How many questions are on the CNA exam?
Updated · Reviewed against official sources
In states that use the NNAAP exam, the written test has 70 multiple-choice questions (60 scored plus 10 unscored pretest questions) and you get 2 hours. States that use a different test vendor set their own count and time limit, so the number that applies to you is in your state's candidate handbook.
| Exam format | Questions | Time | Where it is stated |
|---|---|---|---|
| NNAAP written | 70 multiple-choice (60 scored + 10 pretest) | 2 hours | Credentia NNAAP candidate information |
| NNAAP oral | 60 multiple-choice + 10 reading comprehension | 2 hours | Credentia NNAAP candidate information |
| Prometric-administered states | Set by each state's exam | Set by each state's exam | Your state's Candidate Information Bulletin |
| Other vendors (state-run or university-run) | Varies by state | Varies by state | Your state's candidate handbook |
| Our full practice exam (not official) | 60 multiple-choice | 90 minutes | This site |
Why the number depends on your state
Federal rules require every state's competency evaluation to include a written or oral knowledge test and a skills demonstration, but they do not fix the number of questions. Each state picks a test (or a test vendor) and publishes the format in a candidate handbook.
Many states use the National Nurse Aide Assessment Program (NNAAP). Others contract with vendors such as Prometric or run their own program. Look up your state on our state pages to find the official handbook link.
Scored vs. unscored questions
On the NNAAP written exam, 10 of the 70 questions are pretest items used to try out new questions. They do not count toward your score, and you cannot tell which ones they are, so answer every question as if it counts.
The oral option
Federal rules let you choose an oral exam instead of the written one. On the NNAAP oral exam, the 60 multiple-choice questions are read to you, and 10 extra reading comprehension questions check common job words. You must pass both parts. You usually have to request the oral version when you apply. See oral exam and accommodations.
How to practice at the right length
Build stamina with a full-length timed run before test day. Our timed full exam is 60 questions in 90 minutes, which is close to many real formats without claiming to match any one state. Start with the free 20-question test to see where you stand.
Quick answers
- How many questions are on the California nurse assistant competency exam?
- California sets its own exam format. Check the current California candidate handbook linked from our California page rather than relying on a number from another state.
- How many questions are on the NY CNA written exam?
- New York's exam is described in its Prometric Candidate Information Bulletin. See our New York page for the official link.
- How many questions are on the Texas CNA written test and what is the passing score?
- Texas publishes both in its official candidate handbook. Passing scores change, so use the handbook linked on our Texas page.
- Is the CNA exam on a computer or paper?
- It depends on your state and test site. NNAAP candidates may mark answers on a separate answer sheet at a test center or on screen for online exams. See computer or paper.
What to do next
Find out how ready you are with a free 20-question test, then move to the timed 60-question exam.
Take the free 20-question testRelated guides
- What topics are on the CNA written exam?
- Is the CNA exam on computer or paper?
- How many skills do you get on the CNA skills test?
- Can I request the oral version of the CNA test or extra time?
- CNA exam by state
- Is there a completely free CNA practice test with no sign-up?
- Is there a CNA practice test that shows my weak areas?
- How many practice questions should I do before the CNA exam?
Sources
- Credentia: The NNAAP Written (or Oral) Examination
- Credentia: 2024 NNAAP Written (Oral) Examination Content Outline
- 42 CFR 483.154: Nurse aide competency evaluation
- Prometric: Nurse Aide Frequently Asked Questions
Checked: . Rules, fees and vendors change — always confirm with your state's official page and candidate handbook.