The CNA written exam tests 60β70 questions across 5 domains. The clinical skills test demands 100% accuracy on 3β5 randomly selected skills. Having the essential facts at your fingertips β normal vital ranges, common abbreviations, and critical steps β gives you an edge in both parts of the exam.
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Normal Vital Sign Ranges (Memorize These)
| Oral Temperature | 97.6β99.6Β°F (36.4β37.6Β°C) | <95Β°F (hypothermia) | >103Β°F (fever) |
| Rectal Temperature | 98.6β100.6Β°F (37.0β38.1Β°C) | <95Β°F | >104Β°F |
| Pulse (Radial) | 60β100 bpm | <60 (bradycardia) | >100 (tachycardia) |
| Respirations | 12β20 breaths/min | <12 (bradypnea) | >28 (tachypnea) |
| Blood Pressure | 90/60 β 120/80 mmHg | <90/60 (hypotension) | >140/90 (hypertension) |
| Pulse Oximetry | 95β100% | <90% (hypoxia) | β |
| Pain (0β10 scale) | 0β3 (mild/none) | β | >7 (severe, report) |
Test Tip: If a question gives a vital sign outside normal range, your answer should involve βreport to nurse immediately.β
Key Medical Abbreviations
| ADL | Activities of Daily Living | I&O | Intake and Output |
| BID | Twice a day | TID | Three times a day |
| PRN | As needed | NPO | Nothing by mouth |
| BP | Blood Pressure | HR | Heart Rate |
| RR | Respiratory Rate | T | Temperature |
| Sx | Symptoms | Dx | Diagnosis |
| Tx | Treatment | Hx | History |
| SOB | Shortness of Breath | CVA | Cerebrovascular Accident (stroke) |
| CHF | Congestive Heart Failure | COPD | Chronic Obstructive Pulmonary Disease |
| CA | Cancer | AKA | Above Knee Amputation |
| BKA | Below Knee Amputation | C-spine | Cervical Spine |
| DNR | Do Not Resuscitate | DASH | Dietary Approaches to Stop Hypertension |
| BGL | Blood Glucose Level | IDDM | Insulin-Dependent Diabetes Mellitus |
| UTI | Urinary Tract Infection | BMI | Body Mass Index |
Test Tip: Know ADL vs. IADL (Instrumental ADLs = shopping, cooking, managing meds).
Resident Rights (Federal + State)
Every CNA exam tests resident rights. Know these 8 core rights:
- Right to be treated with dignity and respect β knock before entering, call by name
- Right to privacy β curtain/screen during personal care, confidential records
- Right to participate in care decisions β client can refuse treatment
- Right to voice grievances β no retaliation for complaints
- Right to personal possessions β safe storage of valuables
- Right to visitation β family and friends can visit during set hours
- Right to confidentiality (HIPAA) β never discuss client in hallways
- Right to be free from abuse and neglect β mandatory reporter status for CNAs
Test Tip: Any answer choice that violates dignity, privacy, or choice is ALWAYS wrong.
The 22 Testable Clinical Skills (Quick Checklist)
| 1 | Hand Hygiene (Hand Washing) | 20 seconds, fingertips down, no sink contact |
| 2 | Applies One Knee-High Elastic Stocking | Inside-out to heel, no wrinkles |
| 3 | Assists to Ambulate Using Transfer Belt | Non-skid shoes, lock wheels, belt secure |
| 4 | Measures and Records Blood Pressure | Deflate 2β3 mmHg/sec, record systolic/diastolic |
| 5 | Measures Radial Pulse | 60 seconds, use fingertips NOT thumb |
| 6 | Measures Respiration | 60 seconds, don't announce (changes breathing) |
| 7 | Measures Body Temperature (Oral) | Wait 15 min after hot/cold food, under tongue |
| 8 | Feeds Dependent Client | Upright 45β90Β°, small bites, check pocketing |
| 9 | PROM β Arm | Support joints, gentle, no force |
| 10 | PROM β Leg | Support joints, gentle, no force |
| 11 | Assists with Bedpan | Privacy, front-to-back (females), measure output |
| 12 | Changes Occupied Bed | Raise opposite rail, no wrinkles, bed low after |
| 13 | Gives Modified Bed Bath | Test water (110Β°F), clean to dirty, dry thoroughly |
| 14 | Mouth Care (Natural Teeth) | All surfaces 2β3 min, up-right position |
| 15 | Mouth Care (Dentures) | Lined basin, denture cleaner NOT toothpaste |
| 16 | Dresses Client with Affected Side | Undress strong first, dress affected first |
| 17 | Assists with Use of Commode | Privacy, clothing at ankles not feet |
| 18 | Measures Urine Output | Eye-level measurement, document color/clarity |
| 19 | Catheter Care | Front-to-back, meatus outward, bag below bladder |
| 20 | Applies Anti-Embolism Stockings (TED) | Inside-out, circulation check (nail blanching <3s) |
| 21 | Donning/Removing PPE | Don: gownβmaskβgloves. Remove: glovesβgownβmask |
| 22 | Measures Weight (Standing Scale) | Zero scale, nearest 0.5 lb, document with date/time |
Common Procedures β Step Order
Hand Washing (Do this before/after EVERY skill)
- Turn on water.
