The Written (or Oral) Exam

You can choose either written or oral exam.

Written Exam

The Written Examination has seventy (70) multiple-choice questions. You will have two (2) hours to complete the Written Examination. You will be told when fifteen (15) minutes are left to finish. Select only one (1) answer for each question. 

Oral Exam 

The Oral Examination consists of sixty (60) multiple-choice questions and ten (10) reading comprehension questions. 

Each of the sixty (60) multiple-choice questions will be repeated two (2) times, after which you mark your answer on an answer sheet. 

The reading comprehension questions test your knowledge of and familiarity with common, job-related words. Each of these words is repeated three (3) times. You have two (2) hours to complete the entire Oral Examination. You must pass both the multiple-choice and reading comprehension sections to pass the Oral Examination.

Self-Assessment Reading Test

A self-assessment reading test, see Self-Assessment Reading Test Sample Question, will help you decide if you should take the Oral Examination.

Exam Content Outline

The revised content outline is based on the findings from the 2019–2020 Job Analysis and Knowledge, Skill, and Ability Study of Nurse Aides published by the National Council of State Boards of Nursing (NCSBN) in 2023. The examination content outline will be effective April 2024. 

The NNAAP written examination is comprised of 70 multiple-choice items; 10 of these items are pretest (non-scored) items on which statistical information will be collected. The NNAAP oral examination is comprised of 60 multiple-choice items and 10 reading comprehension (word recognition) items.