It is an illustrated guide used for three main purposes. 1. It assists in preparing individuals to pass the state certification exam. It is great for individuals who are with English as a second language or for those visual learners as photos demonstrate the skills step by step. 2. For those individuals looking to retake their test because they maybe have failed the skills portion of the test, it systematically goes through the skills tested to assist in breaking down the skill into steps. For those individuals that have lost their certification due to the fact that they maybe have not worked in the field for a number of years, it assists in the review of the skills so that they may retest without going through another test. 3. For facilities and rehab facilities, assisted livings, those that hire CNA’s to use as a tool for inservices.