CNA State Examination Practice Questions (Part Three)

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QUESTION: The nursing assistant has been assigned to deliver care to a patient who has been placed on contact precautions. The nursing assistant is selecting the appropriate personal protective equipment (PPE) attire to wear prior to delivering care to a patient who has been placed on contact precautions if which of the following items will be worn:

A. Gloves and a gown

B. Gloves, gown, and a face mask

C. Gloves, gown, a face mask, and a face shield

D. Gloves, gown, a HEPA mask, and a face shield

ANSWER: A (Contact precautions require the use of gloves and a gown at the very minimum. Droplet transmission precautions require the use of a medical face mask at the very minimum. Airborne transmission precautions, at the minimum, require the use of a negative pressure room and a HEPA mask, also known as a particulate respirator).

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QUESTION: The nurse aide student is attending a nursing assistant class this morning. The nurse aide instructor asks all the students, “What is the single most important action that nursing assistants and other healthcare workers take in order to prevent the spread of infections?” The nurse aide student is providing a correct response when he gives which of the following answers:

A. Wearing personal protective equipment before delivering care

B. Performing hand-washing before and after delivering care

C. Adhering to universal precautions before delivering care

D. Using clean technique prior to delivering care

ANSWER: B (Hand-washing is the single most important action that nursing assistants, nurses, and other healthcare workers can take in order to prevent the spread of infection. Adhering to universal precautions, utilizing personal protective equipment in a correct manner, and using clean technique also reduce the spread of infections. Nonetheless, hand-washing is the single most important action that can be taken by all healthcare workers to prevent the spread of infection).

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QUESTION: The nurse aide student is learning about documentation and charting during this morning’s nursing assistant class. The nurse aide student asks the instructor, “Who is responsible for the documentation at the hospital or nursing home?” The correct answer is which of the following responses:

A. The registered nurse (RN) is accountable for everything, including documentation of all care provided by the nursing assistants

B. The licensed practical / vocational nurse (LPN /LVN) should document all care, including the care provided by the nursing assistants

C. All members of staff, including nursing assistants, need to document the care that they have provided

D. All members of staff need to document the care that they have provided, and the physician will sign off on the documentation

ANSWER: C (All members of nursing staff, including nursing assistants, are responsible for documenting and signing off on all of the patient care that they have personally delivered. For instance, the nursing assistants will chart the showers and bed baths that they have given to the patients. The licensed practical /vocational nurses will chart all of the wound care and medications that they have administered to the patients. The registered nurse will chart the various nursing diagnoses that they have formulated and the patient assessments that they have performed. Generally, physicians are not required to sign off on the patient care documentation of nurses and nursing assistants in the hospital and/or nursing home settings).

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CNA State Examination Practice Questions (Part Two)

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QUESTION: The nursing assistant observes a very small fire in the outdoor smoking area of the skilled nursing facility where he works. He has been trained to extinguish small fires through nurse aide training and annual fire safety in-service training at his place of employment. This nursing assistant is following the proper sequence for using a fire extinguisher if he:

A. Pulls the fire extinguisher’s pin, aims at the base of the fire, squeezes the fire extinguisher’s handle, and sweeps in a back and forth motion.

B. Aims at the base of the fire, pulls the pin, squeezes the handle of the fire extinguisher, and sweeps in a back and forth sweeping motion.

C. Pulls the pin of the fire extinguisher, gently shakes the fire extinguisher, aims at the base, squeezes the handle of the fire extinguisher, and sweeps in a back and forth sweeping motion.

D. Aims at the middle of the fire, pulls the pin, squeezes the fire extinguisher’s handle, ans sweeps in a back and forth sweeping motion.

ANSWER: A (the proper sequence of steps to use a fire extinguisher can be readily recalled by remembering the PASS acronym, which stands for PULL-AIM-SQUEEZE-SWEEP. P = pull the pin out to activate the fire extinguisher. A = aim the fire extinguisher toward fire’s base. S = squeeze the fire extinguisher’s handle to facilitate expulsion of the container’s contents. S = sweep in a back and forth motion across the fire’s base as the contents of the fire extinguisher are expelled).

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QUESTION: The nursing assistant has strong suspicions that a CNA coworker might be verbally abusing an elderly patient at the post-acute rehabilitation center where they both work. What is the first action that the nursing assistant must take?

A. Place a telephone call to the local sheriffs department to report the suspicions of abuse. Ensure the names of the resident and suspected abuser are available just in case more information is requested.

