California CNA study materials
California CNA study resources

California CNA study plan

California CNA · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Basic nursing skills

  • Measure and record temperature, pulse, respirations, blood pressure, and pain on 10 written or simulated scenarios with no unit or site errors

  • State the normal adult range for each vital sign and list three findings that must be reported to the nurse immediately

  • Describe correct positioning and body alignment for supine, lateral, Fowler's, and prone positions, and identify one safety check for each

  • Perform hand hygiene and don/doff gloves in the correct sequence for five stated situations

Your checkpoint

A one-page personal vital-signs reference card plus a scored 40-question Domain 1 practice set at 80% or better, with every missed item rewritten as a correct statement

Week 2

Basic nursing skills & Infection control

  • Explain the chain of infection and name one break point the nursing assistant controls at each link

  • Distinguish standard precautions from transmission-based precautions and select the correct PPE for contact, droplet, and airborne scenarios

  • Sequence the steps for safe handling of soiled linen, blood-contaminated items, and sharps without contaminating self or environment

  • Demonstrate the complete hand-hygiene procedure and state the five moments when it is required

Your checkpoint

A self-scored skills checklist covering 10 infection-control steps, performed at 100% correct order, plus five practice questions on precaution types answered correctly with written rationale

Week 3

Personal care skills

  • Sequence every step of a complete bed bath, including privacy measures, water temperature check, and skin observation and reporting

  • Describe oral and denture care for a responsive resident and for an unresponsive resident, including when to avoid mouth care

  • Describe perineal care for male and female residents using correct direction of wiping and fresh supplies at each stroke

  • List foot and nail care precautions for a resident with diabetes or poor circulation, including what the nursing assistant must not do

Your checkpoint

Five written procedure cards (bed bath, oral care, denture care, perineal care, foot care) checked line by line against a skills checklist, with any missing step corrected and initialed

Week 4

Safety and emergency procedures

  • Identify at least eight fall risk factors in a described resident and name a matching prevention action for each

  • State the rules limiting restraint use, list three alternatives to restraints, and describe the required monitoring and release schedule

  • Recite the RACE response to fire and state the correct action for a resident in a smoke-filled room

  • Describe the Heimlich maneuver for a conscious choking adult, the unconscious choking response, and seizure safety precautions

Your checkpoint

A closed-book 50-question mixed practice test across Domains 1, 2, 4, and 5 scored at 80% or better, with a written error log naming the domain and correct concept for each miss

Week 5

Nutrition and hydration & Personal care skills

  • Calculate total intake and total output in milliliters for three given shift records, converting ounces to milliliters correctly

  • Recognize at least five signs of dysphagia and aspiration and list the precautions to use during and after feeding

  • Match eight therapeutic diets (for example low-sodium, diabetic, mechanically altered, thickened liquids) to their purpose and one allowed or restricted item each

  • Describe feeding techniques for a resident who is visually impaired, one who is weak on one side, and one who cannot sit fully upright

Your checkpoint

Three intake-and-output worksheets scored 100% plus a diet matching quiz scored at 90% or better, both retained in a study binder for final review

Week 6

Resident rights & Mental health and social service needs

  • List the resident rights covered by federal law, including privacy, choice, dignity, grievance, and access to visitors and records

  • Classify ten described incidents as physical abuse, verbal abuse, neglect, misappropriation of property, or involuntary seclusion, and state the reporting obligation for each

  • Describe three behavior patterns common in dementia and one diversion or redirection technique for each

  • Identify at least four signs of depression or social withdrawal and state what the nursing assistant reports and to whom

Your checkpoint

Written 'what would you do' responses to 10 case scenarios covering rights violations and mental health needs, each citing the right involved or the behavior-management technique used

Week 7

Communication and interpersonal skills & Basic nursing skills

  • Distinguish therapeutic from nontherapeutic responses and rewrite ten nontherapeutic statements into therapeutic ones

  • Describe communication adjustments for a resident with hearing loss, vision loss, aphasia, or a tracheostomy

  • Apply the SBAR format to write three objective reports containing only observable data and no personal opinion

  • Re-demonstrate the three weakest skills from earlier weeks using a written checklist

Your checkpoint

A rewritten list of 10 therapeutic statements, three completed SBAR reports, and three re-demonstrated skills each scored at 100% on the checklist

Week 8

Basic nursing skills & Safety and emergency procedures

  • Complete two full-length timed practice exams under test-day conditions without notes

  • Sort every missed question into its domain and identify the top three recurring error patterns

  • Re-study only those three error patterns using the reference cards and procedure cards built in weeks 1 through 7

  • Recheck the final practice exam score against the 85% target and list any remaining weak domain with a study action

Your checkpoint

A final cumulative practice exam scored at 85% or better, with a one-page error-pattern summary showing each weak area, its corrected concept, and the action taken

Milestones

Week 2: Can state the five moments for hand hygiene, name one break point per chain-of-infection link, and score 80% or better on the 10-step infection-control checklist without notes

Week 4: Scores 80% or better closed-book on the 50-question mixed test and can recite RACE, restraint monitoring rules, and choking response from memory

Week 6: Correctly classifies 10 incident scenarios by abuse or neglect type with the reporting obligation, and can list at least 6 federally protected resident rights

Week 8: Scores 85% or better on a full-length timed practice exam and has a written error log showing no domain left unaddressed