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FREE Arkansas CNA Exam Guide 2026: Pass the AR Nurse Aide Test

Pass the Arkansas Nurse Aide Competency Exam: NEW July 2026 rules — 75-question knowledge test, 76% to pass, 3-4 randomly drawn skills, $125 combined fee, 90-hour OLTC rule. Free practice.

Ran Chen, EA, CFP®April 25, 2026

Key Facts

  • Arkansas's Candidate Handbook Version 10.0, effective July 1, 2026, changed the CNA skill test task list, check-in time, and passing rule (D&SDT-Headmaster).
  • The Arkansas knowledge test is 75 multiple-choice questions in a maximum of 60 minutes with a 76 percent passing score (Arkansas Candidate Handbook V10.0).
  • Arkansas's skill test assigns 3 or 4 tasks (1 of 4 mandatory tasks plus 2-3 random tasks) within a 30-minute time limit (Arkansas Candidate Handbook V10.0).
  • Each Arkansas skill task requires every bolded key step correct plus at least 80 percent of all listed steps to pass, not just the key steps alone (Headmaster V10.0).
  • Headmaster lists $30 for the Arkansas knowledge exam, $95 for the skill exam, and $125 combined; the audio or Spanish-audio version adds a $10 surcharge (Headmaster TMU fee schedule).
  • Arkansas requires at least 90 training hours in an OLTC-approved NATCEP, 15 hours above the federal OBRA '87 minimum of 75 hours (Arkansas DHS Agency #016.25).
  • Arkansas Nurse Aide Registry eligibility renews every 24 months after at least 8 hours of paid nursing-related work (federal OBRA '87, 42 CFR Part 483).
  • Arkansas certified nursing assistants earned a median of $16.55 per hour, or $34,427 per year, in May 2025, about 19 percent below the national median (Arkansas DWS OEWS Survey).
  • Arkansas's Division of Workforce Services projects about 2,500 average annual nursing-assistant job openings statewide through 2032 (Arkansas long-term occupational projections, 2022-2032).
  • Out-of-state CNAs use Form 9110AR to apply for Arkansas registry reciprocity through Headmaster, commonly citing a roughly $25 processing fee (Arkansas Nurse Aide Registry).

📺 Watch the Video

Arkansas CNA Exam 2026: The Complete Nurse Aide Competency Guide

Arkansas requires every paid nurse aide working in a federally certified nursing facility to complete a state-approved training program and pass the Arkansas Nurse Aide Competency Exam. The program is overseen by the Arkansas Department of Human Services (DHS), Office of Long Term Care (OLTC) and delivered by D&S Diversified Technologies LLP / Headmaster (D&SDT-Headmaster) through the Arkansas TestMaster Universe (TMU) portal at ar.tmutest.com.

Important: Headmaster's Arkansas Nurse Aide Candidate Handbook, Version 10.0, took effect July 1, 2026 — right as this guide was updated. It changed the skill test task list, the testing check-in time, and several security rules. If you are studying from an older printout, a YouTube video, or a different blog post, some of what you read may already be out of date. This guide reflects Version 10.0.

This 2026 guide walks through every step — training, TMU registration, fees, the multiple-choice knowledge test, the skill evaluation, registry maintenance, reciprocity, and salary — and links you to a 100% free Arkansas-aligned practice course you can start in under a minute.

Start Your FREE Arkansas CNA PrepPractice questions with detailed explanations

Arkansas CNA Exam at a Glance (Candidate Handbook V10.0, effective July 1, 2026)

ComponentDetails
Knowledge test75 multiple-choice questions, 60 minutes (English, Spanish, or audio)
Knowledge passing score76% or better (about 57 of 75 correct)
Skill test3 or 4 tasks — one mandatory task plus 2-3 randomly chosen tasks, 30 minutes total
Skill passing ruleAll bolded key steps correct and at least 80% of all steps on every assigned task
Training requirement (OLTC NATCEP)90 training hours minimum (16 classroom hours before resident contact + 74 hours of theory, lab, and clinical, including at least 16 hours of supervised practical training)
Test vendorD&SDT-Headmaster via ar.tmutest.com
RegistryArkansas Nurse Aide Registry (ARNAR), hosted by Headmaster, verified by OLTC
Renewal cycle (federal OBRA '87)Every 24 months — at least 8 hours of paid nursing-related work
Knowledge + Skill combined fee$125 ($30 knowledge + $95 skill); audio or Spanish-audio knowledge exam is $40 (+$10 surcharge)
Time to test after trainingWithin 1 year (12 months) of NATCEP completion, max 3 attempts per component
ContactHeadmaster testing 888-401-0462 / Registry 888-401-0465 / arkansas@hdmaster.com

