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Writer's pictureSarah Cummingham

The Truth About CNA Exam Grading: Key Secrets Revealed!

Updated: Sep 27

Becoming a Certified Nursing Assistant (CNA) is no small feat. The exam can seem intimidating, but understanding the grading system can transform the experience from a daunting mystery into a well-prepared journey. Let's explore the details of how the exam is scored and uncover the essential tips you need to know to excel.


Tips for the CNA exam


About the CNA Scoring 💯

Alright, let's start with the basics of the CNA (Certified Nursing Assistant) exam scoring. Imagine yourself sitting in front of a computer, palms slightly sweaty, as you tackle those 60 multiple-choice questions. Here's the twist—only 50 of these questions actually count towards your grade. The other 10? They're what's known as "pilot questions." These are being tested for future exams and won't affect your score. The catch? You won't know which ones are which! It's like a surprise game of "Which one's the imposter?" So, while you're answering, treat each question like it's the real deal. No slacking off!


Why do they do this, you ask? These pilot questions help the exam creators determine which questions are good and which are bad for future tests. It's their way of ensuring the test stays fair and relevant, but it adds a layer of mystery for you, the test-taker. So, while it might seem like just another multiple-choice test, you've got to stay on your toes and give each question your best shot.


CNA Critical Concept Questions ⚕️

Now, let's discuss the real pressure points—critical concept questions. If you get even one wrong, your exam might be flagged faster than you can say, "Emergency!" Why? Because these questions deal with life-or-death scenarios.


Picture this: a fire breaks out in the facility. What's the first thing you do? Hint: it's not screaming and running around. You must remove the patient first. Or say there's a neck injury—don't you dare move the patient before stabilizing that wound! And if there's an electrical fire, you'd better not reach for the water bucket.


CNA fire safety


These critical questions are designed to ensure you know how to handle the most serious situations that could arise in your daily duties as a CNA. Here are some more examples to keep in mind:


Choking: If a patient is choking, you should know when to perform the Heimlich maneuver. It's not just about knowing what to do but when to do it.



Heimlich maneuver


CPR: Administering CPR correctly when someone is unresponsive and not breathing is crucial. Missteps here can have fatal consequences.



CNA CPR tips


Stroke Signs: Recognizing the signs of a stroke—like sudden numbness or confusion—and acting swiftly can save lives.



Certified Nursing Assistant Stroke Signs


Infection Control: It is key to know the correct procedures to prevent the spread of infection. This includes hand washing techniques and correctly using PPE.


Medication Administration: Understanding the basics of medication administration, including the proper dosages and observing for adverse reactions.


Mess up on these, and not only could it be dangerous in real life, but it's also a big red mark on your exam. These are the kind of questions that separate the pros from the amateurs. So, remember, it's not just about passing the test—it's about ensuring you have the knowledge to keep your patients safe.



Certified Nursing Assistant (CNA) responsibilities checklist


Passing the CNA Test 📝

Now, onto the million-dollar question: How do you pass this exam? Here's the tricky part—they don't publish the grading scale. It's like trying to hit a target in the dark. What we do know is that you need a passing score in every category.


Think of it like a dance routine. You need to nail every step to impress the judges, not just the flashy moves. Most questions need to be answered correctly, but there's more. Those critical concept questions we talked about? You can actually lose points if you choose the wrong answers there. It's not just about getting the right answers but avoiding the deadly wrong ones.


You might wonder, "How many questions do I need to get right to pass?" The truth is, no one really knows except the examiners. The general consensus is that you need to aim for around 80-85% correctness. But since the actual passing score is a tightly held secret, your best bet is to prepare thoroughly and aim for the highest score possible.


CNA Insider Tips and Strategies 📋

Treat every question as important: You never know which ones are pilot questions, so give each one your best effort.


Pay special attention to critical concept questions: These make-or-break questions can flag your exam if answered incorrectly.


Aim for consistency across all categories: You need to do well in every area, not just excel in a few.


Avoid disastrous mistakes on critical concept questions: Wrong answers here can cost you big time.


Practice your clinical skills: These are just as important as the written test, so don't neglect them.


And there you have it—your complete guide to CNA exam grading! Now, go out there and tackle that exam with the confidence of the healthcare hero you're destined to be. Remember, preparation and a calm mindset are your strongest allies. Best of luck!



Certified Nursing Assistant (CNA) Exam Grading: key secrets revealed about scoring
CNA Exam Scoring



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