Pennsylvania CNA study materials
Pennsylvania CNA study resources

Pennsylvania CNA study plan

Pennsylvania CNA · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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.

Week 2

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.

Week 3

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.

Week 4

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.

Week 5

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.

Week 6

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.

Week 7

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.

Week 8

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.