Pennsylvania CNA study plan
Pennsylvania CNA · Give each week a clear focus.
8 weeks · About 6 hours per week
Role of the Nurse Aide
Define the nurse aide's scope of practice and list three tasks that must be reported to the licensed nurse rather than performed independently.
Recite the categories of resident rights from memory and give one concrete example of a violation for each category.
Trace the chain of command for a change in a resident's condition, naming who is notified first, second, and in an emergency.
Distinguish ethical behavior, negligence, abuse, and neglect by writing two original long-term care examples of each.
Your checkpoint
Score 85% or higher on a closed-book 25-question quiz covering role, resident rights, ethics, and reporting; rewrite every missed item in your own words.
Role of the Nurse Aide & Promotion of Safety
List the six links in the chain of infection and name one break point the nurse aide controls for each link.
Sequence hand hygiene and glove donning/doffing steps in the correct order and narrate them aloud without notes.
Identify at least 10 fall and injury hazards in a written room scenario and state the correction for each.
Explain correct body mechanics for lifting, transferring, and reaching, naming three practices you will use on every shift.
State the situations that require the nurse aide to report immediately rather than at end of shift.
Your checkpoint
Produce a one-page infection-control checklist (hand hygiene moments, PPE order, isolation signage rules) and score 80% or higher on a 30-question safety quiz.
Promotion of Safety
Sequence the RACE response to a fire and state exactly when to use PASS on a small fire.
Describe the response to a choking resident (conscious versus unconscious) and to a resident found on the floor.
Explain the nurse aide's role in restraint use, including alternatives to try first and the checks required while a restraint is in place.
List safety measures for oxygen use and for residents with hearing, vision, or swallowing problems.
State the steps to take when a resident is missing or suspected of eloping.
Your checkpoint
Complete a 10-scenario emergency-response oral drill without notes, scoring at least 8 out of 10 with correct first action and correct person to notify.
Promotion of Function and Health of Residents
Describe how to assist with bathing, mouth care, grooming, and dressing while preserving privacy, dignity, and resident choice.
Explain how to position a resident in good body alignment and how often to reposition based on condition.
Describe range-of-motion exercises and differentiate active from passive ROM with an example of each.
Identify three ways to encourage a resident to perform ADLs independently instead of completing the task for them.
Your checkpoint
Score 80% or higher on a 50-question cumulative exam over Domains 1 through 3, and log every missed item by domain with a one-line correction note.
Promotion of Function and Health of Residents & Basic Nursing Care Provided by the Nurse Aide
Explain how to measure and record intake and output and compute a 24-hour total correctly.
Describe how to assist at mealtime, including positioning, feeding technique, pacing, and aspiration precautions.
Identify signs of dehydration, constipation, and urinary tract infection and state what to report and to whom.
Describe how to assist with toileting, catheter care, and bowel and bladder routines while protecting dignity.
Measure and record temperature, pulse, respirations, blood pressure, and weight, or narrate the exact step order.
Your checkpoint
Complete a vitals plus intake/output worksheet at 100% accuracy, including correct units and the reporting thresholds you would use for each value.
Basic Nursing Care Provided by the Nurse Aide
List the steps of a complete bed bath, perineal care, and back massage in the correct order with safety checks inserted.
Describe how to make both an occupied and an unoccupied bed without injuring yourself or the resident.
Explain how to apply anti-embolic stockings and how to perform a safe transfer using a gait belt.
Identify six abnormal observations that must be reported immediately and give an example of each.
Describe postmortem care steps and the dignity considerations involved.
Your checkpoint
Write step-by-step procedure cards for five core skills (bed bath, occupied bed, gait-belt transfer, catheter care, vital signs), self-check each against a checklist, and correct any step that is out of order.
Providing Specialized Care for Residents with Changes in Health
Differentiate normal aging changes from changes that must be reported, listing five of each.
Describe care approaches for a resident with dementia at early, middle, and late stages, including validation and redirection techniques.
Identify the signs of stroke, low blood sugar, and respiratory distress, and state the first action plus what to report for each.
Describe care for a resident with a urinary catheter, an ostomy, an IV line, or an oxygen device.
Explain the nurse aide's role in restorative and rehabilitation care and in caring for a resident with depression or confusion.
Your checkpoint
Build a one-page 'report immediately' reference of at least 15 signs and symptoms and pass a 25-question Domain 5 quiz at 85% or higher.
Providing Specialized Care for Residents with Changes in Health & Basic Nursing Care Provided by the Nurse Aide
Complete two timed 100-question practice exams under realistic test conditions with no notes.
Rank your three weakest domains from those exams and re-study only those areas.
Recite 20 key numbers from memory, including temperature, pulse, and respiration ranges, repositioning intervals, and hand hygiene duration.
Walk through five skills aloud in exact sequence with every safety check stated.
Your checkpoint
Score 85% or higher on a final 100-question cumulative practice exam with no domain below 80%, and hold a written list of your 10 remaining weak points with one corrective action for each.
Milestones
Week 2: Deliver the infection-control checklist and score 80%+ on the 30-question safety quiz; hand hygiene and PPE order must be narrated with zero errors.
Week 4: Score 80%+ on the 50-question cumulative exam over Domains 1 through 3 and show a missed-item log sorted by domain.
Week 6: Score 80%+ on a 50-question cumulative exam over Domains 1 through 4 and narrate five core skills end to end without prompting or a missed safety check.
Week 8: Score 85%+ on two timed 100-question practice exams with no domain below 80%, and submit the top-10 weak-point list with corrective actions.