Job Ready Assessment Blueprint Nursing Assisting The Association for Career and Technical Education (ACTE), the leading professional organization for career and technical educators, commends all students who participate in career and technical education programs and choose to validate their educational attainment through rigorous technical assessments. In taking this assessment you demonstrate to your school, your parents and guardians, your future employers and yourself that you understand the concepts and knowledge needed to succeed in the workplace. Good Luck! Test Code: 4158 / Version: 01 Copyright 2013. All Rights Reserved.
General Assessment Information Blueprint Contents General Assessment Information Written Assessment Information Specific Competencies Covered in the Test Sample Written Items Performance Assessment Information Sample Performance Job Test Type: The Nursing Assisting industry-based credential is included in NOCTI s Job Ready assessment battery. Job Ready assessments measure technical skills at the occupational level and include items which gauge factual and theoretical knowledge. Job Ready assessments typically offer both a written and performance component and can be used at the secondary and post-secondary levels. Job Ready assessments can be delivered in an online or paper/pencil format. Revision Team: The assessment content is based on input from secondary, post-secondary, and business/industry representatives from the states of Georgia, Maine, North Carolina, Oklahoma, and Pennsylvania. CIP Code 51.3902- Nurse/Nursing Assistant/ Aide and Patient Care Assistant/Aide Career Cluster 8 - Health Science 31-1014.00 Nursing Assistants The American Medical Certification Association (AMCA) offers 14 certification exams for the allied healthcare field. AMCA supports NOCTI's Health Science assessments which are aligned to industry standards. This assessment is an excellent training instrument, in both content and test-mode preparation. Students passing both the NOCTI assessment and AMCA's national certification exam are demonstrating superior knowledge in their field and are outstanding candidates for entry-level positions in the allied healthcare field. The Association for Career and Technical Education (ACTE), the leading professional organization for career and technical educators, commends all students who participate in career and technical education programs and choose to validate their educational attainment through rigorous technical assessments. In taking this assessment you demonstrate to your school, your parents and guardians, your future employers and yourself that you understand the concepts and knowledge needed to succeed in the workplace. Good Luck! (Continued on the following page) Page 2 of 13
General Assessment Information (continued) National Healthcareer Association (NHA) has awarded more than 500,000 certifications to healthcare professions pursuing their career goals since 1989. NHA believes students are the future of healthcare and created study materials and certification exams to provide tools to help them along their journey. NHA strongly encourages and supports students that work to enhance their educational achievements by completing NOCTI assessments. In the lower division baccalaureate/associate degree category, 3 semester hours in Nursing Assisting. Page 3 of 13
Written Assessment NOCTI written assessments consist of questions to measure an individual s factual theoretical knowledge. Administration Time: 3 hours Number of Questions: 202 Number of Sessions: This assessment may be administered in one, two, or three sessions. Areas Covered Basic Nursing Assisting Skills 28% Infection Control Communication Skills Personal Care Skills Mental Health and Social Service Needs Ethics, Rights, and Legal Responsibilities Basic Restorative Devices Employability Skills 9% 12% 12% 11% 12% 9% 7% Page 4 of 13
Specific Standards and Competencies Included in this Assessment Basic Nursing Assisting Skills Measure basic vital signs, I and O, height and weight Provide a safe and/or clean environment Recognize signs/symptoms of diseases and conditions Recognize body structure and function Assist with basic emergency procedures Assist with admissions, discharges, and transfers Prepare patient and supplies for medical procedures and tests Identify various types of medical equipment for procedures Demonstrate understanding of body mechanics Perform appropriate patient positioning and body alignment Demonstrate knowledge of nutrition and hydration Perform and assist with patient transfers Provide instructions for and assist in collection of patient specimens Assist with patient oxygen needs Demonstrate awareness of pain management including comfort measures Care for patients when death is imminent Exhibit knowledge of appropriate postmortem care Nursing Assisting Infection Control Demonstrate knowledge of basic principles of infection control (e.g., standard and transmission precautions) Properly identify, handle, and dispose of hazardous/infectious material Use appropriate personal protective equipment (PPE) Demonstrate proper handwashing techniques Identify principles and components of a sterile environment or field (Continued on the following page) Page 5 of 13
Specific Standards and Competencies (continued) Communication Skills Use appropriate and effective verbal and nonverbal communication skills Utilize proper communication techniques within the healthcare team Demonstrate appropriate telephone techniques Maintain patient care according to documented plan of care (POC) Document, report, and maintain accurate patient information Communicate with special needs patients Recognize and identify medical terminology and abbreviations Personal Care Skills Assist/perform patient bathing skills Assist/perform patient grooming skills Assist/perform patient oral hygiene skills Assist/perform patient dressing skills Assist patient with toileting/elimination needs Assist/perform patient feeding techniques Assess and assist with patient skin care Perform various bed making techniques (Continued on the following page) Page 6 of 13
