Virginia CNA study materials
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Virginia CNA study plan

Virginia CNA · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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