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Key Facts: Tennessee CNA Exam

75 listed

Published Knowledge/Oral Count

Credentia TN overview; pretest split conflicts with its content outline—confirm before testing

2 hours

Knowledge/Oral Time

Credentia Tennessee exam overview

5 skills / 30 min

Skills Evaluation

Credentia Tennessee skills evaluation

$35 + $87

Knowledge/Oral + Skills Fees

Credentia Tennessee fee schedule; $122 combined

75 hours minimum

Federal Training Minimum

42 CFR 483.152: includes at least 16 supervised practical hours; approved programs may require more

24 months / 3 per part

New-Graduate Testing Limits

Credentia Tennessee eligibility and results guidance

For Tennessee CNA testing, use current Credentia guidance. The knowledge/oral passing threshold is 75%; all five skills must meet their individual standards and critical elements. Published fees are $35 for knowledge/oral and $87 for skills. New training graduates have two years to pass, with at most three attempts per component. This site has 271 Tennessee-specific practice questions, with 298 inherited national CNA items also available on the practice page (498 total), separate from Credentia’s published 75-question exam description; its unscored-item split needs confirmation. Renew registry status every two years with proof of qualifying paid work.

Sample Tennessee CNA Practice Questions

Try these sample questions to review concepts for the Tennessee CNA exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 569+ question experience with AI tutoring.

1When taking an oral temperature, how long should a Tennessee CNA wait after a resident drinks hot coffee before measuring?
A.5 minutes
B.10 minutes
C.15-20 minutes
D.No waiting is necessary
Explanation: Wait 15-20 minutes after a resident eats or drinks hot or cold fluids before taking an oral temperature. Hot coffee warms the mouth and can falsely raise the reading, while a cold drink can lower it. If a resident has just had a drink, record the delay or use the route the nurse directs rather than taking an inaccurate reading.
2A Tennessee CNA is measuring a resident's radial pulse. The normal adult pulse rate is 60-100 beats per minute. The CNA counts 30 beats in 15 seconds. What is the pulse rate?
A.60 beats per minute
B.90 beats per minute
C.120 beats per minute
D.150 beats per minute
Explanation: To calculate the rate, multiply the 15-second count by 4: 30 beats x 4 = 120 beats per minute. That is above the normal adult range of 60-100 (tachycardia) and should be reported to the nurse. On the Tennessee NNAAP skill Counts and Records Radial Pulse, the pulse is counted for one full minute and must be recorded within plus or minus 4 beats of the evaluator's count.
3On the Tennessee NNAAP skill Counts and Records Respirations, how long should the candidate count the resident's breaths?
A.For 15 seconds, then multiply the count by 4
B.For 30 seconds, then multiply the count by 2
C.For one full minute, then record the count
D.Until the resident has taken 10 breaths
Explanation: The Credentia Tennessee handbook's respiration skill requires counting respirations for one full minute and recording a rate within plus or minus 2 breaths of the evaluator's reading. Some textbooks allow a 30-second count doubled for regular breathing in daily care, but the skills-test step is a full minute, and irregular breathing always needs a full-minute count. A 15-second count multiplies any miscount by 4, and counting to a set number of breaths does not give a rate per minute.
4A resident's blood pressure is 188/110 mmHg. According to Tennessee CNA scope of practice, the CNA should:
A.Recheck in 30 minutes to see if it improves
B.Document the reading and report it to the nurse immediately
C.Administer the resident's prescribed blood pressure medication
D.Position the resident flat and elevate their legs
Explanation: A reading of 188/110 mmHg is far above normal; a systolic pressure above 180 falls in the severe range, so the CNA records it accurately and tells the nurse right away. CNAs do not give medications or decide on treatment, and waiting 30 minutes delays the nurse's assessment. Raising the legs while lying flat is a measure for low blood pressure or fainting, not for high blood pressure.
5When applying anti-embolism stockings (TED hose), the Tennessee CNA should apply them:
