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newSchoolWorks.com › VoTechWorks › Health & Personal Services › Nursing Assistant (CNA) › CNA Certification Exam Preparation › Lesson 4
HLT-CNA36-09 · Lesson 4 · 4 clock hours · practice

Full Mock Certification Examination and Personalized Remediation

Objective. Students will complete a full-length simulated CNA competency examination—written and skills components—under timed, examination-like conditions and use scored results to finalize readiness for the state credential examination.

⚠ Pending professional review

This lesson, its worked examples and its practice questions has not yet been verified by a licensed clinician in the field or by a certification or approval body. It is a study draft and may contain errors. Do not use it to make decisions about any patient or medication. Always follow your instructor, your supervising professional, and current official references and regulations.

VoTechWorks program approval and accreditation are still in progress. Credentials are issued only by the certifying bodies named in each program, after their own exams.

What This Lesson Is and Why It Matters

This lesson is your full dress rehearsal for the state CNA competency examination. Everything today mirrors the real credential exam as closely as possible: timed written questions, randomly drawn skills, official checklists, and no notes or phones. Your scores are not a grade for a class assignment—they are a readiness signal. A strong performance confirms you are ready to schedule your state exam. A gap in any area gives you specific, actionable information before the stakes are real.

Remember: without a passing score on the state examination, you cannot legally work as a nursing assistant. Your credential is the legal permission granted by your state to practice. Preparing thoroughly now protects your future patients and your career.

The Mock Written Examination

You will complete 60 multiple-choice questions in silence, under timed conditions. Phones, notes, and study materials are not permitted—the same rules that apply on examination day. The questions cover all domains tested on the state exam, including basic nursing skills, safety and emergency procedures, promotion of residents' independence, legal and ethical behavior, communication, infection control, and personal care.

The passing mark is 70%, which means you must answer at least 42 of 60 questions correctly. Your instructor will collect and score all exams immediately after the time limit ends, and you will receive your score along with answer explanations during your individual conference.

Approach every question by reading it fully before looking at the options. Identify the key subject—what is actually being asked—and eliminate options you know are wrong. If two answers seem close, ask yourself which one best protects the patient's safety or dignity. On certification exams, safety and scope of practice are nearly always the priority.

The Mock Skills Examination

Immediately after the written component, each student draws two or three skill cards at random. You then perform those skills before an instructor-evaluator who uses the official state skills checklist. Time limits are enforced. The evaluator marks whether you completed each required step, paying special attention to critical steps.

A critical step is any action that, if omitted, could directly harm the patient or violate infection control or safety principles. Common critical steps across many skills include:

The passing mark for the skills component is zero critical-step errors on each skill performed. Missing even one critical step on any skill is a failure of that skill. This standard exists because in a real clinical setting, these omissions cause patient harm.

Before you perform each skill, pause for two seconds, visualize the sequence, and remind yourself: hand hygiene first, introduce and explain, complete the skill correctly, ensure patient safety, hand hygiene last.

Safety Principles That Apply to Every Skill

Patient safety is not one item on a checklist—it is the reason for the entire checklist. As you perform skills today, keep these principles active in your mind:

Your Individual Results Conference

After both components are scored, your instructor will meet with you briefly to review your results. You will receive your written score, a breakdown by domain, and a pass/fail on each skill.

If you met both thresholds—42 or more correct on the written exam and zero critical-step errors on each skill—you will be documented as examination-ready and can proceed to schedule your state credential exam.

If you did not meet the threshold on either component, you will receive a written remediation plan. This plan is not a punishment; it is a roadmap. It will specify which content areas to review, how many additional skills practice hours to complete, and when to schedule a make-up skills session before the program ends. Students who follow the remediation plan consistently pass the state examination.

How to Use Your Results

Look at every question you missed on the written exam and read the rationale. Ask yourself whether you misread the question, lacked the knowledge, or knew the information but second-guessed yourself. Each pattern calls for a different response—slow down and re-read, review the content module, or practice trusting your first answer.

For skills, review the evaluator's checklist markings step by step. Identify the exact point where the sequence broke down and practice that skill from the beginning multiple times—not just the part you missed—until the full sequence is automatic.

Your state credential examination is the gateway to legal practice. Today's mock exam is the best preparation you have. Use the results honestly and completely.

