Is the CNA Exam Right for Me?
Becoming a Certified Nursing Assistant (CNA) is a rewarding career choice for those passionate about supporting patients with basic healthcare needs. The CNA exam, administered by the National Council of State Boards of Nursing (NCSBN) in partnership with Credentia in many states, certifies that you have the skills and knowledge required to provide high-quality patient care. This certification is essential for CNAs to legally work in various healthcare settings under the supervision of registered nurses.
By earning this certification, you’ll demonstrate your competency in essential areas like patient care, vital sign measurement, and personal care services, making you a valuable member of any healthcare team.
CNA Exam Overview
The CNA exam consists of two parts: a written (or oral) test and a skills demonstration. You’ll need to pass both sections to receive certification and be listed on your state’s nurse aide registry.
Here’s a summary of the two sections:
- Written/Oral Test
- Skills Test
Each state may have slight variations, so check your state’s Candidate Handbook to ensure you understand the exact requirements for your area.
Exam Breakdown by Section
The CNA Exam assesses a range of competencies across three primary domains:
DomainDescription% of QuestionsPhysical Care SkillsCovers activities of daily living, basic nursing skills, infection control, safety, and patient independence.64%Psychosocial Care SkillsFocuses on emotional, mental health, and spiritual needs of patients.10%Role of the Nurse AideAssesses knowledge of communication, client rights, legal/ethical behavior, and teamwork.26%
Physical Care Skills is the most heavily weighted domain, with topics on infection control, hygiene, nutrition, and data collection. This emphasis ensures CNAs are well-equipped to handle direct patient care safely and effectively.
Skills Demonstration Details
The skills demonstration portion of the CNA exam includes performing five practical skills in a work-like setting. These skills are evaluated by a Nurse Aide Evaluator and require precise execution. Each skill is broken down into tasks with Critical Steps that must be performed accurately. Failure to perform these critical steps can result in failing the skill.
Some of the 23 skills that may be tested include:
- Hand hygiene
- Assisting with feeding
- Recording pulse and respiration
- Applying an elastic stocking
- Providing perineal care
You’ll have 30 minutes to complete all five skills. Practice each skill according to the detailed steps outlined in your training program to ensure accuracy and efficiency.
CNA Exam Eligibility
To be eligible for the CNA exam, you typically must:
- Complete a State-Approved Nurse Aide Training Program: This includes classroom learning, hands-on skills training, and clinical experience.
- Meet Specific State Requirements: Eligibility criteria vary by state, so refer to your Candidate Handbook for state-specific guidelines.
How to Register for the CNA Exam
Registering for the CNA exam involves several steps:
- Create a CNA365 Account on the Credentia website. After creating an account, complete your application and submit required documentation, including proof of your training program completion.
- Select Your Exam Format and Location: Choose either an in-person or online format for the written/oral exam and schedule the skills exam at a designated testing center.
- Pay the Exam Fees: Exam fees vary by state, but typically range around $100. Make sure to check your Candidate Handbook for exact fee details.
Once registered, you’ll receive confirmation and can choose an exam date based on availability. Make sure to register at least 10 days before your desired date for an in-person test or at least one day in advance for online exams.
Test Day: What to Expect
Whether you’re taking the exam online or at a test center, you should prepare to bring:
- Two valid, unexpired, government-issued IDs, one of which must have your photo (e.g., driver’s license, Social Security card).
- No. 2 pencils, an eraser, and a watch with a second hand (for in-person exams).
For online exams, prepare your testing space and perform a system check beforehand. You’ll need a private room with no distractions, and a smartphone or tablet to scan your testing area.
During the skills test, focus on performing each task correctly and confidently, especially the Critical Steps. If you’re unsure, take a moment to think before you act.
How the CNA Exam is Scored
After completing both the written/oral and skills tests, you’ll receive a Score Report showing a Satisfactory or Unsatisfactory score for each skill. You must achieve a Satisfactory rating on all five skills to pass the skills portion.
- Written/Oral Test: Your score report will display a pass/fail outcome. If you took the test online, your results should be available within a few hours in your CNA365 account.
- Skills Test: You’ll receive detailed feedback on each skill. Any skill with an Unsatisfactory rating will need to be retaken to pass the exam.
Passing both sections qualifies you for inclusion in your state’s nurse aide registry. If you don’t pass, you can retake only the section you failed, but most states allow up to three attempts within a specified time period.
How to Study for the CNA Exam
Effective study strategies will boost your chances of passing the CNA exam:
- Take Practice Tests: Identify your weak areas by taking practice exams. Focus on the questions you missed, guessed on, or found difficult.
- Use Flashcards: Flashcards are excellent for memorizing key terms, basic nursing procedures, and patient care principles.
- Review Answer Explanations: After taking practice tests, go through the explanations to understand why each answer is correct or incorrect.
Strategy for CNA Practice
Here’s a study plan to optimize your preparation:
- Remove Limitations: Start by taking your first practice test without any time restrictions and with your study materials available. Focus on understanding each question.
- Time Yourself: For your second practice test, set a timer to simulate exam conditions and practice pacing.
- Simulate Test Day: Take additional practice tests under realistic conditions in a quiet, distraction-free environment.
- Regular Practice: Consistent practice will build your confidence and help you perform effectively on test day.
Receiving Your CNA Exam Scores
Exam scores for both sections are typically available within a few hours in your CNA365 account. Some states may also mail a physical score report within five to seven business days. If you pass both sections, you’ll be added to the nurse aide registry, allowing you to begin work as a CNA.
If you didn’t pass, you may have the option to submit a grievance or retake the exam. Follow the guidance in your Candidate Handbook to understand the options available in your state.
FAQs
What is the CNA exam?
The CNA exam certifies that you have the skills to work as a certified nursing assistant. It consists of a written/oral test and a skills demonstration.
How much does the exam cost?
The cost varies by state but generally ranges from $80 to $100.
How do I become a CNA?
Complete a state-approved training program, pass the CNA exam, and apply for inclusion in your state’s nurse aide registry.
What score do I need to pass?
Passing scores vary by state, but most require a 70%-80% score on the written/oral portion and a Satisfactory rating on all skills.
How often can I retake the exam?
Many states allow three attempts to pass the CNA exam within a specified timeframe.