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Do you have to say the steps out loud on the CNA skills test?

Updated · Reviewed against official sources

Saying what you're doing helps the evaluator see it, but it never replaces doing it: Ohio's D&S handbook states that steps only verbalized or simulated will not count. Some steps do require speech, such as telling the observer when you start and stop counting pulse, explaining the procedure to the resident, and announcing a correction.

Talk vs. do
SituationWhat to do
Explaining the procedureSay it to the resident — it's a checklist step
Counting pulse/respirations (Ohio)Say whether it's 60 s or 30 s × 2, and when you start and stop
Checking water temperatureActually test it and have the resident check it; don't just say it
Locking wheelsLock them physically; saying "wheels locked" alone doesn't count
Correcting a stepTell the evaluator, then redo it
Mannequin limits (Credentia)Some steps may be stated, e.g. a stocking being wrinkle-free on a mannequin

Why narrating still helps

The evaluator is watching many small steps. Naming each one keeps you in checklist order and makes quick steps (like checking the brakes) visible. Just keep your hands moving while you talk.

Quick answers

Will the evaluator answer questions?
No. Ohio says the observer may not answer questions once the test starts; Prometric evaluators can't coach.
Is talking to the resident scored?
Yes. Explaining the procedure and communicating are checklist steps (and Indirect Care on Prometric).
Can I read the checklist during the test?
No. You get an instruction card listing your skills, not the steps.

What to do next

See which steps people skip when they talk instead of do.

You must pass the written test too. Take the free 20-question practice test, or unlock the timed 60-question exam simulator, the full question bank and every skill checklist for $29 one-time (or $9/month).

Related guides

Sources

Checked: . Rules, fees and vendors change — always confirm with your state's official page and candidate handbook.