NNAAP CNA Practice Test

Unofficial NNAAP practice test: 65 questions of our own in the nine content areas of the written exam.

How often does the National Institute on Aging say a toothbrush should be replaced?

Pick an answer, then press Check answer. Then you see Correct or Not quite, with the reason. Keys: A to D pick, Enter checks.

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Exam mode: 60 questions, no time limit.

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Unofficial practice questions, not affiliated with Credentia, NCSBN or any state nurse aide registry. Bank checked October 12, 2026.

The real exam, as Credentia's candidate handbooks describe it

Retakes
Set by each state. The Georgia and Colorado handbooks give three attempts at each part, and the federal rule requires at least three opportunities.
Parts
A Written (or Oral) Examination and a Skills Evaluation. Both must be passed.
Written
70 multiple-choice items. 10 are unscored pretest items, so 60 count.
Oral
60 multiple-choice items plus 10 reading comprehension (word recognition) items.
Skills
Five skills, with handwashing and one measurement skill among them. The Georgia and Colorado handbooks allow 30 minutes.
Time and pass mark
Each state's handbook gives its own. The Georgia and Colorado pages read give neither for the written examination.
Who gives it
Credentia. NCSBN says it no longer develops or owns the content of the NNAAP.

Checked October 12, 2026 against The 2024 NNAAP content outline in Credentia's Georgia and Colorado candidate handbooks, and Credentia's state menu. Rules change, so confirm with the agency itself before your test.

Credentia's page for test takers, with each state's handbook

Next step CNA skills practice questionsCNA practice test: three more sets

All 65 questions

Activities of daily living 13

  • A resident cannot grip a standard fork. What does 42 CFR 483.60 require? 42 CFR 483.60, Food and nutrition services (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.A, Activities of Daily Living (22%, 13 questions).
  • A resident does not want the food first served. What does 42 CFR 483.60 require the facility to provide? 42 CFR 483.60, Food and nutrition services (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.A, Activities of Daily Living (22%, 13 questions).
  • A resident is admitted without an indwelling catheter. When may one be placed, under 42 CFR 483.25? 42 CFR 483.25, Quality of care (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.A, Activities of Daily Living (22%, 13 questions).
  • A resident likes to sleep until nine. What does 42 CFR 483.10 say about schedules? 42 CFR 483.10, Resident rights (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.A, Activities of Daily Living (22%, 13 questions).
Show all 65 questions (61 more)

Activities of daily living, continued

  • After a stroke, one side of a resident's mouth is weaker. Where does MedlinePlus say food should be chewed? MedlinePlus Medical Encyclopedia (National Library of Medicine), Swallowing problems. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.A, Activities of Daily Living (22%, 13 questions).
  • By the National Institute on Aging, which brush and toothpaste are used to clean the teeth? National Institute on Aging, Taking Care of Your Teeth and Mouth. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.A, Activities of Daily Living (22%, 13 questions).
  • How often does the National Institute on Aging say a toothbrush should be replaced? National Institute on Aging, Taking Care of Your Teeth and Mouth. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.A, Activities of Daily Living (22%, 13 questions).
  • Under 42 CFR 483.24, what does a resident who cannot carry out activities of daily living receive? 42 CFR 483.24, Quality of life (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.A, Activities of Daily Living (22%, 13 questions).
  • What is the purpose of foot care under 42 CFR 483.25? 42 CFR 483.25, Quality of care (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.A, Activities of Daily Living (22%, 13 questions).
  • Which activities does 42 CFR 483.24 group under hygiene? 42 CFR 483.24, Quality of life (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.A, Activities of Daily Living (22%, 13 questions).
  • Which change in a resident's day does the National Institute on Aging list as a cause of constipation? National Institute on Aging, Concerned About Constipation?. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.A, Activities of Daily Living (22%, 13 questions).
  • Why does the National Institute on Aging say fluids matter for a person prone to constipation? National Institute on Aging, Concerned About Constipation?. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.A, Activities of Daily Living (22%, 13 questions).
  • With a nourishing bedtime snack and the agreement of a resident group, how many hours may pass between the evening meal and breakfast under 42 CFR 483.60? 42 CFR 483.60, Food and nutrition services (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.A, Activities of Daily Living (22%, 13 questions).