Step 1: Complete an OLTC-Approved Arkansas Training Program

Under Arkansas DHS rule (Agency #016.25, Rules for the Arkansas Long-Term Care Facility Nursing Assistant Training Program), every Nurse Aide Training and Competency Evaluation Program (NATCEP) must include at least 90 training hours. This breaks down as:

  • 16 hours of initial classroom (Part I) theory and skills demonstration, completed before any direct resident contact
  • 74 additional hours (Parts II and III) of theory, classroom lab, and clinical skills training — at least 16 of those 74 hours must be supervised practical training performed on an individual resident under direct instructor supervision

90 hours is 15 hours above the federal OBRA '87 floor of 75 hours, which is one of the reasons Arkansas CNAs hold up well in reciprocity to other states. Instructor-to-trainee ratios are capped at 1:24 in the classroom and 1:12 for skills training.

What Arkansas CNA Training Actually Costs

If your training isn't covered by an employer or a workforce grant, expect to pay roughly $550-$1,900 out of pocket depending on the school — community colleges often charge by the credit/contact hour (some run close to $120/hour for non-resident or non-sponsored students), while standalone CNA schools and private academies typically quote a flat course price. That price usually does not include the $125 Headmaster testing fee, a criminal background check (commonly $35-$40, non-refundable regardless of outcome), uniforms/scrubs, or a TB test/physical — budget for those separately.

Where to Find Approved Arkansas Programs

DHS publishes a directory of approved programs across Arkansas. Common pathways include:

  • Arkansas community colleges — North Arkansas College, Ozarka, ASU-Mountain Home, ASU-Beebe, NWACC, UA-Pulaski Tech, South Arkansas Community College, Phillips, Black River, SAU Tech
  • Long-term care employer-sponsored programs that often refund tuition once you work in a Medicaid-certified facility (and DHS will fund your testing fee directly if you have a job or a signed letter of intent from a Medicaid-certified facility)
  • Arkansas Department of Workforce Services WIOA grants for tuition assistance
  • High school health-science academies that allow seniors to test alongside graduation

Waivers and Alternate Routes (No Full 90-Hour NATCEP Required)

Arkansas DHS rule recognizes several documented pathways to challenge the competency exam without completing a full in-state NATCEP — see the Military, Spouse, and Nursing-Student Waivers section below for exactly which form each route uses.


Try a FREE Arkansas CNA Practice Test

Take Free AR CNA Practice QuestionsPractice questions with detailed explanations

Our question bank mirrors the Headmaster blueprint — Role and Responsibility, Communication, Resident Rights, Psychosocial Care, Care of the Cognitively Impaired, Basic Nursing Skills, Personal Care, Restorative Services, Disease Process, Safety, Infection Control, Data Collection, and the full federal OBRA '87 framework.


Step 2: Register for the Exam Through TMU

  1. Go to ar.tmutest.com and create a candidate account (email becomes your username)
  2. Upload proof of training completion or your eligibility waiver
  3. Pay by credit/debit card (self-pay) — or your facility may pay for you (see DHS funding below)
  4. Pick a test event and location, or schedule the remotely proctored knowledge exam from home if you qualify
  5. Print your admission ticket and confirm your photo ID matches your TMU account name exactly

You must pass both components within one year (12 months) of finishing training, with up to 3 attempts per component. If you exhaust those attempts or run past the one-year window, you must complete another approved NATCEP before testing again — there are no extensions.

