes hands.
14. Maintains respectful, courteous interpersonal
interactions at all times.
15. Leaves call light within easy reach of the
resident.
Ambulation With Use of Gait
Belt
1. Knocks on door and introduces
himself/herself appropriately to the resident.
2. Properly washes hands.
3. Obtains gait belt.
4. Explains procedure to be performed to the
resident.
5. Locks wheelchair brakes.
6. Places gait belt around resident’s lower
ribs and above waist to stabilize trunk.
7. Tightens gait belt so that fingers of
Candidate’s hand can be comfortably slipped between gait belt and resident.
8. Brings resident to standing position using
proper body mechanics.
9. With one hand grasping gait belt and the
other stabilizing resident by holding forearm, shoulder, or using another
appropriate method to stabilize, ambulates resident 20 steps.
10. Assists resident to return to wheel chair,
pivot, and sits resident using proper mechanics.
11. Washes hands.
12. Maintains respectful, courteous interpersonal
interactions at all times.
13. Leaves call light within easy reach of the
resident.
Applying Antiembolic
Stockings
1. Properly washes hands.
2. Explains procedure to resident.
3. Provides for resident's privacy by not
exposing more than one leg at a time.
4. Rolls OR gathers stocking down to
heel. Places stocking over the toes,
foot, and heel and rolls OR pulls up the leg.
5. Checks toes for placement of stocking and
adjusts as needed.
6. Leaves resident with stockings that are
smooth and wrinkle free.
7. Washes hands.
8. Maintains respectful, courteous
interpersonal interactions at all times.
9. Leaves call light within easy reach of the
resident.
10. Treated resident gently during entire
procedure.
Back Rub
1. Knocks on door and introduces
himself/herself appropriately to the resident.
2. Properly washes hands before procedure.
3. Explains procedure to resident.
4. Provides for resident's privacy.
5. Insures resident's safety. Side rail up on
opposite side, as appropriate.
6. Positions resident on side in bed for
massage.
7. Exposes back. (Verbalize)
8. Candidate pours a small amount of lotion
onto own hands and rubs together to warm. (Verbalize)
9. Rubs entire back in upward, outward motion,
giving special attention to bony prominences for a minimum of 2 minutes.
10. Utilized correct equipment during procedure.
(Verbalize)
a. Lotion
b. Towel
11. Washes hands.
12. Returns resident to position of comfort and
safety.
13. Maintains respectful, courteous interpersonal
interactions at all times.
14. Leaves call light within easy reach of the
resident.
Blood Pressure
1. Properly washes hands before procedure.
2. Explains procedure to resident.
3. Provides for resident's privacy.
4. Assists resident into a comfortable sitting
or recumbent position with forearm relaxed and supported in a palm-up position,
approximately at the level of the heart.
5. Rolls resident's sleeve up about 5 inches
above the elbow and applies the cuff around the upper arm just above the elbow.
6. Cleans earpieces of stethoscope
appropriately and places in ears.
7. Locates brachial artery by feeling brachial
pulse just above bend of elbow.
8. Places stethoscope over brachial artery and
holds snugly in place.
9. Inflates cuff.
10. Slowly releases air from cuff to
disappearance of pulsations. Removes
cuff.
11. Records reading on pad.
12. Candidate's recorded systolic and diastolic
blood pressures are within 4 beats of the TA's.
13. Utilized appropriate equipment:
a. Correct size cuff
b. Teaching stethoscope
c. Alcohol swabs
d. Pad and pencil
14. Maintains
respectful, courteous interpersonal interactions at all times.
15. Leaves call light within easy reach of the
resident.
Brushing Teeth
1. Properly washes hands before procedure.
2. Explains procedure to the resident.
3. Provides for resident's privacy.
4. Drapes the chest as needed to prevent
soiling.
5. Puts on disposable gloves.
6. Applies toothpaste to toothbrush.
7. Brushes resident's teeth, including the
inner, outer, and chewing surfaces of all upper and lower teeth. If available, toothettes may be utilized instead of the toothbrush as
long as all of the surfaces listed above are cleaned.
8. Cleans tongue.
9. Assists resident in rinsing mouth.
10. Wipes resident's mouth and removes soiled
drape.
11. Leaves resident in position of comfort and
safety.
12. Empties and cleans emesis basin, rinses
toothbrush. Returns emesis basis and
toothbrush to storage. Places towel in
linen hamper.