B. Report the suspected abuse to the charge nurse or facility administrator.

C. Privately confront the suspected abuser and demand that she immediately stop verbally abusing the elderly patient.

D. Do nothing at the moment since the nursing assistant only has suspicions of possible verbal abuse without any substantiated proof.

ANSWER: B (nursing assistants are mandated reporters who are legally mandated to report all instances of witnessed abuse, as well as any suspected abuse and neglect. The nursing assistant does not need proof of suspected abuse in order to report it; rather, a designated person will investigate the allegation of abuse. The nursing assistant should not call the sheriffs department since the administrator and/or charge nurse knows to adhere to facility procedures for initiation of investigations of alleged abuse).

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QUESTION: The nursing assistant student is currently learning about principles of infection control during this evening’s nurse aide lessons at school. The instructor has made all students in the classroom aware that some questions regarding infection control might be included on the written section of the CNA state test. The student answers the instructor’s question correctly if she responds that the following entity is a host of infection:

A. A wadded piece of toilet paper contaminated with stool

B. A stethoscope contaminated with the microbe that causes whopping cough

C. A sick patient who is currently infected with tuberculosis

D. A sick dog who is currently infected with rabies

ANSWER: C (according to the chain of infection, an infected human being is a host of infection. A vector is a living nonhuman, such as an infectious dog, mice, tick or mosquito, that can transmit infections to humans. A fomite is an inanimate object, such as used toilet paper, contaminated equipment, and unclean door knobs, that can potentially spread infection via direct contact).

Texas CNA Skills (Part Eleven): Pearls of Wisdom from Nurse Aides Who’ve Passed the CNA State Examination

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Due to legislation that had been enacted and implemented in the late 1980s, nurse aides must obtain state certification as certified nursing assistants (CNAs) if they want to secure employment in certain healthcare facilities that accept federal dollars. The Omnibus Budget Reconciliation Act of 1987, more simply known as OBRA, established the minimum acceptable standards for nurse aide training.

The overarching goal of nurse aide training programs is to sufficiently prepare students in nursing assistant programs with the practical knowledge, clinical skills, and procedures that must be adhered to by members of staff at all skilled nursing facilities that receive federal payments. In simpler wording, OBRA is the very reason that nurse aides must attain CNA certification if they want to work at these types of workplaces.

So, this is the burning question. How in the world does a nurse aide obtain certification as a CNA? The answer to this question is the following: a nurse aide becomes certified in a particular state by passing the national CNA state exam utilized by that state. A wonderful way to become more familiar and confident with the setup of the CNA state exam is to obtain feedback from nurse aides who have taken and passed the test.

The following responses are from multiple nurse aides who possess firsthand experience in regards to taking the CNA state exam. The responses provided by these nurse aides pertain mainly to the successful completion of the skills section of the CNA state exam. Keep in mind that a written (or oral) section of the CNA state exam exists as well.

The individual and collective insights provided by these nurse aides that pertain to the CNA state test are rather enlightening. In addition, readers can learn quite a bit of new information from the varied perceptions and recollections of these nurse aides’ different experiences with the CNA state exam. Therefore, read and pay close attention to recurrent themes within the responses such as the importance of performing the procedural skills using the correct sequence of steps.

NURSE AIDE ONE: “If you mess up on a step or just forget to complete a step, you will simply lose points. If you forget to do a bold step (also known as a critical element step), or perform it wrongly, you fail the entire skill by default. You should be able to pass the CNA state test as long as you remember to perform the bold steps and always do them right.”

NURSE AIDE TWO: “You will need to do the skills in the exact order on the skills handbook or you will not pass. So, in your spare time, practice on other people or dolls until you have each step memorized. If you can memorize each and every move, you will pass your CNA state test with flying colors.”

NURSE AIDE THREE: “Where I live, the person who watches you do the skills on the CNA state test is looking for you to perform the tasks in the order listed on the handbook. If you perform the tasks out of order, but do them right, points get deducted from the total score.”

NURSE AIDE FOUR: “On the CNA state test I did the steps as I had learned them since I knew I would have forgotten to do something really important if I strayed from what I learned. All the steps are there for a reason. So I suggest you instill them into your memory bank as best as you can.”

NURSE AIDE FIVE: “Do all the steps in the exact order for the skills.”

