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CNA study plan

CNA · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Physical Care Skills (hygiene, grooming, nutrition and hydration, elimination, mobility and positioning, vital signs)

  • Sequence from memory each step of a complete bed bath, oral care for an unconscious resident, and perineal care, naming the privacy and safety checkpoint at each step.

  • State normal adult ranges for temperature, pulse, respiration, blood pressure, and oxygen saturation, and name one abnormal value for each that must be reported immediately.

  • Count pulse and respirations on yourself or a partner in three timed trials, matching the reference count to within plus or minus four.

  • Distinguish medical asepsis from surgical asepsis and list three CNA tasks requiring each.

Your checkpoint

Hand-written step-by-step skills checklist for bed bath, oral care, and the four vital signs, plus a score of at least 80 percent on a 30-question self-quiz over hygiene, grooming, and vital-sign ranges.

Week 2

Physical Care Skills (hygiene, grooming, nutrition and hydration, elimination, mobility and positioning, vital signs)

  • List five feeding techniques that reduce aspiration risk and three warning signs of dysphagia, writing each in your own words.

  • Calculate 24-hour intake and output from two sample records and flag every value outside the ordered range.

  • Demonstrate three repositioning techniques (30-degree lateral, supine, Fowler's) and state the maximum interval a resident may remain in one position.

  • Describe the steps for assisting with a bedpan, urinal, and indwelling catheter care, naming the observations that must be reported.

Your checkpoint

Two completed intake/output worksheets with arithmetic errors corrected and a one-page repositioning schedule template ready to use in clinical practice.

Week 3

Physical Care Skills (hygiene, grooming, nutrition and hydration, elimination, mobility and positioning, vital signs) & Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries)

  • Narrate or perform a safe pivot transfer with a gait belt, naming the body-mechanics principle applied at each step.

  • Rewrite four subjective or judgmental chart entries into objective, measurable entries with time stamps.

  • Separate what a CNA may document independently from what must be reported to the licensed nurse, giving five examples of each.

  • State the legal rules for correcting an error in a paper record and in an electronic record.

Your checkpoint

A portfolio of eight rewritten chart entries scored against an objectivity rubric (zero judgment words, every entry time-stamped and factual).

Week 4

Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries) & Psychosocial Care Skills (resident rights, dignity and privacy, mental health and social needs, family interaction)

  • Outline your scope of practice by listing ten tasks a CNA may perform and five that must be referred to the licensed nurse.

  • Match six OBRA resident rights (privacy, dignity, choice, refusal, confidentiality, grievances) to a concrete CNA behavior that upholds each.

  • Role-play two responses to a resident who refuses care and one to an angry resident, using therapeutic communication and no arguing.

  • Explain the reporting chain and required timeframe for suspected abuse, neglect, and misappropriation of resident property.

Your checkpoint

A 50-question timed practice test covering Domains 1 and 4 with a score of at least 75 percent, and every missed item rewritten as a corrected flashcard.

Week 5

Psychosocial Care Skills (resident rights, dignity and privacy, mental health and social needs, family interaction) & Promotion of Safety (infection control, body mechanics, environmental hazards, emergency response)

  • Identify three defense mechanisms and three behavioral signs of depression or anxiety, and state the appropriate nursing-assistant response for each.

  • Trace the chain of infection and give one specific CNA action that breaks each link.

  • Compare contact, droplet, and airborne precautions, listing two example conditions and the required PPE for each.

  • Describe how to involve family in care while protecting confidentiality and honoring the resident's choices.

Your checkpoint

A one-page infection-control quick-reference card written in your own words, plus a log of five scenarios where you identified a psychosocial need and the response you would give.

Week 6

Promotion of Safety (infection control, body mechanics, environmental hazards, emergency response) & Basic Restorative Care and Observation (range-of-motion, assistive devices, skin and pressure-injury awareness, reporting changes)

  • Perform a scene-safety check and recite from memory the fire response sequence and the steps for assisting a choking resident.

  • Find at least eight environmental hazards in a written room scenario and state the correction for each.

  • Demonstrate passive range of motion for shoulder, elbow, wrist, hip, knee, and ankle, applying the rule to stop at resistance or pain.

  • Describe correct use of a gait belt, cane, walker, and wheelchair, naming one common misuse of each device.

Your checkpoint

A completed hazard-hunt worksheet with at least eight hazards and corrections, plus a signed-off range-of-motion skills checklist covering six joints.

Week 7

Basic Restorative Care and Observation (range-of-motion, assistive devices, skin and pressure-injury awareness, reporting changes) & Promotion of Safety (infection control, body mechanics, environmental hazards, emergency response)

  • List four pressure-injury risk factors, explain what the Braden score indicates, and describe what must be reported for a new area of redness.

  • State five changes in condition that require immediate reporting and format each as an SBAR report.

  • Retake the quizzes for your two lowest-scoring domains and score at least 85 percent on each.

  • Explain restorative goals for bladder training, bowel routine, and self-feeding, and the CNA's role in each.

Your checkpoint

Three written SBAR reports for sample residents, plus a score log showing at least 85 percent on your two weakest domain quizzes.

Week 8

Role of the Nurse Aide (scope of practice, communication, documentation, legal and ethical boundaries) & Promotion of Safety (infection control, body mechanics, environmental hazards, emergency response) & Physical Care Skills (hygiene, grooming, nutrition and hydration, elimination, mobility and positioning, vital signs) & Psychosocial Care Skills (resident rights, dignity and privacy, mental health and social needs, family interaction) & Basic Restorative Care and Observation (range-of-motion, assistive devices, skin and pressure-injury awareness, reporting changes)

  • Complete two full-length 60-question timed practice exams under exam conditions with no notes.

  • Rewrite every missed item as a flashcard and drill the deck until recall reaches at least 90 percent.

  • Recite without notes the top 20 findings that must always be reported and the top 10 safety rules.

  • Confirm test-day logistics: identification, appointment time, location, and permitted items.

Your checkpoint

Two full-length practice exams with a score of at least 80 percent on the second attempt and a completed flashcard deck at 90 percent or better recall.

Milestones

Week 2: Complete the Domain 3 skills checklist and intake/output worksheets with at least 80 percent on the hygiene, grooming, nutrition, elimination, and vital-signs self-quiz.

Week 4: Score at least 75 percent on the 50-question Domains 1 and 4 practice test and show at least 20 corrected flashcards built from missed items.

Week 6: Pass the range-of-motion and positioning skills check-offs and score at least 80 percent on a mixed Safety and Restorative Care quiz.

Week 8: Score at least 80 percent on a full-length timed practice exam and reach 90 percent recall on the flashcard deck covering all five domains.