PSI Services LLC

3210 E Tropicana
Las Vegas, NV 89121
www.psiexams.com

NURSE AIDE & PERSONAL CARE ASSISTANT EXAMINATION

CANDIDATE INFORMATION BULLETIN

Examinations by PSI Services LLC ........................... 1 Security Procedures................................. 5

Eligibility........................................................ 1 Taking the Examination by Computer ....................... 5
Completing the Application .................................. 1 Identification Screen ............................... 5
Criminal Background Investigation .......................... 2 Tutorial ............................................... 5
Examination Scheduling Procedures ........................ 2 Examination Question Example ................... 6
Fees ................................................... 2 Examination Review ................................ 6
Scheduling for the Examination ................... 3 Score Reporting ................................................ 6
Canceling an Examination ........................ 3 Duplicate Score Reports ............................ 6
Missed Appointment or Late Cancellation ....... 3 Tips for Preparing for your Certification Examination .... 6
Special Examination Arrangements ............... 3 Description of Examinations .................................. 7
Emergency Examination Site Closing ............. 3 Recertification ................................................ 12
Examination Site Location .................................... 3 Change of Name and/or Address Form..................... 14
Reporting to the Examination Site .......................... 5 Examination Re-Take Registration Form ................... 15
Required Identification ............................ 5 Special Arrangement Request ................ End of Bulletin

Please refer to our website to check for the most updated information at www.psiexams.com

Copyright © 2014 by PSI Services LLC Last Revised April 2014

 Reciprocity
EXAMINATIONS BY PSI SERVICES LLC An individual who is currently certified as a nurse aide in
another state and is listed on that state’s nurse aide registry
and is not listed on any state’s nurse aide abuse registry, and
This Candidate Information Bulletin provides you with
has not had his/her certificate revoked in any state. If you
information pertaining to obtaining certification as a nurse
apply for reciprocity to another state based on your New
aide/personal care assistant in the State of New Jersey.
Jersey certification and your New Jersey certification has
expired, you cannot apply for reciprocity back to New Jersey.
The New Jersey Department of Health has contracted with PSI You must refer to expired certification.
Services LLC (PSI) to conduct the examination testing. PSI IMPORTANT NOTICE:
provides examinations through a network of computer Please check www.psiexams.com for a list of states not
examination sites in New Jersey. eligible for Reciprocity.

For information on official regulations and guidelines; NA/PCA Military Nurse Aide
certification and recertification process; and/or Criminal A person who has had training and experience as a nurse aide
History Background Checks, please contact: in a military service that is equivalent to that of a nurse aide.

New Jersey Department of Health New Personal Care Assistant

PO Box 358 An individual who has never been certified as a personal care
Trenton, NJ 08625-0358 assistant (PCA) in New Jersey, and who has successfully
(866) 561-5914 ** Fax: (609) 633-9087 completed the eighty-five (85) hour state-approved assisted
http://web.doh.state.nj.us/apps2/healthfacilities/fsSearch.aspx living facilities training course.
Email: [email protected]
Expired with Education
A nurse aide who was initially certified in New Jersey more
ELIGIBILITY than five (5) years ago and whose certificate has expired. Must
now successfully complete the Nurse Aide in Long-Term Care
You are eligible to apply for a waiver to take an examination Facilities Training and Competency Evaluation Program
for certification as a nurse aide/personal care assistant in New (course, skills, and written or oral exam).
Jersey if you qualify for one of the following. Please note: If
you were initially certified in New Jersey and your Expired Nurse Aide Without Education
certification has expired, please refer to Expired with A nurse aide who was initially certified in New Jersey less than
Education or Expired without Education. Waivers are valid for five (5) years ago and whose certificate has expired. Must now
only one year after issue date. If you fail any portion of the successfully complete the skills evaluation and the written or
exam you MUST complete a ninety (90) hour state-approved oral examination. If the skills or the written (or oral) exam is
nurse aide training program. Please contact the certification failed, the candidate must retrain and retest under eligibility
program for further instructions. Expired with Education (see above).

Please be aware that the Department cannot guarantee that

an individual will be eligible for a waiver under one of the COMPLETING THE APPLICATION
following exceptions. Department staff may request
additional information necessary to process the waiver. After successful completion of the training program, you must
complete an examination application. Once you submit your
An individual who has never been certified as a nurse aide (NA) completed application to PSI, including the fee for both parts
in New Jersey and has successfully completed the ninety (90) of the Examination, your training program instructor will
hour state-approved nurse aide in long-term care facilities schedule you for the Skills Evaluation.
training course.
If your application is incomplete or incorrect, you will
Student/Graduate Nurse receive a notification from PSI, explaining why your
 Student Nurse - An individual who has successfully examination application has been returned. This
completed a course in the Fundamentals of Nursing letter will instruct you on what you need to provide
within one year prior to application to take the and where to send the information needed to process
examination. your application.
 Graduate Nurse - An individual who has graduated
from an accredited school of nursing and is waiting to You have two (2) years from the date you complete the
take the state nursing boards OR an individual who training program to take and pass both the Skills and
has graduated from a foreign school of nursing and is Written/Oral examinations. However, once you start the
currently licensed as a registered professional nurse examination process (Skills), you will have one (1) year from
(RN) (not a midwife) in that country. your first examination attempt to pass both examinations. If
you are not able to pass all necessary examinations, you will
be required to re-start the entire process.

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 If you are enrolled in a New Jersey Nurse Aide Training
EXAMINATIONS Program, you will obtain the required CBI application and
fingerprint appointment forms from your instructor. If you are
Certification consists of passing two parts of the examination: an applicant for reciprocity, you will receive the required
the Skills Evaluation and the Written (or Oral) Examination. forms as part of your reciprocity application packet. If you are
You must take the Skills Evaluation first. Once you have an applicant for admission through a waiver process, you will
successfully completed the Skills Evaluation, you are eligible receive the required forms from the Department of Health
to take the Written (or Oral) Examination. after your request for a waiver is received. Follow all
instructions carefully. Failure to follow the instructions on
The first time you test, you must include payment for both the both the CBI Application and on the Fingerprint Appointment
Skills Evaluation and the Written (or Oral) Examination. Form may delay both processes and result in the denial of your
certification.
SKILLS EVALUATION
At the Skills Evaluation you will be asked to perform randomly
selected nurse aide or personal care assistant skills. A Nurse
WRITTEN EXAMINATION SCHEDULING
Aide Evaluator will rate you on your performance of these PROCEDURES
skills. You must pass all skills to pass the Skills Evaluation and
to be eligible to take the Written (or Oral) Examination. The
Skills Evaluation part of the examination will take place at a You must take the Skills Evaluation first. Once you have
long-term care facility or at another approved Skills Evaluation successfully passed the Skills Evaluation, you are eligible to
site. See full description on page 7 of this Candidate take the Written (or Oral) Examination. You will receive
Information Bulletin. notification of the Skills Evaluation score within 10 days from
your test date. If you fail the Skills Evaluation examination,
WRITTEN (OR ORAL) EXAMINATION you must retake and pass before scheduling for the Written (or
Taking the PSI examination by computer is simple. You do not Oral) examination.
need any computer experience or typing skills. You will use
fewer keys than you use on a touch-tone telephone. All  If you fail the Skills Evaluation three (3) times, you
response keys are colored and have prominent characters. You MUST retrain at a state-approved training program
may also use the mouse. You will receive your results before retaking the Skills Evaluation. You will then
immediately after the examination is finished. have one (1) year from that date to successfully
complete the Skills Evaluation.
The Written Examination for nurse aides or personal care
assistants contains multiple-choice questions written in  If you fail the Written (or Oral) Examination three (3)
English. times, you MUST retrain at a state-approved training
program before retaking the Written (or Oral)
For the nurse aide examination, an oral version in English or Examination. If you are re-taking an examination you
Spanish may be taken in place of the Written Examination if will pay at the time of scheduling.
you have difficulty reading English. A Spanish oral version is
NOT available for the personal care assistant examination. Payment of fees may be made by credit card (Visa,
MasterCard, American Express or Discover), money order,
During the Oral Examination you are provided with earphones. cashier’s check, or company check. Money orders or checks
You will listen to each question, repeated two (2) times, after should be made payable to PSI. Print your name on your check
which you will select an answer from the choices given. or money order to ensure that your fees are properly assigned.
CASH AND PERSONAL CHECKS ARE NOT ACCEPTED. If you
Please note: if you have a waiver from the state whereby you mail the application please allow 2 weeks to process your
only need to take the Written Examination, you will have only registration.
one attempt to pass. If you do not pass on the first attempt,
you will need to complete the state-approved training EXAMINATION/RECIPROCITY FEES
program.
Examination Fee
Skills Evaluation and Written Exam $76.00
CRIMINAL BACKGROUND Skills Evaluation and English Oral Exam $90.00
Skills Evaluation and Spanish Oral Exam $90.00
INVESTIGATION (CBI) Skills Evaluation Only (Re-take Exam) $23.00
Written Exam Only (Re-take Exam) $53.00
Before applying for certification as a new nurse aide/personal English Oral Exam Only (Re-take Exam) $67.00
care assistant candidate or a reciprocity applicant, you MUST Spanish Oral Exam Only (Re-take Exam) $67.00
complete a CBI application and schedule a fingerprint
appointment before being considered for permanent Reciprocity $30.00
certification in New Jersey.

