North Dakota CNA
North Dakota Nurse Aide (CNA) Certification Exam
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ExploreAbout this exam
The North Dakota nurse aide credential - commonly called a CNA - is the entry-level direct-care nursing credential for the state, with certification tracked through the North Dakota Nurse Aide Registry, which is maintained by North Dakota Health and Human Services. It is intended for people preparing to work alongside licensed nurses in nursing homes, skilled nursing facilities, hospitals, assisted living, and home and community-based care, performing delegated tasks of daily living: bathing and grooming, mobility and transfers, nutrition and hydration, toileting, vital signs, and observation and reporting. The certification exam samples three content areas weighted as follows: physical care skills at 40 percent, psychosocial care skills at 30 percent, and the role of the nurse aide at 30 percent. Physical care dominates, but role questions - scope of practice, resident rights, safety, infection control, and reporting - decide many close scores. Prepare by studying each procedure as a sequence of safe steps, then drilling the judgment questions: what to do first, what to report, and when to stop and get the nurse. Use timed practice sets to build pacing, and review every miss by writing out the underlying principle. Confirm scheduling, fees, and scoring directly with the registry; this page is an independent study resource and is not affiliated with North Dakota Health and Human Services.
What you'll study
About North Dakota CNA preparation
What does the North Dakota CNA exam look like?
The knowledge test is multiple choice and is organized around three content areas: physical care skills, psychosocial care skills, and the role of the nurse aide. Hands-on skill competency is normally demonstrated during your state-approved training program. Because the registry page does not publish an item count, treat any practice set as pacing practice rather than a preview of the real length.
How many questions are on it, and how much time do I get?
North Dakota Health and Human Services does not list a question count or a time limit on its Nurse Aide Registry page, so both are left blank here rather than guessed. Check your admission notice or call the registry before test day. Meanwhile, practice answering blocks of items under a timer so a steady pace becomes automatic.
What score do I need to pass?
The passing standard is set by the testing program and is not published on the registry page, so no percentage is given here. Your training program and your admission materials are the reliable sources. Aim your practice scores comfortably above whatever minimum you are told, since a margin protects you against a few careless misses.
Can I retake the exam if I do not pass?
Retake rules - how soon you may reschedule, how many attempts are allowed, and whether another fee applies - are set by the registry and its testing vendor and are not stated on the page this guide is based on. Ask the registry directly before you test, and treat the first attempt as seriously as if it were your only one.
How hard is the exam?
Most items test direct recall of safe technique and standard precautions, so a well-prepared candidate usually finds them fair. The difficulty sits in judgment items: what to do first, what must be reported, and where your role ends. Those reward understanding why a procedure is done a certain way rather than memorizing steps in isolation.
In what order should I study the three content areas?
Start with the role of the nurse aide, because scope of practice, resident rights, and reporting rules frame everything else. Move next to physical care skills, the largest content area, practicing each procedure as an ordered sequence. Finish with psychosocial care - communication, behavior, and emotional needs - which is easiest to absorb once the technical care is solid.
What are the most common mistakes candidates make?
Answering the task instead of the safest action, forgetting to knock and explain before care, doing for a resident what they could do themselves, and mixing up which findings must be reported immediately. Also common: skipping hand hygiene in scenario items and misreading whether a question asks for the first action or the best action.
How long is the certification valid, and how do I check my status?
Length of certification and renewal requirements are not described on the registry page, so no validity period is listed here. Your certification status and any renewal deadlines are tracked by the North Dakota Nurse Aide Registry. Contact the registry, or your employer's staffing office, to confirm your standing before a hiring deadline.