2026 Arkansas Fees (Headmaster TMU, effective July 1, 2026)

ComponentFee
Knowledge exam (English or Spanish) — first attempt or retake$30.00
Audio (oral) or Spanish-audio knowledge exam — first attempt or retake$40.00 ($30 base + $10 audio surcharge)
Skill test — first attempt or retake$95.00
Knowledge + Skill, combined (typical first-time total)$125.00
Audio/Spanish-audio Knowledge + Skill, combined$135.00
Refund processing fee (if you cancel within the refund window)$35.00

If you are employed by, or have a signed letter of intent to be employed by, a Medicaid-certified Arkansas nursing facility, DHS pays your testing fee directly — the letter of intent must be dated within the 12 months before you apply to test. Independent candidates with no facility connection pay their own fee.

Fees are non-refundable once you no-show or fail to follow testing policy. You can reschedule for free online up to one (1) full business day before your scheduled test date; after that, rescheduling forfeits the fee. (This window tightened from 3 business days to 1 business day in the July 2026 handbook — confirm the cutoff time in your TMU account before assuming you have more time.)


Step 3: The Knowledge Test — 75 Questions, 60 Minutes, 76% to Pass

The Arkansas knowledge exam contains 75 multiple-choice questions in a maximum of 60 minutes, drawn from the DHS-approved Arkansas test plan covering all federally required OBRA '87 subject areas. You need a score of 76% or better to pass (about 57 of 75 correct). There is no penalty for guessing — answer every question, and you can navigate back and forth between questions with the Previous/Next buttons.

Exact subject-area question counts (Candidate Handbook V10.0):

Subject AreaQuestionsSubject AreaQuestions
Aging Process and Restorative Care5Infection Control9
Basic Nursing Skills11Mental Health4
Care Impaired3Personal Care8
Communication5Resident Rights6
Data Collection4Role and Responsibility7
Disease Process5Safety8

That's 75 questions total. Basic Nursing Skills (11 questions), Infection Control (9), Safety (8), and Personal Care (8) carry the most weight — make sure those four categories are airtight, but don't skip the lighter categories since every question counts equally toward your 76% cut score.

Audio, Spanish, and Remote Testing Options

  • Audio (oral) version — Available for a $10 surcharge on top of the $30 knowledge fee ($40 total). You must select it under "Enable Audio Testing" in your TMU profile before you pay. Only the first 67 of 75 questions are read aloud through wired earbuds (Bluetooth devices aren't allowed); the remaining 8 questions must be answered without audio assistance, since they're designed to assess basic English reading comprehension.
  • Spanish version — A full Spanish-language knowledge exam is available (with its own audio option), selectable from a drop-down at login. You can toggle between Spanish and English mid-exam.
  • Remotely proctored knowledge exam — Eligible candidates can take the knowledge test from home under remote proctoring instead of traveling to a test site. Check the Remotely Proctored Knowledge Exam requirements and attire rules in the Candidate Handbook before scheduling.
  • Foreign-language translation dictionaries — Published word-for-word translation dictionaries are allowed (no handwritten notes or electronic dictionaries). Basic calculators and scratch paper are provided if needed; everything stays in the room.

Build Your Skills Checklist Knowledge

Drill Arkansas Skills with Free FlashcardsPractice questions with detailed explanations

Our AI tutor walks you through every skill task on the current Arkansas list with the exact bolded key-step sequence Headmaster evaluators score against — and explains why each step matters.


Step 4: The Skill Test — 3 or 4 Tasks, 30 Minutes (New July 2026 Format)

The Arkansas skill test changed substantially in the July 2026 (V10.0) handbook. If you trained earlier in 2026 or watched an older walkthrough video, read this section carefully — the task list and the passing rule are both different now.