Specific Standards and Competencies (continued) Mental Health and Social Service Needs Recognize and report changes in altered patient mental status Identify appropriate nurse assistant response to patient s inappropriate behavior Identify age-appropriate developmental tasks Follow established Plan of Care (POC) for behavior management Utilize the patient s family and friends as sources of emotional support for the patient Identify the affects of age, illness, and disability on life experiences Demonstrate cultural sensitivity Ethics, Rights, and Legal Responsibilities Demonstrate understanding of HIPAA regulations regarding privacy and confidentiality Recognize and report patient grievance issues Assist patient participation in group activities and personal independence as appropriate Provide security and proper care for patient s personal possessions Recognize and report signs and symptoms of patient abuse, mistreatment, or neglect Recognize legal issues involving physical and chemical restraints Demonstrate awareness of Patient s Bill of Rights (Continued on the following page) Page 7 of 13
Specific Standards and Competencies (continued) Basic Restorative Devices Assist the patient with ambulating aids (e.g., canes, walkers, braces, crutches, wheelchair, gait belt) Assist/perform patient transfer using mechanical lifts Assist the patient with assistive devices used with activities of daily living (ADLs) Perform appropriate range of motion (ROM) exercises Assist with prosthetic devices Employability Skills Maintain OBRA requirements for Nursing Assisting certification Identify appropriate scope of practice for Nursing Assistants Recognize work requirements in the health care industry Recognize appropriate professional hygiene and appearance for health care workers Page 8 of 13
Sample Questions The function of white blood cells is to A. protect the body from high blood sugar B. protect the body from infection C. help the body transport oxygen D. help with blood clotting An infection acquired while a patient is in a medical facility is a/an infection. A. fomite B. nosocomial C. aseptic D. contagious To prevent a patient's hair from tangling and matting, the nursing assistant should A. shampoo hair daily B. condition hair daily C. brush/comb hair daily D. cut hair When finished accessing an electronic health record system, the operator should A. log off B. change the password C. keep the same password D. make a copy Before performing any procedure, the nursing assistant should follow the preparatory procedure and A. document the procedure B. ask for assistance C. identify the client D. obtain written consent (Continued on the following page) Page 9 of 13
Sample Questions (continued) When leaving a phone message on a patient s answering machine, A. provide complete information about all test results B. leave the doctor s name and home phone number C. instruct the patient to call the hospital D. maintain the patient s confidentiality Social development during late adulthood is most often characterized by A. establishing positive role models B. being influenced by peer pressure C. adapting to changing roles D. learning to trust others When using crutches, the resident s weight must rest on the hand rest because A. pressure in the axilla can cause nerve damage B. it prevents the crutches from slipping C. the crutches are held under the arms D. it gives the resident greater control when climbing stairs Use the form to itemize the clothing and personal belongings of a newly admitted patient. A. admission assessment B. admission checklist C. discharge checklist D. advanced directive When taking a patient s blood pressure, the first clear sound is called A. diastolic B. systolic C. apical D. pulse Page 10 of 13
Performance Assessment NOCTI performance assessments allow individuals to demonstrate their acquired skills by completing actual jobs using the tools, materials, machines, and equipment related to the technical area. Administration Time: 1 hour and 45 minutes Number of Jobs: 5 18% Areas Covered: 18% Obtain and Record Standard Vital Signs Participants will obtain and record standard vital signs by assembling the equipment and following standard safety protocols. Participants will explain the procedure, conduct an interview, and then take an oral temperature, blood pressure, radial pulse, and respiration. 34% 20% 14% 14% 14% Apply and Remove Personal Protective Equipment Participants will assemble and apply personal protective equipment including mask, gown, and gloves following all safety protocols. Participants will also be responsible for bagging waste and then properly removing personal protective equipment. 14% Demonstrate Wheelchair Assistance Participants will provide wheelchair assistance by following standard protocol and all safety requirements. Participants will be responsible for explaining the procedure, preparing the wheelchair and bed, and then assisting the patient in sitting, standing, and getting into the wheelchair. (Continued on the following page) Page 11 of 13
Areas Covered (continued) 20% Make an Occupied Bed Participants will demonstrate making an occupied bed following standard protocol and all safety procedures. 34% Provide a Modified Bed Bath for an Adult Female Patient Participants will demonstrate a modified bed bath for an adult patient following standard protocol and all safety requirements. Participants will be required to explain the procedures, provide the client with privacy and warmth and then prepare the bed for the task. Page 12 of 13
Sample Job Nursing Assisting Demonstrate Wheelchair Assistance Maximum Time: 10 minutes Participant Activity: Using the proper equipment, supplies, and techniques, the participant will verbalize the need to wash hands, transfer a patient using a transfer belt, demonstrate appropriate patient interaction, push the wheelchair along a hallway, demonstrate how to get the wheelchair in and out of an elevator, return the patient to the room, and inform the evaluator when the procedure is complete. Page 13 of 13