Arkansas Nursing Assistant / Nurse Aide Guide

CNA - Certified Nursing Assistant - Aide Practice Exam Is a License or Certification needed:  To get certified and work as a nursing assistant or nurse aide in Arkansas, you need to complete a nursing assistant program and pass a nursing assistant competency exam.

Who Grants Certification: The Arkansas Department of Health and Human Services and the Office of Long Term Care (OLTC) has contracted with Prometric to administer state exams to nurse aides in Arkansas. Once certified, Arkansas nurse aides are listed on the Arkansas Nurse Aide Registry. Prometric handles the listing to the registry as well.
The Qualifications to become Certified:
There is more than one route to qualification for receiving a nurse aide certification in the state of Arkansas. These include:
  • You have successfully completed a Arkansas state approved training program
  • You were previously certified in the state of Arkansas, your certification lapsed and you are retaking the test.
  • You are an RN or LPN student and have a copy of the OLTC’s letter of approval
  • You were trained or certified in another state and have the letter of approval from the OLTC.
How to Apply for Certification and to take the Exam:

In order to apply for the nurse aide registry in Arkansas and apply to take the exam, register on the  Prometric website.

Or apply with this paper application here. If testing at a regional site, fill out the application and send it along with proof of the above qualifications to:
Attn: Arkansas Nursing Assistant Testing Program
7941 Corporate Drive
Nottingham, MD 21236
If testing at your facility, take the paper application to your facility.
Test Content

The test has two parts, a skills evaluation and a written section. Both parts must be passed to be listed on the Arkansas Nurse Aide Registry. The written section is 60 questions in length. You will have 90 minutes to complete the exam. Take these with you to the test:
  • Your Social Security card
  • Your driver’s license
The written exam questions are based on the Arkansas state approved test plan. You must score a 72% or higher to pass the written exam. Content topics include:
  1. Role of the Nurse Aide
  2. Promotion of Safety
  3. Promotion of Function and Health of Residents
  4. Basic Nursing Care Provided by the Nurse Aide
  5. Providing Specialized Care for Residents with Changes in Health
The skills evaluation will be a 31 to 40 minute time period given to complete 5 randomly selected nurse aide skills, depending on the skills assigned. A clinical skills checklist can be found here. You will need to practice these skills. They will not need to be absolutely perfect, but you will need to be deemed competent in these skills.
For the first three skills you will also be tested on the actual process of washing your hands with each skill and for your indirect care of the patient, meaning the parts of care associated with the patients:
  • Infection Control
  • Communication with the resident
  • Rights and preferences
  • And safety, comfort and needs
You may find further details in a candidate handbook.
Certification Renewal and Continuing Education Requirements:

According to Arkansas Law, to renew your license, it is required that you have worked 8 hours at your place of employment in the paid role of a nurse aide during the past 24 months. This must be paid employment, not volunteer work, and in a nursing environment such as a nursing home, home health setting or a hospital.
You can renew your license with Prometric and the Arkansas Nurse Aide Registry here.
AR Nurse Aide Registry 
AR Department of Human Services 
Office of Long-term Care 
PO Box 8059, Slot S405 
Little Rock, AR 72203-8059 


To prepare for your nursing assistant or nurse aide exam, use’s Certified Nursing Assistant Exam Practice Test Kit with 300 multiple choice questions, written by nursing experts and educators.

For more information on licensing and exam prep, go to's CNA Test Guide.

And take's free CNA Practice Test.

For nursing assistant and nurse aide exam preparation products and services, such as study guides, practice tests, flashcards and courses, go to's CNA listings.

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Quality starts with who wrote the material.
Our practice exam writer
Alene Burke, RN, MSN
, is a multidisciplinary nursing educator and has taught nurses and CNAs for the last 25 years. She has developed curriculum for college level health care educational institutions and has served as a member of the American Nurses Association’s Credentialing Center Innovative Collaborative Initiative on healthcare education.

Dorothy Belding, RN, MSH
, is an instructor in the CNA program at Mitchell Community College in North Carolina.  Dorothy has over 30 years of experience as an RN and has worked in the skilled nursing environment supervising CNAs.

Diane Hill, RN, BSN
, is an instructor in CNA studies at Cumberland Community College in New Jersey. Diane is a state-certified CNA educator and has worked as an assistant director and staff nurse in nursing homes.

National Nurse Aide Assessment Program (NNAAP) Exam Content Outline Review

I. Physical Care Skills

A. Daily Living Activities:

  • Hygiene
  • Dressing and Grooming
  • Nutrition and Hydration
  • Elimination
  • Rest/Sleep/Comfort

B. Skills of Basic Nursing:

  • Infection Control
  • Safety/Emergency
  • Therapeutic/Technical Procedures
  • Data Collection and Reporting   

C. Restorative Skills:

  • Prevention
  • Self Care/Independence

II. Psychosocial Care Skills

A. Emotional and Mental Health Needs

B. Spiritual and Cultural Needs

III. Nurse Aide Roles

A. Communication

B. Client Rights

C. Legal and Ethical Behavior

D. Member of the Health Care Team