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Pass Your CNA Exam — Free Practice Tests, Real NNAAP-Style Questions

Take a full 60-question practice exam, drill all 22 hands-on skills, and study every tested topic — no signup, no credit card, 100% free.

60-question full exam · 11 topic tests · Instant scoring · Free forever

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Question Full Practice Exam

11

Topic Practice Tests

22

NNAAP Skills Walkthroughs

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How to Become a CNA in 4 Steps

The exact rules vary by state. Use this roadmap, then check your state's specific requirements.

1

Check Your State's Rules

Every state sets its own rules — training runs from 75 hours (the federal minimum, used by Texas and others) up to 160 hours in California. Most states ask you to be 16–18 with no disqualifying background-check findings. Check your state's exact requirements.

2

Complete Approved Training

State-approved programs combine classroom theory with supervised clinical experience in a long-term care setting, usually over 4–12 weeks. Find programs near you.

The big day
3

Pass the Written + Skills Exam

Your state's competency exam — administered by Prometric, Credentia, Headmaster, or PSI — includes a written test plus a hands-on skills demonstration. Take the free practice test and drill the 22 NNAAP skills until both feel routine.

4

Get on Your State Registry

Once you pass, your state adds you to its nurse aide registry. From that point you can work as a CNA in any licensed facility in your state. Verify your license.

Learn first, then test

13 Free CNA Study Guides — Every NNAAP Topic Covered

Read the guide, then take the matching practice test. Every major topic on the NNAAP / state CNA competency exam is covered — free, no signup.

Infection Control

Chain of infection, standard precautions, PPE use, hand hygiene, and transmission-based precautions.

Then test yourself: Infection Control practice test →
Patient Rights

OBRA '87 resident rights, HIPAA, dignity, privacy, freedom from abuse and restraints, advance directives.

Then test yourself: Patient Rights practice test →
Basic Nursing Skills

Vital signs, intake and output, positioning, transfers, and range-of-motion exercises.

Then test yourself: Basic Nursing Skills practice test →
Safety & Emergencies

RACE/PASS fire safety, fall prevention, choking, CPR, seizure care, and incident reporting.

Then test yourself: Safety & Emergency practice test →
Communication Skills

SBAR handoff, therapeutic communication, and adaptations for hearing, vision, and dementia residents.

Personal Care & Elimination

Bathing, peri-care, oral care, denture care, toileting, and incontinence management.

Mental Health & Dementia

Delirium vs dementia, sundowning, validation therapy, and de-escalation of combative behavior.

Data Collection & Reporting

Objective vs subjective data, pain scales, what to report immediately, and charting principles.

Legal & Ethical Issues

CNA scope of practice, the four elements of negligence, mandatory reporting, and ethical principles.

End-of-Life Care

Hospice vs palliative care, Kübler-Ross stages, signs of approaching death, and postmortem care.

Body Systems & Conditions

Stroke (FAST), CHF, hypoglycemia, COPD, pressure-injury staging, and other common LTC conditions.

ADA & Disability Rights in Care

ADA, Section 504, Section 1557, and OBRA duties: effective communication, the service-animal two-question rule, accessible care, and anti-discrimination at the bedside.

ADA Rights for CNA Candidates

Your federal rights for CNA program admission, NNAAP exam accommodations (Credentia, Prometric, Headmaster, PSI), and workplace accommodations on the job.

Need In-Person Training First?

Search 805+ state-approved CNA programs by state and city — compare cost, length, and schedules, including our guide to American Red Cross CNA classes and facility-sponsored programs that train you free in exchange for a work commitment.

Browse Training Programs

What is a Certified Nursing Assistant?

A 4–12 week path into healthcare — no degree required.

A Certified Nursing Assistant (CNA) provides hands-on care to patients in hospitals, nursing homes, and other healthcare facilities. CNAs are essential members of the healthcare team, working directly with patients to ensure their comfort and well-being.

Assist patients with daily activities like bathing, dressing, and eating

Monitor vital signs and report changes to nursing staff

Provide emotional support and companionship to patients

Help with mobility and physical therapy exercises

CNA Career Snapshot

Median Salary
$35,760/year
Job Growth (2022-2032)
+4% (Faster than average)
Training Time
4-12 weeks
Education Required
High School Diploma
Work Settings
Hospitals, Nursing Homes

Source: U.S. Bureau of Labor Statistics

Frequently Asked Questions

Common questions about becoming a CNA

How long does it take to become a CNA?

Most CNA programs take 4 to 12 weeks to complete, depending on the state and whether you attend full-time or part-time. State training-hour requirements vary widely — Texas, Ohio, and several others require the federal minimum of 75 hours, while California requires 160 hours, Virginia and Illinois 120, and New York 100. See our state-by-state CNA requirements directory for exact timing in your state.

How much does CNA training cost?

CNA training typically ranges from $400 to $2,000, with community colleges and technical schools offering the lowest tuition. Many nursing facilities sponsor training in exchange for a post-certification work commitment, making the path effectively free for committed candidates. Add roughly $100 to $200 for state exam fees, background-check fees, and uniforms.

What's on the CNA certification exam?

The state CNA competency exam has two parts: a written (or oral) knowledge test with 60–100 multiple-choice questions, and a hands-on skills demonstration of 3 to 5 randomly selected nurse aide skills. The exam is administered by state-contracted vendors including Prometric, Credentia (formerly Pearson VUE), Headmaster, and PSI. Our free study guides cover every major topic tested.

Do I need a high school diploma to become a CNA?

It depends on your state. Some states (California, New Jersey) require a high school diploma or GED for CNA certification. Others (Texas, Florida, Illinois, Ohio) do not require a diploma at the state level, though individual training programs may. Several states also allow students 16 or older to start CNA training while still in high school through dual-enrollment programs.

Is CNA certification valid in all states?

No — CNA certification is issued by each state's nurse aide registry, so it is state-specific. However, most states offer reciprocity (sometimes called endorsement) for CNAs in good standing on another state's registry. The transfer process typically requires submitting a reciprocity application, providing verification from your current state, and passing a state background check. See your destination state's CNA registry page for specific reciprocity rules.

Can I work while getting my CNA certification?

Yes. Many CNA programs offer evening and weekend schedules for working adults. Federal OBRA rules also allow you to begin working as a paid nurse aide in a nursing home for up to four months after completing approved training, while you finish the competency exam and registry process. Several states like Tennessee offer a formal temporary work permit (120 days) so you can start earning a CNA wage immediately after training.

Ready to pass your CNA exam? Take the free 60-question practice test — no signup needed.