CNA Clinical Skills Test — All 25 NNAAP Skills

Proper handwashing is the single most effective way to prevent the spread of infection. This skill is observed in every clinical skills evaluation.

Indirect care covers communication skills, maintaining patient dignity, and respecting resident rights throughout every interaction.

Accurately measuring and recording a resident's weight is essential for monitoring health status and medication dosing.

Measuring oral temperature accurately identifies fever or hypothermia and helps detect changes in a resident's health status.

The radial pulse measurement assesses heart rate and rhythm, providing critical information about a resident's cardiovascular status.

Measuring the respiratory rate accurately requires observing the rise and fall of the chest without alerting the resident, as awareness changes breathing patterns.

Blood pressure measurement monitors cardiovascular health and detects conditions such as hypertension and hypotension.

Accurate height measurement is used to calculate BMI, medication dosing, and monitor growth or bone loss in residents.

Using a transfer belt (gait belt) to assist a resident with walking ensures safety and reduces fall risk during ambulation.

Safely transferring a resident from bed to wheelchair requires proper body mechanics, transfer belt use, and resident involvement to prevent injury to both the resident and aide.

Passive range of motion exercises for the upper extremities maintain joint flexibility, prevent contractures, and improve circulation for residents unable to exercise independently.

Passive range of motion for the lower extremities maintains flexibility in hip, knee, and ankle joints, preventing contractures and improving circulation.

Fowler's position places the resident with the head of bed elevated 45–90 degrees, facilitating breathing, eating, and comfort.

Lateral positioning places the resident on their side and is used for pressure ulcer prevention, comfort, and post-procedure care.

Providing oral hygiene maintains mouth health, prevents infection, and promotes resident comfort and dignity.

Proper denture care removes food particles and bacteria, prevents oral infection, and maintains the integrity of the dentures.

A complete bed bath cleanses the resident who cannot bathe independently, maintains skin integrity, and provides an opportunity for skin assessment.

Perineal care cleanses the genitalia and surrounding area, preventing urinary tract infections and skin breakdown.

Assisting a resident to dress and undress while preserving dignity and promoting independence is a key daily care skill.

Changing bed linens with the resident in the bed (occupied bed) maintains cleanliness and skin health while minimizing resident discomfort and fall risk.

Making an unoccupied bed correctly ensures a clean, safe environment with taut, wrinkle-free linens that prevent pressure injuries.

Catheter care reduces the risk of catheter-associated urinary tract infection (CAUTI) by keeping the catheter and meatus clean.

Foot care maintains skin integrity, promotes circulation, and prevents infection, especially critical for residents with diabetes.

Changing a non-sterile dressing over a wound maintains cleanliness, monitors healing, and helps prevent infection.

Accurately measuring and recording all fluid intake and output allows the care team to monitor fluid balance and detect dehydration, fluid overload, or kidney problems.