North Dakota 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 Dakota, you need to complete a nursing assistant program and pass the National Nurse Aide Assessment Program (NNAAP) exam.

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

The Qualifications to become Certified:

In order to qualify to receive a nurse assistant license in North Dakota, you must:
  • Be verified competent by your employer and a licensed nurse; and
  • Pass the NNAAP exam
How to Apply for Certification and to take the Exam:

Use this form to apply to be a nurse aide in North Dakota. Complete and mail this form to:

North Dakota Department of Health Division of Accounting
600 East Boulevard Ave., Dept. 301
Bismarck, ND 58505-0200
If you have questions, you can reach the ND Department of Health at 701.328.2353 or by e-mail at

If you are already certified as a nursing assistant in another state, you can submit this form.

Test taking times and sites can be found here.

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 Dakota 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:

If your license has lapsed after its 2 year run, you will need to reactivate it by successfully completing a written and clinical skills test after calling or filling out this form.  There is no fee for a renewal. Send this form to:

North Dakota Department of Health Division of Accounting                                          
600 East Boulevard Ave., Dept. 301
Bismarck, ND 58505-0200
If you have questions, you can reach the ND Department of Health at 701.328.2353 or by e-mail at  More information regarding the renewal process can also be found here.


ND Nurse Assistant Registry 
ND Department of Health 
Division of Health Facilities 
600 East Boulevard Avenue, Department 301 
Bismarck, ND 58505-0200 
Phone: 701-328-2353 
Fax: 701-328-1890


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