CNA state exam — how hard is the skills portion compared to written?

by amelia_f 140 views4 replies
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amelia_fOP
May 23, 2026

I finish my CNA training program next month and I'm starting to freak out about the state exam, specifically the clinical skills portion. My class pass rate for the written test has been around 85% which is fine, but our instructor said skills is where most students fail. We've been told the evaluator watches 5 random skills and you have to hit around 70% of the steps correctly on each one.

I've been practicing skills in class 3 days a week for 4 weeks now but I don't have a partner at home. I also started using cna certification prep resources to keep the written content fresh, but I'm more worried about the hands-on portion at this point.

The skills I feel shakiest on are catheter care, ambulation with a gait belt, and transfers. My instructors are great but class time gets split 25 students per session and I don't always get enough individual reps. Has anyone found a way to practice clinical skills at home without a lab partner?

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nico_b
May 24, 2026

The written section is genuinely easier than skills. I passed written with a 91% on my first try but almost failed skills because I rushed hand hygiene steps at the start. Every skill starts and ends with handwashing and if you break technique anywhere in that chain, you lose multiple points at once.

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nico_b
May 24, 2026

Record yourself on your phone doing the skills. Watching yourself back is brutal but it shows every hesitation and missed step. I caught that I kept forgetting to lower the bed rail after transfers, which is an automatic fail in most states.

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ingrid_p
May 24, 2026

Call your local hospital or nursing home and ask if they'll let you observe a CNA for a shift. A few places allowed this when I was in training and watching 5 hours of real patient care was worth more than any practice session. Some even let you practice transfers under supervision.

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marcus_t
May 25, 2026

Use a pillow as a stand-in patient for positioning and bed bath skills. It sounds silly but the muscle memory of talking through each step out loud while doing it is exactly what the evaluator watches for. I passed skills with zero mistakes after practicing on a pillow for 2 weeks.

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