NURSE AIDE SIX: “I took lessons for CNA and each time when I took the skills exam part of the CNA state test, we needed to complete every skill correctly step by step. It is because these steps were placed and organized the right way so as to cut down on the chances of cross contamination and to teach you the best way to do the skills for the best care of the residents.”

Legacy Healthcare Careers Nurse Aide Training School Introduces the 7-Day CNA Program

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Prospective students who would like to enjoy a rewarding, fulfilling, invigorating healthcare career as a certified nursing assistant (CNA) in the Dallas / Fort Worth area of Texas now have a fast-track option that enables them to accomplish their occupational goals drastically sooner than average. The members of staff at Legacy Healthcare Careers Nursing Assistant School are extremely excited to introduce the 7-day CNA program.

The caring, professional instructors at Legacy Healthcare Careers Nursing Assistant School can assist prospective pupils to convert their career-oriented dreams into reality in as little as 7 days! Those who are ready and willing to devote one long week to their schooling can enter a new and exciting career pathway in only 7 days. Continue reading for more details about this innovative nurse aide training program.

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The 7-day CNA program entails attending school for seven long days in a row. The 7-day CNA program consists of four days of nursing assistant theory instruction in the classroom setting. The four days of classroom and lab instruction will be followed by three days of hands-on clinical practicum externship at a local healthcare facility in the Dallas / Fort Worth Metroplex area.

After successful completion of the one week of nurse aide training at Legacy Healthcare Careers Nursing Assistant School, students are considered official graduates who are now legally allowed to secure employment as nursing assistants. Once the nurse aide graduate takes and passes both sections of the CNA state test, he or she is granted state certification as a certified nursing assistant (CNA).

The CNA certification opens the doors to an amazing abundance of healthcare employment opportunities associated with steady income and job security. CNAs are in demand in most employment markets in Texas with employment numbers expected to be on the rise through the year 2026 according to projections from the United States Bureau of Labor Statistics.

In addition, due to longstanding reciprocity and endorsement agreements between nursing assistant registries and boards of nursing in different states in the US, the CNA certification bestows an array of marketable job skills upon the nurse aide graduate that can potentially be transferred from region to region.

Please watch the video below for more information regarding the 7-day CNA program. Moreover, interested prospective applicants should feel free to place a telephone call to Legacy Healthcare Careers Nursing Assistant School at (682)626-5266 to schedule a tour of the school and to inquire about enrollment. Prospective students should also feel free to submit an application to the CNA program online by visiting the school’s website at www.LegacyHealthcareCareers.com.

CNAs Must Know About Reciprocity if They Want to Work!

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NOTE: The following blog entry is a guest post written by nurse consultant Victoria Randle, APN, NP-C (pictured), proprietor of CNA Instructor Consultants LLC. Ms. Randle can be contacted via email at info@thesecretcocktail.com or on her Facebook page entitled “The CNA Instructors’ Secret Cocktail” (https://www.facebook.com/thesecretcocktail/).

What in the world does reciprocity mean?

When you take the step to further your education and become a CNA, it is important that you know all of your responsibilities associated with this level of education. This encompasses various responsibilities to others, but most importantly to yourself. You must know your scope of practice, your continuing education requirements, how to re-certify and even how or when to obtain reciprocity.

If you are a CNA (certified nursing assistant), you may have heard others talk about reciprocity. What in the world does this word even mean? Reciprocity is the act / process of transferring your CNA certification from one state to another. Believe it or not, each state has its own laws regarding requirements of CNAs that may be different than the state in which you originally obtained your certification.

An example of this may be the number of educational hours needed to become a CNA. The number of educational hours needed to become a CNA differs in each state. For instance, the state of Tennessee requires that a nursing assistant obtain 75 hours of training to become eligible for certification as a CNA. These hours are divided up as follows: 59 hours of classroom /lab practicum and 16 hours of clinical externship.

Let’s say you obtained your CNA certification in Tennessee and decide five years later to move to Texas. Well, Texas requires more hours than Tennessee to become certified as a CNA. In Texas it is required that a CNA must have at least 100 hours of training. These hours are divided up as follows: 60 hours of class/lab practicum and 40 hours of clinical externship. In this case, the CNA is lacking one hour of classroom instruction and 24 hours of clinical instruction.

It is up to the accepting state of Texas to determine if they are willing to accept this CNA’s education from Tennessee for certification as a CNA in Texas. Some states may respond with a solid NO, and therefore require the individual to re-enroll in another CNA program that adheres to the new state’s requirements.

