These questions cover the topics of hygiene, dressing and grooming, nutrition and hydration, elimination, and rest/sleep/comfort. Activities of Daily Living takes up 14% of the exam with nine questions.This domain is divided into three categories: The written and oral exam covers three main content domains: Physical Care Skills, Psychosocial Care Skills, and the Role of the Nurse Aide. Instead, recordings of the questions will play on a headset and you will be asked to provide an answer from the list of choices. This is recommended for those who may have difficulty reading and answering a written exam. The written exam is composed of 70 multiple-choice items, 10 of which are non-scored items that will only collect statistical information.The oral exam is composed of 60 multiple-choice items and 10 reading comprehension (word recognition) items. You will get to choose your preference during registration. Whether you take the written version of the exam or the oral version is entirely up to you. You must complete and pass both assessments to gain a certification and for a state to add your name to the state nurse aide registry. The CNA exam is composed of two parts: 1) a written or oral portion and 2) a skills demonstration portion. Once you pass the CNA exam, you will be given a certification to practice as a nursing assistant and will be added to your state’s nurse aide registry. Eligibility varies per state but in general, applicants are required to have completed at least a state-approved nurse aide training program that usually includes classroom learning, practical training, and on-the-job training. The CNA exam is designed for entry-level nurse aides and nursing assistants (NAs), meaning those who zero to 12 months of direct care experience after receiving certification. To ensure that you are reading the correct information related to the exam for your desired state of practice, read its corresponding Candidate Handbook for complete details. It is important for you to know that the exam guidelines vary for each of these states. There are currently 17 NCSBN jurisdictions that accept the CNA exam to measure your competency as a nurse aide.

The CNA exam is available through a national testing service by Credentia, which assumes scheduling, administration, and delivery of the exams in the designated states. The National Nurse Aide Assessment Program (NNAAP) administers the most large-scale nurse aide certification program with over 200,000 paper and practical exams annually through the NCSBN.

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