How the New Skill Test Works

  1. You are assigned one mandatory first task, randomly chosen from four mandatory options:
    • Assist a Resident with a Bedpan, Measure and Record Output, with Hand Washing
    • Catheter Care for a Female Resident, with Hand Washing (demonstrated on a manikin)
    • Don an Isolation Gown and Gloves, Empty a Urinary Drainage Bag, Measure and Record Output, Doff the Gown and Gloves, with Hand Washing
    • Perineal Care for a Female Resident, with Hand Washing (demonstrated on a manikin)
  2. You then receive two or three additional tasks randomly selected from the 16-task "other tasks" list below — so your total skill test is either 3 or 4 tasks, and every candidate's combination is comparable in difficulty.
  3. You have a maximum of 30 minutes total for all assigned tasks (you're alerted when 15 minutes remain).
  4. Hand washing with soap and water is embedded in every mandatory task and must be demonstrated at the end of it.
  5. The RN Test Observer reads you a scenario before each task; you cannot ask questions or have a scenario repeated once you tell the observer you're finished with that task.
  6. All steps must be physically demonstrated — a step that is only spoken out loud does not count for credit, even if it's the right thing to say.

The 16 "Other" Skill Tasks (2-3 randomly assigned alongside your mandatory task)

CategorySkill Task
Mobility & transfersAmbulate a resident from bed to wheelchair using a gait belt; ambulate wheelchair to bed; pivot-transfer a weight-bearing, non-ambulatory resident bed→wheelchair; pivot-transfer wheelchair→bed; position a resident on their side in bed
Range of motionRange of motion for hip and knee; range of motion for one shoulder
Personal careModified (partial) bed bath — face, one arm, hand, underarm; denture care; mouth care (brush teeth); foot care — one foot; nail care — one hand; dress a bedridden resident
Vital signsCount and record radial pulse and respirations
NutritionFeed a dependent resident
EnvironmentMake an occupied bed

Passing Rule — Read This Twice

Arkansas changed the passing standard. It is no longer "every key step correct, nothing else matters." As of V10.0, on each assigned task you must:

  • Correctly perform every bolded key step, and
  • Achieve at least 80% of all listed steps on that task (key and non-key combined)

Missing a bolded key step still fails that task outright, even if your overall percentage is above 80%. Steps are not order-dependent unless the instructions say "BEFORE" or "AFTER." If you make a mistake, you may tell the RN Test Observer you'd like to correct it and re-demonstrate, as long as you're still within your 30 minutes.

If you fail, your retest always includes the task you previously failed, plus one of the four mandatory tasks to start.

Universal Steps That Show Up Across Almost Every Task

  1. Knock and greet the resident; identify yourself by name and role
  2. Verify identity before beginning
  3. Wash hands before touching the resident (V10.0 added a specific bolded key step: rub hands together with friction and soap for at least 20 seconds)
  4. Explain the procedure in plain language, even if the resident actor stays silent
  5. Provide privacy — close the door/curtain
  6. Lock wheelchair brakes BEFORE the resident sits or stands — this was added as a brand-new bolded key step on the transfer and ambulation tasks in V10.0; an unlocked wheelchair brake is one of the most common automatic failures
  7. Maintain safety and body mechanics throughout
  8. Wash hands again and report/document to the nurse at the end

Practice these until they're automatic — they recur on nearly every task in the 16-task list.


6-Week Arkansas CNA Study Plan

WeekFocusDaily Goal
1Role and Responsibility + Resident Rights + Communication30 practice questions/day
2Safety + Infection Control + the mandatory tasks (bedpan, catheter care, isolation gown/gloves, perineal care)30 questions + rehearse all 4 mandatory tasks aloud
3Personal Care + Restorative Services (bed bath, denture care, dressing, foot/nail care)Practice 5 personal-care tasks with a partner
4Basic Nursing Skills + Vital Signs (radial pulse, respirations) + mobility (ambulate and pivot-transfer with gait belt)Master pulse/respirations and the wheelchair-brake-lock step; 40 questions/day
5Care Impaired + Mental Health + Disease Process + Data CollectionFull timed 75-question practice exam
6Final review + 3 timed practice testsMock skill test with a 30-minute timer; rotate through all 20 tasks (4 mandatory + 16 other)

Most candidates need 40-80 hours of focused review on top of their formal 90-hour training program.