WWW.PSIEXAMS.COM 2
NOTE: EXAMINATION AND RECIPROCITY APPLICATION FEES Or you may call PSI at (800) 733-9267. Please note that you
COVER THE COST OF PROCESSING THE DOCUMENTATION. may also use the automated system, using a touch-tone phone,
THESE FEES ARE NOT TRANSFERABLE OR REFUNDABLE IF THE 24 hours a day in order to schedule or reschedule an
APPLICATION IS DENIED. examination.

SCHEDULING AN APPOINTMENT TO TAKE THE EXAMINATION SPECIAL EXAMINATION ARRANGEMENTS

Once you have passed the skills evaluation, you are responsible All examination sites are equipped to provide access in
for contacting PSI to schedule an appointment to take the accordance with the Americans with Disabilities Act (ADA) of
written (or oral) examination. PSI will make every effort to 1990, and every reasonable accommodation will be made in
schedule the examination at a site and time that is most meeting a candidate’s needs. Applicants with disabilities or
convenient for you. You may schedule an examination via the those who would otherwise have difficulty taking the
Internet 24 hours a day at www.psiexams.com. Or, using a examination must fill out the form at the end of this
touch-tone phone, call PSI 24 hours a day at (800) 733-9267. Candidate Information Bulletin and fax to PSI (702) 932-2666.
To schedule with a PSI registrar, call Monday through Friday
between 7:30 am and 10:00 pm, and Saturday-Sunday EXAMINATION SITE CLOSING FOR AN EMERGENCY
between9:00 am and 5:30 pm, Eastern Time. If space is
available in the examination site of your choice, you may In the event that severe weather or another emergency forces
schedule an examination 1 day prior to the examination date the closure of an examination site on a scheduled examination
of your choice, up to 7:00 p.m. ET. Please be prepared to date, your examination will be rescheduled. PSI personnel will
offer alternate examination appointment choices. attempt to contact you in this situation. However, you may
check the status of your examination schedule by calling (800)
CANCELING AN EXAMINATION APPOINTMENT 733-9267. Every effort will be made to reschedule your
examination at a convenient time as soon as possible. You
You may cancel and reschedule an examination appointment may also check our website at www.psiexams.com.
without forfeiting your fee if your cancellation notice is
received 2 days prior to the scheduled examination date. SOCIAL SECURITY NUMBER CONFIDENTIALITY
For example, for a Monday appointment, the cancellation
notice would need to be received on the previous Saturday.
PSI will use your social security number only as an
You may call PSI at (800) 733-9267. Please note that you may
identification number in maintaining your records and
also use the automated system, using a touch-tone phone, 24
reporting your examination scores to the state. A Federal law
hours a day in order to cancel and reschedule your
requires state agencies to collect and record the social
appointment.
security numbers of all licensees of the professions licensed by
the state.
Note: A voice mail message is not an acceptable form of
cancellation. Please use the PSI Website, automated
telephone system, or call PSI and speak to a Customer
Service Representative.
EXAMINATION SITE LOCATIONS

MISSED APPOINTMENT OR LATE CANCELLATION The following directions are generated from the most current
mapping services available. However, new road construction
If you miss your appointment, you will not be able to take the and highway modifications may result in some discrepancies.
examination as scheduled, further you will forfeit your If you are not familiar with the specific area of the testing
examination fee, if you: site, please consult a reliable map prior to your test date.

 Do not cancel your appointment 2 days before the

scheduled examination date; BRICK
 Do not appear for your examination appointment; 260 CHAMBERS BRIDGE ROAD, UNIT #1A
 Arrive after examination start time; BRICK, NJ 08723
 Do not present proper identification when you arrive for
TAKE ON I-95 S TOWARD NEW JERSEY TURNPIKE SOUTH/NEWARK (US-
the examination. 46). TAKE EXIT #11/GARDEN STATE PARKWAY (US-9)/WOODBRIDGE
ONTO GARDEN STATE PKY S TOWARD GARDEN STATE PARKWAY
RETAKING A FAILED EXAMINATION SOUTH/RT-440. CONTINUE ON DRISCOLL BRG. CONTINUE ON GARDEN
STATE PKY S. TAKE EXIT #91/LAKEWOOD/BRICK TWP. ONTO LANES
MILL RD(CR-549) TOWARD LAKEWOOD/BRICK TWP. CONTINUE ON
It is not possible to make a new examination appointment on
CHAMBERS BRIDGE RD(CR-549).
the same day you have taken an examination; this is due to
processing and reporting scores. A candidate who tests
CHERRY HILL
unsuccessfully on a Wednesday can call the next day,
950 N. KINGS HWY, SUITE 301
Thursday, and retest as soon as Friday, depending upon space
CHERRY HILL, NJ 08034
availability. You may schedule online at www.psiexams.com.

