How to Prepare for the Clinical Skills Test of the CNA Exam

With the National Nurse Aide Assessment Program (NNAAP) administering over 200,000 exams annually, it’s evident that the CNA Skills Test is a pivotal step for aspiring nursing assistants. But what exactly does this test entail, and how can one master the essential skills? In this article, let’s explore how to prepare for the clinical skills test of the CNA exam.

Understanding the CNA Skills Test

The clinical skills test is a significant component of the CNA exam, evaluating whether candidates can demonstrate competency in performing day-to-day nursing assistant duties. During this portion of the exam, candidates will be asked to perform five randomly selected nursing tasks in front of an evaluator within a 30-minute time limit. Skills evaluated during the clinical exam typically include:

• Basic nursing skills like handwashing, measuring vital signs, and positioning patients
• Personal care skills such as mouth care, peri-care, and grooming
• Mobility skills including transferring patients in and out of bed, ambulating with a gait belt, and using mechanical lifts

Performance on this section of the exam is crucial, as candidates must pass both the written and skills tests to become certified.

Mastering the Essential Skills

Mastering the essential skills is paramount, especially when you consider that every examinee will be evaluated on the Hand Hygiene skill among others. But while mastering these skills is crucial, it’s equally important to know where to find the right resources to aid in preparation.

Handwashing

As a foundational infection control technique, proper handwashing is tested in every state’s clinical exam. Candidates should practice proper hand hygiene, including washing hands for at least 15 seconds with soap and warm water.

30 Key Skills

The skills test focuses on 30 basic nursing procedures across three core domains:

• Indirect Care: Gathering information, reporting and documentation, biohazard management, etc.
• Personal Care: Bathing, mouth care, dressing, toileting, grooming, skincare, etc.
• Basic Nursing Care: Handwashing, measuring vitals, positioning, ambulating, transferring, etc.

One randomly selected skill will involve taking measurements such as blood pressure, radial pulse, respirations, urinary output, or body temperature. Thoroughly practicing all 30 core skills ensures readiness for the exam day. 

It can also be hugely beneficial to take up a CNA practice test like the ones offered on Medical Hero. These tests allow you to experience example exam questions and simulate the real testing environment, helping build confidence for the actual skills evaluation.

Utilizing Available Resources

Having access to the right resources, like those provided by Credentia, can significantly boost your preparation. However, it’s also essential to understand that requirements can vary by state. So, how do these state-specific requirements impact your preparation?

• YouTube: Watching video tutorials is an excellent way to understand the proper demonstration of skills. Search for your state’s requirements.
• CNA Exam Providers: Testing services like Credentia offer detailed skill checklists that align with each state’s requirements. Review these regularly.
• Study Groups: Practicing skills with peers helps develop competency. Offer feedback and quiz each other.
• Flashcards: Portable and perfect for repetitively reviewing key skill steps from anywhere.

Using supplementary resources strategically can help ingrain crucial skills. But it’s also vital to understand state-by-state specifications.

State-Specific Requirements

Navigating through the nuances of 17 different NCSBN jurisdictions might seem daunting. But, no matter the state-specific variations, one thing remains constant: the importance of presenting oneself professionally. Let’s delve into how you can make the best impression on exam day.

There are currently 17 states that use the NNAAP exam. While the core skills are consistent, the delivery format varies. Some key considerations:

• Written Test: Paper-based or computer-based format
• Skills Evaluation: This may be integrated with a written exam or scheduled separately
• Time Limits: Duration for skills test ranges from 30-60 minutes
• Handwashing: Required first skill in all states
• Test Provider: Pearson VUE or Credential administers exams depending on location

Reviewing state regulations well in advance is strongly recommended to understand requirements.

Dressing for Success

While having the right attire and presenting oneself professionally can set a positive tone, the real challenge lies in the actual execution on the examination day. With two valid government-issued IDs in hand, you’re not just proving your identity but stepping into a pivotal phase of your career. Here are some tips for making the best impression:

• Wear neat, comfortable scrubs in a solid color. Avoid loud prints.
• Close-toed shoes with slip-resistant soles are ideal. Avoid sandals or high heels.
• Hair should be clean and neatly tied back. Nails are short and clean.
• Avoid strong perfumes or scents.
• Minimal jewelry is the best. Take out facial piercings.
• Bring two unexpired government IDs and proof of training completion.

Your appearance should convey cleanliness, professionalism, and safety – values crucial for a nursing assistant.

Navigating the Examination Day

With preparation and professional presentation covered, the focus shifts to smoothly navigating examination day procedures and regulations. Here are some final tips for the clinical skills test:

• Arrive early to the test site to avoid feeling rushed.
• Listen carefully to all instructions from evaluators. Ask clarifying questions if unsure.
• Take a few deep breaths before each skill demonstration to manage your nerves. Avoid rushing.
• Narrate steps softly as you perform skills to demonstrate knowledge.
• Maintain proper infection control throughout. Dispose of waste properly after tasks.
• Be attentive to safety, privacy, and respect for the “patient.” Communicate before physical touch.
• If a mistake occurs, tell the evaluator immediately and correct it if possible.
• Thank the evaluator respectfully at the conclusion of the exam.

With diligent preparation and professional conduct, you can ace the clinical skills test on your path to CNA certification.

Frequently Asked Questions

1. How many skills will I be tested on during the CNA clinical skills test?

You will be asked to demonstrate five randomly selected nursing tasks in front of an evaluator within a 30-minute timeframe. One measurement skill is mandatory.

2. Are there any skills that are universally tested across all states?

Yes, handwashing is a skill that is included in all states’ evaluations as a crucial infection control technique and foundational CNA skill.

3. What happens if I make a mistake during the skills test?

If you realize you’ve made an error, immediately notify the evaluator and try to correct the mistake if possible. Corrections are permitted during the skill, but not after completion.

Final Thoughts

Preparing for the clinical skills component of the CNA exam requires dedication to mastering core skills, utilizing available resources, understanding state requirements, and conducting yourself professionally. Our step-by-step guide outlines proven techniques to help you overcome test anxiety and demonstrate your abilities with confidence. With practice and a patient-focused mindset, you can achieve success on examination day.