Arkansas-Specific Pitfalls That Fail Candidates

Headmaster evaluators are strict on bolded key steps and the 80%-of-steps threshold. The failures below account for the majority of Arkansas skill-test retakes under the current handbook:

  1. Not locking the wheelchair brakes before the resident sits or stands — this is now a bolded key step on every ambulation and pivot-transfer task and an automatic failure if missed
  2. Reading knowledge questions too fast — items often hinge on a single qualifier ("first," "best," "most appropriate"); slow down and look for the safety-priority answer
  3. Skipping the explain-the-procedure step because the resident actor stays silent — say it anyway; evaluators score what they hear
  4. Verbalizing a step instead of demonstrating it — under V10.0, steps that are only spoken and not physically performed earn zero credit
  5. Not washing hands with the full 20-second friction key step — a quick rinse no longer counts; lather and rub for a full 20 seconds
  6. Not changing gloves and washing hands between body areas during catheter or perineal care (both demonstrated on a manikin now, not a live resident) — evaluators specifically watch for this
  7. Letting your overall step percentage slide below 80% even when all key steps are correct — under the new rule, hitting every key step is necessary but not sufficient
  8. Carrying contaminated linen or supplies across the room improperly, or skipping the rinse/dispose sequence on bedpan and output-measurement tasks
  9. Using your fingernail instead of the finger pad during pulse-taking, or counting respirations in a way the resident can tell you're doing it (which can change the rate)
  10. Forgetting the recording form — several tasks (bedpan output, urinary drainage output, pulse/respirations) require you to record a number on a signed recording form, and your number must be within the allowed tolerance of the RN Test Observer's reading

Test-Day Checklist (Updated for V10.0, Effective July 1, 2026)

The Arkansas Candidate Handbook lists what you must bring and what is forbidden. Show up unprepared and Headmaster will turn you away as a no-show, with no refund.

  • One (1) original, signed, non-expired US government-issued photo ID — driver's license (or the DMV letter you receive while waiting for a renewed license), state ID card, signed US passport, Permanent Resident/Green Card, Tribal ID, US military ID, or a concealed handgun carry permit. Photocopies, faxes, and digital wallet IDs (Apple/Google Wallet) are not accepted. A school ID does not count. Your first and last name on the ID must exactly match your name in TMU.
  • Full clinical attire (scrubs) — any color or design is fine. No open-toed shoes. Long hair must be pulled back.
  • A standard wristwatch with a second hand — Bluetooth-connected devices of any kind (smartwatches, fitness trackers, smart glasses, phones) are banned from the testing room and must be removed and turned off.
  • Arrive 20 minutes before your scheduled start time — this dropped from 30 minutes under V10.0. If your test starts at 8:00 AM, be in the waiting area/check-in by 7:40 AM. Arrive late and you will not be admitted.
  • No food, drink, gum, or e-cigarettes/vaping inside the testing room — you may bring a snack, drink, or study material for the waiting area beforehand, but nothing goes in with you once testing starts.
  • No visitors, guests, pets, or children of any age (trained service animals are the one exception — notify Headmaster in advance if you'll have one). Bringing a guest, pet, or child results in a no-show and forfeited fees.
  • No personal electronic devices, recording devices, books, notes, or papers in either testing room; staff will tell you where to store your belongings.
  • If sick, snowed in, or facing an emergency, call Headmaster immediately to reschedule (888-401-0462) — reschedule online for free up to one full business day before your test date.

After You Pass: The Arkansas Nurse Aide Registry

Headmaster posts your registry record after you pass both components. Employers verify you through the OLTC-managed Arkansas Nurse Aide Registry (ARNAR) by name, SSN, or registration number. Your registry status drives your federal eligibility to work in Medicare/Medicaid-certified facilities.

24-Month Federal Maintenance Rule (OBRA '87)

Federal eligibility is valid for 24 months from your last successful test date. To stay active you must:

  • Work at least 8 hours of nursing or nursing-related services for pay during the 24-month window
  • Log into your TMU account and record your work hours and employer before expiration; your employer confirms via an emailed verification link
  • Keep a clean record — substantiated findings of abuse, neglect, misappropriation of resident property, or exploitation are listed publicly on the Arkansas registry and bar federal employment for life, with no path to renewal

If your 24-month window closes without qualifying hours, federal law does not allow extensions — you must retake both the knowledge and skill tests in Arkansas. You may continue to work in hospitals and state-licensed (non-Medicaid) facilities while State-only eligible. Renewal notifications go out by email/text 60 days before expiration — no paper mail is sent, so keep your TMU contact info current.

