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Nurse aide certification

CNA Exam Prep: the NNAAP Written Exam and Skills Evaluation

Federal rules for covered state-approved nurse aide competency programs require a written or oral exam and a skills demonstration. Each state selects its testing arrangements. In Pennsylvania, the NNAAP written exam has 70 questions (60 scored) in two hours, or an oral version, plus five skills in 30 minutes. Tennessee uses a different knowledge-exam format, so the Pennsylvania numbers are not a national rule. Other states use Prometric, Headmaster/D&S, or their own exams, and fees, retake limits, and skills lists differ. Check your state's nurse aide registry or testing vendor. Passy practice is original and does not predict a result.

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Exam at a glance

Know the shape of the exam.

Written (NNAAP)70 questions

Pennsylvania NNAAP example: 60 scored in 2 hours. Check your state's format.

Skills (NNAAP)5 skills

In 30 minutes; Hand Hygiene is always included.

Largest area35%

Basic Nursing Skills, in the 2024 NNAAP written outline.

AttemptsAt least 3

Federal minimum for the initial covered competency evaluation; reactivation routes may differ.

What you’ll practice

Cover the shape of CNA.

Scan the official CNA content areas and keep each study session connected to the wider exam.

01

Physical Care Skills · 64%

  • Activities of Daily Living · 22%
  • Basic Nursing Skills · 35%
  • Self-Care and Independence · 7%
02

Psychosocial Care Skills · 10%

  • Emotional and Mental Health Needs · 8%
  • Spiritual and Cultural Needs · 2%
03

Role of the Nurse Aide · 26%

  • Communication · 7%
  • Client Rights · 8%
  • Legal and Ethical Behavior · 5%
  • Member of the Health Care Team · 6%

Content-area names follow the official 2024 NNAAP Written (Oral) Examination Content Outline (Credentia), checked October 18, 2026.

How Passy helps with CNA

Know what to work on next.

Passy keeps CNA prep focused so each session leads naturally into the next.

01

Practice

Twenty original CNA written-exam questions.

Four-option nurse-aide scenarios across the NNAAP content areas. No Credentia, Prometric, Headmaster, or state items.Start the free set
02

Explanations

See why the safer nurse-aide action wins.

Each explanation says why the keyed answer is right and why each other option falls short.Read the reasoning
03

Largest area

Basic Nursing Skills carries the most weight.

It is 35% of the 2024 NNAAP written outline. With Activities of Daily Living and Self-Care and Independence, Physical Care Skills total 64%.Name the weak area
04

Next step

Check your state's exam and skills list first.

The study plan uses your test date, daily minutes, and one weak content area. It does not predict a pass.Shape the days you have

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20 original questions

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