13. Removes gloves, turning gloves inside out as
they are removed. Disposes of gloves in
an appropriate container.
14. Utilized the appropriate equipment during the
procedure:
a. Toothbrush
b. Emesis basin
c. Tooth paste
d. Glass of water
e. Towel
15. Maintains respectful, courteous interpersonal
interactions at all times.
16. Leaves call light within easy reach of the
resident.
Denture Care
1. Properly washes hands before procedure.
2. Explains procedure to resident.
3. Provides for resident's privacy.
4. Puts on gloves and removes dentures from
cup.
5. Handles dentures carefully to avoid
damage. Takes dentures to the sink and
lines sink with a washcloth.
6. Thoroughly brushes dentures, including the
inner, outer, and chewing surfaces of upper and lower dentures. Toothettes may be
utilized instead of a toothbrush as long as all of the surfaces listed above
are cleaned.
7. Rinses dentures using clean cool water and
places dentures in cup and adds cool clean water.
8. Cleans and rinses resident's mouth. Brushes
gums/tongue with toothbrush and toothpaste and rinses thoroughly with water OR
mouthwash. Wipes residue from resident's
face.
9. Returns resident to position of comfort and
safety.
10. Cleans equipment and returns to storage. Discards towel and washcloth in linen hamper.
11. Removes gloves, turning gloves inside out as
they are removed. Disposes of gloves in
an appropriate container.
12. Washes hands.
13. Maintains respectful, courteous interpersonal
interactions at all times.
14. Utilizes equipment appropriately throughout
the procedures.
a. Emesis basin or denture container
b. Denture brush
c. Toothpaste or powder
d. Towel or washcloth
e. Glass of water
f. Mouthwash
15. Leaves call light within reach of the
resident.
Dressing Resident
1. Washes hands before procedure.
2. Explains the procedure to the resident.
3. While removing gown provides for the
resident's privacy by appropriately keeping resident covered.
4. Removes gown from strong side first.
5. Places used gown in laundry hamper.
6. When dressing the resident in a shirt or
sweater, the Candidate inserts their hand through the sleeve of the shirt or
sweater and grasps the hand of the resident, dressing from the weak side first.
7. Leaves the resident comfortably and
properly dressed.
8. Leaves call light or signaling device
within easy reach of the resident.
Feeding the Dependent
Resident
1. Properly washes hands before
procedure.
2. Explains procedure to the resident.
3. Assembles appropriate equipment before
procedure:
a. Bib/clothing protector
b. Washcloth or towel, as needed
c. Glass
4. Insures resident's safety.
5. Begins with the resident in an upright
position. At least 45 degrees.
6. Protects clothing from soiling by using
napkin, bib or towel.
7. Sits down to feed resident. Does not feed resident while standing
upright.
8. Describes the foods being offered to the
resident.
9. Offers water or other fluid frequently.
10. Offers food in small amounts at a reasonable
rate, allowing resident to chew and swallow.
11. Wipes resident's hands and face during meal
as needed.
12. Leaves resident clean and in a position of
comfort and safety.
13. Washes hands.
14.
Maintains respectful, courteous
interpersonal interactions at all times.
15.
Leaves call light within easy reach of the
client.
Fluid Intake
1.
Candidate observes dinner tray.
2.
Uses pad, pencil and/or calculator to
estimate the number of cc or ml consumed.
3. Candidate decides on cc or ml of fluid
consumed from each container.
4. Candidate calculates grand total cc/ml
consumed from all containers.
5. Candidate obtains total fluid consumed in
cc or ml.
6. Candidate shows or verbalizes the total cc
or ml consumed from the tray.
7. Pre-measured total and Candidate calculated
total are within required range.
8.
Equipment utilized:
a. Two 8oz (240cc or ml) glasses: one 10oz
(300cc or ml) mug placed on a tray
b.
Calculator optional (Candidate may bring
if desired)
c.
Pad and pencil
Hair Care
1. Properly washes hands before
procedure.
2. Utilizes appropriate equipment:
a. Brush or comb
3 Explains procedure to the resident.
4. Asks resident how they would like their
hair combed.
5. Combs/brushes hair gently and completely.
6.
Leaves hair neatly brushed, combed and/or
styled.
7.
Insures that clothing is free of dandruff
and hair.
8. Washes hands.
9. Maintains respectful, courteous
interpersonal interactions at all times.
10. Leaves call light within easy reach of the
resident.
