North Carolina 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 North Carolina, you need to complete a nursing assistant program and pass the National Nurse Aide Assessment Program (NNAAP) exam.  You must also be listed on the North Carolina State Nurse Aide Registry.

Who Grants Certification: The North Carolina Board of Nursing grants certification to North Carolina nursing assistants and nurse aides.

The Qualifications to become Certified:

In order to receive a new nurse aide certification in the state of North Carolina, you must:
  • Successfully pass a background check and complete a 75 hour state-approved nurse aide program within the past two years and in just 3 attempts or less.
  • Be enrolled in an LPN or RN program and pass the Pearson Vue state test for Nurse Aides
How to Apply for Certification:

If you have never been a nurse aide before in North Carolina or any other state, in order to apply for your North Carolina nurse aide license, you will need to attend and successfully complete a training program. You can find a list of these programs here.

If you have been a nurse aide in another state and want to transfer your license to North Carolina, you need to know that there are rules about transferring a license or certification. North Carolina does not just accept your license from another state. You must either take one of the courses listed above, or if you believe that you are competent as a nurse aide in any state, you may take NC’s state test.

How to Apply to Take the Exam

You may use this form to apply to the NNAAP test. Mail this completed application, including:
  • Exam fee by money order, certified check or company voucher
  • A notarized copy of your NC Nurse Aide 1 Training Program completion certificate
  • A copy of your listing on the NC state nurse aide registry
To: NACES Plus Foundation, Inc., 7600 Burnet Road, Suite 440 Austin, Texas 78757-1292
The NNAAP exam can be taken in North Carolina at one of these locations.
Test Content

The NNAAP test has two parts, a Skills Evaluation and a Written (or oral) part.  Both parts must be passed to be listed on the North Carolina State Nurse Aide Registry. The written section is 70 questions in length, 60 are multiple choice and 10 are reading comprehension questions. Take two pencils with you. You will have two full hours to complete the exam. (The oral exam if given in place of the written exam is 160 questions in length.) The Skills Evaluation will be a 25 minute time period given to complete 5 randomly selected nurse aide skills. Content topics include:
  • Activities of Daily Living – Hygiene, Dressing and Grooming, Nutrition and Hydration, Elimination, Rest/Comfort/Sleep
  • Basic Nursing Skills - Infection Control, Safety/Emergency, Therapeutic/Technical Procedures, Data Collection and Reporting
  • Restorative Skills – Prevention, Self-care/Independence
  • Psychosocial Care Skills – Emotional and Mental Health Needs
  • Spiritual and Cultural Needs
  • Communication
  • Client Rights
  • Legal and Ethical Behavior
  • Member of the Health Care Team
See the Candidate Handbook for more details.

Certification Renewal and Continuing Education Requirements:

In the state of North Carolina, you will automatically receive a postcard in the mail reminding you to renew your CNA license. A license lasts two years from the time you acquire it and expires on your birth month. If your birth month falls a month or so ahead of the two year mark, your license still expires on your birthday. For more information on renewal requirements, email:


NC Nurse Aide Registry (Nurse Aide 1) 
NC Department of Health & Human Services 
Division of Health Service Regulation
2709 Mail Service Center 
Raleigh, NC 27699-2709 
Phone: 919-855-3969 
Fax: 919-733-9764


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.
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