NNAAP SKILLS STUDY GUIDE TEST.
SKILL 1 — HAND HYGIENE (HAND WASHING) - CORRECT ANSWER 1. Address client by name and
introduces self to client by
name
2. Turns on water at sink
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 (twenty) 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 container
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
SKILL 2 — APPLIES ONE KNEE-HIGH ELASTIC
STOCKING - CORRECT ANSWER 1 Explains procedure, speaking clearly, slowly, and
directly, maintaining face-to-face contact whenever
,possible
2 Privacy is provided with a curtain, screen, or door
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
Skill continues
24
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
SKILL 3 — ASSISTS TO AMBULATE USING
TRANSFER BELT - CORRECT ANSWER 1 Explains procedure, speaking clearly, slowly, and directly,
maintaining face-to-face contact whenever possible
2 Privacy is provided with a curtain, screen, or door
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 clothing/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
SKILL 4 — ASSISTS WITH USE OF BEDPAN - CORRECT ANSWER 1 Explains procedure speaking clearly,
slowly, and directly,
maintaining face-to-face contact whenever possible
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
