Activities of Daily Living
22%of exam
Basic Nursing Skills
35%of exam
Self-Care Independence
7%of exam
Emotional Mental Health
8%of exam
DementiaBehaviorGriefValidation
Spiritual Cultural Needs
2%of exam
CultureReligionPreferencesBias
Communication
7%of exam
Therapeutic TalkSBARDocumentationBarriers
Client Rights
8%of exam
PrivacyDignityRefusalAbuse
Legal Team Role
11%of exam
Quick Facts
- Credential
- Nurse Aide I
- Vendor
- Credentia
- Written
- 70 MCQ
- Scored
- 60 scored
- Time
- 2 hours
- Skills
- 5 in 30 min
- Fee
- $140 combo
- Attempts
- 3 max
- Renewal
- 8 paid hours
Care Order
Clean before dirty, weak before strong
Face firstPeri lastDress weakUndress strong
Dressing vs Undressing
Dressing
- Weak side first
- Support limb
- Promote independence
Undressing
- Strong side first
- Weak side last
- Avoid pulling
On weak, off strong
ADL Picker
- Washing face→No soap
- Cleaning eyes→Inner to outer
- Female peri-care→Front to back
- Catheter care→Away from meatus
- Foot care→Dry between toes
- Mouth care→Upright client
- Dressing weakness→Weak side first
- Removing clothing→Strong side first
ADL Care
- Bath order
- Clean to dirty
- Eyes
- Inner to outer
- Face
- Plain water
- Perineal
- Front to back
- Catheter
- Away from meatus
- Foot care
- Dry between toes
- Mouth care
- Upright position
- Denture care
- Line basin
Nutrition Elimination
- Feeding
- Small bites
- Aspiration
- Airway entry
- Dysphagia
- Swallow difficulty
- Upright
- Prevent choking
- I&O
- Measure accurately
- NPO
- Nothing by mouth
- Bedpan
- Fowler position
- Urine output
- Use graduate
NNAAP Split
ADL 22, Basic 35, Role 26
ADL: 22%Basic: 35%Psych: 10%Role: 26%
Clean vs Dirty
Clean
- Face first
- Unused supplies
- Before gloves off
Dirty
- Perineal last
- Used linen
- Gloves contaminated
Protect clean areas
Skills Picker
- First skill starts→Hand hygiene
- Water required→Running water
- Measurement assigned→Record result
- Pulse assigned→Full minute
- Respirations assigned→Full minute
- Skill card order→Follow exactly
- Mistake noticed→State correction
- New skill begins→No return
Written Blueprint
- ADL
- 22 percent
- Basic nursing
- 35 percent
- Self-care
- 7 percent
- Mental health
- 8 percent
- Spiritual culture
- 2 percent
- Communication
- 7 percent
- Client rights
- 8 percent
- Legal/team
- 11 percent
Skills Core
Hands first, measure once, call light
Hand hygieneMeasurement skillInstruction orderCall signal
Skills List
- Hand hygiene
- Always tested
- Elastic stocking
- Knee-high application
- Ambulation
- Transfer belt
- Bedpan
- Assist use
- Denture
- Clean safely
- Radial pulse
- Count record
- Respirations
- Count record
- Gown gloves
- Don and remove
Fire
RACE first, PASS extinguisher
RescueAlarmContainExtinguishPull Aim Squeeze Sweep
Measurement Skills
- Electronic BP
- Measure record
- Manual BP
- State-specific skill
- Weight
- Ambulatory client
- Urine output
- Measure mL
- Radial pulse
- Full minute
- Respirations
- Full minute
- Recording sheet
- Enter result
- Wrong unit
- Skill fail risk
Infection Control
- Hand hygiene
- Best prevention
- Running water
- Required when directed
- Visible soil
- Soap water
- Gloves
- Body-fluid barrier
- Gown
- Clothing protection
- Dirty linen
- Away from uniform
- Clean to dirty
- Care sequence
- Glove removal
- Avoid self-contamination
Safety Emergency
- Call signal
- Within reach
- Bed
- Low and locked
- Wheelchair
- Brakes locked
- Shoes
- Before transfer
- Gait belt
- Secure at waist
- Fire
- Use RACE
- Extinguisher
- Use PASS
- Choking
- Immediate action
Transfer Picker
- Before standing→Lock brakes
- Client stands→Use belt
- Before transfer→Shoes on
- Weak side present→Support closely
- Bedpan needed→Fowler position
- Side position→Pillow supports
- ROM task→Support joint
- Leaving client→Call signal
Mobility Restorative
- ROM
- Joint movement
- PROM
- Aide moves joint
- Contracture
- Permanent shortening
- Dangling
- Sit before standing
- Weak side
- Support closely
- Dressing
- Weak side first
- Undressing
- Strong side first
- Independence
- Encourage self-care
Positioning
- Supine
- On back
- Lateral
- On side
- Fowler
- Head elevated
- Side rail
- Turn-side support
- Pillows
