National Nurse Aide Assessment Program

Exam at a glance

Exam fee

Approximately $135 for the combined Written/Oral plus Skills Evaluation (about $50 Written/Oral only, $85 Skills only)

Questions on exam

70 multiple-choice items, of which 60 are scored and 10 are non-scored pretest items; the oral examination has 60 multiple-choice items plus 10 reading-comprehension (word-recognition) items

Duration

2 hours for the written/oral exam

Passing score

Commonly 70-80% on the written portion

Retake policy

Candidates have up to 3 attempts within a 24-month window before retraining is required

Validity

Generally must be renewed every 2 years, typically requiring proof of paid nurse-aide employment within the period (and in some states continuing education)

Published exam facts, from the official outline.

What’s on the NNAAP exam

1. Physical Care Skills (64%: Activities of Daily Living, Basic Nursing Skills, Restorative/Self-Care)
2. Psychosocial Care Skills (10%: Emotional and Mental Health Needs, Spiritual and Cultural Needs)
3. Role of the Nurse Aide (26%: Communication, Client Rights, Legal and Ethical Behavior, Member of the Health Care Team)

Official exam blueprint domains — your practice bank mirrors this outline.