Some states may accept the CNA from Tennessee based on their number of years of experience accrued since obtaining the CNA certification. Other states may accept the CNA pending conditions such as additional training hours, continuing education hours, or the ability of the individual to pass the new state’s CNA state exam.

So, it is extremely important that once you obtain your CNA certification, you become knowledgeable in how many hours you have in classroom versus clinical education. It is also important that if you anticipate moving, you fully understand the new state’s requirements for CNAs. Nothing is worse than moving out of state and having a hard time finding work because you were not aware of how reciprocity works beforehand.

The best of luck to you in your journey to become a CNA. The career is so rewarding! If you are looking to start a CNA school or already own one, maybe I can help. Contact me for consulting assistance for your CNA school. I will be happy to help!

Victoria Randle NP-C, CNA Instructor Consultants LLC

EMAIL – info@thesecretcocktail.com

FACEBOOK – www.facebook.com/thesecretcocktail

WEBSITE – www.thesecretcocktail.com

YOUTUBE – The Secret Cocktail

This is a cordial reminder that if you want to pursue a rewarding, invigorating healthcare career as a nurse aide in the Dallas/Fort Worth area of Texas, the caring members of staff at Legacy Healthcare Careers Nursing Assistant School can assist you in turning your occupational dreams into reality in as little as 7 days! Enroll today.

Legacy Healthcare Careers offers a 7-day CNA program to help jump-start your legacy. Please place a telephone call to our 24-hour hotline at (682)313-6404, visit the school’s website (www.LegacyHealthcareCareers.com) to submit an online application to the CNA program or feel free to browse through the assortment of enlightening blog posts at www.LegacyHealthcareCareers.org for more information about becoming a nursing assistant in just one week.

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Certified Medication Aide Training Program Coming Soon to the Fort Worth / Mid Cities Area!

 

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The staff of Legacy Healthcare Careers LLC CNA School is extremely pleased to announce the planned addition of a certified medication aide training program to the school’s high-quality nursing assistant course offerings. The addition of a certified medication aide program to the Fort Worth and Mid-Cities area is welcomed news to prospective students who would prefer to avoid an inconvenient commute to faraway cities for their career training needs.

The Fort Worth / Mid-Cities area certified medication aide training program is scheduled to start accepting new students for class enrollments during the early months of 2019. Additional information regarding specific class start dates will be released as the program progresses further in its nascent development.

The predominant purpose of the certified medication aide training program is to prepare individuals who are already employed as nursing assistants or direct care members of staff for higher-paying positions in the healthcare industry as certified medication aides in nursing homes, intermediate care facilities, group homes, assisted living, or skilled care nursing facilities.

The certified medication aide program has been formulated to teach students basic skills in the safe, prudent administration of non-parenteral medications. The ultimate goal of the certified medication aide program is to qualify graduates to administer medications in a safe manner and to assist licensed practical /vocational nurses (LPNs / LVNs) and/or professional registered nurses (RNs) in the important task of medication therapy.

The certified medication aide course of study in Texas is comprised of a minimum of 140 clock hours of targeted instruction. The 140 clock hours can be broken down into 100 classroom theory hours of instruction and training, 30 hours worth of return-demonstration lab coursework, and a minimum of 10 hours of hands-on clinical skills practicum at a healthcare facility under the direct supervision of a state-licensed RN instructor.

The medication aide training program is comprised of focused schooling in the following topics: basic review of bodily systems and the effects of various medications on these systems; medical terminology; principles of infection control; and drug classifications. All certified medication aide lessons at Legacy Healthcare Careers CNA School will be taught by experienced registered nurse (RN) instructors.

Graduates of certified medication aide training programs in Texas must take and pass the written medication aide examination, which contains 100 multiple-choice questions that assess the test taker’s knowledge base regarding safe, accurate, prudent medication therapy (Texas Health and Human Services, n.d.).

Once the medication aide examination is passed, the candidate receives a practice permit as a certified medication aide (CMA). The CMA practice permit enables the nurse aide to secure employment as a certified medication aide at nursing homes, skilled nursing facilities, extended care facilities, intermediate care facilities, correctional facilities, assisted living settings and personal care group homes.

For any questions regarding the upcoming certified medication aide program that will be offered at the Legacy Healthcare Careers CNA School campus near Fort Worth, please call (682)626-5266 or telephone the 24-hour hotline at (682)313-6404. The friendly members of staff will answer any questions you may have to the very best of their abilities.

