Healthcare15 min read

FREE Georgia CNA Exam Guide 2026: Pass NNAAP Written & Skills First Try

Complete FREE 2026 Georgia CNA study guide: 85-hour training, 70 written questions, 5 clinical skills, $130 fee, GMCF/Credentia registry. Practice questions included.

Ran Chen, EA, CFP®April 24, 2026

Key Facts

  • Georgia CNA candidates must complete a minimum 85-hour state-approved training program, including 24 hours of hands-on clinical experience in a nursing facility.
  • The Georgia NNAAP written exam contains 70 multiple-choice questions (60 scored plus 10 pretest) with a 90-minute time limit administered by Credentia.
  • The Georgia CNA skills test requires candidates to perform 5 randomly selected skills from a 23-skill list within 30 minutes at a Regional Testing Site.
  • Georgia's combined written plus skills competency evaluation fee is $130, effective April 2023 through 2026 with no increase scheduled.
  • Hand Hygiene is always skill number one on the Georgia NNAAP, requiring running water — using hand sanitizer is an automatic critical-step fail.
  • Georgia CNAs renew every 24 months free with proof of 8 paid nursing hours under licensed nurse supervision — no continuing education required.
  • Passing candidates are listed on the Georgia Nurse Aide Registry within 10 business days by Alliant Health Solutions / GMCF under DCH contract.
  • Georgia allows 3 total attempts at the NNAAP competency evaluation within 12 months of training completion before full retraining is required.
  • Out-of-state CNAs can transfer to Georgia through reciprocity at no cost, with processing in 14 business days via the Self-Service Portal.
  • The average Georgia CNA earns $35,240 annually or $16.94 hourly in 2026, with Atlanta metro pay reaching $47,489 at the 75th percentile.

Georgia CNA Exam 2026: Your Complete Nurse Aide Certification Guide

The Georgia Certified Nurse Aide (CNA) exam — officially called the Nurse Aide Competency Evaluation — is a two-part test required to work as a nursing assistant in Georgia long-term care facilities, hospitals, and home health agencies. Georgia uses the National Nurse Aide Assessment Program (NNAAP®), administered by Credentia under contract with the Georgia Department of Community Health (DCH) and Alliant Health Solutions / Georgia Medical Care Foundation (GMCF).

Georgia has roughly 30,000+ active CNAs on its registry and is one of the state's highest-demand healthcare entry points. This guide walks you through training hours, exam format, all 23 testable skills, fees, registry listing, renewal, reciprocity, and Georgia salary data — so you pass on the first try and start working.


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Georgia CNA Exam Format at a Glance

ComponentDetails
Testing VendorCredentia (NNAAP)
Written Exam70 multiple-choice questions
Written Time Limit90 minutes (oral version same)
Skills Test5 skills randomly selected from 23
Skills Time Limit30–40 minutes
Passing — Written~75% (score report pass/fail)
Passing — SkillsMust perform every critical step correctly on all 5 skills
Fee (Written + Skills)$130 (Oral + Skills also $130)
Fee (Written only)$35
Fee (Skills only)$95
Attempts Allowed3 attempts within 12 months of training completion
Scheduling PlatformCNA365 (Credentia)
Registry ListingWithin 10 business days of passing

Georgia is one of a shrinking number of states that still offers both in-person Regional Testing Sites (RTS) and online proctored written/oral exams through Credentia (skills must still be taken in person). Written and oral exams can now be taken from home on any private computer with webcam and stable internet — a live proctor monitors you throughout.

Active Georgia Regional Testing Sites

Skills exams are administered in person at Credentia-approved Regional Testing Sites across Georgia, including Milledgeville, Marietta, Norcross, Valdosta, Douglasville, and Midway. New RTS locations are added quarterly — check Credentia's active GA sites list for the current roster.

