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Nurse aide (NNAAP)
Nurse aides give daily care in nursing homes and hospitals under a nurse's direction. The NNAAP written exam tests activities of daily living, basic nursing skills, independence, emotional and spiritual needs, communication, residents' rights, legal and ethical behavior, and teamwork.
Federal law requires nurse aides in Medicare and Medicaid nursing facilities to complete training and pass a state-approved competency evaluation before working more than four months. Many states use the NNAAP for that evaluation. 42 CFR 483.35(d) (Requirements for facility hiring and use of nurse aides).
Practice and timed mocks are free, with right or wrong on every answer and your total score. The full analysis is $39, once.
How the exam is built
Owned by Credentia, given by Credentia.
NNAAP written exam
60 scored questions (70 in total), 120 minutes, to pass: not published by the exam owner.
| Topic | Share |
|---|---|
| I.A Activities of Daily Living (Physical Care Skills) | 22% |
| I.B Basic Nursing Skills (Physical Care Skills) | 35% |
| I.C Self-care and Independence (Physical Care Skills) | 7% |
| II.A Emotional and Mental Health Needs (Psychosocial Care Skills) | 8% |
| II.B Spiritual and Cultural Needs (Psychosocial Care Skills) | 2% |
| III.A Communication (Role of the Nurse Aide) | 7% |
| III.B Client Rights (Role of the Nurse Aide) | 8% |
| III.C Legal and Ethical Behavior (Role of the Nurse Aide) | 5% |
| III.D Member of the Health Care Team (Role of the Nurse Aide) | 6% |
The official outline: kb-wa.credentia.com/en/article/the-2024-national-nurse-aide-assessment-program-nnaap. Checked 2026-10-08.
Sources
- The 2024 National Nurse Aide Assessment Program (NNAAP) Written (Oral) Examination Content Outline (effective October 2024; based on the 2019-2020 NCSBN Job Analysis published 2023), retrieved 2026-10-08.
- Exam format and pass rule, retrieved 2026-10-08.
Questions are original, written from the official outline and primary sources under an assessment framework designed by Julian Calvo, Ed.D., M.S. DecipherU is not affiliated with Credentia or NCSBN. NNAAP is a Credentia program. Every practice question is original and written from the official outline, federal nursing home rules and CDC guidance.