Keep in mind that Legacy Healthcare Careers CNA School also continues to offer affordable, high-quality certified nursing assistant training classes with flexible schedules that enable prospective students to keep their jobs while obtaining occupational nurse aide training. Place a telephone call to (682)626-5266 to enroll in the certified nursing assistant program at Legacy Healthcare Careers.

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RESOURCES

Texas Health and Human Services. (n.d.). Medication Aide Program FAQs. Retrieved from https://hhs.texas.gov/doing-business-hhs/licensing-credentialing-regulation/credentialing/medication-aide-program/medication-aide-program-faqs

CNA State Examination Practice Questions (Part One)

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As nursing assistant students enrolled in a nurse aide training program, a number of steps exist that can be taken to promote mastery of the knowledge and skills needed to pass the CNA state test. A few of these steps include cultivating top-notch study habits that are conducive to one’s personal learning style, reviewing some material on a daily basis, and staying abreast of various tips and tricks to help answer the trickiest of practice test questions.

A diligent student engages in self-discovery to pinpoint the manner in which he or she learns most optimally. Even though a wide array of different theories exist regarding adult learning styles, it is best to simplify things by asserting that a pupil can be a visual learner, auditory learner, tactile learner, kinesthetic learner, or perhaps a combination of two or more learning styles.

It has also been said that repetition is the mother of all learning. Learning by repetition is a valid way of becoming proficient at answering knowledge-based questions. Simply put, the more a nurse aide student answers practice questions, the more prepared he or she will be at the testing center when answering the real exam questions on the knowledge (or oral) section of the CNA state test.

One proven way of boosting a skill proficiency or becoming competent at a task is to ensure that it is a stored routine in the consciousness of the learner. To make sure this process takes place, the most imperative first step is to elevate the skill to a conscious level whereby the nurse aide student deliberately ruminates over the activity, but not necessarily the desired skill itself.

In other words, the nurse aide student has full knowledge about the particular skill that he or she lacks (read: answering knowledge-based test questions) and, therefore, focuses on accomplishing the types of activities that will help him or her build the skill (e.g., reading, creating flashcards, repeatedly answering practice questions). This type of learning is what educators commonly refer to as learning by repetition.

To prepare adequately for the written knowledge section of the CNA state test, a nurse aide student should answer multiple practice questions each and every day. Click on the video below to see a handful of examples of the types of questions that will appear on the written portion of the CNA state test.

Texas CNA Skills (Part Nine): Skills on the CNA State Test that Require Measurements

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The National Nurse Aide Assessment Program, or NNAAP for short, is a nationwide credentialing program for nurse aides who want to pursue certification as a certified nursing assistant (CNA). In other words, the NNAAP exam is better known as the CNA state test. Additionally, the National Council of State Boards of Nursing (NCSBN) is the entity that has been entrusted with the formulation, revision and administration of the CNA state test.

In most states in the US, the CNA state test is comprised of two distinct sections: a written (or oral) knowledge test made up of 70 multiple choice questions, and a procedural skills competency evaluation consisting of five different hands-on skills that must be demonstrated in front of a nurse aide evaluator.

The procedural hands-on skills evaluation section of the CNA state test takes place in a setting that has been arranged to simulate a patient care environment such as a room inside a long term care facility. Each test taker will have exactly 30 minutes to demonstrate competency in the five skills. The nurse aide candidate must attain a passing cut score on four out of the five procedural skills in order to pass the skills evaluation section of the CNA state test.

The first procedural skill that all test takers in Texas complete is hand-washing, and the remaining four skills will be selected totally at random. Moreover, the NNAAP skills evaluation mandates that all test takers complete at least one numerical measurement skill as part of the CNA state test (Pearson Vue, 2018). All of the hands-on procedural skills that require documentation of a numeric measurement have been listed below.

  1. Measurement and documentation of blood pressure
  2. Measurement and documentation of respiration rate
  3. Measurement and documentation of radial pulse
  4. Measurement and documentation of urinary output
  5. Measurement and documentation of an ambulatory patient’s body weight

On the scheduled day of the CNA state test, the test taker will need to bring three sharpened number two pencils with erasers to the testing center site to record the numerical measurements. The test taker will also need to bring a wristwatch with a second hand to the testing center to perform certain skills.

During the CNA state test, nurse aide test takers in Texas will be using the following standardized, approved form to document the numerical measurement(s) of the random procedural skill(s) they have been assigned.

