The 2024 National Nurse Aide Assessment Program (NNAAP®)
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. Fill in only one (1) oval on the answer sheet for each question. Markings in the test booklet will not be accepted as answers. Your answers must appear on the separate answer sheet. Sample questions for the Written Examination are located on page 15.
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 section) will help you decide if you should take the Oral Examination.
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.
