Within CNA certification programs and examinations, there is a basic set of common skills aspiring candidates will learn about. These skills set forth a foundation for a CNA to learn and develop in both a classroom and a clinical setting.
Who provides the test in your state?
Lots of websites will throw out information on which skills you need to brush up on before your CNA skills test. However, there are multiple providers of the skills test depending on your state and which organization or school you’re attending. Below is a chart of the test providers by state, and following that is an exhaustive list of the skills you may be tested on based on the provider, as each of them is a bit different. Make sure you’re studying for the correct test, you don’t want to miss out on studying for skills that you’ll need to pass the exam.
CNA skills list by provider
Now that you know which providers are available in your state, you can run through the required skills for your available provider(s).
Prometric
- Hand hygiene
- Assist to ambulate using transfer belt
- Indirect care
- Assist with use of bedpan
- Clean upper or lower denture
- Count and record radial pulse
- Count and record respirations
- Dress client with an affected arm
- Feed client who cannot feed self
- Empty, measure and record urinary output
- Perform modified passive range of motion (PROM) for one knee and one ankle
- Perform modified passive range of motion (PROM) for one shoulder
- Position client on side
- Provide catheter care for female
- Provide foot care on one foot
- Provide mouth care
- Provide perineal care (PERI-CARE) for female
- Transfer from bed to wheelchair using transfer belt
- Change bed linen while the resident remains in bed (not tested in Wyoming)
- Provide hand and nail care
- Give partial bed bath and back rub
- Provide resident with passive range of motion (ROM) exercises to one elbow and wrist
Pearson Vue
- Hand hygiene
- Applying knee high elastic stocking
- Assists to ambulate to a transfer belt
- Assist with use of bedpan
- Cleans upper and/or lower denture
- Measure and record radial pulse
- Measure and record respirations
- Donning and removing gown and gloves (PPE)
- Dress client with affected arm
- Feed client that cannot feed themselves
- Provide modified bed bath
- Measure and record electronic blood pressure
- Measure and record urinary input
- Measure and record weight
- Perform passive range of motion for knee and ankle
- Perform passive range of motion for shoulder
- Position client on side
- Provide catheter care for female
- Provide foot care on one foot
- Provide mouth care
- Provide perineal care for female
- Transfer client from bed to wheelchair with a transfer belt
- Measure and record manual blood pressure
Headmaster
- Abdominal thrust
- Ambulation with cane or walker
- Ambulation with gait belt
- Antiembolic stockings
- Blood pressure
- Brief application
- Mouth care
- Denture care and oral care
- Dressing a client
- Feeding a dependent client
- Fluid intake
- Foot care
- Gown and gloves
- Hair care
- Hand washing
- Making an occupied bed
- Mouth care of a comatose resident
- Nail care
- Partial bed bath
- Passing fresh water
- Perineal care for female
- Perineal care for uncircumcised male
- Position client on side
- Measure and record pulse and respiration (a.k.a. Vital signs)
- Range of motion exercise
- Measuring temperature using digital, tympanic or temperature dot thermometer
- Bedpan and output
- Transfer from bed to wheelchair with gait belt
- Transfer from wheelchair to bed using a gait belt
- Managing urinary drainage bag
- Weighing an ambulatory resident
American Red Cross
- Handwashing (at a real sink, using soap and water)
- Put on and remove gown and gloves
- Position the resident in a fowler’s position
- Position the resident in a side-lying (lateral) position
- Transfer the resident from bed to chair using a gait belt
- Make an occupied bed
- Brush the resident’s dentures
- Mouth care for an unconscious resident
- Give the resident a partial bed bath (upper body) – face-neck-chest-abdomen-arms-hands
- Give the resident a partial bed bath (lower body) – hips-legs-feet
- Give the resident a back rub/massage
- Give the resident perineal care (female resident)
- Shave the resident
- Clean and trim the resident’s fingernails
- Dress the resident with a paralyzed/contracted arm
- Serve the meal tray and feed the paralyzed resident
- Measure and record the height of a resident using an upright scale
- Measure and record the weight of a resident using an upright scale
- Assist the resident with the bedpan
- Count and record the resident’s radial pulse
- Count and record the resident’s respirations
- Take and record the resident’s blood pressure
- Perform passive range of motion (upper body) – shoulders-elbows-wrists-fingers
- Perform passive range of motion (lower body) – hips-knees-ankles-toes
- Assist the resident in walking using a gait belt
CNA Skills Test FAQ
People tend to have a lot of questions about the CNA skills test, so we’ll do our best to try to answer some of those for you.
What is the format of the CNA skills exam?
The format of the CNA skills test varies depending on which state you are in and who is administering your test. You will be required to demonstrate three to six different skills that a nursing aide is expected to perform. Some providers will have mandatory skills included among those tested like hand hygiene and indirect care.
How is the CNA skills test graded?
As you walk through your demonstration an evaluator scores you based on a checklist for each skill. You will be marked down for deficiencies when demonstrating a skill, and some elements of the skill are weighted more heavily than others. These critical steps are sometimes referred to as the “bold steps” of a CNA skill.
What are the required skills for the CNA skills test?
The skills you are tested on can vary, so it’s important to practice all required skills before taking your exam. Some test providers will have mandatory skills that will certainly be on the test, so it’s useful to know those. For example, Pearson Vue tests require hand washing, while Prometric’s required clinical skills include hand washing, indirect care and using a transfer belt.
How do I pass the CNA skills test?
To pass the CNA skills test you’ll need to reach the required score for your state’s testing provider. Typically, that score falls within the range of 70% to 80%.
Is the CNA skills exam hard?
If you’ve ever spoken to someone who has taken the CNA skills test, you’ll find that very few people will tell you it’s easy. That said, if you have a good plan and show up prepared you should be able to pass your skills competency evaluation on the first try. It’s important to consistently walk through your CNA skills while also taking CNA practice tests of the written portion of the exam.