Certified Nursing Assistant (CNA) in North Dakota
This guide provides a comprehensive pathway to becoming a Certified Nursing Assistant (CNA) in North Dakota. It covers all necessary steps from meeting prerequisites to finding your first job, spanning a total duration of 4-20 weeks depending on the chosen training schedule. The total cost ranges from $800 to $2,500, encompassing training, exams, and additional requirements.
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Choosing a career as a Certified Nursing Assistant (CNA) in North Dakota presents a promising opportunity due to the high demand and significant growth in the healthcare sector. According to recent data, CNAs in North Dakota earn an average salary of approximately $33,000 annually, with job opportunities projected to increase by about 9% over the next five years. This growth is driven by an aging population requiring more healthcare services, making the role of a CNA not only in demand but also a stable career choice for those interested in the healthcare field.
North Dakota offers a unique environment for CNAs due to specific state regulations and a distinctive healthcare framework. The state mandates a minimum of 75 hours of training, including both classroom education and hands-on clinical experience, to ensure CNAs are well-prepared for their roles. North Dakota's major healthcare employers include Sanford Health, Altru Health System, and Trinity Health, which are concentrated in areas like Fargo, Grand Forks, and Minot, respectively. These institutions help shape the regional healthcare services landscape, influencing job availability and specialization opportunities for CNAs across the state.
This guide will provide detailed information on how to become a Certified Nursing Assistant in North Dakota, covering all necessary steps from the initial decision-making process to obtaining certification. Readers will learn about specific state-required training programs, examination details, and registration processes. Additionally, the guide will offer insights into salary expectations, potential career paths, and an analysis of the job market in various regions of the state. By detailing these aspects, the guide aims to equip prospective CNAs with all the information needed to pursue and succeed in this field.
Licensing Authority
North Dakota Department of Health
In North Dakota, Certified Nursing Assistants must undergo specific training, pass an examination, and meet background check requirements to be licensed. The state's Department of Health oversees the certification process.
Official Resources
North Dakota Requirements
Training Requirements
- Education
- High school diploma or equivalent
- Total Training Hours
- 75 hours
- Classroom Hours
- 59 hours
- Clinical Hours
- 16 hours
- Minimum Age
- 18 years old
Additional Requirements
- Background check (State and federal) with fingerprinting
- CPR certification recommended
Certification Exam
- Exam
- North Dakota State Competency Test
- Components
- Written, Skills demonstration
- Fee
- Varies by provider
How to Become a Certified Nursing Assistant in North Dakota
tuition $500-$2,000, exam fee $120, background check $43.25, application fee $50, textbooks/supplies $50-$100, scrubs $50
Fastest Path
4-6 weeks
Typical Timeline
8-12 weeks
Estimated Cost
$800–$2,500
Verify You Meet North Dakota's Prerequisites
Before starting your journey to become a CNA, confirm you meet the prerequisites. In North Dakota, you must be at least 18 years old, have a high school diploma or GED, and be in good health. Visit the North Dakota Department of Health website to download the necessary forms and check the detailed requirements. Processing your initial eligibility verification typically takes 1-2 days.
Tip
Order your high school transcript online through Parchment.com ($15) to avoid a 2-week mail delay from your school's registrar office.
Complete Background Check and Health Screenings
All CNA candidates in North Dakota must pass a state and federal background check. Schedule an appointment for fingerprinting through Identogo (www.identogo.com), which costs $43.25. You also need a recent TB test and a physical examination to prove you are free from communicable diseases and physically capable of performing nursing duties. Results from background checks usually take 2-3 weeks.
Tip
Schedule your fingerprinting appointment as soon as you start your training program to avoid delays.
Research and Choose an Approved Training Program
Select a state-approved CNA training program in North Dakota. These programs meet specific standards set by the state, including 59 classroom hours and 16 clinical hours. Attending a non-approved program means you cannot sit for the state exam. Visit the North Dakota Department of Health's website to find a list of approved programs. Choosing the right program can take a few days as you may need to contact schools for more information.
Tip
Contact multiple programs to compare costs, schedules, and pass rates of former students.
Enroll in and Complete Training
Once you've chosen a program, enroll and complete the required 75 hours of training, consisting of 59 classroom hours and 16 clinical hours. This training will cover essential nursing skills, patient care, and safety procedures. The duration of the training typically ranges from 4 to 12 weeks, depending on whether you choose a full-time or part-time schedule. Ensure all sessions are attended, as missing hours can delay your certification.