Reciprocity Into Arkansas (Form 9110AR)

Out-of-state CNAs who are current and in good standing on another state's nurse aide registry use the Out-of-State Reciprocity Form 9110AR, available on the Arkansas TMU main page (before logging in) under Applications, submitted to D&SDT-Headmaster. Sources outside the official handbook commonly cite a roughly $25 processing fee and a 2-4 week turnaround — confirm the live amount in the application before submitting, since fees can change.

If you completed a comparable competency exam and passed it within 1 year of finishing your training, Headmaster can add you to the ARNAR without retesting. If you completed at least 90 hours of training in another state but have not yet passed a comparable competency exam, use the separate Out-of-State Training Waiver Application (also on the TMU Applications page) instead — it lets you sit for the Arkansas exam directly, within one year of your documented training, with up to 3 attempts.

Reciprocity Out of Arkansas

Verify your Arkansas registry eligibility is current, then apply directly through the destination state's registry. The receiving state pulls your federal eligibility from the Headmaster system — Arkansas DHS does not file outbound paperwork. Arkansas's 90-hour curriculum exceeds the federal floor, so most other states accept Arkansas training without further coursework.


Military, Spouse, and Nursing-Student Waivers

Arkansas DHS recognizes several documented pathways that let qualifying candidates challenge the competency exam without completing a full 90-hour Arkansas NATCEP — each uses its own application, not Form 9110AR:

Active-Duty Service Members and Veterans

A current uniformed service member, or a veteran applying within one year of discharge, can request a waiver of the training requirement (not the exam itself — you still take both the knowledge and skill exams). You'll need:

  • A DoD ID card, DD-214 discharge certificate, NPRC Report of Separation, or VA Veterans ID card as proof of service
  • Documentation of at least 90 hours of military healthcare education, training, or a service-issued credential toward nurse-aide qualifications (e.g., Army 68W Combat Medic, Navy HM Hospital Corpsman, Air Force 4N0X1)

Submit the AR Military Waiver Form (on the D&SDT-Headmaster Arkansas webpage) with your proof of service and training documentation. Qualifying members also receive priority of service on test day by presenting the same documents at check-in.

Military Spouses

Under Arkansas Act 135 of 2021, the spouse of an active-duty service member or veteran who resides in, or is relocating to, Arkansas (including spouses of members killed or who died of service-related injuries) can request expedited processing. You'll still need to have completed an Arkansas-approved program, 90+ hours of comparable out-of-state training, or qualify as a student/graduate nurse. Submit the AR Military Spouse Expedited Application to Test Form.

Nursing Students

If you are an RN or LPN student (or graduate) who completed a basic nursing course — Introduction to Nursing or Fundamentals of Nursing — you can challenge the Arkansas competency exam directly. Submit a school transcript or documentation of the completed course along with the Nursing Student or RN Candidate Examination Application (found under Applications at ar.tmutest.com/apply). You'll still need to pass both the knowledge and skill exams within one year.


Arkansas Approved CNA Training Programs (2026)

Arkansas DHS publishes a directory of OLTC-approved programs covering every region of the state. Representative providers by region:

Central Arkansas

  • UA-Pulaski Tech (North Little Rock) — full-day and evening NATCEP
  • Baptist Health College Little Rock
  • Arkansas Children's Hospital training partnerships (Little Rock)
  • Quapaw Technical Institute (Hot Springs)

Northwest Arkansas

  • North Arkansas College (Harrison)
  • NorthWest Arkansas Community College (NWACC, Bentonville)
  • Arkansas State University-Mountain Home
  • Ozarka College (Melbourne, Mountain View, Ash Flat)

Northeast Arkansas

  • Arkansas State University-Newport (Jonesboro)
  • Black River Technical College (Pocahontas, Paragould)
  • ASU-Beebe

Southern Arkansas

  • South Arkansas Community College (El Dorado)
  • SAU Tech (Camden)
  • Phillips Community College of UA (Helena, Stuttgart, DeWitt)
  • Cossatot Community College of UA (De Queen)

Employer-Sponsored Programs

Major LTC operators including CHI St. Vincent, Baptist Health, Mercy, Methodist Health, NHC HealthCare, and Encore Healthcare run in-house NATCEPs and frequently cover both tuition and your Headmaster testing fee in exchange for a 6-12 month employment commitment. Always confirm directly with the facility and DHS that a program is currently OLTC-approved before enrolling — verify against the live DHS directory, since approved-program lists change.