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Georgia Training Requirements: 85 Hours Minimum

Federal OBRA law sets a 75-hour floor. Georgia exceeds it — you need 85 total hours minimum, broken down as:

  • 16 hours pre-clinical instruction (communication, infection control, safety, resident rights, ethics) required BEFORE any hands-on patient contact
  • 61+ hours total classroom / laboratory instruction
  • 24+ hours hands-on clinical experience in a licensed Georgia nursing facility

Medicare/Medicaid-certified nursing homes are required by federal law to reimburse exam and training costs for employees they hire within 12 months of CNA certification. If the facility hires you after training, ask about tuition reimbursement — many Georgia skilled nursing facilities cover the full $130 exam fee and partial training cost.

Who Approves Georgia Training Programs?

Programs are approved by Georgia DCH, with administration handled by Alliant GMCF. Approved training providers include:

  • Technical College System of Georgia (TCSG) — 22 state technical colleges offer CNA programs (Atlanta Tech, Gwinnett Tech, Chattahoochee Tech, Savannah Tech, etc.)
  • Nursing facilities with in-house DCH-approved training
  • Private career schools approved by DCH (Red Cross, Georgia CNA Academy, others)
  • High school HOSA/healthcare science programs in select districts
  • Hospital-based programs at some Georgia health systems

Programs typically cost $500–$1,500 and run 4–12 weeks depending on full-time vs part-time schedule. Some facilities offer free CNA training in exchange for an employment commitment.

Other Georgia Eligibility Rules

  • Must be 16 years old minimum (most programs require 18)
  • Must pass a criminal background check (felonies involving abuse, neglect, or drug diversion are disqualifying)
  • Must be fingerprinted through GAPS (Georgia Applicant Processing Service)
  • Must show proof of TB test, immunizations, and physical exam
  • Must have a valid government-issued photo ID and Social Security number

Georgia CNA Written Exam: 70 Questions, 9 Content Areas

The NNAAP written exam has 70 multiple-choice questions (10 are unscored pretest items; 60 are scored). You have 90 minutes. If English is your second language, Georgia allows you to take the oral version instead — questions are read aloud through headphones.

NNAAP Written Content Breakdown

Content Area% of ExamFocus
Physical Care Skills64%Activities of daily living, basic nursing, restorative services
→ Activities of Daily Living14%Hygiene, dressing, nutrition, elimination
→ Basic Nursing Skills39%Vitals, infection control, safety, data collection
→ Restorative Services11%Mobility, prevention, self-care support
Psychosocial Care Skills10%Emotional, mental health, cultural, spiritual needs
Role of the Nurse Aide26%Communication, residents' rights, legal/ethical, member of care team

High-Yield Topics (Georgia Focus)

  1. Infection control — standard precautions, PPE donning/doffing order, 20-second hand washing, transmission-based precautions
  2. Residents' rights under OBRA — privacy, refusal of care, grievance, personal property
  3. Safety — fall prevention, RACE fire response, PASS extinguisher use, restraint alternatives
  4. Vital signs normal ranges — BP 90/60–120/80, pulse 60–100, respirations 12–20, temp 97.6–99.6°F
  5. Dementia care — validation, reality orientation, sundowning, redirection
  6. Abuse and neglect reporting — mandatory reporting to nurse and DCH
  7. Body mechanics — lift with legs, keep load close, avoid twisting
  8. Communication — active listening, therapeutic responses, cultural sensitivity

Free Georgia CNA Practice Questions

Access 200+ FREE Georgia CNA Practice QuestionsFree exam prep with practice questions & AI tutor

Our question bank mirrors the NNAAP blueprint with detailed explanations for every answer. Filter by content area, track weak spots, and use the AI tutor to explain any question you miss.


Georgia CNA Skills Test: All 23 Skills

You'll perform 5 skills randomly selected by the Nurse Aide Evaluator. Skill 1 (Hand Hygiene) is always tested first as a standalone skill. You have 30–40 minutes total and must execute every critical step (bolded on Credentia's checklist) correctly.