Tip
Keep a log of your completed hours in case of discrepancies with the training provider.
Prepare for the Competency Exam
Prepare for the North Dakota CNA competency exam, which includes a written and a skills component. The written test usually consists of multiple-choice questions, while the skills test requires you to perform CNA tasks under observation. Use study guides and practice exams to prepare. The North Dakota Department of Health provides resources and links to practice exams. Allocate at least 2-4 weeks for thorough preparation.
Tip
Focus on mastering skills that you found challenging during the clinical portion of your training.
Register for and Schedule the Exam
Register and schedule your CNA competency exam through the North Dakota testing service provider. The exam fee is typically around $120. You can choose a date and location that are convenient for you. Registration can be completed online, and you should receive confirmation and details about the exam venue and time. It's advisable to register at least 3-4 weeks in advance to secure your preferred date.
Tip
Choose an exam date that gives you ample time for preparation but is soon enough to keep the information fresh.
Take and Pass the Exam
On the day of the exam, bring two forms of ID and arrive at least 30 minutes early. The exam consists of a written section with multiple-choice questions and a practical skills test. You will receive your results within a few hours to a few days, depending on the testing site. If you fail, you can reschedule for a retest, which might incur additional fees.
Tip
Review all skills and written content the night before, but ensure you get a good night's sleep.
Apply for State Certification/Registry
After passing the exam, apply for your CNA certification with the North Dakota CNA Registry. This involves submitting your exam results and an application fee of $50. Processing typically takes 2-4 weeks. Once processed, your name will be added to the state registry, which is crucial for employment verification.
Tip
Double-check your application for any errors to avoid delays in processing.
Receive Your Certification and Verify on State Registry
Once your application is processed, you will receive your CNA certification through mail and your status will be updated in the North Dakota CNA Registry. Verify your status online to ensure all information is accurate. This certification is essential for legal employment as a CNA in North Dakota.
Tip
Regularly check the mail and the online registry for updates on your certification status.
Find Your First Job
With your certification in hand, you can start applying for CNA positions. Use job search websites like Indeed, Glassdoor, or directly contact healthcare facilities in North Dakota. Many employers also list openings on their websites. Prepare your resume, highlighting your CNA certification and any relevant experience or skills.
Tip
Tailor your resume for each job application to highlight the most relevant experience and skills for the position.
Alternative Training Paths
Employer-Sponsored Training at Nursing Homes
Some nursing homes in North Dakota offer employer-sponsored CNA training programs. These are often paid training opportunities that require you to work at the facility for a specified period after certification. This path is ideal for those looking for immediate employment and willing to commit to a single employer.
Best for: Individuals seeking immediate employment and willing to commit to one employer
Common Mistakes to Avoid
- •Attending a training program not on the North Dakota Board of Nursing approved list. You will complete the program but be unable to sit for the state competency exam, wasting both your time and tuition money.
What to Expect on Exam Day
NNAAP Written and Skills Examination administered by Headmaster
Written Test
Questions: 75
Time Limit: 90 minutes
Format: Multiple choice
Passing Score: Must achieve a scaled score of 70%
- • Physical Care Skills (30%)
- • Psychosocial Care Skills (15%)
- • Role of the Nurse Aide (15%)
Skills Test
Skills Tested: 5
Time Per Skill: 25-30 minutes total
Candidates demonstrate skills on a volunteer or mannequin under examiner supervision.
What to Bring
- ✓ Two forms of identification (one must be a photo ID)
- ✓ Authorization to Test letter
- ✓ Three No. 2 pencils and an eraser
Do Not Bring
- ✗ Personal items such as bags or purses
- ✗ Electronic devices including cell phones and smart watches
- ✗ Food or drink in the exam room
Day-of Timeline
Arrive 30 minutes early. Check in takes 15 minutes. Written test is 1.5 hours. Break. Skills test is approximately 30 minutes.
Getting Your Results
Results are provided on site immediately after completion of the skills test. Official results are mailed within 10 business days.
If You Don't Pass
If failed, you can retake the exam. You may test three times within two years of completing your training program. Each retake requires payment of a fee.
