Hawaii CNA study plan
Hawaii CNA · Give each week a clear focus.
8 weeks · About 6 hours per week
Basic Nursing Skills
List the steps for taking temperature, pulse, respirations, blood pressure, and oxygen saturation, and state the normal adult range for each.
Explain the aide's infection-control duties: when to perform hand hygiene, how to don and doff gloves, and how to follow contact and droplet precautions.
Describe the safe sequence for positioning, turning, and transferring a resident so that neither the resident nor the aide is injured.
Differentiate tasks that are in scope for a nurse aide (intake and output, specimen collection, assisting with a simple dressing change) from tasks that must be reported to the nurse.
Work through 30 Domain 1 practice items and record the reason for every missed question.
Your checkpoint
A one-page vital-sign and normal-range reference card plus a scored 30-item Domain 1 practice set at 75% or better.
Personal Care Skills
Sequence the steps of a complete bed bath, including water temperature, privacy measures, and draping.
Perform perineal care in the correct front-to-back order and explain why that order protects the resident from infection.
Describe oral care for a resident who is unconscious or unable to swallow, including positioning and suction precautions.
Identify the skin areas to inspect during bathing that are most likely to break down, and state what findings must be reported.
Demonstrate dressing and undressing a resident with a weak arm, putting the garment on the affected side first.
Your checkpoint
Written step-by-step procedure cards for bed bath, perineal care, and oral care, plus a 30-item Domain 2 practice set at 75% or better.
Basic Nursing Skills & Personal Care Skills
Combine personal care and basic nursing skills into single scenarios and answer sequencing questions about which step comes first.
Perform each of the five core skills on a practice partner or mannequin while stating the hand-hygiene moment before and after.
Categorize your own collected errors from weeks 1 and 2 by skill and identify the three patterns that cost the most points.
Explain what to observe and report during care, such as skin changes, pain, breathing changes, and refusal of care.
Complete timed drills so each item takes no more than one minute.
Your checkpoint
A 50-item mixed Domain 1 and 2 timed set at 80% or better, with an error log sorted by skill.
Mental Health and Social Service Needs
Recognize the observable signs of depression, anxiety, anger, and grief in a resident and state when to report each to the nurse.
Rewrite ten non-therapeutic staff statements into therapeutic ones using open-ended questions, reflection, and silence.
Describe how to support a resident's cultural, spiritual, and sexual-expression needs without imposing your own values.
Outline the aide's duty to recognize and report suspected abuse, neglect, or exploitation, including to whom and how quickly.
Explain how to respond when a resident expresses a wish to die or makes a serious complaint.
Your checkpoint
A sheet of ten therapeutic-versus-non-therapeutic response rewrites plus a 30-item Domain 3 practice set at 80% or better.
Care of Cognitively Impaired Residents
Distinguish delirium, dementia, and depression by onset, duration, and key features in written scenarios.
Adapt communication for a cognitively impaired resident using one-step directions, yes-or-no questions, and a calm tone.
Identify common triggers of agitation and list the de-escalation step to try before requesting medication.
Describe safety measures for wandering, rummaging, and poor judgment, including environmental changes and supervision levels.
Apply validation and redirection instead of arguing or correcting when a resident states something untrue.
Your checkpoint
A behavior-trigger-response chart covering five scenarios plus a 30-item Domain 4 practice set at 80% or better.
Basic Restorative Services
Explain the purpose of active and passive range of motion and demonstrate each for the shoulder, elbow, hip, and knee.
Demonstrate ambulation with a gait belt and describe how to use a cane and a walker correctly, including which side the device goes on.
Describe a toileting schedule and bladder or bowel retraining plan and how to document success and accidents.
Explain how to apply and check a splint or positioning device and how to encourage self-care rather than doing everything for the resident.
Describe how to report progress or decline in function to the nurse.
Your checkpoint
A signed skills checklist showing five restorative skills demonstrated to a partner or instructor, plus a 25-item Domain 5 practice set at 80% or better.
Resident Rights
List the resident rights protected in long-term care, including privacy, dignity, choice, personal possessions, mail, phone, and visitors.
Sort twenty short scenarios into rights violations versus acceptable practice and justify each call.
Describe how to support informed consent and the right to refuse care or treatment, including what to document and report.
Explain the limits on restraint use and name alternatives to try first.
Outline how a resident files a grievance and how the aide protects confidentiality.
Your checkpoint
A completed violation-versus-acceptable sort for twenty scenarios plus a 30-item Domain 6 practice set at 85% or better.
Basic Nursing Skills & Personal Care Skills & Mental Health and Social Service Needs & Care of Cognitively Impaired Residents & Basic Restorative Services & Resident Rights
Complete two timed full-length mock exams under test conditions without notes.
Review every missed item across all six domains and restate the correct reasoning in your own words.
Re-drill the two lowest-scoring domains with a short focused set until each reaches 85%.
Recite every skill procedure aloud from memory in the correct order, without prompts.
Your checkpoint
Two full-length mock exams scored at 85% or better, plus a one-page final weak-area action list.
Milestones
Week 2: Score 75% or higher on both Domain 1 and Domain 2 practice sets and recite the vital-sign ranges from memory.
Week 4: Score 80% or higher on a cumulative 60-item quiz covering Domains 1, 2, and 3.
Week 6: Score 80% or higher on all four 17% domains and complete five restorative skills with a partner or instructor present.
Week 8: Score 85% or higher on two timed full-length mock exams and identify no more than two remaining weak areas.