California CNA study plan
California CNA · Give each week a clear focus.
8 weeks · About 6 hours per week
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
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
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
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
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
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
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
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