A.After the resident has walked for 30 minutes
B.Before the resident gets out of bed in the morning
C.Only when the nurse specifically requests it
D.After soaking the resident's feet in warm water
Explanation: Anti-embolism stockings are applied before the resident gets out of bed, while the legs are elevated and the veins are not distended. Once a person stands, blood pools in the leg veins and the stockings are less effective. In the NNAAP skill Applies One Knee-High Elastic Stocking, the client is lying down, the stocking is turned inside out at least to the heel, and it must finish without twists or wrinkles.
6A Tennessee CNA is measuring intake and output (I&O) for a resident on fluid restriction. The resident drinks 6 oz of water, 4 oz of juice, and 4 oz of coffee. What is the total intake in mL? (Use 1 oz = 30 mL.)
A.240 mL
B.360 mL
C.420 mL
D.480 mL
Explanation: Using the standard conversion of 1 oz = 30 mL: 6 oz water (180 mL) + 4 oz juice (120 mL) + 4 oz coffee (120 mL) = 14 oz = 420 mL. Accurate I&O measurement is critical for residents on fluid restriction, such as those with heart failure or kidney disease, so the CNA must convert every fluid to milliliters precisely.
7Before a resident steps onto a standing scale, the Tennessee CNA should:
A.Ask the resident to step on and hold the wall rail
B.Check that the scale is set to zero
C.Subtract 5 pounds to account for clothing weight
D.Have the resident hold onto the CNA for balance
Explanation: A scale must read zero before the resident steps on it, or every reading is off by the same amount. The NNAAP weight skill, which the Credentia handbook lists but does not test in Tennessee, has the aide set the scale to zero, make sure the client wears non-skid footwear, ask the client to step onto the center of the scale, and record a weight within plus or minus 2 lb of the evaluator's reading. Holding a rail, the wall or the CNA shifts weight off the scale, and subtracting a fixed amount for clothing is guesswork; weigh at the same time of day in similar clothing instead.
8A Tennessee CNA notices a resident's output from a urinary catheter is dark amber and concentrated. The CNA should:
A.Irrigate the catheter to clear the blockage
B.Increase the resident's fluids independently
C.Document the observation and report to the nurse
D.Change the catheter drainage bag immediately
Explanation: Dark, concentrated urine may indicate dehydration or other medical concerns. The CNA should document the observation (color, amount, clarity) and report it to the nurse. CNAs cannot irrigate catheters, independently increase fluid orders, or change catheter equipment without proper training and authorization. Accurate observation and reporting are key CNA responsibilities emphasized in Tennessee training programs.
9When performing passive range of motion (PROM) exercises for a resident, the Tennessee CNA should:
A.Move the joint quickly to build strength
B.Push the joint past the point of resistance to improve flexibility
C.Support the limb and move the joint gently and slowly
D.Only exercise the joints on the affected side of the body
Explanation: In the NNAAP range-of-motion skills, the aide supports the limb (at the elbow and wrist for the shoulder, or at the knee and ankle for the leg), moves each joint gently, slowly and smoothly through its range at least three times, and stops if the resident reports pain. Forcing a joint past resistance or moving it quickly can injure muscles and joints. Exercise the joints the care plan lists, not only the affected side. PROM helps maintain joint mobility and prevent contractures.
10According to Tennessee CNA training standards, which position is used to prevent aspiration during feeding?
A.Supine (lying flat on back)
B.Trendelenburg (head lower than feet)
C.High Fowler's (sitting upright)
D.Prone (lying on stomach)
Explanation: Residents should sit upright for meals so gravity helps food move down the esophagus and away from the airway. The NNAAP skill Feeds Client Who Cannot Feed Self places the client in an upright sitting position of 75-90 degrees before feeding and leaves the client upright at the end of the meal. Lying flat, head-down or face-down positions greatly raise the risk of aspiration. Residents with dysphagia may also need to stay upright for a period after eating, as the care plan directs.

