C A Nurse
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C A Nurse
RegisteredNursing.org Staff Writers | Updated/Verified: Oct 11, 2022
Certified Nursing Assistants (CNAs) are healthcare professionals who provide intimate, hands-on healthcare to patients in medical settings under the supervision of a Registered Nurse ( RN ), or Licensed Practical Nurse ( LPN ). CNAs assist patients with bathing, dressing and any other basic activities involved in daily life.
Dissimilar from other professionals in the nursing field, certified nursing assistants (CNAs) are not required to hold a college degree. However, training is required, resulting in a postsecondary non-degree certificate or diploma. CNA credentials are issued by state , so prospective nursing assistants just need to enroll in a state-sanctioned training program and then pass a state certification exam.
When becoming a CNA, individuals are required to have obtained a high school diploma or GED, plus nursing assistant training. You can find these programs at community colleges, trade schools, and medical facilities. Before enrolling, prospective CNAs should be sure the program they're looking into is approved by their state’s nursing board and by the National League for Nursing Accredited Commission ( NLNAC ).
Upon successful completion of CNA training, individuals will subsequently be required to pass a CNA certification examination. This exam consists of two parts – a written part and a practical part. The written exam will be taken in a group setting and typically consists of a number of multiple choice-style questions. Test takers have 90 minutes to answer. The second portion, the clinical skills exam, is administered one at a time with a single test proctor/observer. Individuals will be tested on four randomly selected clinical skills to demonstrate their competency. They will have 30 minutes to complete this section of the exam.
Each state may have different requirements for becoming a CNA. Click to find out about each state's specific requirements.
The Commission on Collegiate Nursing Education ( CCNE ) evaluates and monitors nursing education programs at all levels. Although the federal government does not involve itself at the accreditation level per se, the U.S. Department of Education does provide oversight of the accreditation process, and it also maintains a database of accredited schools; read more about CNA training .
There are a wide variety of environments in which CNAs can find themselves working. However, data from the U.S. Bureau of Labor Statistics shows that a significant portion of nursing assistants are working in places like hospitals, nursing care facilities and/or assisted living facilities for geriatric patients. Other settings they can be employed in include private doctors’ offices, urgent care centers, and community clinics. Additionally, CNAs can also work as home health aides or in hospice, helping care for patients in the comfort of their own homes.
Certified nursing assistants work under the supervision of licensed nursing professionals. They care for patients who are infirm, ill, injured, disabled, and otherwise unable to care for themselves. In many settings, CNAs are the health professionals whom patients encounter most often. A CNA performs a variety of basic duties that are important for the patient's comfort and recovery. These tasks vary depending on the employment setting.
The roles and duties of CNAs can include the following:
Rules and standards for renewing expired CNA certifications will vary from state to state. In California, for example, if your certification is more than two years expired, or it is more than two years since you have worked as a Certified Nurse Assistant, you are required to have 24 hours of continuing education as well as sit for a Competency Evaluation. Check with your state’s governing board for the requirements on renewals.
Many nursing students find value in working as a Certified Nurse Assistant (CNA) during nursing school to add to their basic care and time-management skills. Most employers will allow nursing students to bypass the requirement of being certified, but check the job announcements for these allowances. Many states will allow those with nursing education and background to sit for the examination without taking an official CNA course. Check with your local state certifying board for details.
Enrollment in an accredited BSN program and completion of foundational nursing skills coursework may qualify the student for certification as a CNA. Depending on the state-specific Board of Nursing regulations, BSN students may apply for CNA certification and listing on the state Nurse Aide Registry. Some states require that students sit for a CNA registry exam regardless of enrollment in an accredited nursing program, while other states accept completion of nursing courses as verification of skills testing.
As the baby boomer population ages, there will be an increased demand for preventive medical care. The growth rate over the next decade for a certified nursing assistant shows an estimate of 9% according to the United States Bureau of Labor Statistics (BLS) , and 2018 showed a surge of over one million jobs in this field.
According to the BLS, the median average annual salary for certified nursing assistants in 2018 was $28,530. It is important to note that this does vary depending on the setting. See our insights into a CNA salary .
For increased salary and employment growth options consider a CNA to RN program .
Promote excellence in nursing by enabling future and current nurses with the education and employment resources they need to succeed.
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PLEASE NOTE: The contents of this website are for informational purposes only. RegisteredNursing.org does not guarantee the accuracy or results of any of this information. All trademarks are the property of their respective trademark holders.
RegisteredNursing.org Staff Writers | Updated/Verified: Sep 12, 2022
Home / What Is a CNA? / CNA Certification
Many healthcare workers begin their careers as Certified Nursing Assistants/Aides (CNAs) , assisting nurses, doctors, and other team members with direct patient care. CNAs are a vital part of the medical workforce, and those who aim to get there must follow the proper educational and licensing channels. Each state has its own guidelines and requirements, but in general, students will need to fulfill the following in order to become fully certified CNAs.
