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Certified Nursing Assistant (CNA) Exam

Past exam questions and practice questions based on official past exams

Checked 10/31/26

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Full mock exam60 questions · 120 min · 4 choices →Key conceptsAI-written · VerifiedRead the key concepts by subject and unit before you practice.3 subjects · 12 unitsOpen key concepts →

Exam info

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Type
State license
Field
Healthcare
Provider
State nurse aide registries
Sections
Physical Care Skills (38) · Psychosocial Care Skills (6) · Role of the Nurse Aide (16)
Questions · Time
60 questions · 120 min
Format
To be listed on a state nurse aide registry, you must pass a written (or oral) knowledge test and a hands-on skills test. Each state picks its own test, so the format differs by state. The most widely used one is the NNAAP Written Examination: 70 multiple-choice questions in 2 hours, of which 60 are scored and 10 are unscored pretest questions that you cannot tell apart. Other states use tests from vendors such as Prometric, Pearson VUE, or Headmaster (D&S), with different numbers of questions and time limits. This site follows the 2024 NNAAP written content outline (60 scored items in 3 areas). Each question here has 4 answer choices with one correct answer. All questions on this site are original AI practice questions, and the skills test is not covered.
Passing score
Each state sets its own passing standard for the knowledge test, and the score needed is not the same everywhere. You must pass both the knowledge test and the skills test. This site uses 70% correct as a practice goal only; it is not an official score. There is no minimum for each area on this site.
Eligibility
Federal rules require a state-approved nurse aide training program of at least 75 clock hours, including at least 16 hours of supervised practical training, before the competency evaluation. Each state adds its own rules, such as more training hours, a background check, and how to apply for the test. Check your state nurse aide registry or your training program before you register.

Exam outline

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Tap a unit name to see its key concepts and sample questions.

Physical Care Skills38 questions

  1. Unit 1: Activities of Daily Living★★★★★Weight 34%Concepts
  2. Unit 2: Infection Control★★★★★Weight 18%Concepts
  3. Unit 3: Safety and Emergencies★★★★★Weight 15%Concepts
  4. Unit 4: Positioning, Transfers, and Body Mechanics★★★★☆Weight 12%Concepts
  5. Unit 5: Self-Care, Independence, and Restorative Care★★★☆☆Weight 11%Concepts
  6. Unit 6: Vital Signs, Measurements, and Reporting★★★★☆Weight 10%Concepts

Psychosocial Care Skills6 questions

  1. Unit 1: Emotional and Mental Health Needs★★★★☆Weight 80%Concepts
  2. Unit 2: Spiritual and Cultural Needs★★☆☆☆Weight 20%Concepts

Role of the Nurse Aide16 questions

  1. Unit 1: Communication★★★★☆Weight 25%Concepts
  2. Unit 2: Resident Rights★★★★★Weight 31%Concepts
  3. Unit 3: Legal and Ethical Behavior★★★★☆Weight 19%Concepts
  4. Unit 4: Member of the Health Care Team★★★☆☆Weight 25%Concepts

Certified Nursing Assistant (CNA) Exam study tips

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Study order
Begin with Physical Care Skills, which has 38 of the 60 scored items; its biggest part is basic nursing skills with 21 items, so study Infection Control and Safety and Emergencies first. Next study Activities of Daily Living, which has 13 items. Finish with the Role of the Nurse Aide (16 items) and Psychosocial Care Skills (6 items).
Topics people often miss
Resident Rights questions are tricky because several answers sound kind; choose the one that lets the resident make the choice and keeps privacy and dignity. In Legal and Ethical Behavior and Member of the Health Care Team, watch for answers that go beyond the aide's role, such as giving medicine or changing the care plan. In Vital Signs, Measurements, and Reporting, know the normal adult ranges and when to report a change to the nurse.
Test day tips
The NNAAP written test gives 2 hours for 70 questions, which is more than 1.5 minutes per question, but check your state's handbook because other tests differ. When two answers both look right, pick the one that is safest for the resident or that tells the nurse. Ten unscored pretest questions are mixed in and cannot be identified, so answer every question carefully.
▼ More about Certified Nursing Assistant (CNA) Exam (trends · overview · FAQ)▲ Hide

Certified Nursing Assistant (CNA) Exam exam trends

In the 2024 NNAAP outline, Physical Care Skills is the largest area with 38 of 60 scored items: basic nursing skills 21, activities of daily living 13, and self-care and independence 4. The Role of the Nurse Aide has 16 items: client rights 5, communication 4, member of the health care team 4, and legal and ethical behavior 3. Psychosocial Care Skills has 6 items: emotional and mental health needs 5 and spiritual and cultural needs 1. The chapter splits within an area on this site are study estimates.

Start with infection control, safety, and daily care, because physical care is almost two thirds of the test. Then learn resident rights and abuse reporting well, since many questions ask what the aide should do first. For each question, ask what keeps the resident safe, protects their rights, and stays within the aide's role.

Certified Nursing Assistant (CNA) Exam Sample Questions and Explanations →

About Certified Nursing Assistant (CNA) Exam

The Certified Nursing Assistant (CNA) exam checks that a new nurse aide can give safe, basic care. Under federal rules, every state must give a competency evaluation with a written or oral knowledge test and a skills demonstration, and people who pass are listed on the state nurse aide registry. This site covers the knowledge test. It follows the 2024 NNAAP written outline: physical care skills (daily living, basic nursing skills, and self-care), psychosocial care skills, and the role of the nurse aide. Short practice sets let you study one chapter at a time, and a mock exam puts 60 questions together.

FAQ

Q. How many questions are on the CNA knowledge test?
It depends on your state. The NNAAP Written Examination, which many states use, has 70 multiple-choice questions in 2 hours: 60 are scored and 10 are unscored pretest questions. States that use other test vendors may have a different number of questions and time limit.
Q. What score do I need to pass?
Each state sets its own passing standard, so check your state's candidate handbook. You must pass both the knowledge test and the skills test. This site uses 70% as a practice goal only.
Q. Does this site cover the skills test?
No. This site covers only the written knowledge test. The skills test is a hands-on demonstration of tasks such as hand washing, measuring vital signs, and helping with transfers, and you should practice it with your training program.
Q. How many times can I take the test?
Federal rules say a state must give you at least three chances to pass the competency evaluation. Your state may set its own limit and waiting rules after that, so check your state's handbook.
Q. Are these real exam questions?
No. Real exam questions are kept secret. All questions here are original AI practice questions written from the public content outline and federal nurse aide rules.

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