WWW.PSIEXAMS.COM 3
FROM THE NEW JERSEY TPKE S, TAKE EXIT #4/PHILADELPHIA/CAMDEN NORTHFIELD AREA (LINWOOD)
ONTO RT-73 N TOWARD CAMDEN/PHILADELPHIA. TAKE RAMP ONTO I- CENTRAL PARK EAST
295 S TOWARD DEL MEM BR. TAKE EXIT #34B/CHERRY HILL/CAMDEN 222 NEW ROAD, SUITE 301
ONTO MARLTON PIKE(RT-70 W). TURN RIGHT ON KINGS HWY N (RT-
LINWOOD, NJ 08221
41). NOTE BUILDING 950 IS BEHIND BUILDINGS #900 AND #1030.
FROM THE NORTH, TAKE THE GARDEN STATE PKY SOUTH TO EXIT # 36
HAMILTON SQUARE AREA NORTHFIELD/MARGATE ONTO TILTON RD(CR-563). IN JUST UNDER 2
IBIS PLAZA SOUTH MILES MAKE A RIGHT ONTO NEW RD (US-9). DRIVE 1.5 MILES SOUTH,
3525 QUAKERBRIDGE ROAD, SUITE 1000 TILL YOU WILL SEE THE SIGN ON THE LEFT FOR # 222 (CENTRAL PARK
HAMILTON TOWNSHIP, NJ 08619 EAST) , JUST PAST CENTRAL AVE. (IF YOU REACH THE GULF STATION
YOU HAVE TRAVELED A LITTLE BIT TO FAR). TURN LEFT INTO THE
FROM I-95 S, TAKE EXIT #9/NEW BRUNSWICK (US-1)/EAST BRUNSWICK PROFESSIONAL PARK AT THE FLOWER BED WITH THE 222 SIGN IN IT.
ONTO RT-18 N TOWARD NEW BRUNSWICK (US- USE THE FIRST PARKING LOT ON YOUR RIGHT, AND LOOK FOR THE
1)/PRINCETON/TRENTON/TOWER CENTER BLVD. TAKE RAMP ONTO LARGE PSI SIGN NEXT TO OUR FRONT DOOR (SUITE 301).
US-1 TOWARD TRENTON. TAKE RAMP ONTO CR-533 S TOWARD
PROVINCE LINE RD/QUAKER BRIDGE RD/QUAKER BRIDGE RD. FROM THE SOUTH, TAKE THE GARDEN STATE PKY NORTH TO EXIT # 29
SOMERS POINT. THIS WILL PUT YOU ON NEW RD (US-9). AFTER DRIVING
NEW PROVIDENCE NORTH FOR A LITTLE MORE THAN 4 MILES YOU WILL FIRST SEE A GULF
STATION. NUMBER 222 NEW RD (CENTRAL PARK EAST) IS JUST PAST
MURRAY HILL OFFICE CENTER
THE GULF STATION (0.1 MILES) AND ON THE SAME SIDE. TURN RIGHT
571 CENTRAL AVENUE, SUITE 105 INTO THE PROFESSIONAL PARK AT THE FLOWER BED WITH THE 222
NEW PROVIDENCE, NJ 07094 SIGN IN IT. USE THE FIRST PARKING LOT ON YOUR RIGHT, AND LOOK
FOR THE LARGE PSI SIGN NEXT TO OUR FRONT DOOR (SUITE 301).
FROM: ROUTE 78 WESTBOUND. TAKE EXIT 43 ONTO DIAMOND HILL
ROAD. AT THE SECOND STOPLIGHT, TURN RIGHT ONTO MOUNTAIN FROM THE WEST, USE THE BLACK HORSE PIKE (US -40 W/ US-322 W)
AVENUE. TURN LEFT AT THIRD LIGHT, SOUTH STREET. TURN LEFT AT WHEN YOU REACH HARBOR SQUARE MALL (SHORE MALL) KEEP TO THE
THE NEXT TRAFFIC LIGHT ONTO CENTRAL AVENUE. THE MURRAY HILL RIGHT. JUST PAST THE MALL YOU WILL SEE A SIGN FOR TILTON ROAD/
OFFICE CENTER, 571 CENTRAL AVENUE, WILL BE ON YOUR RIGHT. MARGATE CITY/OCEAN CITY DIRECTING YOU TO MAKE A SLIGHT RIGHT
ONTO TILTON RD (CR-563). ONCE YOU ARE ON TILTON RD, DRIVE EAST
FROM: ROUTE 78 EASTBOUND. TAKE EXIT 44 TO TRAFFIC LIGHT. TURN APPROXIMATELY 2 MILES TILL YOU REACH NEW RD (US-9), TURN RIGHT
LEFT ONTO GLENSIDE AVENUE PROCEED TO THE NEXT LEFT TURN AND THEN FOLLOW THE DIRECTIONS GIVEN FOR COMING FROM THE
UNDER ROUTE 78 TOWARD NEW PROVIDENCE, AS THE ROAD BECOMES NORTH.
SOUTH STREET. CONTINUE TO THE SECOND LIGHT AND TURN LEFT
ONTO CENTRAL AVE.. THE MURRAY HILL OFFICE CENTER, 571 CENTRAL PARAMUS
AVENUE, WILL BE ON YOUR RIGHT. 1 KALISA WAY, SUITE 107
PARAMUS, NJ 07652
FROM: NEW JERSEY TURNPIKE. TAKE EXIT 14, STAY TO THE LEFT
THROUGH THE TOLL. FOLLOW SIGNS FOR ROUTE 78 - EXPRESS FROM THE GEORGE WASHINGTON BRIDGE TAKE RT 4 WEST TO
WESTBOUND. FOLLOW SAME AS ABOVE FOR ROUTE 78 WESTBOUND. PARAMUS. EXIT ONTO RT 17 NORTH. TURN RIGHT ONTO KALISA WAY
(APPROXIMATELY 4/10 OF A MILE AFTER THE MIDLAND AVE EXIT ON
FROM: GARDEN STATE PARKWAY SOUTH. TAKE EXIT 142 AND FOLLOW 17 AND JUST PAST THE ENTRANCE TO THE PARAMUS PARK MALL)
THE SIGNS FOR ROUTE 78 WEST. FOLLOW SAME AS ABOVE FOR ROUTE
78 WESTBOUND. FROM THE GARDEN STATE PARKWAY TAKE RT 17 NORTH AND TURN
RIGHT ONTO KALISA WAY.
FROM: GARDEN STATE PARKWAY NORTH. TAKE EXIT 142B AND FOLLOW
THE SIGNS FOR ROUTE 78 WEST. FOLLOW SAME AS ABOVE FOR ROUTE
PARSIPPANY
78 WESTBOUND.
239 NEW ROAD, SUITE A-203
PARSIPPANY, NJ 07054
NORTH BRUNSWICK
THE SHOPPES AT NORTH BRUNSWICK FROM I-280 WEST: TAKE EXIT #1/NEW RD TOWARDS US-46. MAKE A
980 SHOPPES BLVD, 2ND FLOOR SLIGHT RIGHT ONTO NEW ROAD.
NORTH BRUNSWICK, NJ 08902 CONTINUE TO 239 NEW ROAD ON THE RIGHT. PSI IS LOCATED IN
BUILDING A (FIRST BUILDING ON RIGHT), SUITE 203.
TAKE THE NEW JERSEY TURNPIKE LEFT EXIT ONTO I-95 S TOWARD FROM I-280 EAST: TAKE EXIT #1/NEW RD. AT STOPLIGHT (AT END OF
TURNPIKE SOUTH. TAKE EXIT #9/NEW BRUNSWICK (US-1)/EAST RAMP) TURN LEFT ONTO NEW ROAD.
BRUNSWICK ONTO RT-18 N TOWARD NEW BRUNSWICK. TAKE RAMP CONTINUE TO 239 NEW ROAD ON THE RIGHT. PSI IS LOCATED IN
ONTO US-1 TOWARD TRENTON. TAKE RAMP TOWARD RT-130/171 N. BUILDING A (FIRST BUILDING ON RIGHT), SUITE 203.
STAY RIGHT TOWARD 171. TURN LEFT AT TRAFFIC LIGHT AND STAY IN
THE MIDDLE LANE. AFTER 2ND TRAFFIC LIGHT, TURN RIGHT INTO THE SECAUCUS
SHOPPING CENTER. THE SITE IS LOCATED IN THE REMAX BLDG, NEAR 110-B MEADOWLANDS PARKWAY, SUITE 204
TALBOTS. SECAUCUS, NJ 07094

FROM I-95 N, TAKE THE RT-3 EXIT, EXIT 16W, TOWARD SECAUCUS/RT-
120/LINCOLN TUNNEL. TURN RIGHT ONTO S SERVICE ROAD. MERGE
ONTO RT-3 E. TAKE THE MEADOWLAND PARKWAY EXIT.

WWW.PSIEXAMS.COM 4
 recording devices of any kind are NOT allowed to enter PSI
testing sites. Additionally, NO personal items are to enter
REPORTING TO THE EXAMINATION SITE the testing sites. PSI will not be responsible for any
personal items, and suggests that you leave such items in
another safe place, of your choosing.
On the day of the examination, you should arrive 30 minutes
 No smoking, eating, or drinking will be allowed at the
before your appointment. This extra time is for sign-in, and
examination site.
identification. If you arrive late, you may not be admitted to
 Dictionaries, books, papers, or study and reference
the examination site and you will forfeit your examination
materials are NOT permitted in the examination room.
registration fee.
 You may not exit the building during the examination.
 Copying or communicating examination content is a
REQUIRED IDENTIFICATION violation of PSI security policy and the State Law. Either
You must provide 2 forms of identification. One must be a one may result in the disqualification of examination results
VALID form of government-issued identification (Driver's License, and may lead to legal action.
State ID, Passport) which bears your signature and has your
photograph. The second ID must have your signature and
preprinted legal name.
TAKING THE EXAMINATION BY
COMPUTER
IMPORTANT NOTICE FOR ALL CANDIDATES
Taking the PSI examination by computer is simple. You do not
Due to many complaints from the buildings’ tenants, PSI (and need any computer experience or typing skills. You will use
the properties which house the PSI test centers) cannot fewer keys than you use on a touch-tone telephone. All
accommodate any individuals other than the person who is response keys are colored and have prominent characters. An
being tested. illustration of the special keyboard is shown here. You may
also use the mouse.
PSI understands that test candidates are often comforted by
having guests accompany them to their exams. It may also be
necessary for a guest to drive the candidate to the test center.
However, incidents from previous guests have prompted
warnings from Property Management. For this reason, PSI has
adopted the following policy concerning guests.

