200+ Free Hawaii CNA Practice Questions

Prometric administers the Hawaii CNA competency examination on behalf of the Hawaii Department of Commerce and Consumer Affairs (DCCA), Professional and Vocational Licensing Division (PVL). The exam has two parts: a 60-question written test (90 minutes) and a clinical skills demonstration (5 randomly selected skills). After passing both portions, your name is added to the Hawaii Nurse Aide Registry maintained by DCCA/PVL. Contact Prometric at 1-800-853-6773 or visit prometric.com to schedule.

Hawaii requires a minimum of 100 hours of state-approved CNA training before you may take the Prometric competency examination. This exceeds the federal OBRA 1987 minimum of 75 hours. Training must be provided by a Hawaii DCCA-approved program, and at least a portion must include supervised clinical practice in a long-term care or similar setting.

You have a maximum of 3 attempts to pass both the written and clinical skills portions of the Hawaii CNA exam. All attempts must be completed within 2 years of your eligibility date (typically the date you complete your training program). If you do not pass both portions within the 2-year window or 3 attempts (whichever comes first), you must complete another approved training program before testing again.

The Hawaii CNA Written Test (administered by Prometric) has 60 questions in 90 minutes, following the Prometric content outline: Role of the Nurse Aide (20%), Promotion of Safety (18%), Promotion of Function and Health of Residents (22%), Basic Nursing Care Provided by the Nurse Aide (26%), and Providing Specialized Care for Residents with Changes in Health (14%). Hawaii-specific content includes DCCA/PVL regulations, HRS Chapter 346 (mandatory abuse reporting), HRS Chapter 327E (advance directives), MedQuest (Hawaii Medicaid), and cultural care practices for Hawaii's diverse population.

Under Hawaii Revised Statutes (HRS) Chapter 346, Hawaii CNAs are mandatory reporters of suspected abuse, neglect, or exploitation of vulnerable adults (residents). You must report immediately to your charge nurse and supervisor. Facilities must report to Adult Protective Services (APS) within the Department of Human Services. A substantiated finding of abuse or neglect results in a notation on the Hawaii Nurse Aide Registry, which bars you from working in any Medicare/Medicaid-certified facility nationwide.

If you hold an active CNA certification in another U.S. state or territory with no findings of abuse, neglect, or misappropriation on any state registry, you may apply for reciprocity through the Hawaii DCCA/PVL. Contact the Professional and Vocational Licensing Division at pvl.hawaii.gov for current reciprocity requirements and application forms. You generally will not need to retest if your home-state registry is active and in good standing.

Hawaii's CNA exam is notable for its focus on cultural competency given Hawaii's uniquely diverse population — including Native Hawaiian, Filipino, Japanese, Chinese, Korean, and Pacific Islander residents. Hawaii also has some of the highest rates of diabetes and end-stage renal disease in the nation (especially in Native Hawaiian and Pacific Islander communities), making specialized care knowledge critical. The exam is administered by Prometric, Hawaii requires 100 hours of training (above the national minimum), and the $200 exam fee is among the higher state fees nationally.