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How many skills do you get on the CNA skills test?

Updated · Reviewed against official sources

You perform a small number of skills chosen from your state's published skills list, typically a handful rather than all of them. The exact number, whether hand hygiene is always one of them and whether a measurement skill is guaranteed are set by your state's testing program and printed in the candidate handbook.

What your handbook will tell you
QuestionWhere to find it
How many skills you'll performSkills evaluation section of your state's candidate handbook
Whether hand hygiene is always testedSame section; some states test it separately, others build it into every skill
Whether a measurement skill is always includedSame section; measurement skills are scored on accuracy
Time limit for the skills testSkills evaluation section
The full list of possible skills and their stepsSkills checklists at the back of the handbook

Why you must prepare every skill

You won't know which skills you'll get until test day, so prepare every skill on your state's list. Our skills checklists cover the skills most commonly found on state lists.

Measurement skills count twice

A measurement skill is graded on both the steps and the accuracy of the number you record. Practice blood pressure, radial pulse, respirations, weight and urinary output until your readings are reliable.

New York, California, Texas and other states

Each state's list is a little different. See the NY clinical skills list and the state pages for the official handbook links.

Quick answers

PA CNA skills test: is hand washing always on it?
Check the skills evaluation section of the current Pennsylvania candidate handbook linked on our Pennsylvania page; it states exactly how hand hygiene is tested.
Texas CNA skills list 2026?
The current list is in the Texas candidate handbook from the state's testing program. See our Texas page for the official link.
What skills are tested on the California CNA skills exam?
California publishes its skills list in its candidate handbook. Our California page links the official sources.

What to do next

Prepare every skill on the list, one checklist at a time.

See all skill checklists

Related guides

Sources

Checked: . Rules, fees and vendors change — always confirm with your state's official page and candidate handbook.