Basic nursing skills 21

  • A choking resident loses consciousness. Help has been called and the person is on a firm, flat surface. What does MedlinePlus say to begin? MedlinePlus Medical Encyclopedia (National Library of Medicine), Choking - adult or child over 1 year. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • A person has fainted and is breathing. How does MedlinePlus say to position the feet? MedlinePlus Medical Encyclopedia (National Library of Medicine), Fainting. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • A resident has limited range of motion. What does 42 CFR 483.25 require? 42 CFR 483.25, Quality of care (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • A resident suddenly loses hearing over a day. How does the National Institute on Aging say this should be treated? National Institute on Aging, Hearing Loss: A Common Problem for Older Adults. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • Before a bed rail is installed, what does 42 CFR 483.25 require the facility to do first? 42 CFR 483.25, Quality of care (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • By AHRQ's pressure ulcer toolkit, where should a caregiver look each time a patient is lifted or given care? Agency for Healthcare Research and Quality, Preventing Pressure Ulcers in Hospitals, section 3, best practices in pressure ulcer prevention. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • By NHLBI, blood pressure is high when systolic readings are consistently at or above what? National Heart, Lung, and Blood Institute, What Is High Blood Pressure?. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • How is contaminated laundry handled under the OSHA bloodborne pathogens standard? 29 CFR 1910.1030, Bloodborne pathogens (OSHA; eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • In a blood pressure reading of 120/80, what does the first number measure, by NHLBI? National Heart, Lung, and Blood Institute, What Is High Blood Pressure?. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • Under 42 CFR 483.80, when must a facility keep an employee with infected skin lesions from direct contact with residents or their food? 42 CFR 483.80, Infection control (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • Under OSHA's universal precautions, how is human blood treated? 29 CFR 1910.1030, Bloodborne pathogens (OSHA; eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • Under the OSHA bloodborne pathogens standard, when are hands washed in relation to gloves? 29 CFR 1910.1030, Bloodborne pathogens (OSHA; eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • What does a choking adult often do, by MedlinePlus? MedlinePlus Medical Encyclopedia (National Library of Medicine), Choking - adult or child over 1 year. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • What does the National Institute on Aging call blood pressure that drops too much when a person gets up from lying down or sitting? National Institute on Aging, Falls and Fractures in Older Adults: Causes and Prevention. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • What does the OSHA bloodborne pathogens standard say about washing disposable gloves? 29 CFR 1910.1030, Bloodborne pathogens (OSHA; eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • When a resident must be isolated for an infection, what does 42 CFR 483.80 require of the isolation? 42 CFR 483.80, Infection control (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • Which body parts does OSHA name as most affected by injuries from handling patients? Occupational Safety and Health Administration, Healthcare: Safe Patient Handling. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • Which mask does MedlinePlus say forms a tight seal and is needed against small germs such as tuberculosis bacteria? MedlinePlus Medical Encyclopedia (National Library of Medicine), Personal protective equipment. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • Which pair of symptoms does MedlinePlus list for blood sugar that is getting too low? MedlinePlus Medical Encyclopedia (National Library of Medicine), Low blood sugar. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • Which reading falls in NHLBI's hypertensive crisis category? National Heart, Lung, and Blood Institute, What Is High Blood Pressure?. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).
  • Which step is on MedlinePlus's list for preventing choking? MedlinePlus Medical Encyclopedia (National Library of Medicine), Choking - adult or child over 1 year. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.B, Basic Nursing Skills (35%, 21 questions).

Self-care and independence 4

  • Arthritis makes it hard for a resident to hold a toothbrush. Which tip does the National Institute on Aging give? National Institute on Aging, Taking Care of Your Teeth and Mouth. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.C, Self Care/Independence (7%, 4 questions).
  • Under 42 CFR 483.25, a resident with limited mobility is helped to maintain or improve mobility with what? 42 CFR 483.25, Quality of care (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.C, Self Care/Independence (7%, 4 questions).
  • Under which subject of the federal nurse aide curriculum does 'care and use of prosthetic and orthotic devices' fall? 42 CFR 483.152, Requirements for approval of a nurse aide training and competency evaluation program (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.C, Self Care/Independence (7%, 4 questions).
  • What does 42 CFR 483.24 say a resident is given with regard to the ability to carry out activities of daily living? 42 CFR 483.24, Quality of life (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, I.C, Self Care/Independence (7%, 4 questions).

