Texas CNA Skills (Part Thirteen): Resources to Help Prepare for the CNA State Test

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The National Nurse Aide Assessment Program (NNAAP), also known as the CNA state test, must be passed by any nurse aide who wants to attain state certification as a CNA. In addition, nurse aides who plan to pass the CNA state test on the very first attempt would be wise to utilize all of the resources they can possibly get their hands on. It also helps that many of the existing resources are completely free!

Fortunately, there are numerous resources out there to help students conquer the state test successfully. Preparation is the key, so the following resources will prove useful only if the student uses them and does not wait until the last minute to cram them in and study during the final hour. In fact, studying for the CNA state test should really be an ongoing process in which small amounts of material are covered each day.

Even though a mountain of testing information exists throughout the deepest crevices of the world wide web, a few of the resources might be terribly outdated or not all that informative. Therefore, a list of more relevant resources have been compiled and listed below to help nurse aide students prepare for the CNA state test. Take a deep breath, relax, prepare, and enjoy your future nursing assistant career!

  • Other Schools’ CNA Program Websites: Many CNA programs publish their lecture notes, study guides, PowerPoint presentations, online lessons and other learning materials for free. Click here to get to a series of excellent PowerPoint presentations on CNA lessons from the Kings County Office of Education.
  • Texas Curriculum for Nurse Aides in Long Term Care Facilities: This is the official nurse aide curriculum that has been approved for use by the state of Texas. In fact, the theory and skills contained within this curricula are used to formulate the questions and skills scenarios on the Texas CNA state test. Click here to get to the Texas curriculum.
  • Illinois State Nursing Exam Practice Test: This is a sample CNA state test that is being offered completely online through the Southern Illinois University website. This exam enables the user to select the number of questions; moreover, it automatically checks the submitted answers for correctness. Unlike the real CNA state test, no time limit have been imposed on this practice test.
  • Study Guide Books: There happens to be a myriad of CNA study guides for sale on websites such as Amazon, Ebay and Barnes & Noble that are designed to help test takers prepare for the written portion of the CNA state test. Purchasing one of these study guides might be a wise investment.
  • National Nurse Aide Assessment Program (NNAAP) Practice Exam: This practice test contains a number of questions that are extremely similar to ones that will be seen on the written section of the CNA state test. Therefore, it would be a good idea to take this practice exam, review the answers, and study the rationales for all the answers. Click here to get to the NNAAP Practice Exam.
  • Bureau of Labor Statistics (BLS): The BLS website, which happens to be updated and maintained by the United States Department of Labor on a regular basis, contains the most up-to-date statistics on the nursing assistant role. The BLS site has info such as routine nurse aide duties, work environment, average pay rates, and projected job outlook. Click here to get to the BLS nursing assistant web page.
  • Your CNA School: Do not forget to utilize the CNA school that you attended because the instructors can serve as knowledgeable resources. A reputable CNA program will be staffed with instructors who want students to succeed, so it is in the best interests of the school’s staff to assist graduates in preparing for the state test.
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CNA State Examination Practice Questions (Part Four)

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QUESTION: The resident has returned to the nursing home this afternoon after having undergone a minor same-day surgery at a freestanding surgical center earlier this morning. The resident has a doctor’s order to receive a full liquid diet for the rest of the day. The resident is now telling the nursing assistant, “I am getting really hungry right now.” Which food items and fluids would be appropriate on the meal tray of a resident who has been prescribed a full liquid diet?

A. Cream soup, broth, vanilla ice cream, water, and orange juice

B. Chicken noodle soup, sliced apples, side salad, and hot tea

C. Turkey bacon sandwich, corn on the cob, pudding, and milk

D. Spaghetti with meatballs, green beans, chocolate cake, and cola

ANSWER: A (The full liquid diet consists of fluids and food items that are usually in liquid form, as well as food items that will melt into liquid form when they are at room temperature, such as ice cream, ice cubes and popsicles. The full liquid diet allows the resident’s body to heal from the recent surgical procedure).

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QUESTION: The charge nurse has told the nursing assistant, “The patient in room 209 is in shock.” The nursing assistant knows to place the patient in which of the following positions in bed if any signs and symptoms of shock are noted:

A. The high Fowler’s position

B. The Trendelenberg position

C. The Sims’ position

D. The low Fowler’s position

ANSWER: B (The nursing assistant would place the patient in the Trendelenberg position when the signs and symptoms of shock are being experienced by the patient. This position places the legs of the patient in an elevated position that is higher than the head. This position also promotes return of the blood in the extremities (arms and legs) back into the circulating blood, therefore increasing the patient’s blood volume and blood pressure. The Sims and Fowler’s positions cannot produce these effects).

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QUESTION: The instructor is teaching a group of nurse aide students about the various roles of the different members of the multidisciplinary team within a typical nursing home setting. The instructor knows that her teaching has been effective if the nurse aide student is able to correctly pair the following healthcare worker with the associated duties and functions:

A. Dietitian: meal preparation

B. Speech language pathologist: instruction of new languages

C. Physical therapist: ambulation and balance/gait exercises

D. Certified nursing assistant: ordering medications

ANSWER: C (Physical therapists deliver rehabilitative and restorative care techniques, including assistance with ambulation and balance/gait exercises. Speech language pathologists, also known as speech therapists, assess and treat residents who are afflicted with swallowing disorders; in addition, they assess and treat residents with speech disorders and communicative problems that sometimes happen after a stroke. Speech language pathologists do not teach people new languages.

The primary role of a dietitian in the nursing home setting is to formulate nutritional programs designed to improve or maintain the health statuses of the residents who reside there; conversely, they do not prepare meals in the nursing home setting. Ordering medications is not within the scope of practice for certified nursing assistants).

 

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).

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.