Activities of Daily Living
22%of exam
HygieneDressingNutritionElimination
Basic Nursing Skills
35%of exam
Infection controlSafetyVitalsPositioning
Self-Care and Independence
7%of exam
ChoicesParticipationMobilityRestorative care
Emotional and Mental Health
8%of exam
EmpathyDementiaGriefBehavior changes
Cultural and Spiritual Needs
2%of exam
PreferencesBeliefsInterpreterRespect
Communication
7%of exam
ListeningReportingDocumentationDirections
Client Rights
8%of exam
PrivacyConfidentialityRefusalAbuse prevention
Legal and Ethical Behavior
5%of exam
ScopeCare planDocumentationDelegation
Health Care Team
6%of exam
SupervisionHandoffCare planObservations
Quick Facts
- Exam
- Nevada CNA NNAAP
- Provider
- Credentia for Nevada Board
- Knowledge
- 70 items; 60 scored
- Knowledge time
- 2 hours
- Skills
- Five random skills
- Skills time
- 30 minutes
- Training
- 75-hour Nevada minimum
- Pass mark
- No public percentage
Daily Living Care
- Bathing
- Cleanse; protect privacy
- Dressing
- Promote client choice
- Grooming
- Support usual routine
- Nutrition
- Follow ordered diet
- Hydration
- Measure intake if assigned
- Elimination
- Report unusual output
HPP Client Care
Hand hygiene, Plan, Protect
Hand hygienePlanProtect
Knowledge vs Skills
Knowledge
- Two-hour exam
- Written or oral
Skills
- 30-minute evaluation
- Five random skills
Pass both examination parts
Basic Safety Skills
- Hand hygiene
- Before and after care
- PPE
- Match exposure risk
- Transfers
- Use proper body mechanics
- Vital signs
- Measure; report changes
- Positioning
- Protect alignment and skin
- Intake and output
- Record assigned amounts
Skills Evaluation
- Selection
- Five random skills
- Time
- Thirty minutes total
- Critical elements
- Complete every critical step
- Evaluator
- Follow evaluator directions
- Hand hygiene
- Use correct technique
- Result
- All five must pass
Choice vs Abandonment
Choice
- Respect refusal
- Support safe preferences
Abandonment
- Ignore safety needs
- Leave without reporting
Respect choice; communicate needs
Support Independence
- Participation
- Encourage safe involvement
- Preferences
- Respect routine choices
- Adaptive devices
- Use per care plan
- Restorative care
- Follow assigned program
- Mobility
- Promote safe independence
- Refusal
- Respect; report promptly
Emotional Support
- Validation
- Acknowledge expressed feelings
- Confusion
- Use calm simple cues
- Behavior change
- Report new changes
- Dementia
- Avoid arguing facts
- Grief
- Listen without judgment
- Depression
- Report concerning statements
Cultural Respect
- Preferences
- Ask; never assume
- Practices
- Support care-plan practices
- Interpreter
- Use approved support
- Spiritual needs
- Respect beliefs and routines
- Food
- Follow ordered diet
- Touch
- Ask before touching
ORR Reporting
Observe, Record, Report
ObserveRecordReport
Written vs Oral
Written
- 70 multiple-choice items
- English reading format
Oral
- 60 questions
- 10 reading questions
Request oral with application
Exam Format Picker
- Read English comfortably→Written examination(70 multiple-choice items)
- Difficulty reading English→Request oral examination(60 plus 10 reading)
- Planning knowledge time→Allow two hours(Official candidate handbook)
- Planning skills time→Allow 30 minutes(Five selected skills)
- Certification is required→Pass both parts(Knowledge and skills)
- Reviewing content weights→Prioritize basic nursing(35 percent)
Communication Tools
- Observe
- Notice condition changes
- Document
- Record objective facts
- Report
- Tell nurse promptly
- Directions
- Clarify unclear instructions
- Listening
- Allow response time
- Handoff
- Share relevant observations
Subjective vs Objective
Subjective
- Client says dizzy
- Reported experience
Objective
- Temperature recorded
- Observed skin change
Document facts and statements
PCR Dignity
Privacy, Choice, Respect
PrivacyChoiceRespect
Privacy vs Confidentiality
Privacy
- Protect body exposure
- Provide private care
Confidentiality
- Protect client information
- Share need-to-know details
Protect person and information
Client Rights
- Privacy
- Provide drapes and privacy
- Confidentiality
- Share need-to-know information
- Choice
- Support informed choices
- Refusal
- Report refusal promptly
- Abuse
- Report suspected abuse
- Dignity
- Use respectful care
SAFE Unclear Tasks
Stop, Ask, Follow, Escalate
StopAskFollowEscalate
Safe Aide Response
- Before client contact→Perform hand hygiene
- Care plan gives direction→Follow the plan
- Condition changes→Report to nurse
- Task is unclear→Clarify before proceeding
- Task exceeds assignment→Stop; seek direction
- Client refuses care→Respect; report refusal
- Environment is unsafe→Protect client; notify
- Observation is needed→Document factual data
- Information is sensitive→Protect confidentiality
- Cultural preference arises→Ask; adapt care
- Potential abuse appears→Report per policy
- Transfer is needed→Use assigned technique
Legal and Ethical
- Scope
- Perform assigned CNA tasks
- Delegation
- Clarify unclear assignments
- Care plan
- Follow current directions
- Charting
- Document actual observations
- Incident
- Report per facility policy
- Error
- Report; never hide
Observation vs Diagnosis
CNA
- Observe changes
- Report factual data
Nurse
- Assess client condition
- Direct nursing care
Report; do not diagnose
Teamwork Basics
- Nurse
- Report changes to nurse
- Assignment
- Accept clear directions
- Handoff
- Share relevant observations
- Care plan
- Use current plan
- Supervision
- Seek direction before proceeding
- Continuity
- Follow handoff directions
Common Traps
Format and Timing
Written: 70 items; 60 scored ≠ Oral: 60 plus 10 reading
Skills Results
Each skill needs correctness ≠ Critical elements matter
Scope Errors
CNA reports; nurse assesses ≠ Clarify unclear assignments
Rights Errors
Privacy differs from confidentiality ≠ Respect refusal; report it
Score Assumptions
No published fixed pass percent ≠ Pass knowledge and skills
Nevada Training
Nevada minimum: 75 hours ≠ Use approved training pathway
Last Minute
- 1.Memorize nine content weights
- 2.Know written versus oral counts
- 3.Use official two-hour knowledge limit
- 4.Practice five-skill timing
- 5.Perform hand hygiene consistently
- 6.Follow care-plan directions
- 7.Report changes promptly
- 8.Protect privacy and confidentiality
- 9.Use objective documentation
- 10.Respect refusal; report it
- 11.Review Nevada 75-hour minimum
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