Clinical Scenario
Your resident refuses to bear weight during a pivot transfer. What's your next action?
Clinical Rationale
Refusing to bear weight is a safety signal — always stop, assess for new pain or change in mental status, and escalate before continuing any transfer.
You just started studying. Keep going — free.
500+ clinical skill cards. Timed practice tests. State-specific protocols. Built for CNAs cramming at 2 a.m. and aides chasing their next cert.
No credit card · No commitment · Built for your exam
Select an answer to continue
Every skill, in the order it actually matters.
Scroll down to unlock each row — just like earning competencies on the floor. Progress bars fill as you drill. Locked cards unlock when you're ready.
Fundamentals
The skills every CNA must perform correctly before touching a patient. Zero shortcuts.
Hand Hygiene Protocol
6-step WHO technique · 20-second minimum · Before & after every contact
Infection Control Precautions
Contact / Droplet / Airborne · Donning & doffing sequence · Color-coded carts
Vital Sign Ranges
BP · Pulse · Respirations · Temp · SpO₂ — normal vs. reportable thresholds
Patient Rights & Dignity
OBRA 1987 requirements · Knock & announce · Privacy during ADLs
Clinical Skills
Hands-on competencies that protect residents and pass the practical portion of your state exam.
Bed Mobility Transfers
Log roll · Side-lying · Supine to sit · Pivot transfer · Gait belt mechanics
Ambulation & ROM Exercises
Active vs. passive ROM · Gait belt application · Fall prevention positioning
Catheter Care Sequencing
Perineal cleaning direction · Tubing positioning · Output measurement & recording
Intake & Output Charting
mL conversion · Ice chips formula · Output sources · 8-hour shift totals
Exam Prep
Timed drills and state-specific regulatory cards. Know your state board before you walk in.
Timed Practice Tests
70-question adaptive tests · Mirrors your state's CNA written exam format
State Regulatory Cards
CMS regulations · State-specific nurse aide registries · Scope of practice limits
Practical Skills Checklist
22 tested skills · Step-by-step verifiable sequence · Evaluator rubric included
Flash Card Rapid Review
300+ spaced-repetition cards · Anatomy terms · Abbreviations · Critical values
Career Advancement
Medication aide certification, specialty endorsements, and the next level of your nursing career.
Medication Aide Fundamentals
The 5 Rights · Oral / topical / eye-ear administration · Refusal documentation
Medication Error Protocols
Incident reporting · Chain of command · Adverse reaction recognition
Dementia Care Specialty
Behavior redirection · Sundowning interventions · Person-centered care planning
Restorative Aide Pathway
Splinting & positioning · Feeding programs · Fall prevention programs
The numbers don't lie. Neither do our students.
Verified pass rates from 2024–2025 state competency exam cohorts.
First-attempt pass rate
vs. 71% national average
CNAs certified
Across 38 states
Clinical skill cards
Updated to 2026 CMS standards
Avg student rating
Based on 6,200 reviews
“I failed my practical twice before Vitals. The catheter care sequencing card showed me exactly where I was going wrong — step 4, every time. Passed on my third attempt.”
Destiny Okafor
CNA Student → Certified, Houston TX
“I work doubles at a long-term care facility. Vitals lets me drill medication aide modules on my phone during a 15-minute break. I passed my med aide exam in March.”
Marcus Delgado
Working CNA → Medication Aide, Phoenix AZ
“I replaced a binder, a highlighter, and three separate apps with Vitals. The skills tracker shows me exactly which students need remediation before their state practical.”
Priya Nair
Clinical Instructor, Community College of Philadelphia
Your badge is waiting. Clip it on.
Join 18,400+ CNAs who passed their state exam with Vitals. Start with 10 free skill cards — no signup required. Create your account to unlock everything.
No credit card · No spam · Unsubscribe anytime