About the Tennessee CNA Exam

Credentia has provided Tennessee nurse aide testing and registry services for HFC since June 1, 2026. The NNAAP evaluation combines a knowledge or oral examination with an in-person skills evaluation. The handbook lists 75 knowledge/oral questions in two hours, but its pages disagree about whether ten unscored items are included or additional. Skills testing covers handwashing and four randomly selected skills, including a measurement skill, in 30 minutes. Eligible candidates who pass both components are placed on the Tennessee Nurse Aide Registry.

Exam sponsor: Credentia, under contract with the Tennessee Health Facilities Commission (HFC). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Knowledge or oral examination plus a separate skills evaluation. The current Tennessee handbook’s nine content areas total 100%; the skills evaluation assesses five skills.

Time Limit

2 hours knowledge/oral + 30 minutes skills

Passing Score

75% knowledge/oral; satisfactory performance on all five skills, including critical elements and each skill’s cut score

Exam / Certification Fees

$122 combined: $35 knowledge/oral + $87 skills; eligible employer payment may apply

Exam sponsor website

Reported exam pass rate: Not verified. No current statewide first-time percentage was verified in the official candidate sources reviewed; the 75% knowledge passing threshold is not a candidate pass rate. Exam sponsor website

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

Official sources

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.

22%

Activities of Daily Living

Hygiene, dressing and grooming, nutrition and hydration, elimination, and rest, sleep and comfort

35%

Basic Nursing Skills

Infection control, safety and emergencies, therapeutic and technical procedures, and data collection and reporting

7%

Self-Care and Independence

Support the client’s ability to carry out everyday activities independently

8%

Emotional and Mental Health Needs

Support emotional well-being and respond appropriately to mental health needs

2%

Spiritual and Cultural Needs

Respect spiritual practices and cultural preferences

7%

Communication

Communicate clearly and respectfully with clients and the care team

8%

Client Rights

Protect client rights, dignity, privacy and choice

5%

Legal and Ethical Behavior

Recognize professional boundaries and legal and ethical responsibilities

6%

Member of the Health Care Team

Work within the nurse aide role and communicate care observations

Preparing for the Tennessee CNA Exam

What You Need to Know

  • Passing score: 75% knowledge/oral; satisfactory performance on all five skills, including critical elements and each skill’s cut score
  • Assessment: Knowledge or oral examination plus a separate skills evaluation. The current Tennessee handbook’s nine content areas total 100%; the skills evaluation assesses five skills.
  • Time limit: 2 hours knowledge/oral + 30 minutes skills
  • Exam / certification fees: $122 combined: $35 knowledge/oral + $87 skills; eligible employer payment may apply Official sources

Using Our Practice Resources

  • Work through all 569 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Tennessee CNA: Suggested Study Strategy

1Use Tennessee’s current Credentia handbook and skill steps; older Headmaster/TMU materials describe the former vendor.
2Treat the 52-hour review plan as an editorial example that supplements your approved training, not a certification requirement.
3Prioritize Basic Nursing Skills (35%) and Activities of Daily Living (22%) while reviewing every area in the current outline.
4Practice for the two-hour knowledge/oral limit. Ask Credentia to clarify the inconsistent pretest-item descriptions rather than calculating a raw passing count.
5Rehearse five skills within 30 minutes and follow the instruction-card order.
6Practice every Critical Element Step and the complete skill sequence; critical steps alone do not guarantee a pass.
7Include handwashing and measurement practice in every skills-review cycle.
8Review the score report after an unsuccessful attempt and target the missed skills or knowledge areas.
9Check your current eligibility, attempt history, original identification and appointment instructions before scheduling.
10Keep the two-year new-graduate testing window separate from the two-year registry renewal cycle.

Frequently Asked Questions

Who administers the Tennessee CNA exam?

Credentia became HFC’s nurse aide testing and registry vendor on June 1, 2026. Use the Tennessee page on Credentia for current applications, scheduling, results and registry services.

How many questions are on the Tennessee knowledge exam?

Credentia’s overview and knowledge-exam pages list 75 multiple-choice questions with a two-hour limit and a 75% passing threshold. The overview says ten experimental items are intermingled; the content outline describes ten as added. Because that split is inconsistent, confirm it with Credentia rather than assuming a scored count or a raw number of correct answers needed.

What does the Tennessee skills evaluation involve?

You have 30 minutes for five skills: handwashing plus four randomly selected skills, including one measurement skill. Follow the instruction-card order. Passing requires satisfactory performance on all five skills, every Critical Element Step and enough other steps to meet each skill’s cut score.

How much does the Tennessee CNA exam cost?

The published fees are $35 for knowledge or oral testing and $87 for skills, totaling $122 for both components. Qualifying nursing-facility employer payment or reimbursement provisions may apply. Training charges are separate and vary by program.

How long do newly trained candidates have to pass?

Pass both components within 24 months of completing your HFC-approved training program. If that window expires, training must be completed again. Challenge candidates should follow the eligibility dates and conditions in their state approval.

How many attempts are allowed?

The handbook permits at most three knowledge attempts and three skills attempts. Failing either part three times requires another training program and retaking both parts. The results guidance also says three scheduled attempts without certification, including absences, can require retraining. Check Credentia’s cancellation and attendance rules before missing an appointment.

What training is required?

The standard new nurse aide route requires an HFC-approved program. Federal program minima are 75 total clock hours, including at least 16 supervised practical hours. Programs may exceed these minima. Approved challenge routes are available for some applicants with qualifying prior education or military training.

How do I renew my Tennessee nurse aide registration?

Apply through Credentia every 24 months and submit proof of at least eight hours of qualifying paid nurse aide work in a licensed or certified healthcare facility during the preceding 24 months. HFC excludes private-duty, sitter, companion and private physician-office work. Renewal is not automatic. Follow the current documentation instructions; the handbook and Credentia landing page differ on whether the eight hours must be consecutive.

Can I take the Tennessee CNA exam from home?

Credentia offers remotely proctored knowledge/oral testing as well as test-center knowledge testing. The skills evaluation is in person. Choose an available option in your approved Credentia account and check the equipment, room, identification and appointment requirements.