Emotional and mental health needs 5

  • By the National Institute on Aging, depression in an older adult may show mainly as what, in place of sadness? National Institute on Aging, Depression and Older Adults. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, II.A, Emotional and Mental Health Needs (8%, 5 questions).
  • What does the National Institute on Aging call mourning that is so prolonged and intense that it becomes unhealthy? National Institute on Aging, Coping With Grief and Loss. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, II.A, Emotional and Mental Health Needs (8%, 5 questions).
  • Which is a common effect of grief, by the National Institute on Aging? National Institute on Aging, Coping With Grief and Loss. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, II.A, Emotional and Mental Health Needs (8%, 5 questions).
  • Which kind of intervention does 42 CFR 483.40 say direct care staff must have the skills to implement? 42 CFR 483.40, Behavioral health services (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, II.A, Emotional and Mental Health Needs (8%, 5 questions).
  • Which source of emotional support for the resident does the federal nurse aide curriculum name? 42 CFR 483.152, Requirements for approval of a nurse aide training and competency evaluation program (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, II.A, Emotional and Mental Health Needs (8%, 5 questions).

Spiritual and cultural needs 1

  • What must menus reflect under 42 CFR 483.60, based on a facility's reasonable efforts? 42 CFR 483.60, Food and nutrition services (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, II.B, Spiritual and Cultural Needs (2%, 1 question).

Communication 4

  • A resident with aphasia says the wrong word. What does NIDCD advise? National Institute on Deafness and Other Communication Disorders, Aphasia. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, III.A, Communication (7%, 4 questions).
  • A resident with hearing loss is in a loud dining room. Which step is on the National Institute on Aging's list for talking with her? National Institute on Aging, Hearing Loss: A Common Problem for Older Adults. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, III.A, Communication (7%, 4 questions).
  • Under 42 CFR 483.95, effective communications is mandatory training for whom? 42 CFR 483.95, Training requirements (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, III.A, Communication (7%, 4 questions).
  • Which way of speaking does NIDCD advise with a person who has aphasia? National Institute on Deafness and Other Communication Disorders, Aphasia. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, III.A, Communication (7%, 4 questions).

Client rights 5

  • A representative of the State long term care ombudsman comes to see a resident. What access does 42 CFR 483.10 require? 42 CFR 483.10, Resident rights (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, III.B, Client Rights (8%, 5 questions).
  • Does the right to personal privacy in 42 CFR 483.10 require a private room for each resident? 42 CFR 483.10, Resident rights (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, III.B, Client Rights (8%, 5 questions).
  • Two residents of the same facility want to share a room. What does 42 CFR 483.10 say? 42 CFR 483.10, Resident rights (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, III.B, Client Rights (8%, 5 questions).
  • What does 42 CFR 483.10 say about a resident and activities in the community? 42 CFR 483.10, Resident rights (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, III.B, Client Rights (8%, 5 questions).
  • Which program identifies, investigates and resolves complaints made by or on behalf of residents of long-term care facilities? Administration for Community Living, Long-Term Care Ombudsman Program. Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, III.B, Client Rights (8%, 5 questions).

Member of the health care team 4

  • A nurse aide student is asked to do a task not yet covered in class. What does 42 CFR 483.152 say? 42 CFR 483.152, Requirements for approval of a nurse aide training and competency evaluation program (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, III.D, Member of the Health Care Team (6%, 4 questions).
  • What is the least in-service training a nurse aide must receive each year under 42 CFR 483.95? 42 CFR 483.95, Training requirements (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, III.D, Member of the Health Care Team (6%, 4 questions).
  • Which member of the care team does 42 CFR 483.21 name on the interdisciplinary team that prepares the comprehensive care plan? 42 CFR 483.21, Comprehensive person-centered care planning (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, III.D, Member of the Health Care Team (6%, 4 questions).
  • Who administers and evaluates the skills demonstration under 42 CFR 483.154? 42 CFR 483.154, Nurse aide competency evaluation (eCFR). Outline: 2024 NNAAP content outline in Credentia's state candidate handbooks, III.D, Member of the Health Care Team (6%, 4 questions).

