Hawaii CNA study materials
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Hawaii CNA study plan

Hawaii CNA · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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.

Week 2

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.

Week 3

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.

Week 4

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.

Week 5

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.

Week 6

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.

Week 7

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.

Week 8

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.