Handwashing
1. Turns on water.
2. Wets hands.
3. Applies liquid soap to hands.
4. Rubs hands together for at least 20
seconds, interlacing fingers pointing downward.
5.. Washes all surfaces of hands with liquid
soap, thoroughly washing beneath all jewelry.
6. Rinses hands thoroughly under running water
with fingers pointed downward.
7. Dries hands on clean paper towel.
8. Turns off faucet with a SECOND clean dry
paper towel.
9. Discards wet towels to trash container.
10. Does not recontaminate
hands at any point during the procedure.
Heimlich Maneuver
1. Candidate is able to identify symptoms of
choking. Evaluates choking by asking
resident "Are you choking?"
2. Stands behind resident and wraps arms
around resident's waist.
3. Makes a fist with one hand.
4. Places the thumb side of the fist against
the resident's abdomen.
5. Positions fist slightly above navel and
below the xiphoid process.
6. Grasps fist with other hand, press fist and
hand into the resident's abdomen with an inward, upward thrust 6-10 times.
(Verbalize)
7. Stops, asks resident "Are you still
choking?" If resident indicates yes—
8. Candidate should indicate that they would
repeat this procedure until it is successful or until victim looses
consciousness.
Making an Occupied Bed
1. Properly washes hands before procedure.
2. Gathers linen and transports correctly.
a. 2 sheets —1 flat & 1 fitted
b. 1 dirty linen hamper or equivalent for
dirty linen
c. 1 pillowcase
d. 1 blanket
e. 1 bedspread
3. Explains procedure to resident.
4. Provides privacy.
5. Begins with the bed in flat position if tolerated
by resident, and elevated to appropriate height if possible.
6. Resident is to remain covered at all times
with the sheet.
7. Raises side rail and assists resident to
roll onto side facing opposite side rail. Side rail remains up on side Candidate
is not working on.
8. Rolls or fan folds soiled linen, soiled
side inside, to the center of the bed.
9. Places clean bottom sheet along the center
of the bed and rolls or fan folds linen against resident's back and unfolds
remaining half. Tucks sheet securely
under the mattress.
10. Raises second side rail and assists the
resident to roll over the bottom linen, preventing trauma and avoidable pain to
resident.
11. Removes soiled linen without shaking and
places in appropriate place. Avoids
placing clean or dirty linen on the overbed
table. Avoids touching linen to uniform.
12. Pulls through and smoothes out the clean
bottom linen.
13. Places clean top linen over covered
resident. Removes used linen keeping
resident unexposed at all times.
14. Tucks in top linen.
15. Makes toe pleat.
16.
Applies clean pillowcase with zippers
and/or tags to inside and gently lifts resident's head to replace the pillow.
17.
Does not reuse contaminated linen. (Linen
dropped on the floor)
18. Leaves resident in position of comfort and
safety in a neatly made bed.
19. Maintains respectful, courteous interpersonal
interactions at all times.
20. Leaves call light within easy reach of the
resident.
Mouth Care of a Comatose
Resident
1. Properly washes hands before procedure.
2. Explains procedure to the resident.
3. Provides for resident's privacy.
4. Insures resident's safety, as appropriate
to situation.
5. Positions resident upright, as appropriate
to avoid choking or aspiration -
6. Drapes chest/bed as needed to protect from
soiling.
7. Puts on disposable gloves.
8. Uses swabs and/or toothbrush and cleaning
solutions.
9. Gently and thoroughly cleans inside of
mouth including the gums, tongue, and the inner, outer, and chewing surfaces of
all upper and lower teeth.
10. Cleans and dries face.
11. Returns resident to position of comfort and
safety.
12. Cleans and replaces equipment. Discards disposable items in waste can. Discards towel and washcloth in linen hamper.
13. Removes gloves, turning gloves inside out as
they are removed. Disposes of gloves in
an appropriate container.
14. Washes hands.
15. Maintains respectful, courteous interpersonal
interactions at all times.
Nail Care
1. Properly washes hands.
2. Explains procedure to the resident.
3. Insures resident's safety. Raises and locks side rails as needed if in
bed or locks wheelchair brakes.
4. Immerses nails in comfortably warm water
and soaks for at least five (5) minutes. The five minutes may be verbalized.
5. Gently cleans under nails with file, orange
stick or nailbrush. Nails may be cleaned
as they soak.
6. Dries hands thoroughly being careful to dry
between fingers.
7. Gently pushes cuticle back with towel or
orange stick.
8. Offers to cut nails.
9. Cleans equipment and returns to storage.
Discards towel in linen hamper.
