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Key Facts: Nebraska CNA Exam

50

Knowledge Exam Questions

Nebraska DHHS

70%

Passing Score Required

Nebraska DHHS

6 skills

Skills Exam

Nebraska DHHS (70% each)

$0

DHHS Nurse Aide Fee

Nebraska DHHS (exam fees set by provider)

75 hrs

Minimum Training

OBRA/Federal

8 hrs

Paid Work to Renew

Within 24 months of last nurse aide job

Nebraska does not use a national testing vendor: DHHS-approved providers give the state written/oral exam (50 questions, 70% to pass) and a 6-skill exam (at least 70% on each skill, all mandatory steps). Fees are set by the provider; for example, NHCLC charges $50 written + $50 clinical. Training requires 75 hours. You get 3 opportunities to pass each exam before retaking the course. Registry listings do not expire while you work as a paid nurse aide within 24 months of your last nurse aide job.

Sample Nebraska CNA Practice Questions

Try these sample questions to review concepts for the Nebraska CNA exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 508+ question experience with AI tutoring.

1When assisting a Nebraska nursing home resident with a complete bed bath, which area of the body should the CNA wash LAST?
A.The back and buttocks
B.The perineal area
C.The face and neck
D.The arms and hands
Explanation: The perineal area should always be washed last during a complete bed bath, moving from the cleanest area (face) to the dirtiest (perineal). This sequence prevents cross-contamination and reduces the risk of urinary tract infections. This principle applies in all Nebraska long-term care facilities regulated by the Nebraska Department of Health and Human Services (DHHS).
2A resident at a Nebraska long-term care facility has left-sided weakness following a stroke. When helping the resident get dressed, the CNA should:
A.Dress the right (stronger) arm first to prevent muscle fatigue
B.Dress the left (weaker) arm first to minimize discomfort and strain
C.Have the resident choose which arm to dress first
D.Call the nurse before assisting with dressing to get permission
Explanation: The correct technique is to dress the weak or affected side first and undress the strong side first. When dressing the left (weaker) arm first, the garment is positioned over the arm with limited mobility before threading the stronger arm through. This reduces pain and the risk of injury. The mnemonic is: "Dress the worst first, undress the best first."
3While providing oral care to an unconscious Nebraska nursing home resident, the CNA should position the resident:
A.Flat on the back (supine) to prevent neck strain
B.In a sitting position at 90 degrees
C.On the side (lateral position) with the head turned to allow drainage
D.Prone (face-down) to keep the airway clear
Explanation: An unconscious resident must be positioned on their side (lateral/Sims position) with the head turned during oral care to prevent aspiration of fluids into the lungs. The supine position is dangerous for unconscious patients because secretions and fluids can pool in the throat and be aspirated. This is a critical safety measure taught in all Nebraska DHHS-approved CNA training programs.
4A resident in a Nebraska nursing facility requests that the CNA leave the room during a bed bath. The CNA should:
A.Refuse and explain that the bath must be completed for the resident's health
B.Leave the room but check back every 5 minutes to ensure safety
C.Respect the resident's right to privacy and modify the approach to meet the resident's wishes
D.Notify the nurse immediately that the resident is being non-compliant
Explanation: Residents have the right to privacy and to refuse or modify care per OBRA (Omnibus Budget Reconciliation Act), which is enforced in all Nebraska nursing facilities by the DHHS. The CNA should work with the resident to find an acceptable approach, such as having the resident wash certain areas independently. Resident rights are protected under Nebraska's nursing home regulations and federal law.
5When performing nail care for a diabetic resident at a Nebraska long-term care facility, the CNA should:
A.Clip toenails straight across and report any abnormalities to the nurse
B.Clip and file the toenails to keep them short and smooth
C.Refer all nail care for diabetic residents to the nurse or podiatrist
D.Soak the feet for 30 minutes before clipping to soften the nails
Explanation: CNAs should NOT clip the toenails of diabetic residents. Diabetics have reduced blood circulation and nerve sensation in the feet, making even minor cuts from nail clipping potentially serious. Toenail care for diabetic residents must be performed by a nurse or licensed podiatrist. The CNA can soak and clean the feet but must refer nail trimming to a licensed professional. This is a scope-of-practice limitation in Nebraska.