- Support alignment
- Bony prominences
- Pressure risk
- Top arm
- Support with pillow
- Between knees
- Protect skin
Mental Culture
- Dementia
- Cognitive decline
- Sundowning
- Evening confusion
- Validation
- Accept feelings
- Redirection
- Shift attention
- Agitation
- Reduce stimuli
- Depression
- Report withdrawal
- Grief
- Support emotions
- Culture
- Honor preferences
Written vs Oral
Written
- English text
- 70 items
- Standard format
Oral
- English or Spanish
- Reading section
- Requested on application
Read vs listen
Communication
- Active listening
- Attend reflect
- Open question
- Encourages detail
- Closed question
- Specific answer
- Nonverbal
- Body language
- SBAR
- Structured report
- Objective
- Observed measured
- Subjective
- Client states
- Language barrier
- Use interpreter
Objective vs Subjective
Objective
- Seen measured
- Vital signs
- Factual charting
Subjective
- Client says
- Pain report
- Quoted complaint
Observed vs stated
Refusal vs Neglect
Refusal
- Client choice
- Report nurse
- Do not force
Neglect
- Care omitted
- Needs unmet
- Report immediately
Choice vs failure
Rights Abuse
- Privacy
- Cover close curtains
- Dignity
- Respect choices
- Refusal
- Report, do not force
- Confidentiality
- Need-to-know only
- Abuse
- Report immediately
- Neglect
- Care not provided
- Misappropriation
- Property misuse
- Grievance
- Complaint right
Registry Rule
Two years, eight paid hours
Two-year listingRN supervisionPaid workOnline renewal
Written vs Skills
Written
- 70 MCQ
- Two hours
- 60 scored
Skills
- Five skills
- Thirty minutes
- Evaluator scored
Knowledge vs demonstration
Reporting Picker
- Client refuses→Tell nurse
- Condition changes→Report promptly
- Abuse suspected→Report immediately
- Measured data→Chart facts
- Client complaint→Respect grievance
- Outside scope→Ask nurse
- Registry expiring→Online renewal
- Out-of-state aide→Reciprocity review
Exam Facts
- NNAAP
- NC competency exam
- Written
- 70 multiple-choice
- Scored items
- 60 count
- Pretest items
- 10 unscored
- Written time
- Two hours
- Oral option
- English or Spanish
- Skills exam
- Five skills
- Skills time
- Thirty minutes
NA I vs NA II
NA I
- DHSR registry
- Basic care
- NNAAP tested
NA II
- NCBON registry
- Expanded tasks
- Separate program
DHSR vs NCBON
NC Rules
- NC DHHS
- State authority
- DHSR
- Registry section
- Credentia
- Testing vendor
- CNA365
- Scheduling portal
- Training
- State-approved NATCEP
- Federal floor
- 75 clock hours
- Deadline
- Two years
- Attempt cap
- Three attempts
Renewal vs Retesting
Renewal
- Active listing
- 8 paid hours
- Online verification
Retesting
- No work proof
- Expired pathway
- Competency exam
Work proof matters
Registry
- Registry
- NC Nurse Aide I
- Initial listing
- Pass both parts
- Posting delay
- 2-5 business days
- Listing term
- Two years
- Renew work
- 8 paid hours
- Supervision
- RN supervised
- Renewal
- Online forms
- Reciprocity
- Out-of-state good standing
Scope Team
- NA I
- Basic care
- Nurse
- Assesses plans
- Delegation
- Nurse assigns
- Care plan
- Follow exactly
- Diagnosis
- Not aide role
- Medication
- Not NA I
- Sterile care
- Not NA I
- Report changes
- Tell nurse
Common Traps
Handwashing shortcut
Running water required ≠ Sanitizer not enough
Measurement misses
Perform measurement ≠ Record measurement
Skill corrections
Correct before next skill ≠ Name exact correction
Pulse timing
Full minute safest ≠ Doubling risks error
Respiration count
Count unnoticed ≠ One inhale-exhale
Peri direction
Front to back ≠ Never back to front
Catheter care
Hold at meatus ≠ Clean away only
Transfer setup
Brakes before standing ≠ Shoes before standing
Registry renewal
Paid hours count ≠ Volunteer hours do not
Scope boundary
Report changes ≠ Do not diagnose
Last Minute
- 1.Written: 70 MCQ, 2 hours
- 2.Skills: 5 tasks, 30 minutes
- 3.Hand hygiene is always tested
- 4.One measurement skill is tested
- 5.Initial combo fee: $140
- 6.Pass both within 3 attempts
- 7.Pass both within 2 years
- 8.Registry posts in 2-5 days
- 9.Renew: 8 paid RN-supervised hours
- 10.ADL 22; Basic Nursing 35
- 11.Psych 10; Role 26
- 12.Call signal before leaving
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