North Carolina CNA study plan
North Carolina CNA · Give each week a clear focus.
8 weeks · About 6 hours per week
Personal Care and Activities of Daily Living
Demonstrate a complete bed bath, including perineal care, on a practice partner or mannequin without skipping a step
Gather and set up supplies for mouth care, shaving, nail care, and dressing before beginning the task
Perform hand hygiene and don gloves and gloves-off at the correct moments during three simulated care tasks
Explain two specific ways to protect a resident's privacy and dignity during bathing and toileting
Your checkpoint
A timed 15-minute mock demonstration of bed bath plus oral care, scored against a 20-point checklist you wrote yourself
Personal Care and Activities of Daily Living & Basic Nursing Skills and Vital Signs
Perform a gait-belt pivot transfer from bed to chair while stating each safety cue aloud
Position a resident in lateral, supine, and Fowler's positions and state where each pillow goes
Identify three signs of aspiration during feeding and state the immediate actions to take
Measure temperature, pulse, respirations, and blood pressure on a practice partner and record them accurately
Your checkpoint
A vital-signs practice log of 10 readings with technique notes, plus a role-played safe transfer
Safety, Infection Control, and Emergency Care
Don and doff PPE in the correct sequence for a simulated isolation room entry and exit
Match three transmission-based precaution types to the correct PPE and room placement
State the RACE and PASS sequences and walk through a simulated room evacuation
List first aid steps for choking, fainting, seizure, bleeding, and burns
Inspect a mock resident room and identify at least five fall hazards with a correction for each
Your checkpoint
A pocket-sized emergency action card for choking, seizure, stroke, and fire, written from memory and then corrected against your notes
Basic Nursing Skills and Vital Signs
Take an apical pulse and explain when it is required instead of a radial pulse
Calculate a 24-hour intake and output total from a simulated flow sheet
Collect a clean-catch urine specimen and a stool specimen with correct labeling and handling
Apply a cold compress, a warm soak, and elastic stockings with the correct safety checks
Contrast the nurse aide's tasks during specimen collection with the nurse's responsibilities
Your checkpoint
A 50-item mixed practice test covering Domains 1 through 3, scored and logged with a written correction for every missed item
Basic Nursing Skills and Vital Signs & Communication and Interpersonal Skills
Perform range-of-motion exercises on every major joint while naming each movement
State what a nurse aide may and may not do for oxygen, urinary catheters, and tube feedings, and what must be reported
Ask the four standard pain assessment questions and record the response in approved terms
Restate a resident's concern back to them and confirm understanding before responding
Your checkpoint
A 10-minute recorded role-play of a resident complaint, self-scored against five elements of effective communication
Communication and Interpersonal Skills
Adapt your approach for a resident with hearing loss, aphasia, and dementia, giving one specific technique for each
Deliver an abnormal-finding report to a mock nurse using SBAR in under 60 seconds
Name three barriers to communication and one way to reduce each
Respond to an angry, crying, or confused resident without arguing or making promises
Your checkpoint
Three written SBAR reports built from case scenarios, each readable aloud in under one minute
Role of the Nurse Aide, Resident Rights, and Legal/Ethical Issues
Recite the Resident's Rights from memory and give a concrete violation example for five of them
Trace the reporting chain from nurse aide to charge nurse to administrator and name which findings require immediate reporting
Distinguish negligence, malpractice, abuse, and defamation with one example of each
Describe the exact steps to take after witnessing a coworker mistreat a resident
Explain confidentiality rules and state when resident information may and may not be shared
Your checkpoint
Written responses to 10 legal and ethical scenarios, each naming the correct action and the correct reporting route
Personal Care and Activities of Daily Living & Safety, Infection Control, and Emergency Care & Basic Nursing Skills and Vital Signs & Communication and Interpersonal Skills & Role of the Nurse Aide, Resident Rights, and Legal/Ethical Issues
Complete two full-length timed practice tests covering all five domains
Re-perform your five weakest skills from earlier weeks until each is done with no missed critical step
Compile a one-page recall sheet of key numbers and ranges, including vital-sign norms and intake and output units
Rate your confidence from 1 to 5 on every skills checklist item and schedule review of anything rated 3 or below
Your checkpoint
A closed error log: every item missed from weeks 4 through 8 restudied and retested to mastery
Milestones
Week 2: Perform a bed bath and a gait-belt transfer back to back without a critical safety error, narrating each step
Week 4: Score at least 80% on a 50-item test over Domains 1 through 3 and finish one full timed skills dry-run
Week 6: Deliver an SBAR report and a dementia-communication role-play that a peer rates clear and accurate, plus 80% or higher on a Domain 4 quiz
Week 8: Score 85% or higher on two full-length timed practice exams and complete every skills checklist item once without a critical error