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REFERENCES

National Council of State Boards of Nursing. (2018). NNAAP & MACE. Retrieved from https://www.ncsbn.org/nnaap-and-mace.htm

Pearson Vue. (2018). Texas Nurse Aide Candidate Handbook. Retrieved from https://home.pearsonvue.com/getattachment/73a0c524-4cbe-401a-aa5c-fe1ebf4e2517/Texas

Texas CNA Skills (Part Eight): What to Wear and How to Dress for the CNA State Test

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The broad majority of states in the U.S. have enacted laws that require graduates of nurse aide training programs to pass the respective state-approved examination in order to secure occupational certification as a certified nursing assistant (CNA). Therefore, the CNA state test is extremely important to the future career prospects of countless nursing assistants.

Nonetheless, many nurse aide students remain blissfully unaware that a testing center dress code exists. Well, a dress code certainly does exist for the CNA state test, and more than one rationale for being dressed in a specific way at the testing center site has been presented. The rationales for the dress code have been listed below.

  1. Nurse aide test takers should anticipate the remote possibility of spending all day at the testing center. Therefore, all-day comfort is of the utmost importance.
  2. A nurse aide test taker might be asked to participate in a simulated patient care environment where he or she plays the role of a debilitated elderly patient for one or more other test takers who need to perform hands-on skills. Thus, nurse aide candidates will actually be performing their skills on each other during the skills evaluation section of the CNA state test.
  3. Nurse aide test takers should wear shoes with non-skid soles (bottoms) for safety reasons. The safety of all test-taking candidates needs to be upheld at the testing center.
  4. Any candidate who volunteers to play the role of the patient must wear flat slip-on non-skid closed toe shoes, loose pants or bottoms that are capable of being rolled up, and a loose tank top or loose-fitting shirt with sleeves that can be rolled up to the shoulders (Pearson Vue, 2018).

In general, test takers will never go wrong by dressing the part of an employed nursing assistant regardless of whether or not they opt to volunteer to pose as a patient. The following dress code is more of a basic set of guidelines for appropriate testing center clothing for the CNA state test. Keep in mind that Pearson Vue testing centers are the testing sites where all CNA state tests are conducted in the state of Texas. The following list contains generalities surrounding proper attire in regards to the Texas CNA state test, as well as testing sites in the majority of other states in the US.

  1. Wear closed-toe shoes with flat non-skid soles.
  2. Nurse aide test takers who do not volunteer to play the role of a patient should wear a medical uniform, scrub set, or casual attire. Clothing should be clean.
  3. Nurse aide test takers who choose to wear casual attire should wear jeans, pants, khakis or slacks to comply with the potential need for hands-on skills practice. Dresses and skirts are discouraged with the exception of religious reasons.
  4. Midriffs and abdominal areas should be covered.
  5. Nurse aide test takers should appear clean, groomed, and be free from strong body odor. Perfumes, body sprays and colognes are discouraged.
  6. Nurse aide test takers who wear white bottoms should wear proper underwear since patterned panties, briefs or boxer shorts might be seen through white material.
  7. Long hair should be worn back into a ponytail, bun, contained by a headband, or pinned.
  8. Fingernails should be kept short and trimmed.
  9. Nurse aide test takers must wear a wristwatch with a second hand.
  10. Limit / curtail the amount of jewelry worn to the testing center. The amount of jewelry the nurse aide test taker wears to the testing center site should be minimal.

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Be completely mindful that the CNA state test dress code is different in a handful of states in the US. For example, CNA state test sites in Arizona require all test-taking candidates to adhere to a very specific dress code, and those who do not comply will not be permitted to take the exam.

With regards to the CNA state test in Arizona, Headmaster LLP (2018) asserts that “SCRUBS (which consists of a scrubs top and scrub pants, scrub skirt (long, loose-fitting) or scrub dress (long, loose-fitting) and closed-toed, soft-soled shoes are the required dress code for testing. You will not be admitted for testing if you are not wearing scrub attire and the appropriate shoes. You will be considered a NO SHOW. You will have to pay for another exam date.”

Be sure to dress for success on the day of the CNA state test and beyond. The nurse aide testing site evaluator is the individual who will be observing for competency as the test taker performs the skills evaluation section of the state test. Dressing the part for the CNA state test can go a long way in presenting the image of a candidate who is fully competent, prepared, professional, and serious about his or her future career as a nursing assistant.

