Texas CNA study plan
Texas CNA · Give each week a clear focus.
8 weeks · About 6 hours per week
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
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
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
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
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
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
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%
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