10. Washes hands.
11. Utilized equipment as appropriate.
a. Towel
b. Basin with warm water
c. Nail clippers
d. Nail file
e. Orange stick or nailbrush
12. Maintains respectful, courteous interpersonal
interactions at all times.
13. Leaves call light within easy reach of the
resident.
Partial Bed
1. Properly washes hands.
2. Explains procedure to the resident.
3. Provides privacy.
4. Insures resident safety as appropriate.
5. Raises bed to appropriate working level.
6. Covers resident with a bath blanket/removes
top bed linens. Fanfolds to bottom of
bed or places aside.
7. Removes resident's gown.
8. Fills basin with comfortably warm water.
9. Puts on disposable gloves.
10. Washes, rinses and dries face WITHOUT SOAP.
11. Washes, rinses and dries hands.
12. Washes, rinses and dries underarm.
13. Verbalizes procedure for perineal
care. Verbalization MUST include wiping front to back.
14. Properly cleans and stores all equipment
used. Disposes of dirty laundry in linen hamper.
15. Removes gloves, turning gloves inside out as
they are removed. Disposes of gloves in
an appropriate container.
16. Washes hands.
17. Maintains respectful, courteous interpersonal
interactions at all times.
18. Utilized required equipment appropriately;
a. Bath blanket or equivalent
b. Washcloth
c.
d. Patient gown
e. Lotion - Optional
f. Disposable gloves
g. Linen Hamper
h. Basin of warm water
19. Leaves call light within reach of the
resident.
Passing Fresh Water
1. Knocks on door and introduces
himself/herself appropriately to the resident.
2. Properly washes hands.
3. Assembles equipment as required:
a. Ice
b. Scoop
c. Pitcher, other appropriate equipment
4. Scoops ice into water pitcher.
5. Properly uses and stores ice scoop
a. Does not allow ice to touch hand and fall
back into container. Scoop placed in
appropriate receptacle after each use.
b. Or uses ice dispenser without contaminating
water.
6. Adds water to pitcher.
7. Returns pitcher to resident.
8. Washes hands.
9. Maintains respectful, courteous
interpersonal interactions at all times.
10. Leaves call light within easy reach of the
resident.
Position Resident on His/Her
Side in Bed
1. Properly washes hands.
2. Explains what is to be done and how the
resident may help.
3. Provides privacy.
4. Positions bed flat and removes pillow from
under resident's head.
5. Insures resident safety as appropriate by
checking that the bed wheel brakes are locked.
6. Raises side rail on left side of the bed.
7. Moves upper body toward self.
8. Moves hips toward self.
9. Moves legs toward self.
10. Crosses legs.
11. Assists/turns resident to left side.
12. Places support devices i.e. pillows, wedges,
blankets, etc., to maintain correct body alignment and protect bony
prominences.
13. Adjusts HI/LO bed to working height and
lowers when appropriate.
14. Washes hands.
15. Maintains respectful, courteous interpersonal
interactions at all times.
16.
Leaves call light within easy reach of the
resident.
1. Properly washes hands before procedure.
2. Explains procedure to the resident.
3. Provides for resident's privacy.
4. Positions resident supine and in good body
alignment.
5. Correctly supports the extremity/joint
being exercised.
6. Moves each joint through flexion,
extension, rotation, abduction, and adduction as appropriate for each joint, at
least three times. Joints to include shoulder, elbow, and wrist.
7. Moves each joint through flexion,
extension, rotation, abduction, and adduction as appropriate for each joint, at
least three times. Joints to include hip, knee, and ankle.
8. Does not cause discomfort or pain and does
not force any joint beyond the point of free movement.
9. Maintains respectful, courteous
interpersonal interactions at all times.
10. Leaves call light within easy reach of the
resident.
Toileting Using a Bedpan
1. Properly washes hands.
2. Identifies self to resident and explains
the procedure.
3. Insures resident safety.
4. Provides privacy for resident.
5. Puts on disposable gloves.
6. Positions resident on bedpan correctly
using correct body mechanics.
7. Leaves call light and tissue within reach
of resident and leaves room.
8. When signaled, Candidate returns and
provides personal hygiene as necessary.
9. Washes/assists resident to wash and dry
hands.
10. Measures and records output.
11. Candidate's measurement reading is within
30cc of Test Administrator’s reading.
12. Empties and cleans receptacle. Flushes toilet
if used.
