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200+ Free Alabama CNA Practice Questions

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Questions by Category

Personal-Care-Skills39 questions
Role-Responsibilities30 questions
Legal-Ethical26 questions
Basic-Nursing-Skills25 questions
Infection-Control25 questions
Safety-Emergency25 questions
Mental-Health-Social16 questions
Communication14 questions
2026 Statistics

Key Facts: Alabama CNA Exam

60

Written Test Questions

Prometric / ADPH

90 min

Written Test Time Limit

Prometric

5 skills

Clinical Skills Required

Prometric / ADPH

$115

Total Exam Fee

Prometric 2026

3

Max Attempts per Section

ADPH / OBRA

8 hrs

Work Required per 24 Months

ADPH Registry

Alabama uses Prometric to administer its CNA competency exam — 60 questions in 90 minutes with an approximately 70% passing threshold. The clinical skills portion requires demonstrating 5 randomly selected skills from the full skills list; handwashing is typically always included. Fees total $115: $35 Written + $40 Skills + $40 Test Site Admin. Candidates have 3 attempts before needing to retake training. The Alabama Nurse Aide Registry is maintained by ADPH; CNAs must perform at least 8 hours of nurse aide work every 24 months to remain active.

About the Alabama CNA Exam

The Alabama CNA competency evaluation has two parts: a 60-question Written Knowledge Test (90 minutes) and a Clinical Skills Test (5 randomly selected skills in 30 minutes). Passing lists you on the Alabama Nurse Aide Registry maintained by ADPH. Prometric administers the exam at regional test sites across Alabama. You must bring proof of completing an ADPH-approved training program to the test site.

Questions

60 scored questions

Time Limit

90 min written + 30 min skills (5 skills)

Passing Score

70% written + all skills steps

Exam Fee

$115 (Knowledge $35 + Skills $40 + Admin $40) (Alabama Department of Public Health (ADPH) / Prometric)

Alabama CNA Exam Content Outline

22%

Personal Care / ADL (13 questions)

Bathing, grooming, dressing, perineal care, oral hygiene, nail care, elimination, fluid management

35%

Basic Nursing Skills (21 questions)

Vital signs, positioning, transfers, ROM, nutrition, I&O, wound observation, body mechanics

7%

Self Care / Restorative (4 questions)

Restorative programs, independence, assistive devices, aging changes, contracture prevention

8%

Emotional & Mental Health (5 questions)

Depression, dementia, Alzheimer's, grief, end-of-life care, behavioral approaches

2%

Spiritual & Cultural Needs (1 question)

Cultural competence, religious accommodation, spiritual support

7%

Communication (4 questions)

Therapeutic communication, documentation, SBAR, reporting changes, HIPAA

8%

Client Rights (5 questions)

Privacy, dignity, right to refuse, advance directives, HIPAA, grievance process, ombudsman

5%

Legal & Ethical Behavior (3 questions)

Scope of practice, Alabama registry requirements, mandated reporting, confidentiality

6%

Member of the Health Care Team (4 questions)

Delegation, interdisciplinary team, care planning, chain of command, professional behavior

How to Pass the Alabama CNA Exam

What You Need to Know

  • Passing score: 70% written + all skills steps
  • Exam length: 60 questions
  • Time limit: 90 min written + 30 min skills (5 skills)
  • Exam fee: $115 (Knowledge $35 + Skills $40 + Admin $40)

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

Alabama CNA Study Tips from Top Performers

1Know the Alabama ADPH — the Alabama Department of Public Health maintains the Nurse Aide Registry, approves training programs, and regulates nursing facilities. ADPH is the key Alabama-specific agency to know.
2Memorize the exam fees: $35 Written + $40 Skills + $40 Admin = $115 total. This is commonly tested in state-specific questions.
3Understand the 3-attempt rule: you get 3 chances at each exam portion before needing to repeat training.
4The 24-month work requirement: you must perform at least 8 hours of nurse aide work every 24 months to maintain your active Alabama registry status.
575-hour minimum training: Alabama CNA programs require at minimum 75 total hours with at least 16 clinical hours and 16 laboratory hours.
6Know the difference between abuse and neglect under Alabama law — both are reportable and both can result in placement of a finding on your registry record.
7The Alabama Long-Term Care Ombudsman (under Alabama Department of Senior Services) is the resident advocate — know this for client rights questions.
8Handwashing is almost always one of the 5 clinical skills tested — know every step perfectly including timing (20+ seconds).

Frequently Asked Questions

Who administers the Alabama CNA exam?

The Alabama CNA competency evaluation is administered by Prometric on behalf of the Alabama Department of Public Health (ADPH). Prometric operates regional test sites across Alabama including in Birmingham, Huntsville, Montgomery, Mobile, and other cities.

How many questions are on the Alabama CNA Written Test?

The Alabama Written Knowledge Test has 60 multiple-choice questions with a 90-minute time limit. You need approximately 70% (about 42 correct) to pass, though the exact passing score is determined by ADPH and may be adjusted.

What does the Alabama CNA Skills Test involve?

You must demonstrate 5 randomly selected skills in 30 minutes before a licensed Nurse Aide Evaluator. You are expected to perform all required steps of each skill correctly. Handwashing is typically always one of the 5 skills. Skills include bed bath, vital signs, positioning, transfers, catheter care, and more.

How much does the Alabama CNA exam cost?

Total fees are $115: Written Knowledge Test = $35, Clinical Skills Test = $40, and Test Site Administration Fee = $40. Payment is by credit card, money order, or cashier's check. Fees are non-refundable.

How many times can I take the Alabama CNA exam?

You may attempt each test (Written and Skills) a maximum of 3 times. After 3 failed attempts on either portion, you must complete an additional state-approved CNA training program before retesting.

Where is the Alabama Nurse Aide Registry?

The Alabama Nurse Aide Registry is maintained by the Alabama Department of Public Health (ADPH). After passing both exam portions, Prometric automatically reports results to ADPH, which lists you on the registry within a few business days. You can verify your status at the ADPH website.

Alabama CNA Resources