200+ Free Maine CNA Practice Questions

The Maine CNA competency exam is administered by Prometric on behalf of the Maine Department of Health and Human Services (DHHS) Division of Licensing and Certification. The written exam uses the NNAAP format with 60 questions (50 scored + 10 pretest) and is 90 minutes. Testing is offered once a month at five locations: Auburn, Bangor, Biddeford, Caribou, and Houlton. For scheduling, contact Prometric or the Maine Registry at (207) 624-7300 or (800) 791-4080.

Maine requires 180 hours of state-approved CNA training — the highest requirement in the nation. This includes 90 hours of classroom instruction and 90 hours of supervised clinical practice. This far exceeds the federal OBRA minimum of 75 hours. Training programs must be approved by the Maine State Board of Nursing.

Maine has specific minimum direct care staff-to-resident ratios: 1:5 for day shift, 1:10 for evening shift, and 1:15 for night shift. These ratios include CNAs and are among the most stringent in the nation. Facilities must ensure 24/7 coverage with trained nursing personnel. Maine regulations are found in Code of Maine Regulations, Title 10-144, Chapter 110.

You must correctly answer 35 out of 50 scored questions (70%) on the written exam. The clinical skills exam requires 100% accuracy on critical steps for all 5 randomly selected skills. The 10 pretest questions are not scored — they are used to evaluate future exam questions. You must pass both the written and skills exam to be listed on the Maine Registry.

Maine CNAs must renew every 24 months (2 years) by submitting a renewal application with the Maine Registry of Certified Nursing Assistants & Direct Care Workers. To renew, you must have performed at least 8 hours of paid nursing or nursing-related duties during the renewal period. Your employer must submit verification on official letterhead. There is a $35 biennial renewal fee and a $60 late fee if you renew after expiration.

Maine nursing facilities must provide CNAs with no less than 12 hours per year of in-service education. This is a federal requirement that Maine enforces through the DHHS Division of Licensing and Certification. The facility is responsible for providing documentation of completed in-service education to the CNA. Keep these records with your important papers — you will need them when you renew your listing on the Registry.

CNA-M stands for Certified Nursing Assistant-Medications. It is an expanded scope certification unique to Maine that allows CNAs to administer certain medications under RN supervision. To become a CNA-M, you must hold an active Maine CNA certification, complete an approved medication course (Chapter 5), and pass the CNA-M exam. The Maine State Board of Nursing approves CNA-M training programs and maintains the registry.

Maine CNAs are mandatory reporters. Suspected abuse, neglect, or misappropriation of property must be reported immediately to your supervisor and the nurse in charge. Maine Adult Protective Services (APS) investigates reports of abuse, neglect, or exploitation of dependent adults. The Maine Registry also tracks substantiated findings of abuse, neglect, or misappropriation. Failure to report can result in annotation on the CNA Registry and loss of certification.