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certificationNationally Recognized

Certified Nursing Assistant (CNA)

A Certified Nursing Assistant (CNA) provides basic care to patients and assists them in daily activities they might have trouble with on their own, such as bathing and dressing. This certification is required to work under the supervision of licensed nursing staff.

Total Cost

Estimated Budget

$225–$2,225

Median Salary

Annual Earnings

$32,000

Job Growth

10-Year Outlook

8%

Training Hours

Total Program Duration

75 to 150 hours, depending on the state

Who Needs This Credential?

Individuals seeking to work in entry-level nursing positions in various healthcare settings such as hospitals, nursing homes, and home health care services need this credential to ensure they meet the minimum competency standards for patient care.

Reciprocity varies by state. Some states allow CNAs to transfer their certification without retesting, while others require additional testing or coursework.

American Red CrossState Health DepartmentsHealthcareNationally Recognized

Requirements

Minimum Age
18 years
Minimum Education
High school diploma or GED
Training Hours
75 to 150 hours, depending on the state
Background Check
Criminal history check, fingerprinting, and verification of legal work status

Other Requirements

Proof of immunizations (Hepatitis B, MMR, Varicella, etc.)Negative TB test within the past 6 monthsPassing a competency evaluation program

How to Become CNA Certified

1

Meet the Prerequisites

Candidates must have a high school diploma or GED. Some states also require a background check and proof of immunizations.

Varies Free to minimal cost for documentation

Ensure all personal documents are current and accessible.

2

Enroll in a CNA Training Program

Select and enroll in a state-approved CNA training program. These programs are offered at community colleges, vocational schools, and some medical facilities.

4 to 12 weeks USD 400 to USD 1,500

Choose a program with a high pass rate on the state exam.

Consider the location and schedule to ensure it fits your needs.

3

Complete the Training Program

Attend and successfully complete the required training hours, typically consisting of classroom instruction and hands-on clinical experience.

Depends on program structure, typically 4 to 12 weeks Included in enrollment cost

Focus on gaining practical experience during clinicals.

Ask questions to clarify complex procedures.

4

Pass the Competency Exam

After completing the training, take and pass the state-mandated competency exam, which includes both a written test and a practical skills test.

1 day for testing; results may take up to a few weeks USD 80 to USD 150

Take practice tests available online.

Review skills and procedures frequently tested.

5

Apply for Certification

Submit an application for certification to the state nursing board along with required documents and proof of passing the exam.

Up to several weeks for processing USD 50 to USD 150

Double-check the application for errors to avoid delays.

Keep copies of all submitted documents.

6

Maintain and Renew Certification

Maintain your certification by fulfilling ongoing education requirements and renew it every two years, or as required by your state.

Every 2 years USD 50 to USD 100 for renewal

Keep track of continuing education credits.

Renew before the deadline to avoid lapses in certification.

Cost Breakdown

Training Program$0–$2,000
Exam Fee$115
Application Fee$50
Background Check$60
Total Estimated Cost$225–$2,225

💰 Financial Aid Available

Many healthcare facilities offer to pay for CNA training and certification in exchange for a commitment to work for a specified period.

Salary & Career Outlook

Entry Level

$25,000

Median Salary

$32,000

Experienced

$40,000

Job Outlook: 8%

The demand for CNAs is expected to grow due to an aging population and increased need for healthcare services.

HospitalsLong-term care facilities

Exam Information

National Nurse Aide Assessment Program (NNAAP)

Administered by Pearson VUE • Fee: $120

Written test
60 questions90 minutesPassing: 70%
Skills Evaluation
Varies questions30 minutesPassing: Pass/Fail
Retake policy: Allowed to retake up to three times before additional training is required

State-by-State Variations

Certified Nursing Assistant (CNA) requirements vary significantly across states in terms of training hours, examination types, and continuing education needs.

Most Strict

CaliforniaFlorida

Most Accessible

MontanaSouth Dakota
Reciprocity: Reciprocity allows a CNA certified in one state to work in another without retraining, though some states may require a background check or additional exam.

Renewal Requirements

Renewal Period

every 2 years

Renewal Cost

$150

CE Hours

24 hours

CE Topics: Patient Care, Infection Control

Late renewal incurs a penalty fee of $50 and may require additional continuing education hours.

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