“Person(s) accompanying a test candidate may not wait in

the test center, inside the building or on the building's
property. This applies to guests of any nature, including
drivers, children, friends, family, colleagues or
instructors.”

There are facilities nearby such as shopping malls, stores or

restaurants where guests may go while the candidate takes a
test. Please take the time to visit those locations instead of
waiting in or around the building.

Also of note, many candidates have been arriving hours before

their scheduled exam time. This is not necessary. Please plan
to arrive no earlier than 30 minutes before the start-time of
your exam. This will provide plenty of time for check-in.
IDENTIFICATION SCREEN
Thank you for your understanding and for your cooperation.
You will be directed to a semiprivate testing station to take
SECURITY PROCEDURES the examination. When you are seated at the testing station,
you will be prompted to confirm your name, identification
number, and the examination for which you are registered.
The following security procedures will apply during the
examination: TUTORIAL

 NO conversing or any other form of communication among Before you start your examination, an introductory tutorial to
candidates is permitted once you enter the examination the computer and keyboard is provided on the computer
area. screen. The time you spend on this tutorial, up to 15 minutes,
 Please be advised that children, cell phones, calculators, DOES NOT count as part of your examination time. Sample
pagers, cameras, programmable electronic devices and questions are included following the tutorial so that you may

WWW.PSIEXAMS.COM 5
practice using the keys, answering questions, and reviewing - If you do not pass, you will receive a diagnostic
your answers. report indicating your strengths and weaknesses by
examination type with the score report.
One question appears on the screen at a time. During the
examination, minutes remaining will be displayed at the top of
the screen and updated as you record your answers. If you pass the Written (or Oral) Examination and have met all
NJDOH requirements, including the CBI requirement, you will
EXAMINATION QUESTION EXAMPLE receive a nurse aide certificate and a “plastic coated” wallet
identification card at the test site on the day of your
During the examination, you should press 1, 2, 3, or 4 to select examination.
your answer or press “MARK” to mark it for later review. You
should then press “ENTER” to record your answer and move on If you pass the Written (or Oral) Examination and have NOT
to the next question. A sample question display follows: completed the CBI process, your photograph will be taken and
your permanent certificate and wallet identification card will
be mailed to you upon successful completion of the CBI
process.

Both the certificate and wallet identification card are valid for
twenty-four (24) months from the date you pass the Written
(or Oral) Examination. Please see the re-certification process
section in this Candidate Information Bulletin.

DUPLICATE SCORE REPORTS

You may request a duplicate score report after your

examination by emailing [email protected] or by
calling 800-733-9267.

IMPORTANT: After you have entered your responses, you will

later be able to return to any question(s) and change your
response, provided the examination time has not run out. TIPS FOR PREPARING FOR YOUR
EXAMINATION REVIEW
CERTIFICATION EXAMINATION

PSI, in cooperation with the NJDOH, will be consistently The following suggestions will help you prepare for your
evaluating the examinations being administered to ensure that examination.
the examinations accurately measure competency in the
required knowledge areas. While taking the examination,  Only consider the actual information given in the
examinees will have the opportunity to provide comments on question, do not read into the question by considering any
any questions, by using the comments key on the keyboard. possibilities or exceptions.
These comments will be analyzed by PSI examination  Planned preparation increases your likelihood of passing.
development staff. PSI does not respond to individuals  Start with a current copy of this Candidate Information
regarding these comments, all substantive comments are Bulletin and use the examination content outline as the
reviewed. This is the only review of examination materials basis of your study.
available to candidates.  Read study materials that cover all the topics in the
content outline.
 Take notes on what you study. Putting information in
writing helps you commit it to memory and it is also an
WRITTEN SCORE REPORTING excellent business practice.
 Discuss new terms or concepts as frequently as you can
Your Examination result will be given to you immediately with colleagues. This will test your understanding and
following completion of the examination reinforce ideas.
The following summary describes the score reporting process  Your studies will be most effective if you study
for the Written Examination: frequently, for periods of about 45 to 60 minutes.
Concentration tends to wander when you study for longer
- On paper – an official score report will be printed at the periods of time.
examination site.
- If you pass, you will immediately receive a successful
notification.

WWW.PSIEXAMS.COM 6
 Resident Rights 6
DESCRIPTION OF EXAMINATIONS Data Collection 4
Basic Nursing Skills 8
NEW JERSEY CERTIFIED NURSE AIDE WRITTEN Role / Responsibility 4
(OR ORAL) EXAMINATION Disease Process 4
Mental Health 3
Time Personal Care 7
# of Items Passing Score Care Impaired 4
Allowed
Aging Process/Restorative Care 5
60 75% 90 Minutes

SKILLS EVALUATION
CONTENT OUTLINES
The purpose of the Skill Test is to evaluate your performance
Use the outline as a guide for pre-examination review course
on a subset of the nurse aide care tasks that you learned
material. The outlines list the topics that are on the
during your training program. You will find a complete list of
examination and the number of questions for each topic. Do
skill tasks printed later in this skill test handbook. Hand
not schedule your examination until you are familiar with the
washing will be one of the tasks you will need to perform.
topics in the outline.
Four (4) additional tasks will be randomly selected from the
list for you to perform on your skill test. The steps that are
# of
listed in this handbook are the scored steps for each skill. You
Topic Items
must have a score of 80% on each task without missing any
Safety 4 key steps (the bolded steps) to pass the skill portion of the
Communication 5 New Jersey nurse aide certification test. If you fail a single
Infection Control 4 task you will have to take another skill test with five tasks on
Resident Rights 3 it, one of which will be the one you failed. If you fail two or
Data Collection 4 more tasks you will have to take another complete skill test.
Basic Nursing Skills 11 What to Expect
Role / Responsibility 5  Each of the five scenarios associated with your five
Disease Process 4 assigned tasks will be read to you immediately before you
Mental Health 4 do each task.
Personal Care 6  You will be demonstrating your five tasks using your
candidate “partner” as your resident. If you or your
Care Impaired 5
partner provides inappropriate assistance to each other
Aging Process/Restorative Care 5 during your skill test neither of your tests will be scored
and you will both have a skill test failure recorded and
will have used one of your three skill test attempts. You
NEW JERSEY PERSONAL CARE ASSISTANT both will have to re-apply for another testing slot.
EXAMINATION  Listen carefully to all instructions given by the RN Test
Evaluator. You may request to have any of the five
scenarios repeated anytime during your skill test.
Time
# of Items Passing Score  Be sure you understand all instructions before you begin
Allowed
because you may not ask questions once the skill test
60 75% 90 Minutes begins.
 You must correctly perform all five (5) tasks in order to
CONTENT OUTLINES pass the skill test.
 If you believe you made a mistake while performing a
Use the outline as a guide for pre-examination review course task, say so and then repeat the task or the step on the
material. The outlines list the topics that are on the task that you believe you performed incorrectly during
examination and the number of questions for each topic. Do that skill. You may repeat any step or steps you believe
not schedule your examination until you are familiar with the you have performed incorrectly but, must be done during
topics in the outline. that skill. Once the skill test has begun, the RN Test
Evaluator may not answer any questions.
# if
Topic Items Every step must actually be performed and demonstrated
Safety 6 during testing to receive credit. The only exception is after
Communication 6 completing the first task of hand washing; hand washing
Infection Control 3 may be verbalized at the appropriate time for the remaining
four (4) skill tasks.

