Nebraska CNA study guide
Nebraska CNA · Work through your exam, one topic at a time.
The Nebraska Nurse Aide (CNA) Competency Exam is the evaluation a candidate must pass to be listed on the Nebraska Nurse Aide Registry and work as a nursing assistant in Nebraska long-term care settings. It is intended for people who have completed a state-approved nurse aide training program - often through a nursing facility, community college, or high school health occupations pathway - and for those re-entering the field who need to demonstrate current competence. The Nebraska CNA study guide has 10 sections and about 4,041 words.
01Communication and Interpersonal Skills
Communication is a two-way exchange, and on a nursing unit most of it is nonverbal: facial expression, posture, tone, touch, and distance. Active listening means facing the resident, getting to eye level, letting them finish, and reflecting back what you heard ("So the noise from the hallway is what keeps you awake").
405 words, about 2 min02Resident Rights and Promotion of Independence
Federal law (OBRA 1987) gives every nursing home resident a written bill of rights, and Nebraska expects nurse aides to know and protect them. Core rights include dignity and respect, self-determination, privacy (including privacy for visits, phone calls, mail, and care), confidentiality of records, freedom from abuse and from physical or chemical restraints used for convenience or discipline, freedom from involuntary seclusion, the right to refuse treatment, the right to be informed and to participate in the care plan, the right to complain without retaliation, the right to manage personal money and keep personal possessions, the right to choose activities and associates, and the right to have advance directives honored.
436 words, about 2 min03Safety and Emergency Procedures
Safety is prevention first: bed in the lowest position, wheels locked, call light and water within reach, side rails used only as ordered, non-skid footwear, clear path to the bathroom, adequate lighting, and answering calls promptly. Know which residents are fall risks and check on them often.
427 words, about 2 min04Infection Control
Hand hygiene is the single most important infection control measure. Wash with soap and water when hands are visibly soiled, after using the toilet, before eating, and when caring for a resident with C.
396 words, about 2 min05Basic Nursing Skills
You must be able to obtain and record vital signs accurately and know when a value is abnormal. Typical adult ranges: oral temperature 97.6–99.6 °F (36.5–37.5 °C); pulse 60–100 beats per minute and regular; respirations 12–20 per minute; blood pressure under about 120/80 mmHg; oxygen saturation 95–100%.
368 words, about 2 min06Personal Care Skills
Personal care is where dignity is won or lost. Always provide privacy - close the door, pull the curtain, expose only the body part you are washing - and explain what you are about to do.
454 words, about 2 min07Mental Health and Social Service Needs
Physical care is only part of the job. Residents need to feel safe, valued, useful, and connected.
362 words, about 2 min08Care of the Cognitively Impaired Resident
Distinguish the three Ds. Dementia is a slow, progressive decline in memory and thinking (Alzheimer's disease is the most common cause).
372 words, about 2 min09Basic Restorative Services
Restorative care means helping each resident keep or regain the highest level of function they can, and the nurse aide delivers most of it. The guiding principle is simple: never do for a resident what they can still do for themselves.
428 words, about 2 min10Legal and Ethical Considerations for Nurse Aides
A nurse aide works under a licensed nurse's delegation and within state scope of practice. You may not perform skills you were not trained and authorized to do, and you cannot delegate nursing tasks to another aide.
393 words, about 2 min