CNA Certification Exam (NAAP): Purpose, Structure, and Registry Listing

The Nurse Aide Assessment Program (NAAP) is the competency evaluation required for CNA certification in most states.

Two Components

1. Written/Oral Knowledge Test: 60–70 multiple-choice questions (role, safety, infection control, ADLs, rights, communication, basic nursing skills).
2. Skills Demonstration: Perform 5 randomly selected skills (e.g., hand hygiene, vital signs, transfer, catheter care, feeding) on actor/manikin within time limit. Evaluated on critical steps.

After Passing

• Name placed on State Nurse Aide Registry (NAR).
• Eligible to work as CNA in that state.
• Registry verification required by employers.
• Renewal: typically every 2 years with proof of paid employment (8+ hrs) and/or CE.

Preparation

• State-approved training program (75–150 hrs).
• Practice tests, skills videos, study guides.
• Focus on safety, infection control, resident rights.