Texas CNA study materials
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Texas CNA study plan

Texas CNA · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Role of the Nurse Aide

  • Distinguish nurse aide tasks from tasks reserved for licensed nurses, writing at least 10 tasks you may perform and 10 you must decline

  • Map the chain of command and state exactly whom you would notify for 5 sample situations

  • Recite at least 8 resident rights and give one realistic scenario illustrating each

  • Define abuse, neglect, and misappropriation of resident property, and outline the reporting steps for each

  • Explain how to accept or refuse a delegated task that falls outside your training or job description

Your checkpoint

A one-page scope-of-practice comparison chart plus a 20-question self-quiz scored at 80% or higher

Week 2

Role of the Nurse Aide & Promotion of Safety

  • Apply therapeutic communication techniques to 5 scripted resident interactions, including one with a resident who is angry and one who is confused

  • Identify 5 common confidentiality breaches in a written scenario set and state the correct response to each

  • Demonstrate correct hand hygiene with a partner and list 6 moments when it is required

  • State the correct order for donning and doffing personal protective equipment and match 4 isolation scenarios to the precautions required

Your checkpoint

A peer-scored return demonstration of hand hygiene and PPE plus a written log of the 5 communication scenarios with your exact wording

Week 3

Promotion of Safety

  • Identify fall risk factors for 3 sample residents and describe at least 6 preventive interventions

  • Describe the nurse aide's role for a resident with restraints, including obtaining orders, checking circulation, and releasing and repositioning at required intervals per the care plan

  • Apply RACE and PASS to 3 emergency scenarios and state the first action you would take in each

  • Apply correct body mechanics to 4 lifting, transferring, and reaching scenarios

  • Describe within-scope first aid responses for choking, seizure, and severe bleeding

Your checkpoint

A 10-item written safety scenario set answered at 90% accuracy plus a one-page emergency response card you write yourself

Week 4

Promotion of Function and Health of Residents

  • Perform and document range-of-motion exercises and proper positioning for 2 simulated residents

  • Identify pressure injury risk factors and describe repositioning schedules, skin inspection steps, and what to report

  • Measure and record intake and output on a sample flow sheet and list 4 signs of dehydration

  • Describe feeding assistance for a resident with swallowing difficulty and list 4 signs of aspiration

  • Explain toileting schedules and bladder and bowel training programs and the aide's role in each

Your checkpoint

A completed care-plan worksheet for 2 simulated residents covering mobility, nutrition, elimination, and skin, scored against a rubric

Week 5

Promotion of Function and Health of Residents & Basic Nursing Care Provided by the Nurse Aide

  • Demonstrate bed bath, perineal care, oral care, and dressing assistance on a mannequin or partner using a skills checklist

  • Measure and record temperature, pulse, respiration, blood pressure, and oxygen saturation on 3 practice runs without technique errors

  • Describe correct height and weight measurement for a resident who is ambulatory versus one who is bedbound

  • Explain grooming and dressing assistance that respects resident preference, dignity, and independence

Your checkpoint

Four personal-care skills checklists completed with a peer observer's sign-off and no critical errors

Week 6

Basic Nursing Care Provided by the Nurse Aide

  • Explain admission, transfer, and discharge procedures and the aide's specific duties in each

  • Collect and label a urine, stool, and sputum specimen correctly in a practice setup

  • Document vital signs and intake and output on a sample flow sheet with no transcription or unit errors

  • Describe how to make an occupied bed and an unoccupied bed safely

Your checkpoint

A mock documentation packet containing 3 sets of vital signs, 2 intake and output records, and 1 specimen label, graded with zero critical errors

Week 7

Providing Specialized Care for Residents with Changes in Health

  • Recognize early signs of a change in condition across 10 scenarios covering mental status, breathing, skin, appetite, and elimination

  • Rank 10 reporting situations by urgency and name the correct person to notify and how quickly

  • Describe care adaptations for residents with dementia, including redirection, consistency of routine, and safe environment

  • Describe the aide's duties when caring for a resident with a urinary catheter, oxygen, or an intravenous line

  • List the first actions to take for suspected stroke, low blood sugar, chest pain, and a fall with injury

Your checkpoint

A change-in-condition reporting log matching 10 scenarios to the correct urgency level and notification recipient, scored at 90%

Week 8

Role of the Nurse Aide & Promotion of Safety & Promotion of Function and Health of Residents & Basic Nursing Care Provided by the Nurse Aide & Providing Specialized Care for Residents with Changes in Health

  • Complete 2 full-length practice exams under timed conditions and trace every missed item back to the domain and skill it tests

  • Re-demonstrate the 5 skills you scored lowest on and document the correction you made

  • Compile a one-page summary sheet of key numbers, normal ranges, and reporting rules

  • Answer 15 rapid scenario questions aloud in under 15 minutes

Your checkpoint

Two practice exams scored 85% or higher, each with a written error analysis for every missed question

Milestones

Week 2: Score 80% or higher on a 30-item quiz covering Domains 1 and 2, and pass hand hygiene and PPE return demonstrations on the first attempt

Week 4: Score 80% or higher on a 50-item cumulative test over Domains 1 through 3 and complete the resident care-plan worksheet without a critical error

Week 6: Score 85% or higher on a 40-item Domain 4 quiz and complete 6 hands-on skills with no critical safety errors

Week 8: Score 85% or higher on two timed full-length practice exams with all missed items analyzed and corrected in writing