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Skill 1—Hand washing 10. Candidate leaves hand wipes within resident's reach.
1. Introduces him/her self to the resident by name. Candidate instructs resident to clean hands when finished.
2. Turns on water. 11. Leaves tissue within reach of resident. Leaves call light
3. Thoroughly wets hands and wrist. within reach of resident.
4. Applies liquid soap to hands. 12. Candidate moves to area of the room away from the bed.
5. Washes all surfaces of wrist, hands and fingers with 13. Candidate returns when RN test Evaluator or resident
liquid soap. indicates.
6. Rubs hands together for 15 seconds using friction. 14. Candidate puts on gloves.
7. Using friction, rubs fingers together while pointing 15. Candidate positions resident flat in bed
downward. 16. Candidate gently removes bedpan.
8. Cleans under finger nails. a. RN is ready and pours some fluid into bedpan as it is
9. Rinses hands thoroughly under running water with fingers removed.
pointed downward. 17. Candidate empties bedpan fluid into toilet. Rinses
10. Dries hands on clean paper towel(s). bedpan. Replaces bedpan to dirty supply area.
11. Turns off faucet with a SECOND (last) clean dry paper 18. Removes gloves turning inside out. Discards gloves in an
towel, or with a dry section of a previously used paper appropriate container.
towel. 19. Identifies that hands should be washed.
12. Discards paper towels to trash container as used. 20. Maintains respectful, courteous interpersonal interactions
13. Does not re-contaminate hands at any time during the at all times.
procedure. 21. Leaves call light or signaling device within reach of the
resident.
Skill 2—Ambulation with a Gait Belt
1. Explain procedure to be performed to the resident and Skill 4—Denture Care
obtain a gait belt. 1. Candidate puts on gloves
2. Lock bed brakes to ensure resident’s safety. 2. Lines sink (towel, washcloth or paper towels) with a
3. Lower bed so that the resident’s feet will be flat on floor protective lining OR fills sink with water to prevent
when sitting on the edge of bed. damage to the dentures in case they are dropped.
4. Brings resident to sitting position and assist resident to 3. Carefully removes dentures from cup. Handles dentures
put on shoes. carefully to avoid damage.
5. Places gait belt around waist and tightens gait belt. 4. Rinse dentures under tepid running water.
6. Stands in front of and faces the resident, grasping the gait 5. Applies toothpaste to tooth brush.
belt on each side of the resident with and unhand grip. 6. Thoroughly brushes the inner, outer and chewing surfaces
7. Stabilizes the resident for safety of upper and/or lower dentures.
8. Brings resident to standing position, using proper body 7. Rinses dentures using tepid running water. Rinses denture
mechanics. Grasps gait belt with one hand, using under cup and lid.
had grip. 8. Carefully replaces dentures in rinsed cup. Adds tepid clean
9. Stabilizes resident with other hand by holding forearm, water to denture cup.
shoulder, or using other appropriate method to stabilize 9. Rinses toothbrush. Places toothbrush in rinsed toothbrush
resident. container.
10. Ambulates the resident 10 steps and returns resident to 10. Drains sink. Discards protective lining in an appropriate
chair. Assist resident to ambulate back to bed and sit in a container.
controlled manner that insures safety. 11. Removes gloves properly turning inside out. Disposes of
11. Removes gait belt. Assist resident to lay in bed in a gloves in an appropriate container.
position of comfort and safety. 12. Identifies that hands should be washed.
12. Maintains respectful, courteous interpersonal interactions
at all times. Skill 5—Dressing Resident
13. Leaves call light 1. Explains the procedure to the resident.
14. Identifies hands should be washed. 2. Provides privacy. (pulls curtain)
3. Candidate ask resident what they would like to wear.
Skill 3—Placing Bedpan 4. Keeps resident covered while removing gown.
1. Explains the procedure. 5. Removes gown from unaffected side first.
2. Places bed flat 6. Places used gown in laundry hamper.
3. Puts on gloves 7. When dressing the resident in a shirt or blouse, the
4. Provides privacy - pulls curtain. Candidate inserts their hand through the sleeve of the
5. Positions resident on bedpan using correct technique. Shirt or blouse and grasps the hand of the resident,
6. Bedpan is in proper orientation under the resident. dressing from the weak side first.
7. Removes gloves turning inside out and disposes of gloves 8. Leaves the resident comfortably and properly dressed.
in an appropriate container. 9. Identifies that hands should be washed.
8. Identifies that hands should be washed. 10. Maintains respectful, courteous interpersonal interactions
9. Raises head of bed to comfortable level. at all times.

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11. Leaves call light or signaling device within easy reach of 3. Content is measured at eye level on flat surface
the resident. 4. After measuring empties measuring container fluid into
toilet. Rinses measuring container with water
Skill 6—Foot Care One Foot 5. Pours measuring container's rinse water into toilet.
1. Explains procedure 6. Rinses bedpan with water. Pours bedpan's rinse water into
2. Provides for privacy, pulls curtain toilet. Returns equipment to designated dirty area.
3. Fills foot basin with warm water that is comfortable and 7. Removes gloves properly turning inside out. Disposes of
safe for the resident. gloves in appropriate container. Washes hands.
a. If bath thermometer is used RN Observer checks that 8. Records reading from measuring container on provided I/O
water temperature is between 95 - 110 degrees F pad in cc/ml. (This must be performed in order to receive
4. Candidate places basin in a comfortable position for the credit. Verbalizing will not be accepted.)
resident. Basin is placed on a protective barrier. 9. Reading must be within plus or minus 25 ml/cc of
5. Candidate puts on gloves before washing foot. Bare foot correct urine amount.
is placed into the water.
6. Soap is applied to wash cloth. Candidate lifts foot out of Skill 9—Feeding a Dependent Resident
water and washes entire foot. 1. Explains procedure to the resident.
7. Candidate clearly washes between the resident's toes. 2. Looks at diet card and verbally identifies that the resident
Candidate rinses entire foot. has received the correct tray.
8. Candidate clearly rinses between resident's toes. Dries 3. Positions the resident in an upright position, at 45-90
entire foot thoroughly. degrees.
9. Candidate clearly dries between toes. Candidate warms 4. Places tray so that it can be seen by the resident. Washes
lotion by rubbing it between hands. Candidate massages resident's hands with wipes before beginning feeding.
lotion onto top and bottom of foot Wipes off any excess 5. Sits down facing the resident while feeding the resident or
lotion with a towel. If no excess lotion mark this step assumes other posture so candidate is at eye level with
successfully completed the resident.
10. Supports foot and ankle throughout the demonstration. 6. Describes the foods being offered to the resident. Asks
Empties basin. Rinses basin. which food the resident would like first.
11. Dries basin. Returns basin to dirty storage area. Places 7. Offers fluid frequently. Offers small amounts of food at a
dirty linen in hamper or equivalent. reasonable rate.
12. Removes gloves turning inside out. Disposes of gloves in 8. Allows resident time to chew and swallow. Wipes
the appropriate container. resident's hands and face during meal as needed.
13. Maintains respectful, courteous interpersonal interactions 9. Maintains respectful, courteous interpersonal interactions
at all times. at all times.
14. Candidate identifies that hands should be washed. 10. Leaves call light or signaling device within easy reach of
15. Leaves call light within easy reach of resident. the resident.
11. Identifies that hands should be washed.

Skill 7—Applying an Elastic Stocking Skill 10—Donning and Removing Gown and Gloves
1. Explains procedure to resident. 1. Picks up gown and unfolds. Candidate faces the back
2. Provides for resident's privacy; pulls privacy curtain. opening of the gown.
3. Resident is placed in supine position. 2. Candidate doesn't shake gown during unfolding. Candidate
4. Provides for resident's privacy by only exposing one leg. places arms through each sleeve.
5. Rolls, gathers or turns stocking down inside out at least to 3. Candidate secures the neck opening. Candidate secures
the heel. Places stocking over the toes, foot and heel. the waist, making sure that the back flaps completely
Rolls or pulls stocking up leg. Checks toes for possible cover clothing.
pressure from stocking and adjusts as needed. 4. Candidate puts on gloves. Gloves overlap gown sleeves at
6. Leaves resident with a stocking that is smooth and the wrist.
wrinkle free. a. RN tells the candidate to remove the gown and gloves.
7. Leaves resident with a stocking that is properly placed. 5. Removes gloves turning inside out and folding one glove
8. Covers exposed leg. inside the other. Candidate does not touch outside of
9. Maintains respectful, courteous interpersonal interactions gloves with bare hand at any time.
at all times. 6. Dispose of the gloves, without contaminating self, in
10. Leaves call light or signal calling device within easy reach appropriate container.
of the resident. 7. Unfastens gown at the neck. Unfastens gown at the waist.
11. Identifies that hands should be washed. Removes gown by folding soiled area to soiled area.
Disposes of gown in an appropriate container.
Skill 8—Measures and Records Urinary Output (on I/O 8. Identifies that hands should be washed.
recording sheet)
1. Candidate puts on clean gloves. Skill 11—Making an Occupied Bed
2. Candidate pours urine content from bedpan into 1. Explains procedure. Provides for privacy pulls curtain.
measuring container without spilling.