Exam Strategies
- 1. Read each question carefully, especially the phrasing and keywords.
- 2. Manage your time effectively, aiming not to spend more than 1 minute per question on the written test.
- 3. During the skills test, follow the critical steps for each skill as missing these can lead to automatic failure.
- 4. Practice skills with a partner prior to the test to ensure smooth performance under exam conditions.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED Certificate
From previous high school or GED program · Varies · Varies
Official copies may need to be requested with a fee.
Government Issued Photo ID
Department of Motor Vehicles or appropriate government agency · Varies · Immediately to a few weeks
Needed for identity verification during training and exams.
Social Security Card
Social Security Administration · 10-14 business days
Required for background check and employment verification.
Criminal Background Check
North Dakota Attorney General's website or local police department · Approximately $25 · 1-2 weeks
Some training programs require this before admission.
TB Test Results
Local clinic or healthcare provider · Approximately $20-$50 · 48-72 hours after test administration
Proof of a negative TB test is often required before clinical training.
Immunization Records
Previous healthcare provider or school · Free to nominal fee for copies · Varies
Required to ensure all vaccinations are up to date for clinical safety.
CPR Certification
American Red Cross, American Heart Association, or local healthcare facilities · Approximately $50-$100 · Varies by course availability
Must be healthcare provider level; check if offered as part of CNA training program.
2During Training
Training Program Enrollment Agreement
From the CNA training program · Immediate upon enrollment
Formal documentation of enrollment in a state-approved CNA program.
Attendance Record
Managed by the CNA training program · Ongoing throughout training
Essential for documenting completion of required training hours.
Clinical Experience Log
Provided and monitored by the training program · Ongoing throughout clinical training
Verification of hands-on clinical hours completed.
Skills Competency Checklist
Provided by the CNA training program · Ongoing assessment
Record of skills mastered during training, required for certification.
3For the Exam
Exam Application Form
North Dakota Department of Health website or training provider
Must be submitted to schedule the certification exam.
Exam Fee Payment
Payable online or at the testing center · Approximately $120
Required to secure a testing slot; varies by testing site.
2 Passport-sized Photos
Photo centers or via online services · Approximately $10-$15
Needed for exam admission ticket.
4For Certification
Successful Exam Completion Certificate
Issued by the testing center post-exam · Included in exam fee
Proof of passing both the written and skills portions of the CNA exam.
Certification Application
North Dakota Department of Health website
Required to apply for official CNA certification after passing the exam.
Certification Fee
Payable to the North Dakota Department of Health · Approximately $50
Mandatory fee for issuing the CNA certificate.
After You're Certified: What's Next
Immediately after passing, verify your status on the North Dakota Nurse Aide Registry and ensure your certificate is in order. Update your personal details if necessary.
Finding Your First Job
Where to Look
- • North Dakota state job service website, Indeed, Glassdoor, and healthcare-specific sites like HealthJobsNationwide
Best Employers for New Grads
- • Hospitals, long-term care facilities, and home health agencies are primary employers. Hospitals often offer higher pay but more demanding conditions, while long-term care provides more consistent schedules but possibly lower wages.
Resume Tip: List your CNA certification, any relevant clinical experience, and soft skills like communication and reliability. Highlight any healthcare-related coursework.
Interview Tip: Expect questions about handling stressful situations, working in teams, and specific care techniques. Demonstrate empathy and a strong work ethic.
Expected First-Year Salary
In North Dakota, starting salaries for CNAs range from $28,000 to $33,000 annually.
Career Advancement Path
LPN
Complete a state-approved LPN program and pass the NCLEX-PN exam.
Challenges to Prepare For
- • Physical and emotional burnout, managing time effectively among multiple patients, and coping with the death of patients. Regular self-care and time management training can help.
Certified Nursing Assistant Salary in North Dakota
In North Dakota, the median annual salary for Certified Nursing Assistants (CNAs) is approximately $35,000, with an hourly wage of around $16.83. These figures align with the data provided by the Bureau of Labor Statistics.
Entry Level
$26,000
0-1 years experience
Median Salary
$35,000
$16.83/hr · Bureau of Labor Statistics
Experienced
$42,000
5+ years experience
Compared to National Median
$33,000 national · +6.06% in North Dakota
Salary by Metro Area
Highest in the state
Slightly below state median
Salary by Employer Type
With a generally lower cost of living in North Dakota compared to many other states, CNAs may find their salary stretches further, particularly in rural areas.
