A growing set of subjects for nursing assistant students who are learning English, one unit at a time.
New here? See how Florence works and a suggested study plan.
Choose a subject
Each subject has vocabulary, listening, scenario, and quiz rounds.
Mock tests
Timed practice tests pulling questions across multiple units, just like exam-day pacing.
Report a problem
Thank you for helping make Florence better.
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Voice settings
Choose the voice that sounds best to you.
Put Florence on your device
Then open it from an icon, just like any other app. It also works without internet after the first time.
iPhone or iPad: open this page in Safari. Tap the Share button, then Add to Home Screen, then Add.
Android: open this page in Chrome. Tap the menu (three dots), then Install app or Add to Home screen.
Windows or Mac (Chrome or Edge): click the install icon at the right end of the address bar, or open the browser menu and choose Install.
Mac (Safari): choose File, then Add to Dock.
Share Florence with your class
Students scan this code with their phone camera to open the app.
CNA
CNA Exam Prep for English Learners
Welcome to Florence
Your Massachusetts CNA exam-prep coach, made for English learners. Learn the words, listen, practice real situations, and take timed practice tests.
How to study with Florence
Choose a subject. Start with Exam & CNA Basics, then follow the list from top to bottom. Each subject has a few rounds.
Vocabulary rounds. Tap Listen to hear a word, then Practice saying it. Record yourself, play it back, and compare your voice with the model. Check Learned when you know it. Use the Not learned yet button to review only the words you still need. Tap Voice on the home screen to choose a voice you like and slow it down if you need.
Listening rounds. Tap Play passage, listen, then answer the questions. You can listen again as many times as you want. Tap Show next to Transcript to read along. It also opens after you answer.
Scenario rounds. Listen to a real conversation on the job, then choose the best answer. Tap Role-play: you are the CNA to say the CNA's words out loud and record yourself. This is how the exam thinks: What should a CNA do?
Care sequences. In skills subjects, put the steps in the right order. This helps you get ready for the skills test.
Practice test. Take it after each subject. Read the explanation for every question, even the ones you got right.
Mock tests. The mini-mocks are 25 questions in 25 minutes. The Final Practice Exams match the real knowledge test: 60 questions, 60 minutes, and 76% (46 correct) to pass.
Suggested plan
Every day (20 to 30 minutes): one or two rounds, plus 5 minutes of saying words out loud.
Every week: finish 3 subjects and 1 abbreviations unit, then take the next mini-mock.
Last 3 weeks: take a Final Practice Exam, review what you missed, and move on to the next one when you score 76% or higher.
Good to know. Your progress is saved on this phone or computer only. If you clear your browser data or switch devices, it starts over. After the first time you open the app with internet, it also works offline.
Put it on your home screen or desktop
iPhone (Safari): tap the Share button, then Add to Home Screen.
Android (Chrome): tap the menu (three dots), then Install app or Add to Home screen.
Computer (Chrome or Edge): click the install icon at the right end of the address bar. You can also tap Install app on the home screen of Florence.
Found a mistake? Tap Report a problem at the bottom of any screen. It opens an email to your teacher with the question already filled in. Thank you for helping.
Recording yourself. The first time, your phone will ask to use the microphone. Tap Allow. Your recording stays on your device and is not saved or sent anywhere. The Check pronunciation button works best in Chrome.
What Florence is
An exam-prep app for the Massachusetts Nurse Aide Competency Evaluation (NACE) for English-language learners. It follows the state's 12 knowledge-test areas and the skills-test tasks, and it includes about 160 abbreviations.
Ways to use it in class
Warm-up (5 minutes). Students do a few vocabulary cards and say the words aloud in pairs.
Listening and scenarios. Play a passage or conversation, then discuss why each answer is right or wrong. The scenarios are good for role play.
Skills lab prep. Use the care sequences before hands-on practice. Students put the steps in order, then perform them.
Exit ticket. Ask students to take the subject's practice test and show you their best score.
Homework. Assign a mini-mock each week, and Final Practice Exams near the end of the course.
Share with your class
Show a QR code students can scan to open Florence, or print a one-page handout with the link and the steps to install it.
A sample 8-week plan
Week 1: Exam & CNA Basics, Healthcare team roles, Health Care Settings, Abbreviations 1. Mini-Mock 1.
Week 2: Long-Term Care, Personal Care, Observation and Reporting, Abbreviations 2. Mini-Mock 2.
Week 4: Communication, Vital Signs, Mobility and Restorative Care, Abbreviations 4. Mini-Mock 4.
Week 5: Elimination, Nutrition, and Hydration; Common Diseases; Mental Health and Dementia. Mini-Mock 5.
Weeks 6 to 8: Final Practice Exams 1 to 9, three per week. Review weak topics and practice skills tasks in the lab.
Checking progress
Progress is saved on each student's own device, and there are no accounts yet. Ask students to show the home screen. Each subject shows how many words they have learned and their best test score, and the mock tests list shows their best scores.
Please note.Florence is a study aid, not the official exam. Skills steps follow the state's sample skills sheets, and the real test may list steps in a slightly different order. Always check the current Massachusetts Nurse Aide Candidate Handbook for updates.
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Mini-Mock Test
The timer starts as soon as you begin, so make sure you're ready.
← All subjects
Vocabulary rounds
Tap the speaker to hear each word, then tap "Practice saying it" to try it yourself.
Listening rounds
Play the passage, then answer the questions. Replay as many times as you need.
Scenario rounds
Real workplace situations. Listen to the conversation, then decide what to do.
Care sequence
Put the steps in the correct order. Drag, or use the up/down arrows to reorder, then check your answer.