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Key Facts: New Jersey CNA Exam

5 of 5

Skill Tasks You Must Pass

PSI NJ bulletin

60

Written Questions

PSI NJ bulletin

75%

Written Exam Passing Score

PSI NJ bulletin (June 2026)

90 hrs

Training Required

NJDOH (exceeds federal 75 hrs)

$84

First-Time Testing Fees

$27 skills + $57 written

24 months

Testing Window

After training completion

The New Jersey CNA exam starts with a skills evaluation of hand washing plus 4 randomly selected tasks, all of which you must pass. You then take PSI's 60-item written (or oral) exam, with 90 minutes and a 75% passing score. First-time testing costs $84 ($27 skills + $57 written; the oral exam is $68). New Jersey requires 90 hours of approved training and allows 3 attempts at each part before retraining.

Sample New Jersey CNA Practice Questions

Try these sample questions to review concepts for the New Jersey CNA exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 523+ question experience with AI tutoring.

1When assisting a New Jersey nursing home resident with a complete bed bath, which area of the body should the CNA wash LAST?
A.The face and neck
B.The arms and chest
C.The back and buttocks
D.The perineal area
Explanation: The perineal area (genital and rectal 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 New Jersey long-term care facilities regulated by the New Jersey Department of Health (NJ DOH).
2A resident at a New Jersey long-term care facility has left-sided weakness following a stroke. When helping the resident get dressed, the CNA should:
A.Dress the left (weaker) side first to minimize discomfort and strain
B.Dress the right (stronger) arm first to prevent muscle fatigue
C.Have the resident choose which arm to dress first
D.Call the nurse before assisting with dressing
Explanation: When dressing a resident with one-sided weakness, always dress the weak or affected side first. This allows the garment to be positioned over the arm with limited mobility before threading the stronger arm through. When undressing, remove the strong side first. This technique reduces pain, prevents injury, and maintains proper body alignment.
3While providing oral care to an unconscious resident at a New Jersey facility, the CNA should position the resident:
A.Flat on the back (supine) to prevent neck strain
B.On the side (lateral position) with the head turned to allow drainage
C.In a sitting position at 90 degrees
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 because secretions and fluids can pool in the throat and be aspirated. This is a critical safety measure for residents who cannot swallow or cough effectively.
4Under New Jersey regulations, how often must a CNA report any changes in a resident's condition to the licensed nurse?
A.At the end of the shift only
B.Immediately upon noticing the change
C.Within 24 hours of the change
D.Only if the change is life-threatening
Explanation: New Jersey CNA regulations require immediate reporting of any changes in a resident's condition to the licensed nurse. CNAs are the "eyes and ears" of the healthcare team and play a critical role in early detection of health changes. Delayed reporting can lead to serious complications. Documentation should follow verbal reporting as per facility policy.
5When performing nail care for a diabetic resident at a New Jersey long-term care facility, the CNA should:
A.Clip and file the toenails to keep them short and smooth
B.Soak the feet for 30 minutes before clipping to soften the nails
C.Refer all nail care for diabetic residents to the nurse or podiatrist
D.Clip toenails straight across and report any abnormalities to the nurse
Explanation: CNAs should NOT clip the toenails of diabetic residents. Diabetics have reduced blood circulation and nerve sensation (neuropathy) 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 licensed professionals.
6A resident in a New Jersey nursing facility has dentures. When storing the resident's dentures overnight, the CNA should:
A.Place them in a labeled container with cool water or denture cleanser solution
B.Store them dry in a labeled container to prevent bacterial growth
C.Rinse them with hot water and store in the resident's bedside drawer
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 improper fit. Storing them dry can cause plastic to crack or distort. Tissues and napkins are inappropriate because dentures can be accidentally 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, the CNA should clean:
A.From the catheter insertion site outward, using a clean stroke each time
B.In a circular motion around the catheter tubing
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. This technique avoids introducing bacteria toward the urethra. The catheter tubing should also be cleaned for several inches. This reduces the risk of catheter-associated urinary tract infections (CAUTIs), a major focus in New Jersey long-term care facilities.
8When helping a resident use a bedpan at a New Jersey nursing facility, the CNA should:
A.Warm the metal bedpan before use and provide privacy with the call light within reach
B.Place the bedpan under the resident and leave for 30 minutes
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). Cover the bedpan when removing it to respect dignity.
9A New Jersey CNA notices a resident's incontinence brief is soiled. The CNA should change it:
A.Immediately after discovering it is soiled to prevent skin breakdown
B.Only at scheduled times (morning, noon, and evening) to maintain routine
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. New Jersey nursing homes are regulated by the Department of Health and must maintain skin integrity standards.
10A resident with contractures in both hands is receiving a bed bath. When cleaning between the fingers, the CNA should:
A.Gently open the hand and clean between the fingers without forcing the joints
B.Force the fingers open to clean thoroughly between them
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 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 New Jersey CNA Exam

New Jersey CNA certification requires passing a skills evaluation (hand washing plus 4 randomly selected tasks, scored by D&SDT-Headmaster evaluators) and then a 60-item PSI written or oral exam with a 75% passing score and 90 minutes allowed. New Jersey requires a 90-hour state-approved training course (50 classroom + 40 clinical hours).