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2. Places clean linen on a clean surface. (Bedside stand, Skill 13—Nail Care One Hand
chair, or overbed table) 1. Explains procedure to the resident.
3. Lowers head of bed before asking resident to move/turn. 2. Candidate asks resident to check basin water temperature
4. Ensures that resident remains covered while linens are for safety and comfort OR may use bath thermometer.
changed. Loosens top and bottom bed linens. 3. Candidate places basin in a comfortable position for
5. Raises side rail(s) opposite working side of bed. Asks resident. Candidate soaks resident's nails.
resident to turn toward raised side rail. 4. Candidate puts on clean gloves. Candidate gently cleans
6. Rolls or fan folds soiled linen, soiled side in, to the center under each nail with orange stick.
of the bed. Places clean bottom sheet on mattress. 5. Wipes orange stick on towel after cleaning under each
7. Secures two corners. Rolls or fan folds clean linen up to nail. Dries fingernails/hand area with towel.
resident's back. 6. Lightly files each fingernail as needed. Disposes of orange
8. Asks the resident to roll over the bottom linen. Removes stick and emery board in the appropriate container.
soiled linen without shaking. 7. Empties basin. Rinses basin. Dries basin. Returns basin to
9. Avoids touching linen to uniform. Disposes of soiled linen designated dirty area.
in hamper or equivalent. 8. Disposes of dirty linen in the linen hamper. Removes
10. Pulls through and smoothes out the clean bottom linen. gloves turning inside out. Disposes of gloves in the
Secures the other two corners. appropriate container.
11. Places clean top linen over covered resident. Removes 9. Identifies that hands should be washed.
used top linen keeping resident unexposed at all times. 10. Leaves call light or signaling device within easy reach of
12. Tucks in clean top linen at the foot of bed. Tucks in clean the resident.
blanket or bedspread at the foot of bed. Provides room for
feet to move. Skill 14—Partial Bed Bath-Face, Arm, Hand and Underarm
13. Applies clean pillowcase to resident's pillow. Does not 1. Explains procedure to the resident. Pulls privacy curtain.
contaminate linen and/or clothing. Removes gown while keeping resident covered.
14. Gently lifts resident's head while replacing the pillow. 2. Puts on clean gloves. Fills basin with comfortably warm
Returns side rail(s) to lowered position. water OR may use a bath thermometer.
15. Maintains respectful, courteous interpersonal interactions 3. Washes face WITHOUT SOAP. Starts face washing with
at all times. eyes. Washes eyes from inner aspect to outer aspect.
16. Leaves call light or signal calling device within easy reach 4. Uses a clean portion of wash cloth with each stroke.
of the resident. Completes washing rest of face. Dries face.
17. Identifies that hands should be washed. 5. Exposes only one arm. Places towel under arm. Uses soap.
6. Washes arm. Washes hand. Washes underarm.
Skill 12—Mouth Care 7. Rinses arm. Rinses hand. Rinses underarm.
1. Explains procedure to the resident. Provides privacy, pulls 8. Dries arm. Dries hand. Dries underarm.
privacy curtain. 9. Assists resident to put on a clean gown.
2. Resident is placed in upright sitting position. (45-90 10. Rinses basin. Dries basin. Returns basin to designated dirty
degrees) And gathers supplies. area.
3. Candidate puts on clean gloves. Drapes the chest with 11. Disposes of soiled linen in appropriate container.
towel to prevent soiling. 12. Removes gloves turning inside out. Disposes of gloves in
4. Candidate moistens toothbrush. Applies toothpaste to appropriate container.
toothbrush. 13. Identifies that hands should be washed
5. Brushes the inner and outer surfaces of all upper and 14. Maintains respectful, courteous interpersonal interactions
lower teeth using gentle motions. Brushes tongue using at all times.
gentle motions. 15. Leaves call light or signal calling device within reach of
6. Candidate places toothbrush on a clean towel or in a clean the resident.
container to maintain clean technique throughout
demonstration. Skill 15—Perineal Care for a Female
7. Holds emesis basin under resident's chin as resident rinses 1. Explains procedure to the resident. (Mannequin) Provides
mouth. Wipes/dries resident's mouth/chin. privacy - pulls curtain.
8. Removes clothing protector. Places used toothbrush in 2. Candidate prepares water and asks resident (mannequin)
basin. Places basin in designated dirty area. to check water temperature for safety and comfort OR
9. Places soiled linen in hamper or equivalent. Turns gloves may use a bath thermometer.
inside out as they are removed. 3. Candidate applies clean gloves. Places pad under perineal
10. Disposes of gloves in the appropriate container. area before beginning peri care.
11. Candidate identifies hands should be washed 4. Resident is comfortably positioned on back. Keeps resident
12. Maintains respectful, courteous interpersonal interactions covered at all times during procedure.
at all times. 5. Exposes perineum only. Applies soap to wet washcloth.
13. Leaves call light or signaling device within easy reach of Separates labia. Uses water and soapy washcloth.
the resident. 6. Cleans each side of labia from front to back using a
clean portion of the wash cloth with each wash stroke.

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7. Rinses each side of labia from front to back using a 7. Does not force any joint beyond the point of free
clean portion of the wash cloth with each rinse stroke. movement.
8. Pat dries the area moving from front to back. Covers the 8. Supports joints and limbs while performing
exposed area with sheet. flexion/extension and plantar flexion/dorsiflexion,
9. Assists resident to turn onto side away from the discontinuing exercise if resident verbalizes that they
candidate. With a clean portion of wash cloth, cleans the are in/having pain.
rectal area. Uses water, washcloth and soap. Cleans rectal 9. Places call light or signaling device within easy reach of
area from front to back. Uses a clean portion of the wash the resident.
cloth with each wash stroke. 10. Candidate identifies that hands are washed
10. Rinses rectal area from front to back. Uses a clean portion
of the wash cloth with each rinse stroke. Pat dries rectal Skill 18—Range of Motion One Shoulder
area from front to back with towel. 1. Explains procedure to the resident. Pulls Curtain; provides
11. Positions resident (mannequin) on her back. Replaces top for resident's privacy.
sheet over resident. 2. Candidate must ask resident if s(he) is experiencing any
12. Empties basin. Rinses basin. Dries basin. Returns basin to pain or discomfort during exercise.
the designated dirty area. 3. Correctly supports resident's joint by placing one hand
13. Disposes of soiled linen in an appropriate container. under the elbow and the other hand under wrist. Raises
Removes gloves turning inside out. Disposes of gloves in the resident's arm up and over the resident's head.
appropriate container. (flexion) Brings the resident's arm back down to the
14. Identifies that hands should be washed. resident's side. (extension) Completes flexion and
15. Places call light or signaling device within reach of extension of shoulder at least three times.
resident. 4. Moves the resident's entire arm out away from the body.
(abduction) Returns arm to side of the resident's body.
Skill 16—Position Resident on Side (adduction) Completes abduction and adduction of the
1. Explains procedure to resident. Pulls curtain, provides shoulder at least three times.
privacy. 5. Does not cause discomfort or pain at anytime during ROM.
2. Positions bed flat. Raises side rail on side of bed toward 6. Continually supports the limb, moving joints smoothly
which the resident will be turned. and gently throughout the exercise.
3. Assists resident to roll onto side toward raised side rail. 7. Leaves resident in a comfortable position.
Candidate checks to be sure resident's head is supported 8. Candidate identifies hands should be washed.
by a pillow. 9. Maintains respectful, courteous interpersonal interactions
4. Checks to be sure resident is not lying on his/her downside at all times.
arm. Places support device under the resident's upper 10. Places call light or signaling device within easy reach of
arm. Places support device behind resident's back. Places the resident.
support device between knees with top knee flexed.
Check for knee and ankle support. Skill 19—Transfer from Bed to Wheelchair
5. Maintains respectful, courteous interpersonal interactions 1. Explains procedure to resident. Provides for resident's
at all times. privacy.
6. Leaves call light or signaling device within easy reach of 2. Insures resident safety by locking bed wheel brakes.
the resident. 3. Bed is raised/lowered to a safe level with resident feet
7. Identifies that hands should be washed. flat on floor.
4. Positions wheelchair at head or foot of bed. Before
assisting resident to stand foot rests are folded up or
Skill 17—Range of Motion Knee & Ankle removed.
1. Explains procedure to the resident. Provides privacy - 5. Candidate locks wheelchair brakes.
pulls curtain. Positions resident supine. 6. Candidate ensures resident is wearing shoes. Resident is
2. Correctly supports joints by placing one hand under the assisted to a seated position on the edge of the bed with
knee and the other hand under the ankle. feet flat on floor. Applies transfer belt around resident's
3. Candidate tells resident to let them know if they have any waist.
pain or discomfort at any time during exercise. 7. Before candidate assists resident to stand candidate
4. Bends the resident's knee toward the resident's trunk and provides instruction and pre-arranged signal to stand
returns to normal position. Flexion and extension of knee. 8. Assists resident to stand using proper technique. Assists
Candidate performs flexion and extension of the knee at resident to turn and stand in front of wheelchair with
least three times. back of legs against wheelchair.
5. Correctly supports under resident's foot and ankle while 9. Positions resident safely in wheelchair insuring resident's
performing range of motion for the foot and ankle. hips are touching back of wheelchair seat.
6. Pushes/pulls foot toward head (dorsiflexion), and 10. Candidate removes transfer belt. Positions resident's feet
pushes/pulls foot down, toes down. Plantar flexion. carefully on foot rests.
Candidate performs foot and ankle exercise at least three 11. Candidate leaves call light within reach of resident.
times. 12. Identifies that hands should be washed.

