Nebraska CNA

Nebraska Nurse Aide (CNA) Competency Exam

More study resources

About this exam

The Nebraska Nurse Aide (CNA) Competency Exam is the evaluation a candidate must pass to be listed on the Nebraska Nurse Aide Registry and work as a nursing assistant in Nebraska long-term care settings. It is intended for people who have completed a state-approved nurse aide training program - often through a nursing facility, community college, or high school health occupations pathway - and for those re-entering the field who need to demonstrate current competence. The exam is split into two parts: a written (multiple-choice) examination covering the knowledge base of nursing assisting, and a hands-on clinical skills demonstration in which the candidate performs selected procedures while a evaluator observes technique, safety, and infection control. Written content is organized around communication and interpersonal skills, resident rights and independence, safety and emergency procedures, infection control, basic nursing skills, personal care skills, mental health and social service needs, care of the cognitively impaired resident, basic restorative services, and legal and ethical considerations. Because the written and skills portions test different abilities, preparation should combine review of your training materials with supervised practice of each skill on the state skills checklist until the steps become automatic. Confirm current scheduling, fees, and scoring directly with the Nebraska Department of Health and Human Services and your approved testing vendor, since those details are set administratively and can change.

What you'll study

Common questions

About Nebraska CNA preparation

What is the format of the Nebraska CNA exam?

It has two components. The written portion is multiple choice and tests knowledge across the ten standard content areas, from infection control to resident rights. The clinical portion requires you to demonstrate selected nursing skills on a checklist while an evaluator observes. You must pass both parts to be certified, so do not neglect the skills practice while studying written material.

How hard is the exam?

The written test rewards recall of routine care standards rather than advanced medical knowledge, so most candidates who completed a state-approved program find the content familiar. The skills portion is where people lose points, usually through skipped hand hygiene, omitted privacy measures, or missing a step in a sequence. Practicing full skills aloud with a partner is the most reliable way to reduce that risk.

How long does the exam take?

Timing is set by the testing vendor and by how many skills you are assigned, and it is not published uniformly. Rather than planning around a fixed duration, arrive early, bring required identification, and expect to be at the site longer than the test itself. Check your admission notice or contact the vendor for the specific appointment length.

What happens if I fail a portion?

Retake rules, waiting periods, and any additional fees are set administratively by the state and its testing vendor, so verify them before you re-test rather than relying on what another candidate told you. In general, you typically retake only the component you did not pass. Contact Nebraska DHHS or your vendor for your exact options.

In what order should I study?

Start with infection control and safety, because those principles are embedded in nearly every other skill and question. Move next to personal care and basic nursing skills, which carry the most procedural detail, then to communication, resident rights, cognitive impairment, restorative services, and legal and ethical topics. Finish by re-reading your weakest area and running through skills checklists.

What are the most common failure points?

Failing to wash hands or use gloves at the right moment, forgetting to knock and introduce yourself, exposing a resident unnecessarily, lowering the bed and locking wheels, and skipping steps in a measurement or transfer. Evaluators also flag calling a resident by a nickname, rushing, and failing to report an abnormality. These are habits, not knowledge gaps, so practice them every time.

Do I need to bring anything to the exam?

Requirements vary by vendor, but candidates are commonly asked for government-issued photo identification and their admission or eligibility documentation. Wear clean scrubs or a uniform and closed-toe, non-slip shoes, and avoid jewelry that interferes with hand hygiene. Confirm the specific list with your testing site in advance so you are not turned away.

How do I prepare for the skills demonstration?

Obtain the current skills checklist used in Nebraska, then rehearse each skill in order, narrating what you are doing and why. Practice on a person rather than a pillow so you get used to cueing and safe body mechanics. Repeat until you can perform each step without looking at the sheet - that is the standard the evaluator applies.

Who can I contact with questions about my certification?

Licensing and regulatory questions for Nebraska health care credentials are handled by the Nebraska Department of Health and Human Services, whose main switchboard is (402) 471-3121 and whose website publishes licensing, complaint, and verification resources. Your training program and testing vendor can usually answer scheduling and eligibility questions faster than the state office.