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200+ Free North Carolina CNA Practice Questions

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Questions by Category

Basic-Nursing-Skills55 questions
Role-Responsibilities36 questions
Mental-Health-Social29 questions
Safety-Emergency24 questions
Legal-Ethical18 questions
Personal-Care-Skills17 questions
Infection-Control11 questions
Communication10 questions
2026 Statistics

Key Facts: North Carolina CNA Exam

$178

Exam Fee (NC)

Credentia

70

Written Questions

60 scored + 10 pretest

Pass/Fail

Written Scoring

Credentia NC

120 min

Written Time Limit

Credentia

75 hrs

Min. Training Required

NCDHHS

3 attempts

Max Retakes (2 years)

Credentia NC

The North Carolina CNA exam is administered by Credentia and costs $178 for the combined written and skills test. NC requires a minimum 75-hour DHHS-approved Nurse Aide I Training Program. The written test has 70 questions (60 scored + 10 pretest) in 120 minutes with a Pass/Fail scoring system. The skills portion evaluates 5 randomly selected clinical skills. Maximum 3 attempts within 2 years of completing training. Online written exam is available through Credentia with live proctoring. NC Nurse Aide Registry is managed by NCDHHS.

About the North Carolina CNA Exam

The North Carolina CNA exam certifies Nurse Aide I professionals to provide basic patient care in North Carolina. Administered by Credentia using the NNAAP format under the NC Department of Health and Human Services (NCDHHS), it includes a 70-question written test (60 scored + 10 pretest) and a 5-skill clinical demonstration.

Questions

70 scored questions

Time Limit

120 minutes written + skills evaluation

Passing Score

Pass/Fail written + 100% skills

Exam Fee

$178 (Credentia / NC DHHS)

North Carolina CNA Exam Content Outline

35%

Basic Nursing Skills

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

22%

Personal Care / ADL

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

8%

Emotional & Mental Health

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

8%

Client Rights

Privacy, dignity, right to refuse, advance directives, HIPAA, ombudsman program

7%

Communication

Therapeutic communication, documentation, SBAR, reporting changes, HIPAA

7%

Restorative / Self-Care

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

6%

Member of the Health Care Team

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

5%

Legal & Ethical Behavior

NC scope of practice, NCDHHS registry, mandated reporting, OBRA requirements

2%

Spiritual & Cultural Needs

Cultural competence, religious accommodation, spiritual support

How to Pass the North Carolina CNA Exam

What You Need to Know

  • Passing score: Pass/Fail written + 100% skills
  • Exam length: 70 questions
  • Time limit: 120 minutes written + skills evaluation
  • Exam fee: $178

Keys to Passing

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

North Carolina CNA Study Tips from Top Performers

1NC uses Credentia for testing — register at credentia.com/test-takers/ncna
2The written test uses Pass/Fail scoring — 70 questions with 60 scored and 10 pretest items
3Online testing is available through Credentia with live proctoring for the written portion
4Focus on Basic Nursing Skills (35%) and Personal Care (22%) — together they make up 57% of the exam
5Study NCDHHS registry requirements and mandated reporting obligations
6Practice all clinical skills — handwashing is always included in the 5-skill evaluation

Frequently Asked Questions

Who administers the North Carolina CNA exam?

North Carolina CNA exams are administered by Credentia using the NNAAP format under the NC Department of Health and Human Services (NCDHHS). Register through Credentia at credentia.com/test-takers/ncna.

How much does the North Carolina CNA exam cost?

The NC CNA exam costs $178 for the combined written and skills test, paid through Credentia. Training program costs vary from $500 to $2,000.

Can I take the NC CNA written exam online?

Yes, North Carolina offers online written exam testing through Credentia with live proctoring. The clinical skills exam must still be completed in person.

What is the passing score for the NC CNA exam?

The NC CNA written exam uses a Pass/Fail scoring system rather than a specific percentage. The exam has 70 questions (60 scored + 10 pretest items that do not count toward your score). You must also pass all 5 clinical skills with 100% on critical steps.

How many attempts do I get on the NC CNA exam?

North Carolina allows a maximum of 3 attempts within 2 years of completing your training program. After exhausting attempts or exceeding the 2-year window, you must complete a new DHHS-approved training program.