Career Ladder: From CNA to LPN to RN in Arkansas

PathMonths to completeTypical Arkansas tuitionTypical wage post-completion
CNA → LPN (UA-Pulaski Tech, Baptist Health, ASU)12-18 months$5,000-$11,000$22-$26/hour
CNA → Medication Assistant-Certified (MA-C)100-hour bridge after 2,000 work hours$400-$800$17-$20/hour
LPN → RN (ADN) bridge12-18 months$6,000-$12,000$30-$36/hour
RN (ADN) → BSN online (UA-Fort Smith, ASU)12-24 months$7,000-$15,000$32-$40/hour

Many Arkansas long-term care employers reimburse a portion of LPN or RN tuition for CNAs who commit to 24+ months of post-graduation employment — ask your facility's HR or workforce-development office.


Arkansas CNA Salary & Job Outlook (Official Arkansas Wage Survey, May 2025 Data)

The figures below come from the Arkansas Occupational Employment and Wage Survey 2026 (Arkansas Department of Commerce, Division of Workforce Services, published July 2026, reflecting May 2025 wage data) — the same state-federal OEWS partnership the U.S. Bureau of Labor Statistics uses, broken out for Arkansas specifically.

MeasureArkansas Nursing Assistants (SOC 31-1131)US National (BLS OEWS, May 2025)
Entry-level (10th pct.) hourly$13.87
Median hourly$16.55 ($34,427/yr)$20.32 (~$42,250/yr)
Mean (average) hourly$16.33 ($33,973/yr)$20.53 ($42,700/yr)
Experienced (90th pct.) hourly$18.76

Arkansas CNA wages run roughly 19% below the national median, but Arkansas also has one of the lowest costs of living in the country, so take-home buying power tracks closer to mid-pack states than the raw dollar gap suggests.

Arkansas CNA Wages by Metro Area (Median Annual / Hourly, May 2025)

Metropolitan AreaMedian AnnualMedian Hourly
Memphis MSA (AR portion)$38,010~$18.28
Fayetteville-Springdale-Rogers MSA$35,820~$17.22
Little Rock-North Little Rock-Conway MSA$35,370~$17.01
Jonesboro MSA$35,210~$16.93
Texarkana MSA$32,880~$15.81
Fort Smith MSA$32,020~$15.39
Hot Springs MSA$29,940~$14.39

Hospitals (Baptist Health, CHI St. Vincent, UAMS) typically pay above the long-term-care average shown here, and travel CNA contracts through agencies like Aya, Stride, and Vivian post Arkansas placements well above the statewide median, usually requiring a year or more of bedside experience.

Arkansas's Division of Workforce Services projects about 2,500 average annual job openings for nursing assistants statewide through 2032 (2022-2032 long-term occupational projections) — driven by both employment growth and the need to replace workers who leave the field, making CNA one of the most reliably available healthcare entry points in the state.

CNA also remains the most common stepping stone into LPN (12-18 months at AR community colleges), ADN (2 years), or BSN (4 years) programs.


Five Most-Tested Arkansas Skill Walk-Throughs (Critical Steps Highlighted)

Headmaster evaluators score against the exact step sequence in the current Arkansas Candidate Handbook (V10.0). The tasks below are drawn from the current 20-task list (4 mandatory + 16 other) — drill them off the official checklist, not generic videos, since the steps and bolded key steps changed in July 2026.