6A resident at a Nebraska nursing facility has dentures. When storing the resident's dentures overnight, the CNA should:
A.Store them dry in a labeled container to prevent bacterial growth
B.Rinse them with hot water and store in the resident's bedside drawer
C.Place them in a labeled container with cool water or a denture cleanser solution
D.Wrap them in a tissue and place them on the bedside table
Explanation: Dentures should be stored in a labeled container filled with cool water or a denture cleanser solution when not being worn. Hot water can warp dentures, causing them to not fit properly. Storing them dry can cause the plastic to crack or distort. Tissues and napkins are inappropriate because dentures can accidentally be thrown away. Each resident's denture container must be labeled with their name.
7While assisting a female resident with perineal care following urinary catheter use in a Nebraska nursing facility, the CNA should clean:
A.In a circular motion around the catheter tubing
B.From the catheter insertion site outward, using a clean stroke each time
C.Back to front using gentle pressure
D.Starting from the outer areas and moving toward the catheter insertion site
Explanation: Catheter perineal care should be performed starting from the urethral meatus (catheter insertion site) and moving outward away from the body, using a clean stroke each time to avoid introducing bacteria toward the urethra. This technique, along with cleaning the catheter tubing for several inches, reduces the risk of catheter-associated urinary tract infections (CAUTIs), which are a major concern in Nebraska long-term care facilities.
8When helping a resident use a bedpan in a Nebraska nursing facility, the CNA should:
A.Place the bedpan under the resident and leave for 30 minutes
B.Warm the metal bedpan before use and provide privacy with the call light within reach
C.Position the resident flat on the back with a pillow under the head for comfort
D.Remove the bedpan immediately after use without covering
Explanation: When using a bedpan, warm a cold metal bedpan by running warm water over it (cold metal can cause discomfort or skin injury). Always ensure privacy for the resident, and leave the call light within reach so they can signal when finished. The resident should be raised to as close to a normal sitting position as possible (bed at 30-45 degrees) and should not be left for extended periods. Cover the bedpan when removing it to respect dignity.
9A Nebraska CNA notices a resident's incontinence brief is soiled. The CNA should change it:
A.Only at scheduled times (morning, noon, and evening) to maintain routine
B.Immediately after discovering it is soiled to prevent skin breakdown
C.After informing the charge nurse and getting approval
D.Only if the resident complains of discomfort
Explanation: Soiled briefs must be changed immediately upon discovery to prevent skin breakdown, pressure injuries, and infections such as urinary tract infections. Prolonged contact with urine and feces causes skin maceration and irritation that can quickly progress to serious pressure injuries. Nebraska nursing homes are cited and penalized by DHHS inspectors for failure to maintain skin integrity related to incontinence care.
10A resident with contractures in both hands is receiving a bed bath at a Nebraska nursing facility. When cleaning between the fingers, the CNA should:
A.Force the fingers open to clean thoroughly between them
B.Gently open the hand and clean between the fingers without forcing the joints
C.Skip this area to avoid causing pain
D.Use a cotton swab to insert between the closed fingers
Explanation: Residents with contractures have permanently flexed joints that cannot be fully straightened. The CNA should gently work within the resident's range of motion, carefully and slowly opening the hand as much as is comfortable, then cleaning between the fingers without forcing the joints. Forcing contracted joints can cause severe pain, muscle tears, or fractures. Skipping hygiene in flexed areas leads to skin breakdown and infection.

About the Nebraska CNA Exam

The Nebraska nurse aide competency exams are state-approved written/oral and skills exams given by DHHS-approved testing providers, such as community colleges and the Nebraska Health Care Learning Center. The written/oral exam has 50 multiple-choice questions with a 70% passing score, and the skills exam has 6 skills, each needing at least 70% with all mandatory steps. Nebraska requires completion of a state-approved 75-hour nurse aide training program.

