200+ Free Missouri CNA Practice Questions
Pass your Missouri Certified Nursing Assistant exam on the first try — instant access, no signup required.
Choose Your Practice Session
Select how many questions you want to practice
Questions by Category
Key Facts: Missouri CNA Exam
75
Classroom Training Hours
Missouri DHSS
100
On-the-Job Training Hours
Missouri DHSS
75
Written Exam Questions
Headmaster
24 mo
Certification Period
Missouri DHSS
8 hrs
Paid Work Required to Renew
Per 24 months
5
Content Domains
Headmaster outline
Missouri requires 75 hours of classroom training and 100 hours of on-the-job training (175 total hours). The exam is administered by Headmaster/D&S and covers five domains: Role of the Nurse Aide (18%), Promotion of Safety (19%), Basic Nursing Care (21%), Function and Health of Residents (21%), and Specialized Care (21%). Certification renewal requires at least 8 hours of paid employment every 24 months. CNAs can apply for reciprocity if certified in another state.
About the Missouri CNA Exam
The Missouri CNA competency exam is administered by Headmaster/D&S Diversified Technologies on behalf of the Missouri Department of Health and Senior Services (DHSS). The exam has two parts: a written test (75 questions) and a clinical skills test. Missouri requires completion of a state-approved CNA training program consisting of 75 hours of classroom training and 100 hours of on-the-job training under Section 198.082, RSMo and the Omnibus Nursing Home Act.
Questions
75 scored questions
Time Limit
90 min written + skills
Passing Score
Pass on written + 100% skills steps
Exam Fee
~$115 (varies by testing site) (Headmaster / D&S Diversified Technologies (Missouri DHSS))
Missouri CNA Exam Content Outline
Role of the Nurse Aide
Scope of practice, Missouri DHSS regulations, OBRA, CNA training requirements, reporting, delegation, professionalism, legal/ethical issues
Promotion of Safety
Infection control, standard precautions, PPE, fire safety (RACE), body mechanics, fall prevention, emergency response, disaster preparedness
Basic Nursing Care
Vital signs, positioning, transfers, range of motion, personal care, nutrition, hydration, elimination, skin care, restorative care
Function and Health of Residents
Disease processes, aging, mental health, cognitive impairment, observations, reporting changes, end-of-life care
Specialized Care
Specific care for residents with special needs: diabetes, dementia, stroke, developmental disabilities, rehabilitation, hospice
How to Pass the Missouri CNA Exam
What You Need to Know
- Passing score: Pass on written + 100% skills steps
- Exam length: 75 questions
- Time limit: 90 min written + skills
- Exam fee: ~$115 (varies by testing site)
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
Missouri CNA Study Tips from Top Performers
Frequently Asked Questions
Who administers the Missouri CNA exam?
The Missouri CNA competency exam is administered by Headmaster/D&S Diversified Technologies on behalf of the Missouri Department of Health and Senior Services (DHSS). The written exam consists of 75 multiple-choice questions covering the five content domains. The clinical skills test requires demonstrating competency in specific nursing assistant skills.
What are the training requirements for Missouri CNAs?
Missouri requires completion of a state-approved CNA training program consisting of 75 hours of classroom training and 100 hours of on-the-job training (175 total hours) under Section 198.082, RSMo and the Omnibus Nursing Home Act. Training programs must be approved by the Missouri DHSS.
How do I renew my Missouri CNA certification?
Missouri CNAs must renew their certification every 24 months. To renew, you must provide documentation of at least 8 hours of paid employment performing nursing-related services under the supervision of a licensed nurse during the 24-month certification period. Contact the DHSS Health Education Unit at 573-526-5686 for renewal information.
Can I transfer my CNA certification from another state to Missouri?
Yes. If you are currently certified in another state and in good standing, you can apply for reciprocity with Missouri. Once your application is approved, you may log into the Headmaster TMU system and print your Missouri CNA certificate. Contact the Missouri DHSS for specific reciprocity requirements.
What if my Missouri CNA certification has lapsed?
If your Missouri CNA certification has lapsed due to failure to meet the employment requirements, you may need to retake the competency examination or complete additional training depending on how long your certification has been inactive. Contact the Missouri DHSS Health Education Unit at 573-526-5686 for guidance on reinstatement.
How do I report suspected abuse or neglect in Missouri?
Missouri CNAs are mandatory reporters of suspected abuse, neglect, or exploitation of vulnerable adults. Reports can be made to the Missouri Adult Abuse and Neglect Hotline at 1-800-392-0210. In emergencies, call 911. You must also report to your supervisor. Failure to report is a violation of Missouri law.