Benefits & Compensation
Common benefits include health insurance, paid time off, and retirement plans. Some employers may also offer tuition reimbursement and flexible scheduling.
Salary Growth Outlook
Projected growth in healthcare needs suggests a positive outlook for CNA salary increases, especially in aging populations.
Salary Negotiation Tips
- •Highlight any specialized skills or certifications beyond standard CNA training
- •Research average salaries for similar positions in the area to inform your negotiations
Job Market in North Dakota
The job market for Certified Nursing Assistants (CNAs) in North Dakota is experiencing notable growth, driven by an aging population and increased healthcare needs. According to the Bureau of Labor Statistics, the employment of CNAs is projected to grow, reflecting a broader national trend towards healthcare support roles. In North Dakota, specific regional healthcare expansions and an increased focus on rural health services amplify this demand.
Top Hiring Areas
Major healthcare facilities and population center
State capital with several large hospitals and elderly care centers
Top Hiring Industries
Best time to apply: Early spring and late fall, aligning with hiring cycles of major healthcare providers
Opportunities
- Advancement through additional certification and education
- Expanding roles in telehealth and specialized care settings
Challenges
- High turnover rates
- Physical and emotional job demands leading to burnout
Training Programs in North Dakota
North Dakota offers several pathways for becoming a Certified Nursing Assistant, including community colleges, vocational schools, and employer-sponsored programs. Each option is designed to meet the North Dakota Board of Nursing requirements and prepare students for the CNA certification exam.
Program Types Comparison
| Type | Duration | Cost | Format | Pros / Cons |
|---|---|---|---|---|
| Community College | 4 to 12 weeks | $400 to $1,500 | In-person/Hybrid |
|
| Vocational/Trade School | 4 to 10 weeks | $500 to $2,000 | In-person/Hybrid |
|
| Employer-Sponsored | Variable | Free/Paid training | On-the-job |
|
Top Programs
Bismarck, North Dakota
High pass rates and strong local reputation
Wahpeton, North Dakota
Offers both in-person and hybrid training options
Online & Hybrid Options
Several community colleges and vocational schools offer hybrid programs combining online coursework with in-person clinical training.
How to Choose a Program
- •Verify the program's state accreditation and exam pass rates.
- •Assess total costs including hidden fees like textbooks and uniforms.
Financial Aid & Free Training
Get free Certified Nursing Assistant program info for North Dakota
Renewal Requirements
Renewal Period
Every 2 years
Renewal Fee
$40
CE Hours
12 hours
Work requirement: 8 hours of paid work as a CNA in the last 24 months
CE Topics: Patient care, Infection control
Out-of-State Reciprocity
North Dakota offers reciprocity for CNAs certified in other states, provided they meet state-specific requirements and their certification is active and in good standing.
Requirements for Reciprocity
- Proof of current certification
- Background check
State Agreements
All states as per federal guidelines
Additional Exams
No additional exams required if current certification is verified
Application Process
Submit a completed application, proof of certification, and background check results
Fees
$120
Processing Time: 2-4 weeks
Licensing Tips
Ensure all sections of the application form are completed accurately to avoid delays
Maintain copies of all documents submitted for your records
Recommended Resources
CNA Certified Nursing Assistant Exam Cram
This book provides numerous practice questions and detailed explanations, tailored to reflect the most current CNA exams.
CNA Practice Exam Prep
An online resource offering realistic practice tests, instant feedback, and test-taking strategies for CNA candidates.
CNA Study Guide
Includes comprehensive reviews of all exam topics, practice questions, and test-taking tips, updated for the latest standards.
Hartman's Nursing Assistant Care: The Basics, 5th Edition
A textbook that covers fundamental caregiving techniques, with chapters on medical terminology and patient safety.
Nursing Scrubs
Required for clinical training sessions to ensure hygiene and adherence to dress codes in healthcare settings.
Blood Pressure Cuff and Stethoscope
Essential for learning vital signs measurement, a core skill for CNAs.
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Sources
- Bureau of Labor StatisticsAccessed 2026-02-13
- North Dakota Licensing BoardAccessed 2026-02-13
- CareerOneStopAccessed 2026-02-13