Role + Missouri Rules
18%of exam
Safety + Infection
19%of exam
Hand HygienePPEFallsRACEBody Mechanics
Basic Nursing Care
21%of exam
VitalsADLsMobilityNutritionElimination
Function + Rights
21%of exam
Resident RightsHIPAASBARRefusalAbuse Reporting
Specialized Care
21%of exam
Quick Facts
- Exam
- Missouri CNA
- Vendor
- D&S Headmaster
- Registry
- MOCNAR
- Knowledge
- 75 questions
- Written time
- 60 min
- Skills time
- 30 min
- Pass
- 80% written
- Training
- 75 class + 100 OJT
- Renewal
- 8 hrs / 24 mo
- Attempts
- 3 attempts
MO Hours
Seventy-five class; one hundred OJT.
75 classroom100 OJT175 total
CNA vs Nurse
CNA
- Assist care
- Observe/report
- Follow plan
Nurse
- Assess
- Delegate
- Change plan
Assist vs assess
Report Picker
- New pain→Notify nurse
- Skin breakdown→Notify nurse
- Suspected abuse→Report hotline(Mandated)
- Resident refuses→Report refusal
- Vital abnormal→Recheck/report
- Fall occurs→Stay and call
- New confusion→Report promptly
- Unclear task→Ask nurse
Exam Facts
- DHSS
- State authority
- Headmaster
- Testing vendor
- TMU
- Scheduling portal
- MOCNAR
- MO registry
- Knowledge
- 75 questions
- Skills
- 3-4 tasks
- Written pass
- 80% minimum
- Skill pass
- No key misses
Observe vs Diagnose
Observe
- Facts seen
- Data measured
- Resident says
Diagnose
- Clinical judgment
- Provider/nurse role
- Not CNA
Facts, not labels
Missouri Rules
- Training
- 175 hours
- Classroom
- 75 hours
- OJT
- 100 hours
- Renewal
- 8 paid hours
- Cycle
- 24 months
- Good standing
- Registry active
- Reciprocity
- DHSS review
- Challenge
- DHSS approval
Written vs Skills
Written
- 75 questions
- 60 minutes
- 80% pass
Skills
- 3-4 tasks
- 30 minutes
- No key misses
Know and demonstrate
Scope + Delegation
- CNA role
- Delegated care
- RN/LPN
- Supervises tasks
- Assessment
- Nurse only
- Diagnosis
- Never CNA
- Care plan
- Follow exactly
- Medication
- Not CNA
- Sterile care
- Licensed task
- Change
- Report promptly
RACE Fire
Rescue, alarm, contain, extinguish.
RescueAlarmContainExtinguish
Clean vs Dirty
Clean
- Uncontaminated
- Resident-ready
- Protected supplies
Dirty
- Touched floor
- Body fluid
- Soiled linen
Keep clean separated
Safety Picker
- Fire smoke→RACE
- Small fire→PASS
- Spill hazard→Block area
- Conscious choking→Abdominal thrusts
- Oxygen room→No flames
- Weak transfer→Get help
- Soiled hands→Soap water
- Exposure splash→Wash/report
Infection Control
- Hand hygiene
- Best prevention
- Standard
- Every resident
- Contact
- Gown/gloves
- Droplet
- Mask close care
- Airborne
- Special room
- PPE don
- Clean before dirty
- PPE doff
- Dirty before clean
- Linen
- Bag at source
PASS Extinguisher
Pull, aim, squeeze, sweep.
PullAimSqueezeSweep
Standard vs Transmission
Standard
- All residents
- Expected fluids
- Basic PPE
Transmission
- Specific pathogen
- Extra barriers
- Posted precautions
Always plus extra
Safety + Emergency
- Fall risk
- Call light near
- Bed
- Low and locked
- Gait belt
- Transfer support
- Body mechanics
- Wide base
- Weak side
- Support closely
- RACE
- Fire response
- PASS
- Extinguisher use
- Oxygen
- No flames
Skill Finish
Privacy, safety, call light, hands.