The NNAAP examination itself 5

  • How many of the 70 multiple-choice items on the NNAAP written examination are unscored pretest items? Georgia nurse aide candidate handbook (Credentia), The 2024 NNAAP Written (Oral) Content Outline. Not a section of the NNAAP outline: the form of the examination itself.
  • Of the five skills on the NNAAP skills evaluation, which is always one of them? Georgia nurse aide candidate handbook (Credentia), The Skill Evaluation. Not a section of the NNAAP outline: the form of the examination itself.
  • Under 42 CFR 483.154, what must a candidate pass to complete the competency evaluation? 42 CFR 483.154, Nurse aide competency evaluation (eCFR). Not a section of the NNAAP outline: the form of the examination itself.
  • What does the NNAAP oral examination hold? Georgia nurse aide candidate handbook (Credentia), The 2024 NNAAP Written (Oral) Content Outline. Not a section of the NNAAP outline: the form of the examination itself.
  • Which content area carries the largest share of the 2024 NNAAP content outline? Georgia nurse aide candidate handbook (Credentia), The 2024 NNAAP Written (Oral) Content Outline. Not a section of the NNAAP outline: the form of the examination itself.

How this list was compiled: Our own questions, written to the 2024 content outline of the National Nurse Aide Assessment Program (NNAAP) as Credentia prints it in its state candidate handbooks (read in the Georgia handbook, https://kb-ga.credentia.com/en/article/the-2024-national-nurse-aide-assessment-program-nnaap-written-oral-content-outline, and the Colorado handbook, https://kb-co.credentia.com/en/article/the-2024-national-nurse-aide-assessment-program-nnaap, on 2026-10-12; the outline table is the same picture in both). The outline, in effect since October 2024, gives 70 multiple-choice items, 10 of them unscored pretest items, and these scored counts: Activities of Daily Living 13, Basic Nursing Skills 21, Self Care/Independence 4, Emotional and Mental Health Needs 5, Spiritual and Cultural Needs 1, Communication 4, Client Rights 5, Legal and Ethical Behavior 3, Member of the Health Care Team 4. The bank holds the same count in each (60), plus 5 on the form of the examination. Every fact was read on 2026-10-12 in the public source the question names: the federal rules for long-term care facilities and nurse aide training (42 CFR Part 483) and OSHA's bloodborne pathogens standard (29 CFR 1910.1030) on ecfr.gov, and pages of the National Institute on Aging, NHLBI, NIDCD, AHRQ, OSHA, the Administration for Community Living and MedlinePlus. Licence: Questions, choices and explanations are original work of this site.

How it works

This NNAAP CNA practice test is free, with no account. It is unofficial and not affiliated with Credentia, NCSBN or any state nurse aide registry.

Read the full guide

What the NNAAP written exam covers

The 2024 content outline, read in Credentia's Georgia and Colorado handbooks on October 12, 2026, has nine areas. Basic nursing skills carry 35% of the scored questions and activities of daily living 22%, and this bank keeps those shares.

Where the answers come from

Thirty questions are checked against the federal rules every nursing facility follows, 42 CFR Part 483, and four against OSHA's bloodborne pathogens standard. The rest name the National Institute on Aging, MedlinePlus, another federal agency or Credentia's handbook.

The form of the exam

Five more questions cover the examination itself: its 70 items, the oral form, the five skills and the rule that both parts must be passed.

  • The oral form swaps ten of the questions for reading comprehension items, and the handbooks say to ask for it when you register.

Questions and answers

How many questions are on the NNAAP written exam?

70 multiple-choice items, by the 2024 outline in Credentia's handbooks, read October 12, 2026. 10 are unscored pretest items, so 60 count. The oral form has 60 multiple-choice items plus 10 reading comprehension items.

Which states use the NNAAP exam?

Credentia's state pages, read October 12, 2026, name the NNAAP for Alabama, Alaska, California, Colorado, the District of Columbia, Georgia, Guam, Iowa, Maryland, North Carolina, the Northern Mariana Islands, Pennsylvania, Rhode Island, South Carolina, Tennessee, Virginia, the U.S. Virgin Islands and Washington.

Who gives the NNAAP exam?

Credentia. NCSBN's page says it no longer develops or owns the NNAAP. Credentia's North Carolina page tells people who had a Pearson VUE account to open a Credentia account, and the old data carries over.

Is this an NNAAP nurse aide practice written exam with answers?

Yes. Each question shows the right answer, a short reason and its public source. The questions are our own: the real pool is not disclosed, under 42 CFR 483.154. For state rules, see the Georgia CNA practice test.

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