Ohio CNA (formerly STNA) study plan

Sequence and describe the steps for a complete bed bath, partial bath, shower, and bag bath, stating at least 8 correct steps for each including privacy and safety checks.

Demonstrate dressing and undressing a resident with a weak or paralyzed side, applying the weak-side-first / strong-side-first rules.

List at least 6 pressure-prone skin areas and state 4 objective observations to report to the licensed nurse rather than treat yourself.

Perform oral care routines for the dependent, denture-wearing, and unconscious resident, and state when mouth care must be withheld and reported.

Identify correct technique for perineal care, nail and foot care, shaving, and hair care for residents with diabetes or compromised skin.

Execute the full hand-hygiene sequence and state the specific moments when soap-and-water is required instead of alcohol-based rub.

Don and remove gown, mask, eye protection, and gloves in the correct order without self-contamination, on yourself or a mannequin.

Distinguish standard precautions from contact, droplet, and airborne precautions and name one example of each precaution type.

Describe safe handling of soiled linen, blood-contaminated items, and shared resident equipment, including what goes in a biohazard bag.

Complete assisted and complete bathing skills while maintaining standard precautions throughout.

Identify at least 10 fall risk factors and match each to a specific nursing-assistant intervention within scope of practice.

State the rules governing restraint use, including what the aide may and may not do, and what must be reported immediately.

Describe the aide's actions during a seizure, a fire (RACE and PASS), a choking emergency, and a resident who has fallen.

Outline resident rights under OBRA and federal law, including privacy, dignity, choice, refusal of care, grievance, and access to records.

Describe the reporting chain for suspected abuse, neglect, or misappropriation and the aide's mandatory reporting duty in Ohio.

Measure oral and axillary temperature, radial pulse with rate and rhythm, respirations, blood pressure, pulse oximetry, height, and weight, and record each in correct units.

Classify a set of vital signs as normal, elevated, or reportable and state the specific findings that require immediate notification of the nurse.

Calculate and record intake and output accurately in milliliters, converting ounces and household measures.

Describe pain assessment using a numeric scale and a faces or behavioral scale for a resident who cannot self-report.

Explain proper technique for collecting a routine urine specimen, testing urine for glucose or ketones, and applying hot and cold compresses safely.

Adapt communication for residents who are hearing impaired, visually impaired, aphasic, or have a tracheostomy or language barrier, stating at least 2 techniques for each.

Demonstrate objective, factual reporting and documentation, converting a set of subjective or vague statements into reportable observations.

State the aspirate precautions and positioning used for a resident with dysphagia, and list 5 signs of aspiration.

Match common therapeutic diets and fluid restrictions to their purpose and state the aide's role in each.

Describe safe feeding technique, signs of dehydration and fluid overload, and how to encourage oral fluid intake without overstepping scope.

Perform a bed-to-chair and chair-to-bed transfer using a gait belt, applying correct body mechanics and clear cueing.

Describe passive and active range-of-motion movements for major joints and state the stop rules that require immediate reporting.

Demonstrate turning and positioning techniques and list at least 4 positioning devices and their correct use.

Assist with bedpan, urinal, commode, and incontinence care while preserving privacy and dignity and preventing skin breakdown.

Describe catheter care, ostomy bag emptying, and bowel or bladder retraining, including what to observe and document in output.

Differentiate delirium, dementia, and depression by onset, duration, and key observable signs.

Select at least 5 de-escalation and redirection techniques for common behavioral symptoms and state which responses are never appropriate.

Explain how to support a resident's independence, choices, and daily routine using a person-centered, restorative approach.

Recognize signs of mental health crisis or suicidal statements and state the immediate reporting and safety actions required.

Re-audit your log of missed practice questions and re-drill your three weakest domains.

Complete two additional timed practice exams under exam conditions and review each answer rationale.

Dry-run the 15 highest-frequency hands-on skills, narrating each critical step out loud.

Rehearse test-taking strategies for scenario questions, including eliminating unsafe answers and identifying the aide's scope of practice.

Consolidate all rewritten missed items into a single final review sheet and read it aloud twice.

Confirm test-day logistics, required identification, and the current Ohio nurse aide testing and registry process.