West Virginia CNA study plan

Demonstrate the correct sequence for a complete bed bath, including perineal care, on a practice manikin or lab partner

Sequence the steps for occupied and unoccupied bed making and explain why each step prevents injury or contamination

Perform and record the six vital signs (temperature, pulse, respiration, blood pressure, pain, oxygen saturation) within accepted ranges of accuracy

Position a resident in supine, lateral, Fowler's, and Sims' positions using correct body mechanics and support devices

Identify the nurse aide's scope of practice when performing personal care tasks and state when to report a change to the licensed nurse

Perform hand hygiene using the full soap-and-water and alcohol-based rub procedures and state the minimum contact time for each

Don and doff gown, gloves, mask, and eye protection in the correct order without self-contamination

Distinguish medical asepsis from surgical asepsis and give one example of each in the long-term care setting

Match standard, contact, droplet, and airborne precautions to the correct PPE and room-placement requirements

Describe how to clean and store shared resident equipment between uses

List at least eight fall risk factors and the matching intervention for each

Explain the RACE and PASS sequences and apply them to a written fire scenario

Demonstrate the sequence for responding to an adult choking emergency and to a resident found unresponsive

Describe seizure precautions and the nurse aide's actions during and after a seizure

Identify correct body mechanics and safe transfer techniques for a resident who can bear weight and one who cannot

State the resident rights guaranteed under federal and West Virginia long-term care rules, including the right to refuse care, privacy, dignity, and grievance

Demonstrate how to respond when a resident refuses a scheduled task, including who to notify and what to document

Describe how to protect confidentiality of resident information in conversation, on the phone, and on shared devices

Explain how to support resident choice and independence in daily routines without compromising safety

Identify at least four examples of abuse, neglect, and misappropriation of property and the mandatory reporting steps for each

Measure and record fluid intake and urinary output accurately, including how to convert ounces to milliliters

Perform perineal care and catheter care in the correct sequence while maintaining privacy and asepsis

Describe bowel and bladder training programs and the nurse aide's role in each

Position a resident for eating, apply aspiration precautions, and identify three signs of dysphagia

Identify appropriate textures and thickened-liquid levels and describe how to encourage hydration for a resident who drinks poorly

Demonstrate active listening, open-ended questioning, and clarifying techniques in two role-played resident conversations

Adapt communication for a resident with a hearing deficit, a resident with aphasia, and a resident who speaks limited English

Describe how to respond to a resident who is angry, anxious, or grieving without escalating the situation

Identify signs of depression, delirium, and social withdrawal and state what to report and to whom

Explain how to support a resident's cultural, spiritual, and intimacy preferences

Define the nurse aide's legal scope of practice and identify five tasks that must be delegated by a licensed nurse

Distinguish negligence from malpractice and give one example of each in a nursing home setting

Explain how to document objectively, including what belongs in the record and what does not

Describe the chain of command for reporting concerns and the protections for good-faith reporting

Review all nine domains and rank personal weak areas by practice-test performance

Re-run every hands-on skill timed, without notes, until each is completed with all critical steps checked

Complete two additional timed practice exams and review every missed item to the underlying principle

Memorize the test-day logistics: identification requirements, scheduling, and what to expect on the written and skills portions

Rehearse answers to refusal, abuse-reporting, and scope-of-practice questions until responses are automatic

Build a one-page final review sheet of numbers, sequences, and reporting triggers and recite it from memory