South Carolina CNA study plan
South Carolina CNA · Give each week a clear focus.
8 weeks · About 6 hours per week
Physical Care Skills
Define the scope of physical care skills a South Carolina nurse aide performs and list which tasks must be reported to the licensed nurse
Demonstrate the sequence of hand hygiene and explain when soap-and-water versus alcohol-based rub is required
Identify standard precautions, transmission-based precautions, and the proper use and removal of personal protective equipment
Apply body mechanics principles to at least five common resident-handling situations and describe safe alternatives to unsafe lifting
Build a one-page infection-control and safety cheat sheet from your own notes
Your checkpoint
Score at least 80% on a 25-question self-made quiz covering hand hygiene, PPE, standard precautions, and body mechanics
Physical Care Skills
Sequence the steps for complete and partial bed baths, mouth care (including denture and unconscious-resident care), and perineal care
Describe how to assist with dressing, grooming, shaving, nail care, and hair care while preserving resident independence
Explain intake and output measurement, fluid consistency/thickened-liquid precautions, and signs of dehydration or aspiration risk
List interventions that promote normal elimination and describe how to assist with bedpan, urinal, commode, and incontinence care
Practice reporting observed skin breakdown, redness, or changes using a structured observation format
Your checkpoint
Complete a written care-plan walkthrough for three mock residents (hygiene, nutrition/hydration, elimination) with every step in correct order
Physical Care Skills
Measure and record temperature, pulse, respirations, blood pressure, weight, and height within accepted ranges and know when to report abnormal values
Describe positioning techniques for supine, lateral, prone, Fowler's, and Sims' positions with correct body alignment and support devices
Explain safe transfer and ambulation techniques, including gait belt use, pivot transfers, and falls prevention
Perform passive range-of-motion movements for major joints and identify when to stop and report pain
Differentiate between observations you document and changes you must report immediately
Your checkpoint
Pass a 40-question Domain 1 practice set with at least 85% and log every missed item with a one-line correction note
Psychosocial Care Skills
Summarize South Carolina resident rights, including privacy, dignity, confidentiality, personal possessions, and the right to refuse care
Demonstrate respectful communication techniques for residents with hearing, vision, speech, or cognitive limitations
Adapt care approaches for cultural, religious, and language differences without imposing personal values
Describe how to support resident choice, autonomy, and participation in their own care planning
Practice two role-played conversations: one where a resident refuses care and one where a resident requests privacy
Your checkpoint
Write four short scripted responses to resident-rights and communication scenarios and self-score each against a dignity-and-choice checklist
Psychosocial Care Skills
Distinguish delirium, dementia, and depression and describe stage-appropriate approaches for each
Select de-escalation and redirection strategies for wandering, agitation, sundowning, and repetitive behavior
Identify the nurse aide's mandatory duty to recognize and report suspected abuse, neglect, mistreatment, and misappropriation of property
Describe supportive care for residents experiencing grief, loss, dying, and the death of a roommate
Explain how to include family and significant others in care while maintaining resident confidentiality
Your checkpoint
Score at least 85% on a 40-question Domain 2 practice set, plus a one-page dementia-care behavior response chart written in your own words
Role of the Nurse Aide
Define the nurse aide's legal and ethical boundaries, including tasks outside scope that must be declined and reported
Explain the chain of command, what constitutes appropriate delegation, and how to clarify an assignment you do not understand
Apply objective, timely documentation standards and distinguish documentation from verbal reporting
Describe the South Carolina nurse aide registry requirements, certification renewal, and consequences of findings of abuse or neglect
Outline confidentiality obligations under HIPAA-style rules and resident record privacy in the facility
Your checkpoint
Complete a 30-question Domain 3 practice set at 85% or better and produce a one-page scope-of-practice quick reference
Role of the Nurse Aide & Physical Care Skills
Demonstrate teamwork behaviors that support licensed staff, including shift handoff reporting and prioritizing competing resident requests
Build a time-management routine for a typical 8-resident assignment and identify tasks that can be combined safely
Describe continuing education, inservice training, and professional conduct expectations for South Carolina nurse aides
Re-drill the two weakest physical care subtopics identified in Week 3 using targeted practice sets
Practice recognizing and reporting changes in condition using the SBAR-style structure
Your checkpoint
Complete two timed 25-question mixed Domain 1 and Domain 3 quizzes with at least 85% on each, and log remaining weak areas
Physical Care Skills & Psychosocial Care Skills & Role of the Nurse Aide
Take two full-length timed practice exams that mirror the domain weighting of the South Carolina written test
Review every missed item across all three domains and write a corrected rationale for each
Rehearse the clinical skills checklist verbally, stating the key steps and safety checks for each required skill
Assemble a test-day plan covering scheduling, identification requirements, arrival time, and anxiety-reduction strategies
Your checkpoint
Score at least 85% on both full-length practice exams with no single domain below 80%
Milestones
Week 2: Can list, in order, the steps for at least five core physical care procedures without notes and explain the safety check for each
Week 4: Domain 1 practice scores at or above 85%; Domain 2 baseline practice taken and scored, with weak subtopics identified
Week 6: All three domains practiced at least once; every domain score at or above 80% and a personal weak-topic list reduced to five items or fewer
Week 8: Two full-length timed exams completed at 85% or higher overall with no domain below 80%, and a written test-day plan finalized