Virginia CNA study plan
Virginia CNA · Give each week a clear focus.
8 weeks · About 6 hours per week
Personal Care and Activities of Daily Living
Perform a complete bed bath, including perineal care, in the correct sequence while preserving resident privacy and warmth
List, from memory, the steps for oral care for an unresponsive resident and state when suction equipment must be at hand
Dress and undress a practice partner who has a weakened side, applying garments to the affected side first
Distinguish personal care tasks the nurse aide may perform independently from those that require a licensed nurse
Your checkpoint
Written 12-step bed bath sequence reproduced from memory, plus a 25-item personal care self-quiz scored at 80% or higher
Personal Care and Activities of Daily Living & Safety, Infection Control, and Emergency Procedures
Demonstrate hand hygiene and correct donning and doffing of PPE for contact and droplet precautions
Explain the chain of infection and name one specific intervention that breaks each link
Position a resident in lateral and supine positions with correct body alignment and pressure-relief devices
Describe the aide's response to a fall: do not move the resident, assess, call for the nurse, and document objectively
Your checkpoint
Skills checklist signed off for hand hygiene, PPE use, and repositioning, plus a one-page comparison of standard versus transmission-based precautions
Safety, Infection Control, and Emergency Procedures & Basic Nursing Skills, Vital Signs, and Measurements
Demonstrate abdominal thrusts for a conscious choking adult and state the modifications for an obese or pregnant person and for an unresponsive adult
Describe RACE and PASS and identify the correct extinguisher for each type of fire
Measure oral temperature, radial pulse, and blood pressure manually and record each value accurately
State the normal adult ranges for temperature, pulse, respirations, blood pressure, and oxygen saturation
Count respirations without alerting the resident and report changes in rate, rhythm, or depth
Your checkpoint
Vital signs log of 10 full sets taken on a practice partner, each reading within 4 mmHg or 2 beats per minute of the instructor's reading
Basic Nursing Skills, Vital Signs, and Measurements & Role of the Nurse Aide, Legal and Ethical Behavior
Measure and record intake and output over a 24-hour period and weigh a resident on a standing scale
Convert between household and metric units for ounces to milliliters and pounds to kilograms
Define the nurse aide's scope of practice, including what to report, what to refuse, and the correct chain of reporting
Identify examples of abuse, neglect, and misappropriation of resident property and state the mandatory reporting duty
Explain resident rights to privacy, confidentiality, refusal of care, and grievance without infringement
Your checkpoint
Timed 50-item practice exam covering Domains 3, 4, and 5 scored at 75% or higher, with every missed item reviewed and a written scope-of-practice and mandatory-reporting summary
Role of the Nurse Aide, Legal and Ethical Behavior & Communication and Interpersonal Skills
Differentiate the roles of the nurse aide, LPN, and RN across three given care scenarios
Explain advance directives and do-not-resuscitate orders and describe the aide's role in honoring them
Adapt communication for a resident with hearing loss, a resident who is nonverbal, and a resident using a communication board
Rewrite five subjective or opinion-based statements as objective, factual chart entries
Report a change in condition using a structured format that includes the observation, time, and action taken
Your checkpoint
Portfolio of 10 chart entries rewritten from subjective to objective language, plus a written log of two role-played communication scenarios
Nutrition, Hydration, and Elimination & Psychosocial Care, Mental Health, and Cognitive Impairment
Apply dysphagia precautions during feeding, including positioning, chin tuck, small bites, and knowing when to stop
Calculate total fluid intake from a 24-hour record and list signs of dehydration and fluid overload
Describe care of a resident with an indwelling catheter, including perineal care, drainage bag position, and emptying technique
Distinguish delirium, depression, and dementia and name three behavioral approaches appropriate to each
Compare reality orientation and validation techniques for a resident who is confused
Your checkpoint
Completed 24-hour intake and output worksheet with correct totals, plus a comparison chart of delirium, depression, and dementia with interventions
Psychosocial Care, Mental Health, and Cognitive Impairment & Restorative Care, Mobility, and Positioning
Describe safe care for a resident with dementia who wanders or becomes agitated, including redirection and environment modification
Demonstrate range of motion for the upper and lower extremities and distinguish active, passive, and active-assistive exercise
Fit a gait belt and set up a walker and cane correctly, then guard a resident during ambulation and transfer
Promote independence in ADLs using restorative principles instead of completing tasks for the resident
Identify pressure injury risk factors and carry out a documented repositioning schedule
Your checkpoint
Skills sign-off on gait belt ambulation and passive range of motion, plus a one-page restorative care plan for a hypothetical resident with right-sided weakness
Role of the Nurse Aide, Legal and Ethical Behavior & Communication and Interpersonal Skills & Safety, Infection Control, and Emergency Procedures & Personal Care and Activities of Daily Living & Basic Nursing Skills, Vital Signs, and Measurements & Nutrition, Hydration, and Elimination & Psychosocial Care, Mental Health, and Cognitive Impairment & Restorative Care, Mobility, and Positioning
Complete two full-length 100-item practice exams under timed conditions without references
Write the correct rationale, in your own words, for every missed item on both exams
Re-demonstrate five previously weak skills until each is performed with zero critical errors
Recite from memory the high-risk safety steps most often tested: hand hygiene, fall response, choking response, and change-of-condition reporting
Your checkpoint
Two timed practice exams scored at 80% or higher, a from-memory 'critical errors to avoid' sheet, and a final skills re-check sign-off
Milestones
Week 2: All Domain 4 personal care skills signed off with no critical error; can name every link in the infection chain and one break point for each
Week 4: Score 75% or higher on the 50-item exam covering the three heaviest domains (3, 4, 5), and explain the mandatory reporting duty aloud without notes
Week 6: Every domain has been studied at least once; intake and output totals computed correctly on two separate worksheets
Week 8: Two timed 100-item exams at 80% or higher, with a written rationale for every missed item and all skills re-checked