CNA Exam and Certification New York

Anyone performing or planning to perform the duties of a nurse aide in a nursing home on a part-time, full-time, or contractual basis must first complete the minimum training and competency requirements, as defined by federal and state regulations, and be listed on the state’s Nurse Aide Registry.

Completing an NYS-approved nurse aide training program, comprising of a minimum 100 hours of didactic and practical instruction, is a first step to becoming a certified nursing assistant. The Competency Exam, comprising of a clinical skills evaluation and a written (or oral) exam, is available to graduates of an approved program within two years of graduation. Upon successful passage of both components of the Competency Exam, your name will be listed on the Nurse Aide Registry. Prometric administers the exam to qualifying candidates at various testing centers across New York.

CNA Classes in NY:

How to Apply for the New York CNA Exam

If you’re a new nurse aide and completed an approved training program within the past 24 months, you must complete the following steps to apply for the Competency Exam.

  • Complete the application form using the online or printed
  • Ask your employer to complete Section 2 on the application if you’re employed in NYS.
  • Ask your training program coordinator to complete Section 3 on the application.
  • Indicate whether you’re taking the exam at a Regional Test Site or an In-facility site.
  • Sign the application.
  • Submit the completed form with the exam fee to the training program coordinator if you’re taking the exam in-facility or to Prometric if you want to take the exam at a regional exam site.
  • Request special accommodations for the exam if you have a documented disability that qualifies under the Americans with Disabilities Act.

Register for both the clinical and written (oral) exam if you’re taking the exam for the first time. If you submitted your application to Prometric for scheduling at a regional test site, you’d receive an admission letter, via email, indicating the date, time, and location of your exam. Keep the letter to take with you on the day of the exam. Contact Prometric immediately if the scheduled date is not suitable. You can reschedule the exam without additional costs if you make the arrangements within five full business days before the scheduled exam date.

You have up to three attempts within 24 months, from the date you completed the nurse aide training, to pass the both the clinical and written (oral) exam.

Exam Costs

If you’re employed or become employed within 12 months of certification, the nursing home will cover the cost of your training and exam fees. Keep copies of your receipts for reimbursement of your costs.

Prometric accepts payment in the form of cashier’s check, money order, credit card or nursing facility check. Testing fees are as follows:

  • $115 – Clinical Skills and Written Examination (first time)
  • $135 – Clinical Skills and Oral Examination (first time)
  • $68 – Clinical Skills Retest
  • $57 – Written Retest
  • $67 – Oral Retest
  • $15 – Duplicate certificate
  • 40 – Recertification (to be paid by employer)

CNA Exam Overview New York

Successful passage of both parts of the New York State Nursing Home Nurse Aide Competency Examination is essential for placement on the Nurse Aide Registry. Your training program may administer the test at their facility, providing an opportunity for you to take the exam in a familiar environment. Otherwise, you may have to apply to Prometric to take the test at one of the 23 regional sites in the state.

The Written Exam

The Written exam is a 90-minute exam that contains 60 multiple-choice questions. The exam format and scoring is as follows:

Role of the Nurse Aide – 18%

  • Personal responsibility
  • Nurse aide as a member of the health care team

Promotion of safety – 18%

  • Potential hazards in the healthcare environment.
  • Common injuries of residents
  • Risks related to common injuries
  • Safety and comfort
  • Safety devices
  • Infection prevention and control
  • Emergencies
  • Fire prevention and safety

Promotion of Function and Health of Residents – 24%

  • Personal care skills
  • Health maintenance/ restoration
  • Age-related changes
  • Psychosocial needs of residents

Basic Nursing Care Provided by the Nurse Aide – 26%

  • Routine, chronic, non-life threatening situations
  • Acute emergency situations
  • Providing Specialized Care for Residents with Changes in Health – 14%
  • Physical problems
  • Psychological problems
  • Care of the dying resident and post-mortem care

Practice exams are available online at Prometric. They follow the same format and question type as the actual exam to help you become familiar with the test. The Practice Exam provides immediate feedback to both correct and incorrect responses and overall feedback at the end of the session.

The Oral Exam (Alternative)

The written exam is available in oral format, particularly helpful if you have a reading disability or if English is your second language. If you want to take the oral exam, you must request it at the time of application and pay the appropriate fee. You cannot request the exam at the testing center. You’ll use a headset and CD player to hear the prerecorded questions. The test has an additional section, which tests your reading comprehension with 16 additional questions. There will be an extra 30 minutes assigned to complete this section.

The Skills Exam

The timed skills exam will score your ability to perform five assigned skills. While performing three assigned skills, the Nurse Aide Evaluator will score your Handwashing and Indirect Care ability. The time for the evaluation will depend on the skills assigned. The NAE will tell you how much time you have to complete the assignment. It can be anywhere from 31 minutes to 40 minutes. Your demonstration of competency and attention to key checkpoints will determine whether you pass or fail. Prepare to serve as a resident actor to another candidate and vice versa. If you’re unable to participate as an actor in any of the skills, inform the NAE when you check-in at the test site. A full list of skills you should prepare for is available in Prometric’s Candidate Handbook.

What To Bring To The Exam

Arrive 30 minutes before the scheduled time to sign in and allow staff to verify your identification. You must take:

  • Two valid forms of identification – one with your current photo and signature. The photo ID must be a government-issued ID, official employment ID, or official school ID. The second ID must have your signature. The names of both IDs must match one another and the name you used to register.
  • The admission letter if you’re taking the exam at a regional test site.
  • Non-skid, closed-toe, flat shoes for the clinical evaluation
  • A watch with a second hand

Electronic items, books, and reference materials are not permitted in the exam area.

Receiving Your Scores

Prometric releases the results directly to the NYSDOH and to the nursing home or training program. If you pass both the clinical skills and written or oral exam, you’ll receive an NYS Certificate and wallet card within 10 business days after passing the exam. You can check the registry online to verify that you passed as it will be updated before the certificates are mailed out.

If you fail the exam, you’ll receive an official score report along with information on how to apply for a retest.

Contact the Registry
NY Nurse Aide
7941 Corporate Dr.
Nottingham MD 21236
Phone: 800.805.9128

New York State Department of Health
Bureau of Professional Credentialing
875 Central Avenue
Albany, New York 12206
Phone: (518) 408-1297
Fax: (518) 408-1632