Missouri CNA study plan

List five tasks a Missouri nurse assistant may perform independently and three that must be referred to the licensed nurse.

Name each link in the chain of infection and state one break-point action for each link.

Sequence the handwashing steps and the five moments for hand hygiene from memory without notes.

Match standard, contact, droplet, and airborne precautions to the correct room type, signage, and PPE.

Demonstrate donning and doffing gloves and gown so that no contaminated surface contacts skin.

Recite the fire response sequence and describe how to evacuate a resident who cannot walk.

Perform a fall-prevention room check covering call light, bed height and locks, floor clutter, footwear, and non-skid setup.

Demonstrate a complete bed bath and a partial bath, keeping the resident covered except for the area being washed.

Describe the two-hour repositioning schedule and list the pressure points to inspect at each turn.

State the first actions to take when a resident is choking and how to position yourself to deliver abdominal thrusts.

Measure and record temperature, pulse, respiration, and a manual blood pressure on three practice partners and compare your readings to the instructor's.

Differentiate oral, axillary, tympanic, and temporal temperature routes and state one limitation for each.

Demonstrate range-of-motion exercises, Fowler's and lateral positioning, and turning a resident with a draw sheet.

Separate objective observations from opinions when writing five sample chart entries about a skin change.

Sequence oral care, denture care, and perineal care in the correct order and explain why that order matters.

Decide room type, signage, and PPE for six transmission-based precaution scenarios and justify each choice.

Demonstrate full PPE donning and doffing in the correct sequence while a partner scores every step.

List the immediate actions for a seizure, sudden weakness on one side, heavy bleeding, and a resident found on the floor.

Explain how to clean up a blood or body fluid spill using the facility-approved disinfectant and its required wet contact time.

Identify two changes that require immediate nurse notification and report one using the SBAR format.

Total fluid intake and output from three 24-hour records with 100% arithmetic accuracy.

List the early signs of dehydration and state the aspiration precautions for a resident on thickened liquids.

Match three resident profiles to the correct diet texture and fluid consistency.

Demonstrate safe feeding technique including upright positioning, pacing, checking for pocketing, and stopping when the resident signals fullness.

Describe how to ambulate a resident with a gait belt and how to lower a resident safely if the legs give way.

State the rights covering privacy, refusal of care, grievances, and freedom from restraint, and give one way each is protected during a bath.

Name the categories of abuse and neglect and describe the reporting chain and time frame you would follow.

Rewrite five controlling or childish statements as person-first, respectful requests.

Demonstrate communication with a resident who has hearing loss and with a resident who has aphasia.

Give a change-of-condition report in SBAR and write one objective chart entry containing no opinions.

Distinguish delirium, depression, and dementia by onset, course, and key features.

List three non-drug approaches to agitation, wandering, and sundowning.

Describe how to respond to repetitive questions, confabulation, and persistent calling out without arguing.

Write three validation-style responses to dementia scenarios instead of correcting the person's reality.

Identify signs of severe withdrawal or suicidal talk in a resident and state exactly how and to whom you would report them.

Rehearse supporting independence in ADLs by prompting and cueing rather than doing the task for the resident.

Review the abuse and neglect reporting pathway and rework every rights question you previously missed.

Take a full-length timed practice exam under quiet, test-day conditions.

Log every missed question by domain and rewrite each miss as a correct statement.

Re-study your two weakest domains for 45 focused minutes each and re-quiz them.