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Questions by Category

Basic-Nursing-Skills57 questions
Legal-Ethical32 questions
Role-Responsibilities28 questions
Mental-Health-Social26 questions
Communication17 questions
Safety-Emergency16 questions
Personal-Care-Skills14 questions
Infection-Control10 questions
2026 Statistics

Key Facts: DC CNA Exam

60

Written Questions

NNAAP format

70%

Written Passing Score

42/60 questions

$55

Written Exam Fee

Credentia

75 hrs

Training Required

DC Health / OBRA

24 hrs

CE Every 2 Yrs

D.C. Official Code § 3-1205.10

2 hrs

LGBTQ+ CE Required

DC-specific mandate

The District of Columbia CNA exam uses the NNAAP format administered by Credentia. DC Health (formerly DC DOH) oversees the Nurse Aide Registry. DC's unique renewal requirement mandates 2 hours of LGBTQ+ cultural competency CE under D.C. Official Code § 3-1205.10(b)(5) — one of the nation's most progressive requirements. DC's diverse population makes cultural competency critical on the exam and in practice.

About the DC CNA Exam

The DC CNA exam is administered by Credentia in the NNAAP format: 60 scored multiple-choice questions (90 min) plus a clinical skills demonstration. Passing certifies you for the DC Health Nurse Aide Registry. DC requires at least 75 hours of approved training (16 clinical) before testing. DC mandates 24 hours of CE every 2 years for renewal, including 2 hours of LGBTQ+ cultural competency.

Questions

60 scored questions

Time Limit

90 minutes written + skills test

Passing Score

70% written + 100% skills

Exam Fee

$55 written / $110 skills only (Credentia / DC Health (HRLA))

DC CNA Exam Content Outline

35%

Basic Nursing Skills

Infection control, safety/emergency, therapeutic procedures, vital signs, data collection and reporting

14%

Activities of Daily Living

Hygiene, dressing and grooming, nutrition and hydration, elimination, rest and comfort

10%

Member of Health Care Team

Delegation, scope of practice, chain of command, DC Health regulations, teamwork

10%

Emotional & Mental Health

Dementia care, anxiety, depression, behavioral support, person-centered approaches

8%

Restorative Skills

Range of motion, ambulation, transfers, self-care promotion, adaptive devices

7%

Communication

Verbal/nonverbal, therapeutic communication, reporting, documentation, language access

7%

Client Rights

OBRA rights, DC Long-Term Care Ombudsman, privacy, autonomy, advance directives

5%

Legal & Ethical Behavior

DC Adult Protective Services, mandatory reporting, HIPAA, scope of practice, ethics

4%

Spiritual & Cultural Needs

Cultural sensitivity, LGBTQ+ inclusive care (DC-specific CE requirement), religious accommodation

How to Pass the DC CNA Exam

What You Need to Know

  • Passing score: 70% written + 100% skills
  • Exam length: 60 questions
  • Time limit: 90 minutes written + skills test
  • Exam fee: $55 written / $110 skills only

Keys to Passing

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

DC CNA Study Tips from Top Performers

1Know DC's unique requirements: 75-hour training (16 clinical), Credentia NNAAP format, $55 written fee
2Study LGBTQ+ cultural competency — DC requires 2 hours of CE in this area and tests cultural sensitivity
3Memorize DC Adult Protective Services: mandatory reporting for CNAs, 202-541-3950
4Review DC Human Rights Act protections for residents: name, pronouns, religious/cultural preferences
5Master infection control (35% of exam): hand hygiene steps, PPE selection, isolation precautions
6Know the DC Healthcare Decisions Act — governs advance directives, DPAHC, and POLST forms in DC

Frequently Asked Questions

Who administers the DC CNA exam?

Credentia administers the DC CNA competency exam (NNAAP format) on behalf of DC Health's Health Regulation and Licensing Administration (HRLA). The exam has two parts: a 60-question written test (90 minutes) and a clinical skills demonstration. After passing, you are listed on the DC Nurse Aide Registry.

What are DC's CNA training requirements?

DC requires a minimum of 75 hours of state-approved CNA training before testing, including at least 16 hours of supervised clinical practice. Training programs must be approved by DC Health. This meets the federal minimum requirement under OBRA 1987.

What is DC's unique CNA renewal requirement?

DC CNAs must complete 24 hours of continuing education every 2 years for renewal. Uniquely, DC requires: (1) 2 hours specifically in LGBTQ+ cultural competency or specialized clinical training under D.C. Official Code § 3-1205.10(b)(5), and (2) 10% of total hours (about 2.4 hours) in DC public health priorities set by the Director. A criminal background check clearance is also required.

How do I report abuse as a DC CNA?

DC CNAs are mandatory reporters under the DC Adult Protective Services Act. You must immediately report suspected abuse, neglect, financial exploitation, or self-neglect to DC Adult Protective Services (202-541-3950) and to your supervisor. The DC Long-Term Care Ombudsman Program also accepts complaints about nursing facility care.

What is the DC CNA exam fee?

Credentia charges $55 for the written examination and $110 for the skills evaluation only. Fees are non-refundable and non-transferable.

How do I transfer my CNA certification to DC?

If you are already listed on another state's nurse aide registry as active and in good standing, you may apply for reciprocity to enroll on the DC Nurse Aide Registry through the Credentia Platform without retesting.

DC CNA Resources