13. Removes gloves, turning gloves inside out as
they are removed. Disposes of gloves in
an appropriate container.
14. Washes hands.
15. Maintains respectful, courteous interpersonal
interactions at all times.
16. Leaves call light within reach of the
resident.
17. Utilizes equipment appropriately.
a. Bedpans
b. Tissues
c. Washcloth or disposable pericloth
d. Graduated Cylinder
Transfer from Bed to
Wheelchair Using a Gait Belt
1. Properly washes hands.
2. Obtains a gait belt.
3. Explains the procedure to be performed to
the resident.
4. Positions wheelchair toward the foot of the
bed.
5. Insures resident's safety. Locks wheelchair
and bed brakes and makes sure bed is in lowest position.
6. Brings resident to a sitting position using
proper body mechanics.
7. Assists resident in putting on slippers or
shoes.
8. Places gait belt around lower ribs and
above waist to stabilize trunk.
9. Tightens gait belt so that fingers of
Candidate's hand can be slipped between gait belt and client.
10. Brings resident to standing position using
proper body mechanics.
11. With one hand grasping gait belt and the
other stabilizing resident by holding forearm, shoulder, or using another
appropriate method to stabilize, transfers resident from bed to wheelchair.
12. Assists resident to pivot and sit in a controlled
manner that ensures safety.
13. Washes hands.
14. Maintains respectful, courteous interpersonal
interactions at all times.
15. Leaves call light within easy reach of the
resident.
Transfer from Wheelchair to
Bed Using a Gait Belt
1. Properly washes hands.
2. Explains procedure to be performed to the
resident.
3. Positions wheelchair toward the foot of the
bed.
4. Insures resident's safety. Locks wheelchair
brakes & bed brakes. Places bed in
the lowest position.
5. Places gait belt around lower ribs and
above waist to stabilize trunk.
6. Tightens gait belt so that fingers of
Candidate’s hand can be comfortably slipped between gait belt and resident.
7. Brings resident to standing position using
proper body mechanics.
8. With one hand grasping gait belt and the
other stabilizing resident by holding forearm, shoulder, or using another
appropriate method to stabilize, transfers resident from wheelchair to bed.
9. Assists resident to pivot and sit on bed in
a controlled manner that ensures safety.
10. Assists resident in removing footwear.
11. Assists resident to move to center of bed and
lie, supporting extremities as necessary.
12. Removes gait belt.
13. Makes sure resident is comfortable and in
good body alignment.
14. Washes hands.
15. Maintains respectful, courteous interpersonal
interactions at all times.
16. Leaves call light within reach of the
resident.
Vital Signs - Pulse and
Respiration
1. Properly washes hands before
procedure.
2. Explains procedure to resident.
3. Provides for resident's privacy.
4. Insures resident's safety.
5. Locates the radial pulse by placing tips of
fingers on thumb side of the resident's wrist.
6. Counts pulse for 60 seconds. Records on the pad of paper.
7. Candidate's recorded pulse rate is within 4
beats of TA’s recorded rate.
8. Candidate counts respirations and records
results on the pad of paper.
9. The Candidate's recorded respiratory rate
is within 2 breaths of the TA’s recorded rate.
10. Utilized equipment as appropriate.
a. Pad of paper and pencil
11. Washes hands.
12. Maintains respectful, courteous interpersonal
interactions at all times.
13. Leaves call light within easy reach of the
resident.
Weighing &Measuring
Height of an Ambulatory Resident
1. Properly washes hands before procedure.
2. Explains procedure to resident.
3. Provides for resident's privacy.
4. Insures resident's safety. Use of gait belt
is optional but procedure must be performed safely.
5. Checks balance of scale before weighing resident
and balances or zeros if necessary.
6. Checks that resident is balanced and
centered on scale with arms at side and not holding on to anything that would
alter reading of the weight.
7. Appropriately adjusts weights until scale
is in balance.
8. Reads weight and height and records it on
pad and paper provided.
9. Candidate's recorded weight varies no more
than 1 lb. from TA’s reading.
10. Candidate's recorded height varies no more
than 1/2 inch from TA’s reading.
11. Returns resident to position of comfort and
safety.
12. Maintains respectful, courteous interpersonal
interactions at all times.
13. Leaves call light within easy reach of the
resident.
Test Day
What
to Bring:
˜ You
should arrive at your assigned test site thirty (30) minutes before the test is
to start. You will not be admitted
if you are late.