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Skill 20—Vital Signs -Radial Pulse (on I/O recording sheet) recertification is $30. You will receive a renewal reminder
1. Explains procedure to resident. Provides for resident's approximately sixty (60) days in advance of your certification
privacy; pulls curtain. expiration date. Do not wait until the expiration date to
2. Locates the radial pulse by placing tips of fingers on the recertify. Complete your Renewal Form immediately and make
thumb side of the resident's wrist. sure that the form is completed and signed by your health care
3. Counts pulse for 60 seconds. facility employer. Each time you are due to renew your
4. Leave call light within easy reach of the resident certification as a nurse aide or personal care assistant, NJDOH
5. Identifies that hands should be washed. is required to update your criminal history background check
6. Candidate records count on the provided recording sheet. (CBI).
(This must be performed in order to receive credit.
Verbalizing will not be accpeted.) Please note that the certification must be renewed prior to
7. Candidate's recorded pulse rate is no more than plus or the expiration date listed on the card. Otherwise, the
minus 4 beats of the correct pulse rate. certification is immediately expired and no longer valid for
8. Maintains respectful, courteous interpersonal interactions employment purposes.
at all times.
Choose a recertification location from the list provided on the
Skill 21-Vital Signs-Respirations (on I/O recording sheet) Renewal Form. On the day of recertification you MUST bring to
1. Explains procedure to resident. Provides for resident's the test site the following:
privacy; pulls curtain.  $30 recertification fee (this is the only fee accepted at
2. Candidate counts respirations for 60 seconds. the test site).
3. Leaves call light within reach of resident.  Two (2) forms of identification. One must be a VALID form
4. Identifies that hands should be washed of government-issued identification (Driver's License, State
5. Candidate records count on the provided recording sheet. ID, Passport) which bears your signature and has your
(This must be performed in order to receive credit. photograph. The second ID must have your signature and
Verbalizing will not be accepted.) preprinted legal name.
6. The candidate's recorded respiratory rate is plus or  Your Renewal Form (completed and signed by your current
minus 2 breaths of the correct rate. or previous employer).
7. Maintains respectful, courteous interpersonal interactions
at all times. At the recertification location, your photo will be taken and
your recertification documents will be reviewed for accuracy
Skill 22—Weighing an Ambulatory Resident (on I/O recording and completeness. If your recertification documents are
sheet) complete, your certification will be updated on the Registry
1. Explains procedure to resident. Candidate ensures that and you will receive a new certificate and wallet identification
resident has shoes on before walking to scale. card. A duplicate certificate and wallet identification is $30.
2. Candidate balances (zeros) scale.
3. Candidate assists resident to step on scale. Candidate The Department of Health (referred to as Department) is
ensures that resident is centered on scale. required to update your criminal history background check
4. Candidate ensures that resident is not holding on to (CBI) each time you are due to renew your certification as a
anything that would alter weight reading. (Resident's arms nurse aide or personal care assistant. There is no need to
at his/her sides.) complete a new CBI application. You will receive a notice
5. Candidate adjusts weights until scale is in balance. about updating your criminal history background check from
6. Assists resident to step off the scale. Assists or directs the Department approximately four (4) months before your
resident back to bed or chair. certification expiration date.
7. Candidate records weight on provided recording pad. (This
must be performed in order to receive credit. Verbalizing If the Department is able to identify that you have been
will not be accepted.) successfully fingerprinted for a nurse aide or personal care
8. Candidate's recorded weight varies no more than plus assistant certification using the electronic fingerprinting
or minus 2 lb. from the correct weight. system, the Department will request that the previous image
9. Maintains respectful, courteous interpersonal interactions be used to update your criminal history background check. If
at all times. you are renewing your certification, there is nothing you need
10. Leaves call light or signal calling device within easy reach to do. You should receive your renewal authorization letter no
of the resident. later than sixty (60) days before your certification is due to
11. Identifies hands should be washed expire.
If the Department cannot identify a previous successful
fingerprint image for your nurse aide or personal care
RECERTIFICATION assistant certification, you will receive a form and a notice to
make a fingerprint appointment approximately 120 days before
In order to be eligible for recertification, you must have been your certification expiration date. You must make and keep a
employed providing nursing services for pay for at least seven fingerprint appointment before your certification expiration
(7) hours within the twenty four (24) months before the date. It is advisable to obtain an appointment at least sixty
expiration date listed on your certificate. The fee for (60) days before your certification is due to expire. THERE IS

WWW.PSIEXAMS.COM 12
NO CHARGE FOR PROCESSING YOUR FINGERPRINT offer recertification on Wednesdays from 10am-4pm at the
APPOINTMENT FORM. If you fail to submit a new set of Hamilton Township, Paramus and Cherry Hill sites ONLY.
fingerprints, your certification will not be renewed. Attempts Please see a listing of the sites in this Candidate Information
to obtain a certification after the expiration date will need to Bulletin.
comply with the provisions for persons with expired
certifications. ABUSE FINDINGS

