How to pass the NNAAP Nurse Aide

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The nurse aide assessment program is designed for nurses who wish to become certified as aides in your State. See below for jurisdictions.  The test is administered by Pearson. It mainly tests the minimal competencies for a nurse aide. After certification, your name is added to a registry that contains the list of all certified nurses.  This is used by employers to check those who qualify to work as certified nurse aides

Exam Structure

The test has two parts, oral and written. Both exams are written on the same day, and candidates are expected to pass both to be listed in the Nurse Aide Registry.

The written portion is made up of 70 multiple-choice questions.  The questions are usually in English. The oral exams are for those who cannot read English, and it is made up of 60 multiple-choice questions and 10 reading questions. The oral exams must be requested on application.

The second test is called the Skill Evaluation. Here, candidates are asked to perform 5 randomly selected nurse’s aid skills, rated by a nurse evaluator. The candidates must successfully perform all five skills in order to achieve Nurse Aide certification.

In some states, the NNAAP exam results will be mailed ten days after completing the test. In other states, the written or oral answer sheets will be faxed to the candidate along with the scoring.

If candidates fail either section of the test, then they can retake that section.

The exam is a computer-based assessment that is developed by NNAAP but administered by Pearson VUE.  How to write a computer test.

Nurse Aide and Medical Assistants

CNA  —  RMA  —  CMA


To be eligible for  test

  • Candidates must be 16 years or older
  • Candidates must submit a criminal background check through the Department of Education.
  • Candidates must have completed a nurse-aid training program within the last 24 months, be approved by the Department of Education and must  be a student nurse with an approved application of eligibility from the relevant authorities.
  • Candidates whose nurse aid registration has lapsed must re-test, as well as those certified in other states.

Registration & Fees

To register, ask your employer for registration materials, or through your school or the Red Cross.

The fees for registration for both board exams are $102 and $112 for written and oral exams respectively. The retest exams fees are, $41 fee written exams only, $61 for the skills evaluation and $51 for Oral examination only.

Once the Red Cross receives the registration form, documents and fees, the test date is scheduled in a confirmation letter issued two to five business days after the required materials are received.


20 NCSBN jurisdictions use the NNAAP Nurse Aide:

  • Alabama
  • Alaska
  • California
  • Colorado
  • District of Columbia
  • Georgia
  • Guam
  • Mariana Islands
  • Maryland
  • Minnesota
  • Mississippi
  • New Hampshire
  • North Carolina
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • Texas
  • Virginia
  • Virgin Islands
  • Washington


Taking Vital Signs – Taking Vital Signs is a critical part of nursing and appears on many nursing and nursing assistant, nursing aide certification exams.  This includes, taking pulse, respiratory rate, blood pressure, temperature, oxygen saturation, and more

Infection Control – Includes asepsis, correct washing hands, HCAI, which patients are most vulnerable to HCAI, when to wear gloves and more

Medical Law and Ethics – Includes patient rights, battery, autonomy, privacy, non-malfeasance, beneficence, abuse and neglect issues, and more

Patient Education and Communication – open-ended questions, eye contact, body language, putting people at ease, mirroring and more

Patient Care – activities of daily living, basic nursing care


NNAAP Nurse Aide Practice!

National Nurse Aide Assessment Program Practice Test Questions - get ready for the acutal examination!

NNAAP Practice Cover National Nurse Aide Assessment Program practice test questions and full answer key with detailed expalanations. Includes basic nursing, daily duties with patients, patient rights, communication skills, and patient emotional needs.

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Date Published: Thursday, May 15th, 2014
Date Modified: Wednesday, June 9th, 2021

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