PrivacySafetyCall lightHand hygiene
Skills Sequence
- Enter room→Knock/privacy
- Before care→Hand hygiene
- Starting skill→Explain task
- Moving resident→Lock brakes
- Standing resident→Gait belt
- Dirty linen→Soiled hamper
- Measure output→Eye level
- End skill→Call light
ADLs + Personal Care
- Bathing
- Expose one area
- Oral care
- Brush gums/tongue
- Dentures
- Line basin
- Perineal care
- Front to back
- Catheter care
- Away from meatus
- Toileting
- Offer privacy
- Dressing
- Weak side first
- Grooming
- Promote independence
Vitals + Measurements
- Temperature
- Report fever
- Pulse
- Rate/rhythm
- Respirations
- Count quietly
- BP
- Systolic/diastolic
- Pain
- Resident report
- Weight
- Same scale/time
- I&O
- Measure all
- Urine
- Eye-level read
Mobility + Restorative
- Fowler
- Head elevated
- Supine
- On back
- Lateral
- On side
- Transfer
- Lock brakes first
- Ambulate
- Use gait belt
- Cane
- Strong side
- Walker
- Move first
- ROM
- Move joints
Nutrition + Elimination
- Dysphagia
- Swallowing difficulty
- Aspiration
- Food in airway
- Feeding
- Small bites
- Thickened liquid
- Swallow protection
- NPO
- Nothing by mouth
- Hydration
- Encourage fluids
- Constipation
- Report pattern
- Diarrhea
- Report promptly
Skills Test
- Indirect care
- Safety/privacy
- Introduce self
- Before care
- Verify resident
- Check identity
- Privacy
- Curtain closed
- Handwashing
- Embedded mandatory
- Call light
- Within reach
- Correction
- State and redo
- Record form
- Sign measurements
Report Rule
Changes, pain, abuse, falls: report.
ChangesPainAbuseFalls
Objective vs Subjective
Objective
- Seen
- Measured
- Counted
Subjective
- Resident reports
- Pain statement
- Feeling described
Measure vs say
Rights + Ethics
- Dignity
- Respect personhood
- Privacy
- Cover body
- Choice
- Honor preferences
- Refusal
- Report, never force
- HIPAA
- Need-to-know only
- Abuse
- Report immediately
- Neglect
- Unmet care
- Exploitation
- Improper gain
Report vs Document
Report
- Tell nurse
- Urgent changes
- Safety issues
Document
- Record facts
- After care
- Facility form
Speak first if urgent
Skin Safety
- Pressure injury
- Report immediately
- Stage 1
- Red intact skin
- Stage 2
- Partial loss
- Reposition
- Prevent pressure
- Shear
- Skin slides
- Draw sheet
- Reduce friction
- Heels
- Float off bed
- Moisture
- Protect skin
Cognitive + Special Care
- Dementia
- Progressive decline
- Alzheimer
- Common dementia
- Sundowning
- Evening confusion
- Validation
- Accept feelings
- Redirection
- Shift attention
- Delirium
- Sudden confusion
- Depression
- Report withdrawal
- Hospice
- Comfort focus
Common Traps
Treat vs report
Nurse treats wounds ≠ CNA reports changes
Gloves vs hands
Gloves are barrier ≠ Hands still washed
Refusal vs forcing
Resident may refuse ≠ CNA never forces
Dirty vs clean linen
Floor means soiled ≠ Clean cart stays clean
Diagnosis vs observation
Report facts ≠ Do not diagnose
Steps vs talk
Demonstrate required steps ≠ Verbal-only may fail
Renewal vs training
Renew with work ≠ Train before first exam
Last Minute
- 1.Know 75 questions
- 2.Written pass is 80%
- 3.Skills: no key misses
- 4.Handwashing ends mandatory task
- 5.Report changes immediately
- 6.CNA follows care plan
- 7.Refusal: report, never force
- 8.RACE before PASS
- 9.Renewal needs 8 paid hours
- 10.Training totals 175 hours
- 11.Document objective facts only
- 12.Call light within reach
Study guide on MometrixSame family resources
Explore More CNA
Continue into nearby exams from the same family. Each card keeps practice questions, study guides, flashcards, videos, and articles in one place.
More From This Family
Videos and articles for deeper review.
VideoBest Manual Blood Pressure Cuffs for Nursing Students (2026): 5 Aneroid Sphygmomanometers ReviewedVideoBest Manual Blood Pressure Cuffs for Nursing Students (2026): 5 Aneroid Sphygmomanometers ReviewedVideoBest Manual Blood Pressure Cuffs for Nursing Students (2026): 5 Aneroid Sphygmomanometers ReviewedVideoBest Manual Blood Pressure Cuffs for Nursing Students (2026): 5 Aneroid Sphygmomanometers ReviewedArticleFREE CNA Exam Guide 2026: Pass Written & Clinical Skills First Try12 min readArticleFree Nursing & Healthcare Exam Podcast (2026): NCLEX-RN, NCLEX-PN, CNA, TEAS Audio Study Guide8 min readArticleCNA to RN Career Pathway 2026: Complete Guide to Becoming a Registered Nurse18 min readArticleHow to Become a Nurse in 2026: Education, Exams & Career Paths (Complete Guide)28 min read