[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-detail-436251-en":59,"doc-seo-436251-105":80},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":5,"data":60},{"doc_id":61,"user_id":62,"nickname":63,"user_avatar":64,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":66,"doc_content":67,"file_id":68,"file_url":69,"file_type":70,"file_size":71,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":41,"language":72,"language_code":73,"site_id":74,"html_lang":73,"table_of_contents":75,"faqs":76,"seo_title":77,"seo_description":66,"update_tm":78,"read_time":79},436251,5909890329169,"McQueen","https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Demystification of Clinical Exam - 2025","A confidential 2025 overview explains how a nurse aide clinical exam is designed, maintained, and administered. It describes the psychometric and clinical review process, exam alignment with a prior job analysis, and national recommendations for written and hands-on skills. The document details written/oral knowledge exams, question counts, time, language availability, and delivery method, plus the clinical skills structure, scoring approach, competencies, and common candidate mistakes for pulse and respirations measurement.","Demystification of Clinical Exam 2025  \nConfidential and Proprietary  \nThis unpublished report has a limited distribution, which does not constitute publication. No portion of this report may be reproduced in any form without permission of the copyright owner. Prometric logo is a trademark of Prometric LLC,  \nregistered in the United States and in many other countries  \nAgenda  \n• Overview of Clinical Exam  \n• Skill Analysis  \n• Most Common Mistakes  \n• Skill Analysis  \n• Indirect Care Overview  \n• Indirect Care  \n• Resources  \n• Test Day – Candidate Experience  \n• Q & A  \n4  \nConfidential and Proprietary to Prometric LLC  \nPrometric Nurse Aide Exam Details  \nHow do we design our exams?  \n+ Psychometricians and RNs on staff ensure that the exams are valid, reliable, and defensible. Current exams are based on our 2016 Job Analysis.  \n+ Based on a national survey ofCNAs and RNs/LPNs who supervise CNAs  \n+ Focused on the role of the minimally competent CNA in long-term care settings  \n+ Reviewed by a national panel of experts who analyze survey findings, make content recommendations for written exam and conduct a criticality review of all clinical skills.  \n+ Periodic National Exam Council (NEC) meetings ensure that the exam remains up-to-date.  \nWritten/Oral Knowledge Exams:  \n+ Meet Federal Standards for NATCEP + Nationally relevant exam administered in 14 states + Available in English and Spanish in Texas  \n+ Oral version available using professionally recorded audio to accompany text on the screen. Oral exams do not required ADA.  \n+ Updated periodically; new items pre-tested on an ongoing basis + Eligible candidates have three opportunities to pass before they are locked out from retesting until state requirements are  \ncompleted  \n+ Internet-based delivery of exams, with official results being emailed the following morning.  \nExam Details:  \n⁺ Questions: 50 operational and 10 pretest ⁺ Time: 1½ hour time allowance  \n⁺ Language: English/ Spanish in select states one of which is Texas.⁺ Questions written at a 4th to 6th grade reading level  \n⁺ Detailed Content Outline in Candidate Information Bulletin, including practice questions  \n⁺ Role of the Nurse Aide – 20%⁺ Promotion of Safety – 22%  \n⁺ Promotion of Function and Health of Residents – 20%⁺ Basic Nursing Care Provided by the Nurse Aide – 24%  \n⁺ Providing Specialized Care for Residents with Changes in Health – 14%⁺ Online National Interactive Practice Exam link on website  \nClinical Skills Exams:  \n⁺ Available in English  \n⁺ Clinical Skills Exam consists of five skills:⁺ Three skills are prompted  \n⁺ Two skills are unprompted (handwashing and indirect care)  \n⁺ Skills are comprised of evaluation criteria (checkpoints which are published for candidates)  \n⁺ Checkpoints are weighted (secure information)⁺ Candidates must pass all five skills to pass the exam  \n⁺ Standard setting used to determine minimal competency and the points required to pass each skill.  \nOverview of Clinical Exam  \nThere are 22 skills that are part of the Clinical Skills Test.  \nA Clinical Skills Test consists of five scored skills. All candidates taking this test are scored on the Handwashing and Indirect Care skills. When a candidate takes the exam, instructions will be given for the other three skills that are part of the test.  \nConfidential and Proprietary to Prometric LLC  \n|  |  |  |  |\n| --- | --- | --- | --- |\n|  | Skill | Pass\u003Cbr>Rate |  |\n|  | Ambulation | 97% |  |\n|  | Bedpan | 90% |  |\n|  | Brush Teeth | 93% |  |\n|  | Catheter care | 83% |  |\n|  | Change an Occupied Bed | 95% |  |\n|  | Change of Position | 92% |  |\n|  | Dress a Resident Who Has a Weak Arm | 94% |  |\n|  | Feeding | 88% |  |\n|  | Foot care | 95% |  |\n|  | Handwashing Skill | 97% |  |\n|  | Hand and Nail Care | 97% |  |\n|  | In-Direct Care | 95% |  |\n|  | Measure and Record Contents of Urinary Drainage Bag | 88% |  |\n|  | Measure and record pulse | 74% |  |\n|  | Measure and record respirations | 86% |  |\n|  | Mouth Care and D","cbCaimBbsiiqw6mi","https://ap.wps.com/l/cbCaimBbsiiqw6mi","pdf",1113731,"English","en",105,"# Overview of Clinical Exam\n## Skill Analysis\n## Most Common Mistakes\n## Indirect Care Overview\n## Resources\n## Test Day – Candidate Experience\n## Q & A\n# How do we design our exams?\n## Written/Oral Knowledge Exams\n## Exam Details\n## Clinical Skills Exams\n## Overview of Clinical Exam\n# Clinical Skills Matrix\n## Measure and Record Pulse\n## Common Mistakes to Avoid\n## Measure and Record Respirations","[{\"question\":\"How are the clinical exams designed and validated?\",\"answer\":\"Psychometricians and RNs ensure the exams are valid, reliable, and defensible. Content is based on the 2016 job analysis, reviewed by a national panel, and kept current through periodic National Exam Council meetings.\"},{\"question\":\"What are the knowledge exam format details (questions, time, and language)?\",\"answer\":\"The written/oral knowledge exams include 50 operational questions and 10 pretest items with a 1½ hour time allowance. They are available in English and Spanish in select states, including Texas, and the oral version uses professionally recorded audio with screen text.\"},{\"question\":\"How does the clinical skills test work, and what is required to pass?\",\"answer\":\"The clinical skills test is composed of five scored skills, with all candidates scored on handwashing and indirect care. The other three skills are prompted, and candidates must pass all five skills to pass the exam.\"}]","Demystification of Clinical Exam - 2025 | PDF",1790677339,76,{"code":4,"msg":81,"data":82},"ok",{"site_id":74,"language":73,"slug":83,"title":65,"keywords":84,"description":66,"schema_data":85,"social_meta":139,"head_meta":141,"extra_data":143,"updated_unix":144},"demystification-of-clinical-exam-2025","",{"@graph":86,"@context":138},[87,101,121],{"@type":88,"itemListElement":89},"BreadcrumbList",[90,94,96,99],{"item":91,"name":92,"@type":93,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":95,"name":9,"@type":93,"position":14},"https://docshare.wps.com/document/",{"item":97,"name":20,"@type":93,"position":98},"https://docshare.wps.com/document/exam/",3,{"item":100,"name":65,"@type":93,"position":19},"https://docshare.wps.com/document/demystification-of-clinical-exam-2025/436251/",{"url":100,"name":65,"@type":102,"image":103,"author":108,"headline":65,"publisher":110,"fileFormat":113,"inLanguage":73,"description":66,"dateModified":114,"datePublished":115,"encodingFormat":113,"isAccessibleForFree":116,"interactionStatistic":117},"DigitalDocument",{"url":104,"@type":105,"width":106,"height":107},"https://docshare.wps.com/thumbnails/demystification-of-clinical-exam-2025/436251.png","ImageObject",300,407,{"name":63,"@type":109},"Person",{"url":91,"name":111,"@type":112},"DocShare","Organization","application/pdf","2026-10-11","2026-09-29",true,{"@type":118,"interactionType":119,"userInteractionCount":39},"InteractionCounter",{"@type":120},"ViewAction",{"@type":122,"mainEntity":123},"FAQPage",[124,130,134],{"name":125,"@type":126,"acceptedAnswer":127},"How are the clinical exams designed and validated?","Question",{"text":128,"@type":129},"Psychometricians and RNs ensure the exams are valid, reliable, and defensible. 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