USA

National Nurse Aide Assessment Program (NNAAP) Examination

600 questions

About this exam

The National Nurse Aide Assessment Program (NNAAP) Examination is a competency exam for people seeking nurse aide certification and placement on a state nurse aide registry. Nurse aides are often called certified nursing assistants, or CNAs. The exam assesses whether candidates can provide safe, basic care and meet expected standards in a care setting. It generally includes a knowledge test and a hands-on skills evaluation; some states offer a written or oral knowledge-test option. Training, application, and eligibility requirements vary by state.

NNAAP topics commonly include infection prevention, hand hygiene, personal protective equipment, resident rights, communication, personal care, mobility, nutrition, safety, and emergency response. Review how to apply these principles in everyday care, not only how to define them. For example, practice choosing appropriate fall-prevention steps and following standard precautions during care. Candidates often focus too heavily on memorizing facts and overlook skill sequence, resident dignity, and safety. Use your state’s current candidate handbook to confirm the test format and the skills and knowledge areas for your exam.

How to prepare for the NNAAP Examination

  1. Review the candidate handbook from your state’s nurse aide program for eligibility rules, exam format, tested skills, scheduling, and retake policies.
  2. Study core care topics, especially infection prevention, hand hygiene and PPE, resident safety and fall prevention, and emergency response and basic first aid.
  3. Practice explaining each care step and its safety purpose, then rehearse skills in the listed sequence; use timed multiple-choice practice to build pacing without rushing.

FAQ

Who is eligible to take the NNAAP Examination?

Eligibility depends on the state. Candidates typically complete a state-approved nurse aide training program or meet another state-approved eligibility pathway before applying. Check your state nurse aide program’s current requirements.

What is the format of the NNAAP Examination?

The exam generally has a knowledge test and a hands-on skills evaluation. Depending on the state, the knowledge test may be written or oral. Your state’s candidate handbook gives the applicable format and exam procedures.

What subjects are on the NNAAP Examination?

Common areas include infection control, resident rights, communication, personal care, mobility, safety, and emergency response. The state handbook identifies the content and skills candidates should review for their exam.