The Complete Georgia NNAAP Skills List (2024 revision, current for 2026)

  1. Hand Hygiene (Hand Washing) — always first, always graded; must use running water
  2. Applies One Knee-High Elastic Stocking
  3. Assists to Ambulate Using Transfer Belt
  4. Assists With Use of Bedpan
  5. Cleans Upper or Lower Denture
  6. Counts and Records Radial Pulse
  7. Counts and Records Respirations
  8. Donning and Removing PPE (Gown and Gloves)
  9. Dresses Client with Affected (Weak) Right Arm
  10. Feeds Client Who Cannot Feed Self
  11. Gives Modified Bed Bath (Face, One Arm, Hand, Underarm)
  12. Measures and Records Electronic Blood Pressure
  13. Measures and Records Urinary Output
  14. Measures and Records Weight of Ambulatory Client
  15. Performs Modified PROM for One Knee and One Ankle
  16. Performs Modified PROM for One Shoulder
  17. Positions on Side
  18. Provides Catheter Care for Female
  19. Provides Foot Care on One Foot
  20. Provides Mouth Care
  21. Provides Perineal Care (Peri-Care) for Female
  22. Transfers from Bed to Wheelchair Using Transfer Belt
  23. Measures and Records Manual Blood Pressure

Critical Steps Required on EVERY Skill

These are automatic-fail triggers if missed. Memorize them until they are reflex:

  • Knock before entering and greet the client by name
  • Identify yourself and state your role
  • Explain the procedure before starting
  • Provide privacy (close door, pull curtain)
  • Wash hands before and after the skill
  • Raise bed to working height, lower when finished
  • Ask about comfort and needs before leaving
  • Place call light within reach before leaving the room
  • Report completion to the evaluator

Skill Demo Strategy

  • Talk your way through every step out loud — evaluators score what they see AND hear
  • Don't skip steps even if they feel redundant (e.g., washing hands between contaminated-to-clean tasks)
  • Count pulse and respirations for a full 60 seconds — 30-second doubling is a common fail
  • Apply BP cuff 1 inch above the antecubital space with the artery marker aligned
  • Always lock wheelchair brakes before transfer; unlock bed wheels only when moving the bed
  • Discard gloves before touching clean surfaces (door handles, pen, chart)

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Our skills module breaks each skill into numbered steps with critical elements flagged in red and common failure points called out explicitly.


Georgia CNA Exam Fees (Effective April 2023, Current 2026)

Exam TypeFee
Written Exam Only$35
Oral Exam Only$35
Skills Exam Only$95
Competency Evaluation (Written + Skills)$130
Competency Evaluation (Oral + Skills)$130
Reciprocity ApplicationFREE
Registry RenewalFREE

Fees are paid directly to Credentia when you schedule through CNA365 (the Credentia candidate platform). Accepted payment: credit/debit card, ACH bank transfer, or employer voucher. All fees are non-refundable and non-transferable. If your nursing facility employer sponsors you, they often pay the $130 competency fee up front — Medicare/Medicaid-certified facilities are federally required to reimburse exam costs for hires.

Retake Fees

  • Failed written only: retake for $35
  • Failed skills only: retake for $95
  • Failed both: retake both portions for $130
  • You have 3 attempts within 12 months of training completion before you must retrain

Georgia-Specific Pitfalls That Fail Candidates

After reviewing years of candidate reports and Credentia directives, these are the most common reasons Georgia candidates fail:

  1. Skipping hand hygiene between steps — 20-second scrub minimum, every transition
  2. Not counting vitals for a full minute — Credentia evaluators require 60 seconds
  3. Forgetting the call light at the end of a skill — automatic critical-step fail
  4. Transferring without locking wheelchair brakes — safety violation, fails the skill
  5. Wrong PPE order — gown → mask → goggles → gloves going on; gloves → goggles → gown → mask coming off
  6. Measuring weight with shoes on — must remove shoes for accurate weight
  7. Using the strong arm first when dressing — always dress the weak/affected side first, undress the strong side first
  8. Contaminating clean linen — don't let it touch your uniform, the floor, or the overbed table
  9. Missing the 12-month testing window after training — you must retake the full 85-hour program if you exceed 12 months with 3 failed attempts
  10. Arriving late — Credentia requires candidates arrive 30 minutes before start time; late arrival = forfeited fee

Taking the Georgia Written Exam Online (Remote Proctoring)

Georgia is one of the few states where you can take the NNAAP written or oral exam from home via Credentia's online proctoring. Skills must still be in person at a Regional Testing Site.

Online Proctoring Technical Requirements

  • Desktop or laptop computer (tablets and phones are NOT allowed)
  • Working webcam + microphone (external webcam recommended)
  • Stable broadband internet (minimum 2 Mbps up/down)
  • Private, well-lit, quiet room — nobody else in the room during the exam
  • Cleared desk — no papers, phones, watches, food, or drinks
  • Government-issued photo ID with signature
  • 360° room scan required before the exam starts

Common Online Exam Fails

  • Looking off-camera (reading notes or consulting anyone) = dismissal, fee forfeited
  • Background noise or a second person entering the room = exam voided
  • Wearing a smartwatch or earbuds = exam voided
  • Leaving the seat for any reason (no bathroom breaks) = exam ends
  • Running Chrome extensions or screen-share software = check-in fails

If your home setup is unreliable, schedule the in-person written exam at a Regional Testing Site instead — same $35 fee, same 90-minute limit.


Georgia CNA Test-Day Checklist

Bring to the Test

  • Two forms of ID (one government-issued photo ID with signature)
  • Credentia admission letter / scheduling confirmation
  • Watch with a second hand (for counting vitals) — digital watches are NOT allowed
  • Flat, closed-toe non-slip shoes (scrubs optional but recommended)
  • Pen (black or blue ink)

Do NOT Bring

  • Cell phone (must be turned off and stored)
  • Smart watch / fitness tracker
  • Food, drinks, or gum
  • Study notes of any kind
  • Long acrylic nails, dangling jewelry, or strong perfume

Morning-Of Tips

  • Eat a protein-rich breakfast (you'll be on your feet 30+ minutes for skills)
  • Hair pulled back, nails trimmed short
  • Wear scrubs or professional attire — no open-toe shoes, shorts, or sleeveless tops
  • Arrive 30 minutes early; check-in closes at start time

The Georgia Nurse Aide Registry

Passing the competency evaluation gets you listed on the Georgia Nurse Aide Registry within 10 business days. Employers are required by federal law to verify registry status before hiring any CNA.

Verifying Your Registry Status

  • Public verification: careconnect.georgia.gov or nurseaide.allianthealth.org
  • Registry phone (Alliant GMCF): (678) 527-3010 or (888) 383-5662
  • Credentia candidate support: (888) 204-6249
  • Your listing includes: name, certificate number, expiration date, and any findings of abuse/neglect/misappropriation
  • Name or address changes must be reported within 10 business days via the Address/Name Change Form at careconnect.georgia.gov — name changes require a signed SSA card or court decree plus a government photo ID
  • Neglect-finding removal: CNAs revoked for a single neglect finding may petition for removal from the registry after 1 year if employment history shows no pattern of abuse

Renewal (Every 24 Months, FREE)

Georgia uses employment-based renewal — no classroom hours or continuing education required.

  • You must work at least 8 hours of paid nursing-related work every 24 months under a licensed nurse's supervision
  • Volunteer hours do NOT count; private-duty work requires a notarized RN/LPN statement
  • You'll receive a reminder ~60 days before expiration
  • Submit proof of employment through the Nurse Aide Program Self-Service Portal
  • No renewal fee

If you don't meet the 8-hour requirement within the 24-month window, you must retake the 85-hour training program and pass the competency evaluation again to relist.