Readers have probably heard the olden adage that one never gets a second chance to make a first impression. The point is to present oneself to the testing site evaluator as a nurse aide who deserves to pass the CNA state test. A cleanly nurse aide candidate looks the part, whereas a test taker with 10 gold chains, a tight-fitting cropped top that exposes the torso and dirty blue jeans does not look professional.

REFERENCES

Headmaster, LLP. (2018). Arizona Nursing Assistant Candidate Handbook. Retrieved from http://hdmaster.com/testing/cnatesting/arizona/azformpages/azforms/AZCandidateHandbook%202.1.18.pdf

Pearson Vue. (2018). Texas Nurse Aide Candidate Handbook. Retrieved from https://home.pearsonvue.com/getattachment/73a0c524-4cbe-401a-aa5c-fe1ebf4e2517/Texas

 

 

 

Texas CNA Skills (Part Seven): Critical Element Steps in the Skills Competency Section of the CNA State Test

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Nursing assistants who want to obtain certification as a certified nursing assistant (CNA) will need to pass the CNA state examination for the state where they plan to work. In the state of Texas, the CNA state test consists of two sections: a written (or oral) examination with a series of 70 multiple choice questions, as well as a hands-on skills competency evaluation consisting of five procedural skills that are to be performed in the presence of a testing site nurse aide evaluator.

During the skills section of the CNA state test, all test takers will need to successfully perform hand washing as the first procedural skill. Thereafter, the test taker will be required to perform an additional four out of five testable procedural skills. The remaining four testable skills will be selected completely at random.

Before the skills evaluation section of the CNA state test starts, the testing site nurse aide evaluator hands the test taker an instruction card that lists the randomly selected procedural skills that must be completed. Hand washing is the only CNA state test procedural skill that is not selected randomly. In other words, all nurse aide candidates who take the Texas CNA state test will be assigned the skill of hand washing during the skills evaluation portion.

Critical element steps are also referred to as critical steps, key steps, critical items, and critical elements. According to Pearson Vue (2018), critical element steps are the important actions associated with each procedural skill that the test taker must complete with accuracy in order to pass that particular skill. In other words, critical element steps are actions that must always be performed when completing a skill in front of the testing center nurse aide evaluator during the CNA state test.

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A nursing assistant candidate will most certainly fail the hands-on skills evaluation section of the CNA state test if he or she forgets to perform, misses, or incorrectly performs any critical element steps associated with a particular procedural skill. Also, be advised that most, but not all, skills have critical element steps that need to be correctly done in order to successfully complete the entire procedure with a passing cut score.

As an example, the procedural skill of cleaning an upper or lower denture has no critical element steps associated with it. However, the skill of measuring and recording a patient’s respirations has at least one critical element step attributed to it. Missing, forgetting, or incorrectly completing the critical element step associated with measuring and recording respirations means that the test taker fails the entire skill.

The skill of measuring and recording a patient’s respiratory rate is listed below in a step by step sequence, along with the single critical element step associated with this procedure. The critical element step is emboldened and underlined.

  1. The nursing assistant explains the procedure using clear and slow speech that is understandable. The nursing assistant maintains face to face contact with the client as much as possible.
  2. The nursing assistant measures the client’s respiration rate for one whole minute.
  3. The nursing assistant makes sure that the client’s call bell or signaling device is within reasonable reach.
  4. The nursing assistant washes his or her hands before documenting the client’s respiration rate.
  5. The nursing assistant is to document a respiration rate number that falls approximately within plus or minus two breaths of the testing site nurse aide evaluator’s documented number.

In general, most provisions related to safety, privacy, numerical measurements and infection control are usually regarded as critical element steps for testing purposes while taking the skills competency section of the CNA state test. The test taker cannot miss any critical element steps while performing a hands-on procedural skill at the testing center, or else he or she will automatically fail that particular skill.

In fact, most failures on the skills evaluation portion of the CNA state test can be attributed to the test taker’s omission or forgetfulness of the critical element steps on procedural skills regarding client safety, rights, numerical measurement documentation, or privacy maintenance. In summary, do one’s best to avoid missing any critical element steps at the testing center.

REFERENCES

Pearson Vue. (2018). Texas Nurse Aide Candidate Handbook. Retrieved from https://home.pearsonvue.com/getattachment/73a0c524-4cbe-401a-aa5c-fe1ebf4e2517/Texas