The 2024 National Nurse Aide Assessment Program (NNAAP®)

You can choose either written or oral exam.

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 October 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.

A. Activities of Daily Living ....22% ........... 13

1. Hygiene 
2. Dressing and Grooming 
3. Nutrition and Hydration 
4. Elimination 
5. Rest/Sleep/Comfort

B. Basic Nursing Skills............35%...............21

1. Infection Control 
2. Safety/Emergency
3. Therapeutic/Technical Procedures 
4. Data Collection and Reporting

C. Self-care and Independence......7%.......4

1. Prevention 
2. Self Care/Independence

II. Psychosocial Care Skills

1. Emotional and Mental Health Needs..........8% ............... 5
2. Spiritual and Cultural Needs 2%.............. 1

III. Role of the Nurse Aide

1. Communication.................. 7%.............. 4
2. Communication.................. 7%.............. 4
3. Legal and Ethical Behavior. 5%.............. 3
4. Member of the Health Care Team .............. 6%.............. 4