Alabama CNA study materials
Alabama CNA study resources

Alabama CNA study plan

Alabama CNA · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Physical Care and Basic Nursing Skills

  • Demonstrate the full hand-hygiene sequence without skipping steps.

  • Identify normal and abnormal adult vital-sign ranges and state when to report each.

  • Perform a bed bath, oral care, and occupied-bed change using safe body mechanics.

  • Recognize environmental fall, burn, and infection-control hazards in a practice room setup.

Your checkpoint

Complete a 20-item hygiene and safety skills checklist with at least 18 items performed correctly in a practice run.

Week 2

Physical Care and Basic Nursing Skills

  • Explain safe techniques for bedpan use, urinary output measurement, and specimen collection.

  • Calculate and interpret basic fluid-intake and output totals for a practice resident.

  • Describe nutrition and hydration needs, including aspiration precautions and thickened-liquid cues.

  • Identify pressure-injury risk factors and list repositioning and skin-care steps.

  • Sequence the steps for applying anti-embolism stockings and assisting with range-of-motion exercises.

Your checkpoint

Score at least 85% on a 25-question quiz covering elimination, nutrition, hydration, and skin integrity; submit a one-page pressure-injury prevention plan.

Week 3

Care of the Cognitively Impaired Resident

  • Differentiate delirium, dementia, and depression using behavioral examples.

  • Apply validation and reminiscence techniques in two scripted resident interactions.

  • Modify communication for a resident with aphasia or hearing loss.

  • List environmental and supervision strategies to reduce wandering and exit-seeking.

  • Demonstrate step-by-step cueing for dressing and toileting in a cognitive-impairment scenario.

Your checkpoint

Create a one-page behavior-response guide for wandering and agitation, scoring at least 8/10 on a self-check rubric.

Week 4

Care of the Cognitively Impaired Resident & Psychosocial Care and Mental Health Needs

  • Apply person-centered care to a resident with dementia who refuses morning care.

  • Identify signs of abuse, neglect, and exploitation and state the immediate reporting action.

  • Use therapeutic communication to de-escalate a confused or agitated resident.

  • Support a resident experiencing grief or loss with active listening and presence.

  • Select nonpharmacologic interventions before requesting medication for agitation.

Your checkpoint

Write a 300-word case response with five nonpharmacologic interventions for agitation and one accurate abuse-reporting action.

Week 5

Psychosocial Care and Mental Health Needs

  • Recognize common signs of anxiety, depression, and social withdrawal in older adults.

  • Demonstrate active listening, open-ended questioning, and empathy in a role-play.

  • Describe how to support resident coping with hospitalization, disability, or loss of independence.

  • Identify respectful approaches to resident sexuality, privacy, and cultural preferences.

  • List restraint alternatives and the nurse aide's role in promoting dignity and autonomy.

Your checkpoint

Complete a 15-minute role-play checklist for therapeutic communication, scoring at least 12/15.

Week 6

Restorative Care and Rehabilitation

  • Perform passive and active range-of-motion exercises within scope and report pain or resistance.

  • Assist with ambulation using a gait belt and the correct assistive device.

  • Describe bladder and bowel retraining steps and how to document progress.

  • Promote independence in bathing, dressing, and eating through graded cueing.

  • Write restorative goals that are specific, measurable, and focused on function rather than dependence.

Your checkpoint

Draft a restorative care plan for two scenarios, each with three measurable ADL or mobility goals.

Week 7

Communication, Legal, and Ethical Responsibilities

  • Apply resident rights, privacy, and confidentiality rules to written and verbal scenarios.

  • Describe advance directives and the nurse aide's role in honoring them.

  • Demonstrate accurate incident reporting and chain-of-command communication.

  • Explain how to report suspected abuse or neglect without delay and without investigating independently.

  • Adapt communication for cultural, language, and sensory differences while maintaining accuracy.

Your checkpoint

Score at least 85% on a 30-question legal and ethical quiz and submit one accurate sample incident report.

Week 8

Physical Care and Basic Nursing Skills & Psychosocial Care and Mental Health Needs & Care of the Cognitively Impaired Resident & Restorative Care and Rehabilitation & Communication, Legal, and Ethical Responsibilities

  • Complete a timed mixed-domain mock exam under test-like conditions.

  • Review every missed item and write the correct rationale for each.

  • Re-demonstrate the five weakest skills from prior weekly checklists.

  • Build a one-page personal test-day checklist of safety, communication, and reporting priorities.

Your checkpoint

Score at least 85% on a 100-question timed mock exam and at least 90% on a final 10-skill checklist.

Milestones

Week 2: Achieve at least 90% on the Domain 1 skills checklist and at least 85% on the Domain 1 quiz before moving to cognitive care.

Week 4: Pass a 40-question mixed Domain 1 and Domain 3 exam at 80% or higher and demonstrate two dementia communication techniques in role-play.

Week 6: Submit a restorative care plan with measurable goals and score at least 85% on a Domain 4 quiz.

Week 8: Score at least 85% on the full timed mock exam and at least 90% on the final skills checklist; review all missed items.