˜ You
must bring a photo ID or an approved substitute ID form, and your test
notification letter.
˜ You must bring several
sharpened Number 2 pencils with erasers.
Testing Policy
The
following policies are observed at each test site:
˜ When
poor weather presents a safety issue for you, contact HEADMASTER immediately to make arrangements
to reschedule. You will not be
charged a reschedule fee. If a test is
postponed, you will be contacted by HEADMASTER and/or SDHCA. The Test Administrator may also choose to
contact you.
˜ All
other cancellations or reschedules must be requested from HEADMASTER before
noon on the day prior to the test date.
A $35.00 charge will be assessed for each cancellation. A $25.00 charge will be assessed for each
reschedule. If appropriate
arrangements are not made with HEADMASTER, you will be considered a no show and
the full fee for test(s) requested will be assessed.
˜ If you
arrive late for your test appointment, you will not be admitted. You will be considered a no show and the full
fee for test(s) requested will be assessed.
˜ Cellular
phones, beepers or any other electronic devices are not permitted during
testing and there is no place for storage of personal belongings.
˜ You
are not permitted to bring personal belongings such as briefcases, large bags,
study materials, extra books, or papers into the testing room. Any such materials brought into the testing
room will be collected and returned to you when you have completed the
test. You may bring a calculator.
˜ You
may not take any notes or other materials from the testing room.
˜ You
are not permitted to eat, drink or smoke during the test.
˜ If
you are discovered causing a disturbance of any kind or engaging in any kind of
misconduct, you will be dismissed from the test and reported to your state
licensing agency. Decisions regarding
disciplinary measures are the responsibility of your state licensing agency.
˜ No
visitors, guests, pets or children are allowed during testing.
Security
Anyone
who removes or tries to remove test material or information from the test site
will be prosecuted. Study materials may
not be brought to the test or used during testing. If you give or receive help from anyone
during testing, the test will be stopped, your test will not be scored, you
will be dismissed from the testing room and your name will be reported to the
appropriate agency.
Test Results
South
Dakota Health Care Association will send your test results within seven
business days. The report will indicate whether you have passed or failed the
Written/Oral Test and/or Skill Test. If
you failed, the report will indicate the content areas where you need
improvement. If you have failed a Test,
you will need to resubmit your name to the South Dakota Health Care Association
on an Eligibility Verification Form.
After you have successfully passed both the Written/Oral Test and Skill
Test, you will be placed on the South Dakota Nurse Aide Registry. Duplicate Pass/Fail Letters may be requested
from SDHCA for $15.00.
The Registry
The
South Dakota Board of Nursing maintains information regarding the certification
of nurse aides in
Reporting Irregularities
Candidates may
report any irregularity that may or may not have had bearing on the outcome of
his/her Certified Nurse Aide Test by requesting and completing a Reporting
Irregularities Form. Contact LuAnn at
SDHCA within 24 hours of the test (800) 952-3052.
Sample Questions
The following questions are samples of the kinds of questions
that you will find on the Written/Oral Test.
Check your answers to these questions in the box below.
1. Linen
from an isolated room should be placed:
(a) in
a wastepaper basket lined with a red bag
(b) with
all other linens
(c) in
a laundry hamper at least two doors away
(d) in a hamper lined with a yellow biohazard
laundry bag
2. Before
giving a back rub, the bottle of lotion can be placed in a basin of warm water
for several minutes so that:
(a) the
bottle is sanitary
(b) the lotion will not be cold
(c) the lotion will be easier to apply
(d) The lotion will relieve itching
3. Clean
linens that touch the floor should be:
(a) picked
up quickly and placed back on the clean linen cart
(b) used
immediately on the next resident bed
(c) considered
dirty and placed in the soiled linen hamper
(d) used
only in the room whose floor the linen fell on
4. A
soft, synthetic fleece pad placed beneath the client:
(a) takes
pressure off the back
(b) provides
warmth for the client
(c) gives the client a sense of security
(d) should only be used with bedridden clients
5. A
client’s psychological needs:
(a) should
be given minor consideration
(b) make
the client withdrawn and secretive
(c) are
nurtured by doing everything for the client
(d) are
nurtured when clients are treated like individuals
6. The
proper temperature for a soapsuds enema is:
(a) 80°F
(b) 96°F
(c) 105°F
(d) 115°F
Correct
Answers: 1D, 2B, 3C, 4A, 5D, 6C
D & S Diversified Technologies’
Printed April 9, October 17, 2005