Exam sponsor: PSI and D&SDT-Headmaster / New Jersey Department of Health (NJDOH). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

60 questions

Time Limit

90 minutes written (or oral) + skills evaluation

Passing Score

75% written/oral + all 5 skill tasks passed

Exam / Certification Fees

$84 ($27 skills + $57 written); oral exam $68

Exam sponsor website

Reported exam pass rate: Not published. No official New Jersey pass rate is published by NJDOH, PSI or D&SDT-Headmaster 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.

4 of 60

Safety

Resident and staff safety, fall prevention, emergencies and body mechanics

5 of 60

Communication

Verbal, nonverbal and written communication with residents, families and the care team

4 of 60

Infection Control

Hand hygiene, PPE, standard precautions and infection prevention

3 of 60

Resident Rights

Privacy, dignity, choice, confidentiality and freedom from abuse or restraint

4 of 60

Data Collection

Vital signs, intake and output, weights, observation and reporting

11 of 60

Basic Nursing Skills

Core nurse aide care tasks, positioning, transfers, measurements and safe task performance

5 of 60

Role / Responsibility

Nurse aide scope of practice, ethics, mandated reporting and teamwork

4 of 60

Disease Process

Common disease stages, detection, prevention and treatment support

4 of 60

Mental Health

Dementia, depression, behavior changes and emotionally supportive care

6 of 60

Personal Care

Bathing, grooming, dressing, oral and perineal care, elimination and nutrition

5 of 60

Care Impaired

Adapting care for residents with physical, sensory or cognitive impairments

5 of 60

Aging Process/Restorative Care

Normal aging, independence, range of motion and restorative care

Preparing for the New Jersey CNA Exam

What You Need to Know

  • Passing score: 75% written/oral + all 5 skill tasks passed
  • Exam length: 60 questions
  • Time limit: 90 minutes written (or oral) + skills evaluation
  • Exam / certification fees: $84 ($27 skills + $57 written); oral exam $68 Official sources

Using Our Practice Resources

  • Work through all 523 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

New Jersey CNA: Suggested Study Strategy

1Master hand hygiene and infection control - these are tested in every skills exam
2Practice all 22 possible skills until you can perform them without prompts
3Every step listed in the PSI bulletin is scored, and you must correctly perform all five skill tasks to pass
4Study New Jersey-specific regulations including 90-hour training requirements and mandatory reporting
5Take all 200+ practice questions to identify weak areas before the exam
6Know residents' rights thoroughly - they appear in both written and skills evaluations

Frequently Asked Questions

How many questions are on the New Jersey CNA exam?

The New Jersey written exam has 60 multiple-choice items, and you have 90 minutes to complete it. An English or Spanish oral version is available. The skills evaluation has 5 tasks: hand washing plus 4 randomly selected skills.

What is the passing score for the New Jersey CNA exam?

You need 75% on the 60-item written (or oral) exam. On the skills evaluation, you must correctly perform all five tasks to pass, and you must pass the skills evaluation before you can take the written exam.

How much does the New Jersey CNA exam cost?

First-time testing costs $84: $27 for the skills evaluation, paid to D&SDT-Headmaster, and $57 for the written exam, paid to PSI when you schedule it. The oral exam (English or Spanish) costs $68 instead of the written fee. Some New Jersey training programs may cover exam fees.

How many hours of training are required in New Jersey?

New Jersey requires a 90-hour state-approved Nurse Aide in Long-Term Care Facilities training course: 50 classroom hours and 40 clinical hours. This exceeds the federal minimum of 75 hours. Training programs must be approved by the New Jersey Department of Health.

How long do I have to pass the exam after completing training?

You have 2 years from the date you complete training to pass both the skills and written (or oral) exams. Once you take the skills evaluation, you have 1 year from that first attempt to pass both. After 3 failed attempts at either exam, you must retrain at a state-approved training program.

How do I renew my New Jersey CNA certification?

New Jersey CNA certifications must be renewed every 2 years. To renew, you must have been employed providing nursing services for pay for at least 7 hours within the 24 months before your certificate expires. The recertification fee is $36, and your employer signs the renewal form.