Key terms9

Critical stepA required action in a CNA skills examination that, if omitted, causes an automatic failure of that skill because skipping it could directly harm the patient or violate a fundamental safety or infection-control principle.
State CNA RegistryThe official government registry maintained by the state licensing authority that lists individuals who have met all requirements to practice legally as a nursing assistant; being listed is the legal permission to work in the role.
Passing thresholdThe minimum score required to be considered successful on an examination component; for today's mock exam, 70% correct (42 of 60) on the written portion and zero critical-step errors on each skill.
Remediation planA written, individualized document given to students who do not meet the passing threshold, specifying exact tasks—content review, additional skills practice hours, or instructor sessions—to complete before sitting the credential examination.
Examination-readyThe documented status of a student who has met both the written and skills passing thresholds on the mock examination and is cleared to schedule the state CNA competency examination.
Standard PrecautionsInfection-control practices applied with every patient regardless of known diagnosis, including hand hygiene and appropriate use of personal protective equipment when contact with blood or body fluids is possible.
Scope of practiceThe specific tasks and responsibilities a CNA is legally and professionally permitted to perform, defined by state law and employer policy; performing tasks outside this scope is illegal and unsafe.
Skills checklistThe official standardized form used by evaluators during the skills component of the CNA competency examination to record whether each required step—especially critical steps—was completed correctly.
DomainA broad subject area covered on the written CNA examination, such as infection control, safety and emergency procedures, or personal care; questions are distributed across all domains to test comprehensive competency.
In class: Full-length mock written examination: students complete a 60-question multiple-choice written exam under silent, timed conditions replicating the state examination environment; phones and notes are prohibited; instructor collects and scores all exams immediately. · Mock skills examination: immediately following the written component, each student draws two to three skill cards at random and performs those skills before an instructor-evaluator using the official state checklist with time limits enforced; evaluator marks each critical step and calculates a pass/fail result. · Individual results conference and exam-readiness plan: instructor meets briefly with each student to review written and skills mock scores, identify remaining gaps, and confirm or adjust the student's readiness to schedule the state examination; students who did not meet the passing threshold on either component receive a written remediation plan with specific tasks (additional skills practice hours, targeted content review modules, or instructor office time) to complete before sitting the credential exam.
Materials: 60-question mock written examination (full-length, instructor-prepared and mapped to all state exam domains), answer keys with rationales, state CNA skills checklists, clinical lab equipment (same as Lesson 3), timer, individual results feedback form, exam-readiness checklist.
Check: Pass mark for mock written examination is 70% (42 of 60 questions correct). Pass mark for mock skills examination is zero critical-step errors on each performed skill. Students meeting both thresholds are documented as examination-ready; those below either threshold receive a written remediation plan and a scheduled make-up skills session before program completion.

Practice check8

Answer each question, then check it. Nothing is recorded; this is your own practice.

Infection Control
1. A student draws the 'hand washing' skill card during the mock skills examination and performs every step correctly but forgets to dry hands completely before putting on gloves. The evaluator marks this as a critical-step failure. What is the MOST likely reason this step is considered critical?
Safety and Emergency Procedures
2. During the mock written examination, a student reads this question: 'A resident begins to slide out of a wheelchair while you are transporting her. What is your FIRST action?' Which approach BEST helps the student select the correct answer?
Program Requirements / Exam Preparation
3. A student's mock written score is 38 out of 60. Which statement ACCURATELY describes the student's status?
Safety and Emergency Procedures
4. During the mock skills exam, a student correctly performs all steps of a bed bath but does not raise the side rail on the far side of the bed before beginning. The evaluator marks a critical-step failure. Why is raising the far-side rail before beginning the skill so important?
Legal and Ethical Behavior / Scope of Practice
5. A resident tells the nursing assistant, 'I think there is something wrong with my catheter—it is hurting.' What is the CORRECT action within the nursing assistant's scope of practice?
Infection Control
6. Which of the following is the BEST description of Standard Precautions as they apply to CNA skills?
Promotion of Residents' Independence and Rights
7. After the mock examination, a student's results conference reveals strong scores in personal care skills but repeated errors in questions about residents' rights. Which remediation step is MOST appropriate?
Program Requirements / Exam Preparation
8. A student passes the mock skills examination with zero critical-step errors but scores 40 out of 60 on the mock written exam. What happens next according to program policy?
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