Reciprocity (Out-of-State CNAs Moving to Georgia)

Georgia accepts reciprocity applications from CNAs listed in good standing in other state registries.

Requirements:

  • Active status on another state's Nurse Aide Registry (no expired certs)
  • No findings of abuse, neglect, or misappropriation
  • Recent employment as a CNA within the past 24 months
  • Training that met or exceeded federal OBRA standards (75 hours)
  • Georgia background check clearance

Process:

  1. Submit the Georgia Reciprocity Form via the Self-Service Portal
  2. Provide proof of current registry listing and employment verification
  3. Complete a Georgia background check
  4. Allow 14 business days for processing (longer if mailed)
  5. Fee: FREE

Georgia CNA Study Timeline (6-Week Plan)

WeekFocusHoursActivities
1Foundations8–10Role of the CNA, communication, residents' rights, legal/ethical
2Infection & Safety8–10Standard precautions, PPE, hand hygiene, fire/fall safety
3Physical Care Basics10–12Vital signs, ADLs, hygiene, elimination, nutrition
4Advanced Nursing Skills10–12Transfers, ROM, catheter care, data collection, restorative
5Psychosocial & Special Populations6–8Dementia, end-of-life, mental health, cultural sensitivity
6Full Review + Skills Practice10–15Timed practice tests, demo all 23 skills, identify weak spots

Total: 60–80 hours of focused study on top of your 85-hour training program.


Georgia CNA Salary and Career Outlook

Georgia CNA Pay in 2026

LocationHourlyAnnual
Georgia statewide average$16.94$35,240
Atlanta metro$16.95–$20.00$35,200–$41,600
Atlanta 75th percentile~$22.83$47,489
Savannah / coastal GA$15.50–$18.00$32,240–$37,440
Augusta$15.00–$17.50$31,200–$36,400
Columbus / Macon$14.50–$17.00$30,160–$35,360
Rural north GA$13.50–$16.00$28,080–$33,280

Pay varies by setting: hospitals pay ~15% more than long-term care, and hospice / home health often pay highest with shift differentials. Night and weekend differentials add $2–$4/hour.

Where Georgia CNAs Work

  • Skilled nursing facilities (nursing homes) — largest employer
  • Hospitals (Emory, Piedmont, Wellstar, Northside, Grady, Augusta Health)
  • Assisted living and memory care
  • Home health agencies
  • Hospice agencies
  • Rehabilitation centers
  • VA medical centers

Career Advancement Pathways

PathDurationNext Step
CNA → LPN12–18 monthsGeorgia technical college LPN program
CNA → ADN (RN)2 yearsAssociate nursing at TCSG or community college
CNA → BSN (RN)4 yearsGeorgia State, Kennesaw State, GCSU, Emory
CNA → Medication Aide (CMA)+40–100 hoursGeorgia CMA certification
CNA → Patient Care TechOn-the-jobHospital PCT with phlebotomy/EKG training

Pass the Georgia CNA Exam with Confidence

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Join Georgia candidates who passed their NNAAP competency evaluation with our comprehensive, 100% FREE study tools:

  • 200+ Georgia-aligned practice questions mirroring the NNAAP blueprint
  • All 23 skills with step-by-step critical element checklists
  • AI tutor that explains wrong answers and quizzes you on weak areas
  • Mock exams with the exact 70-question, 90-minute format
  • Regularly updated for 2026 Credentia directives

No credit card. No trial. No catch. Just free prep that works.


Official Georgia CNA Resources

Test Your Knowledge
Question 1 of 5

How many skills are randomly selected for the Georgia CNA skills evaluation?

A
3 skills from a list of 15
B
5 skills from a list of 23
C
7 skills from a list of 25
D
10 skills from a list of 30
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