1. Hand Washing (embedded inside every mandatory task)

  1. Turn on warm water; do not touch the inside of the sink
  2. Wet hands and wrists below elbow level
  3. Apply soap; rub hands together using friction for at least 20 seconds over all surfaces (palms, backs, between fingers, thumbs, wrists) — this exact 20-second friction step is a new bolded key step in V10.0
  4. Rinse from clean (wrists) to dirty (fingertips), keeping fingertips down
  5. Dry with a clean paper towel from clean to dirty; use a fresh towel to turn off the faucet
  6. Discard towels in the appropriate receptacle

Critical traps: turning off the faucet with bare hands, rinsing with fingertips up, lathering for less than the full 20 seconds.

2. Measure and Record Radial Pulse and Respirations

  1. Knock, greet, identify, wash hands, explain, provide privacy
  2. Position resident with arm supported and at rest
  3. Place 2-3 finger pads (NOT thumb, NOT fingernail) on the radial artery
  4. Count the pulse for a full 60 seconds
  5. Without telling the resident, keep your fingers in place and count respirations for a full 60 seconds by watching chest rise/fall
  6. Record both numbers on the assigned recording form — your count must be within the Test Observer's allowed tolerance (within 4 beats for pulse, within 2 breaths for respirations)
  7. Wash hands; report findings to the nurse

Critical traps: counting for 30 seconds and doubling, using the thumb, telling the resident you're counting respirations (it changes the rate), missing the recording-form tolerance.

3. Pivot-Transfer a Weight-Bearing, Non-Ambulatory Resident, Bed to Wheelchair, Using a Gait Belt

  1. Wash hands; gather wheelchair, gait belt, non-skid footwear
  2. Position the wheelchair at the foot or head of the bed with the wheelchair arm/wheel touching the bed
  3. Lock wheelchair brakes PRIOR to the resident sitting — this is a brand-new bolded key step in V10.0 and one of the most common automatic failures if skipped
  4. Identify resident; explain procedure; provide privacy
  5. Apply gait belt over clothing at the waist; check that two fingers fit underneath
  6. Bring resident to sitting position with feet flat on floor; let dangle for stability
  7. Assist the resident to pivot and sit in the wheelchair in a controlled manner that ensures safety at all times
  8. Reposition feet on footrests; remove gait belt
  9. Place call light within reach; wash hands; report

Critical traps: unlocked wheelchair brakes before sitting, gait belt under the armpits instead of the waist, lifting from under the arms.

4. Catheter Care for a Female Resident (Demonstrated on a Manikin)

  1. Wash hands; gather supplies and gloves; don gloves
  2. Identify, explain, provide privacy, raise bed to working height
  3. Use soap and water to wash around the catheter where it exits the urethra, using a clean portion of the washcloth for each stroke
  4. Hold the catheter at the exit point while cleaning 3-4 inches down the tubing
  5. Rinse using a clean portion of the washcloth for each stroke
  6. Replace the resident's gown over the perineal area
  7. Remove gloves; wash hands at the end (the bolded 20-second friction key step applies)

Critical traps: reusing a soiled section of washcloth on a new stroke, skipping the final gown replacement, rushing the hand-washing key step.

5. Assist a Resident with a Bedpan, Measure and Record Output

  1. Wash hands; gather bedpan/fracture pan, gloves, graduate
  2. Identify, explain, provide privacy, raise bed
  3. Position the resident on the bedpan correctly — pan not upside down, centered, proper body mechanics used
  4. After the resident is finished, gently remove the bedpan and hold it while the RN Test Observer pours in an unknown amount of fluid
  5. With the graduate at eye level, read the output
  6. Ensure the resident's hands are dry before leaving them
  7. Rinse equipment and empty rinse water into the designated area
  8. Record the output on the signed recording form — your reading must be within 25 mL of the Test Observer's reading
  9. Wash hands (full 20-second friction key step) and report

Critical traps: reading the graduate at an angle instead of eye level, missing the 25 mL tolerance, forgetting to leave the resident's hands dry.


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Question 1 of 5

What is the minimum training hour requirement for an Arkansas-approved nurse aide training program?

A
75 hours
B
90 hours, including 16 initial classroom hours
C
120 hours with 32 clinical
D
180 hours with 60 clinical
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