- Wet hands/wrists
- Apply soap
- 4. Lather 20 sec, fingertips down
- Clean nails
- Rinse fingertips down
- Dry fingertips first
- Paper towel to turn off faucet
- Dispose towel
Safe Patient Transfer (Bed to Chair)
- Explain + privacy
- Non-skid shoes
- Bed at safe level, lock wheels
- Assist to sitting, feet flat.
- Apply transfer belt
- Prearranged signal
- Stand (count 1-2-3)
- Pivot to chair
- Lower gently
- Remove belt, signaling device, bed low
Perineal Care (Female)
- Explain + privacy
- Wear gloves
- Wash labia front-to-back
- Rinse front-to-back
- Pat dry (don't rub)
- Remove gloves, wash hands
- Document
Emergency Procedures (Know These Cold)
| Fire | R.A.C.E. β Rescue, Alarm, Contain, Extinguish/Evacuate |
| Choking (responsive adult) | Heimlich maneuver (abdominal thrusts) |
| Choking (unresponsive) | Start CPR, call for help |
| Fall | Don't move client β assess, call nurse |
| Bleeding | Apply direct pressure, elevate if possible |
| Seizure | Protect from injury, don't restrain, turn on side after |
| Chest pain | Stop activity, sit up, call nurse immediately |
| Shortness of breath | Sit up, oxygen if ordered, call nurse |
Common CNA Exam "Trap" Questions
| Vital signs | "Client's BP is 88/56. What should you do?" | Report to nurse immediately (hypotension) |
| Privacy | "Client says 'don't close the curtain.' What do you do?" | Respect choice (resident rights) but explain why privacy matters |
| Refusing care | "Client refuses to bathe. You should..." | Respect choice, report to nurse (not force) |
| Abuse reporting | "You suspect abuse. What do you do?" | Report immediately β don't investigate yourself |
| Scope of practice | "Client asks for medication advice. You..." | Refer to nurse β CNAs don't advise on meds |
Study Schedule (4-Week Summary)
| Week1 | Written exam content (5 domains) | 1β2 hrs | 30-Q practice test, 70%+ |
| Week2 | Clinical skills (all 22) | 1.5β2 hrs | Perform all 22 with checklist |
| Week3 | Practice tests + gap analysis | 1.5β2 hrs | 2 full timed tests, 75%+ |
| Week4 | Mock exams + final prep | 1β2 hrs | 2 mock exams, test-day ready |
(Full 4-week plan available in our "2026 CNA Study Guide: 4-Week Pass-First-Try Plan" article)
Key Takeaways
- Memorize normal vital ranges β anything outside = "report to nurse immediately"
- Hand hygiene before/after every skill β missing it = automatic fail
- Resident rights β dignity, privacy, choice. Any answer violating these is wrong.
- PPE order matters: Gown β Mask β Gloves (donning). Gloves β Gown β Mask (removing).
- Fire safety: R.A.C.E. (Rescue, Alarm, Contain, Extinguish)
- Common trap: When in doubt, "report to nurse" is usually the right answer.
Conclusion
This cheat sheet covers the facts you'll be tested on repeatedly. Print it, fold it, and review it during study breaks, on the bus, or while waiting for class to start. It's free, open-access, and designed to be shared β unlike gatekept "lead magnet" PDFs, this one is here to help you pass.
Combine this cheat sheet with our full study guides for written exam content and clinical skills, and you'll walk into test day ready to pass on your first try.