Once the Department receives notification that there are no Upon receipt of a substantiated allegation of resident neglect,
disqualifying offenses, the Department will issue you a resident abuse, and/or misappropriation (theft) of resident
Renewal Authorization Letter. You must take this letter, property, you will be mailed a Notice of Informal Conference.
together with your Renewal Form, the $30 renewal fee, and This letter will include a statement that there are
photo identification to a PSI Test Site to obtain your new substantiated findings of neglect, abuse and/or
certificate and wallet card. Remember to have your Renewal misappropriation of resident property and will include
Form signed by your employer. Also, make sure your name and instructions for you to attend a scheduled conference, in
social security number match on both the Renewal person, at the offices of the NJ Department of Health and
Authorization Letter and the Renewal Form, or you will be Senior Services, as well as the following information.
turned away from the test site. This is a requirement of the
New Jersey Department of Health. You have a right to bring witnesses and any written evidence
that you want to the informal conference. You may represent
EXPIRED CERTIFICATE yourself, or you may have an attorney represent you at your
own expense. At the conclusion of the informal conference, a
If your certification has already expired and your initial determination will be made as to whether to dismiss the case
certification date is more than five (5) years ago, you must against you or to proceed to a full court hearing at the NJ
successfully complete the following: Office of Administrative Law. The Department will notify you
 A ninety (90) hour state-approved nurse aide training of that decision in writing within ten (10) days of the
program or an eighty-five (85) hour state approved conference.
personal care assistant training program,
 The Skills Evaluation, and If your case is not dismissed, you will receive a Notice of Right
 The Written (or Oral) Examination. to Hearing. If you do not request a hearing within thirty (30)
days of the date of the Notice of Right to Hearing letter, or if
If your certification has already expired and your initial a hearing results in a specific finding of abuse, neglect and/or
certification date is less than five (5) years ago, you must misappropriation of resident property, as applicable, that
successfully complete both the Skills Evaluation and the finding will be placed next to your name on the New Jersey
Written (or Oral) Examination before the five (5) year Nurse Aide Registry. The finding will remain on the New
anniversary of your initial certification. If you fail either the Jersey Nurse Aide Registry permanently, unless the finding was
Skills Evaluation or the Written (or Oral) Examination, you made in error or you are found not guilty in a court of law.
must retrain before retesting. You will not be permitted to work again as a nurse aide or as a
personal care assistant in any licensed New Jersey health care
REVOKED CERTIFICATE facility. You will be notified in writing of this decision and you
will be advised that you have a right to appeal the finding.
A certificate issued to a nurse aide or personal care assistant This statement will be maintained on the New Jersey Nurse
in accordance with state rules shall be revoked in the Aide Registry.
following cases:
 Conviction for resident abuse, resident neglect, resident CHANGE OF ADDRESS, NAME, AND/OR EMPLOYER
mistreatment or misappropriation (theft) of resident
property. If you have changed your address, name, and/or employer,
 Conviction (including a guilty plea, a plea of no contest or you must inform the Nurse Aide Registry and the NJDHSS CBI
nolo contendere, or a finding of guilt by a judge or jury) Unit. To notify the Registry of a change, use the form on the
to a crime or offense which: 1) Is a disqualifying offense following page.
pursuant to N.J.S.A 26:2H-83(a); or 2) Relates adversely
to the ability to provide resident care pursuant to If you have a change of name, you must mail proof of that
N.J.A.C. 8:39-43 and 9.3. change (e.g., marriage certificate, divorce decree, or other
 Sale, purchase, or alteration of a certificate; use of legal document), along with the form on the following page.
fraudulent means to secure a certificate, including filing No additional documentation is necessary to make an address
false information on the application; or forgery, change or employer change.
imposture, dishonesty, or cheating on an examination.
To inform NJDHSS CBI Unit of an address, name, and/or
PSI SITE RECERTIFICATION SCHEDULE employer change, please use the toll-free number, (866) 561-
5914, if you are calling from out of state. If you are calling
Recertification will be offered on a walk-in basis at any of the from within New Jersey, please call (609) 292-4303.
8 NJ test sites on Mondays ONLY from 10am-4pm. We also

WWW.PSIEXAMS.COM 13
 NEW JERSEY NURSE AIDE/PERSONAL CARE ASSISTANT
CHANGE OF ADDRESS, NAME AND/OR EMPLOYER FORM

SEND TO:
PSI HAMILTON SQUARE AREA
IBIS PLAZA SOUTH
3525 QUAKERBRIDGE ROAD, SUITE 1000
HAMILTON TOWNSHIP, NJ 08619

Use this form to inform the Registry of your change of address, name, and/or employer. Please print or type all
information on this form. Be sure to provide all information, or your request cannot be filled.

 ADDRESSS CHANGE – Complete Sections A & B

 NAME CHANGE - Complete Sections A & B: You must attach a copy of an official document (marriage certificate
or other court order) verifying your name change.
 EMPLOYER CHANGE - Complete Sections A, B & C: You must complete Section C also.

A. PRINT YOUR NEW ADDRESS, NEW NAME, OR NEW EMPLOYER’S INFORMATION BELOW.

Name:__________________________________________________________________________________________
Address:_________________________________________________________________________________________
City:______________________________________________ State:_______________ Zip Code:_________________
Telephone:_______________________________________________________________________________________
Social Security#________________________________________ Certification #___________________________ ___

B. PRINT YOUR OLD ADDRESS, OLD NAME, OR OLD EMPLOYER’S INFORMATION BELOW.

Name:__________________________________________________________________________________________
Address:_________________________________________________________________________________________
City:______________________________________________ State:_______________ Zip Code:_________________
Telephone:_______________________________________________________________________________________

C. IF YOU ARE NOTIFYING THE REGISTRY WITH NEW EMPLOYER INFORMATION, YOU MUST ALSO FILL IN THIS SECTION.

Name:__________________________________________________________________________________________
Address:_________________________________________________________________________________________
City:______________________________________________ State:_______________ Zip Code:_________________
Telephone:_______________________________________________________________________________________

YOUR SIGNATURE:______________________________________________________ DATE:___________________________

WWW.PSIEXAMS.COM 14
 NEW JERSEY NURSE AIDE & PERSONAL CARE ASSISTANT
RE-TAKE REGISTRATION FORM
Before you begin. . .
Read the Candidate Information Bulletin before filling out this registration form. You must provide all information requested and submit the
appropriate fee. PLEASE TYPE OR PRINT LEGIBLY. Registration forms that are incomplete, illegible, or not accompanied by the proper fee will be
returned unprocessed. Registration fees are not refundable.

1. Legal Name:
Last Name First Name M.I.

2. Social Security: - - (FOR IDENTIFICATION PURPOSES ONLY)

3. Mailing Address:
Number, Street Apt/Ste

-
City State Zip Code

4. Telephone: Home - Office -

5. Email: ____________________________________________@_____________________________________________

6. Examination: (Check one) Skills Evaluation Only (Re-take Exam) $23 Written Exam Only (Re-take Exam) $53

English Oral Exam Only (Re-take Exam) $67 Spanish Oral Exam Only (Re-take Exam) $67

(Check one) FIRST TIME RETAKE

7. Have you received an official Waiver from the NJ Department of Health? (Check one) Yes No

8. Total Fee $____________. You may pay by credit card, money order, company check or cashier’s check. Cash and personal
checks are not accepted.)
If you are paying by credit card, check one:  VISA  MasterCard  American Express  Discover

Card No: _____________________________________________________Exp. Date: ________________________________

The card verification number may be located on the back of the card
(the last three digits on the signature strip) or on the front of the card
Card Verification No: __________________
(the four digits to the right and above the card account number).

Billing Street Address: _________________________________________________________ Billing Zip Code: __________________

Cardholder Name (Print):_______________________________________ Signature:__________________________________

9. I am faxing the Special Arrangement Request (at the end of this bulletin) and required documentation. Yes No

10. Affidavit: I certify that the information provided on this registration form (and/or telephonically to PSI) is correct. I
understand that any falsification of information may result in denial of certification. I have read and understand the
Candidate Information Bulletin.

Signature:_____________________________________________________ Date:___________________________________________
If you are registering by mail or fax, sign and date this registration form on the lines provided.
Complete and forward this registration form with the applicable examination fee to:
PSI * ATTN: NJ Regional Processing Center
3525 Quakerbridge Road, Suite 1000 * Hamilton Township, NJ * 08619
Fax (609) 588-5461 * (800) 733-9267 * TTY (800) 735-2929 * www.psiexams.com

WWW.PSIEXAMS.COM 15
 SPECIAL ARRANGEMENT REQUEST FORM

All examination centers are equipped to provide access in accordance with the Americans with Disabilities Act (ADA) of 1990.
Applicants with disabilities may request special examination arrangements.

Candidates who wish to request special arrangements because of a disability should fax this form and supporting documentation
to PSI at (702) 932-2666.

Requirements for special arrangement requests

You are required to submit documentation from the medical authority or learning institution that rendered a diagnosis.
Verification must be submitted to PSI on the letterhead stationery of the authority or specialist and include the following:

 Description of the disability and limitations related to testing

 Recommended accommodation/modification
 Name, title and telephone number of the medical authority or specialist
 Original signature of the medical authority or specialist

Date: _________________________________________________ Social Security #: ______________________________

Legal Name: ________________________________________________________________________________________________

Last Name First Name

Address: __________________________________________________________________________________________
Street City, State, Zip Code

Telephone: (__________) __________ - _______________ (__________) __________ - _______________

Home Work

Email Address: ____________________________________________________________________________________

Check any special arrangements you require (requests must concur with documentation submitted):

 Reader (as accommodation for visual impairment  Extended time

or learning disability) (Additional time requested:______________)

 Large-print written examination  Other____________________________________

 Complete and fax this form, along with supporting documentation, to (702) 932-2666.
 After 4 business days, please call 800-733-9267 x6750 and leave a voice message.
 PSI Special Accommodations will call you back to schedule the examination within 48 hours.

DO NOT SCHEDULE YOUR EXAMINATION UNTIL THIS DOCUMENTATION HAS BEEN

RECEIVED AND PROCESSED BY PSI SPECIAL ACCOMMODATIONS.
 PSI Services LLC
3210 E Tropicana
Las Vegas, NV 89121