Exam sponsor: Nebraska DHHS / DHHS-approved testing providers. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

50 questions

Time Limit

Not published by Nebraska DHHS

Passing Score

70% written/oral + at least 70% on each of 6 skills (all mandatory steps)

Exam / Certification Fees

Set by the testing provider (NHCLC: $100 for written + clinical)

Exam sponsor website

Reported exam pass rate: Not published. Nebraska DHHS does not publish a CNA exam pass rate Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

40%

Physical Care Skills

Personal care (bathing, grooming, dressing), basic nursing skills (vital signs, positioning, transfers, ROM), restorative care (mobility, assistive devices, independence promotion)

20%

Psychosocial Care Skills

Emotional and mental health needs, dementia and Alzheimer's care, cultural and spiritual needs, developmental and psychosocial needs throughout the lifespan

40%

Role of the Nurse Aide

Communication (verbal, non-verbal, therapeutic), resident rights (privacy, dignity, informed consent), legal and ethical behavior (scope of practice, mandatory reporting), being a member of the healthcare team

Preparing for the Nebraska CNA Exam

What You Need to Know

  • Passing score: 70% written/oral + at least 70% on each of 6 skills (all mandatory steps)
  • Exam length: 50 questions
  • Time limit: Not published by Nebraska DHHS
  • Exam / certification fees: Set by the testing provider (NHCLC: $100 for written + clinical) Official sources

Using Our Practice Resources

  • Work through all 508 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Nebraska CNA: Suggested Study Strategy

1Know the Nebraska format - 50 written/oral questions with a 70% passing score, plus a 6-skill exam
2Focus on physical care skills (40% of exam): bathing, grooming, dressing, vital signs, positioning, transfers
3Study the role of the nurse aide (40% of exam): communication, resident rights, legal/ethical behavior
4Understand Nebraska DHHS requirements: 75-hour training, 3 opportunities to pass each exam
5Learn infection control: hand hygiene, standard precautions, PPE use, and transmission-based precautions
6Master body mechanics and safe transfer techniques to prevent injury
7Know the OBRA resident rights: privacy, dignity, informed consent, right to refuse
8Study therapeutic communication for dementia, mental health, and end-of-life care
9Understand mandatory reporting requirements for abuse, neglect, and exploitation
10Review scope of practice: what CNAs can and cannot do under Nebraska law

Frequently Asked Questions

Who administers the Nebraska CNA exam?

Nebraska DHHS approves the nurse aide exams, and approved testing providers give them: community colleges (CCC, MPCC, NECC, NICC), Clarkson College, Nebraska Methodist College, Quality Career Pathways and the Nebraska Health Care Learning Center. Nebraska does not use a national vendor such as Headmaster, Credentia or Prometric.

What is the passing score for the Nebraska CNA exam?

You need 70% or better on the 50-question written/oral exam. The skills exam has 6 skills, and you need at least 70% on each skill with every mandatory step done correctly; failing any one skill fails the skills exam. DHHS does not publish a time limit.

What are the training requirements for Nebraska CNAs?

Nebraska requires completion of a state-approved Nurse Aide Training Program with a minimum of 75 hours, following federal OBRA standards. Training includes classroom instruction and supervised clinical practice. Programs must be approved by the Nebraska Department of Health and Human Services.

How much does the Nebraska CNA exam cost?

Nebraska DHHS charges no nurse aide application or registry fee. Exam fees are set by the testing provider; for example, the Nebraska Health Care Learning Center charges $50 for the written exam and $50 for the clinical exam. Some employers may reimburse exam fees for new hires.

What happens if I fail the Nebraska CNA exam?

You have 3 opportunities to pass each exam (written/oral and skills). If you do not pass an exam after 3 tries, you must retake the 75-hour nurse aide course before testing again.

How do I renew my Nebraska CNA certification?

Nebraska nurse aide registry listings have no expiration date. To stay active, you must work as a nurse aide in a paid position, in an approved employer setting, within 24 months of your last nurse aide job. If your status lapses, you reactivate by retaking the written/oral and clinical exams. There is no renewal fee.

How do I report suspected abuse or neglect in Nebraska?

Nebraska CNAs are mandatory reporters. Suspected abuse, neglect, or exploitation of vulnerable adults or residents should be reported immediately to your supervising nurse and the appropriate authorities. Nebraska Adult Protective Services can be contacted at 1-800-652-1999. In emergencies, call 911.