While requirements differ by state, prospective CNAs should be prepared to complete a state-approved CNA program at an accredited institution before going through the process of becoming certified. Approved programs meet the standards set forth by the state and other governing bodies, ensuring that a student receives the proper knowledge and skills to become licensed and provide patient care. Upon program completion, students will need to check their state's certification requirements to make sure they have fulfilled them all; these requirements will include a minimum number of CNA training/clinical hours, which the student should have completed in their program. They will also need to submit a CNA certification application, pay any applicable fees, and complete fingerprinting/background checks. It's important to note that CNA program grads will usually need to submit their certification application within a set timeframe once training has been completed.
Find out more about the CNA training process .
Once students have successfully completed their CNA training and submitted the proper paperwork, they will need to sit for their state's CNA certification examination. The exam consists of two parts: the written or oral portion (delivered in a group format) and the clinical skills portion (delivered one-on-one). The written exam is typically administered through a third-party test proctor and contains multiple-choice questions covering topics such as medical terminology, CNA roles and responsibilities, anatomy and physiology, and more. The clinical skills exam is usually proctored by a nurse or other practitioner, who will ask the test-taker to demonstrate a handful of skills such as hand-washing, measuring and recording a pulse, and other tasks (the proctor will choose from a list of over 20).
CNA certification typically lasts for 2 years. The certification is renewable upon submission of a renewal form and fee as long as the CNA has maintained employment during this time (the exact number of employment hours to be eligible will differ by state). If the CNA does not meet the renewal criteria, and their certification has not been expired for longer than 2 years, some states will allow a renewal via a competency exam. If the CNA's certification has been expired for many years, or they are otherwise ineligible for renewal, they will need to enroll in a CNA program and apply for a new license.
To find out more information on your state’s specific CNA certification and licensing guidelines, please follow the links below:
Rules and standards for renewing expired CNA certifications will vary from state to state. In California, for example, if your certification is more than two years expired, or it is more than two years since you have worked as a Certified Nurse Assistant, you are required to have 24 hours of continuing education as well as sit for a Competency Evaluation. Check with your state’s governing board for the requirements on renewals.
Many nursing students find value in working as a Certified Nurse Assistant (CNA) during nursing school to add to their basic care and time-management skills. Most employers will allow nursing students to bypass the requirement of being certified, but check the job announcements for these allowances. Many states will allow those with nursing education and background to sit for the examination without taking an official CNA course. Check with your local state certifying board for details.
Enrollment in an accredited BSN program and completion of foundational nursing skills coursework may qualify the student for certification as a CNA. Depending on the state-specific Board of Nursing regulations, BSN students may apply for CNA certification and listing on the state Nurse Aide Registry. Some states require that students sit for a CNA registry exam regardless of enrollment in an accredited nursing program, while other states accept completion of nursing courses as verification of skills testing.
Promote excellence in nursing by enabling future and current nurses with the education and employment resources they need to succeed.
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PLEASE NOTE: The contents of this website are for informational purposes only. RegisteredNursing.org does not guarantee the accuracy or results of any of this information. All trademarks are the property of their respective trademark holders.
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Adult-Gerontology Primary Care Nurse Practitioner
Advanced HIV/AIDS Certified Registered Nurse
Clinical Nurse Specialist; Wellness through Acute Care (Adult-Gerontology)
Clinical Nurse Specialist; Wellness through Acute Care (Neonatal)
Clinical Nurse Specialist, Wellness through Acute Care (Pediatric)
Advanced Certified Hospice and Palliative Nurse
Acute Care Nurse Practitioner (Adult-Gerontology)
Adult Health Clinical Nurse Specialist
HIV/AIDS Certified Registered Nurse
Advanced Diabetes Management (specialty certification, retired exam)
Adult-Gerontology Acute Care Nurse Practitioner
Adult-Gerontology Clinical Nurse Specialist
Adult-Gerontology Primary Care Nurse Practitioner
Advanced Holistic Nurse, Board Certified
Acute Care Nurse Practitioner (Adult)
Advanced Oncology Certified Nurse Practitioner
Advanced Oncology Certified Clinical Nurse Specialist
Board Certified-Advanced Diabetes Management
Blood & Marrow Transplant Certified Nurse
Certified Aesthetic Nurse Specialist
Certified Ambulatory Perianesthesia Nurse
Certified Addictions Registered Nurse
Certified Addictions Registered Nurse - Advanced Practice
Correctional Behavioral Health Certification
Certified Continence Care Nurse-Advanced Practice
Certified Correctional Health Professional-Advanced
Certified Correctional Health Professional-RN
Certified Clinical Hemodialysis Technician
Certified Clinical Hemodialysis Technician-Advanced
Acute/Critical Care Clinical Nurse Specialist (Adult, Pediatric & Neonatal)
Certified Clinical Research Associate
Certified Clinical Research Coordinator
Acute/Critical Care Nursing (Adult, Pediatric & Neonatal)
Tele-ICU Acute/Critical Care Nursing (Adult)
Acute/Critical Care Knowledge Professional (Adult, Pediatric & Neonatal)
Certified Clinical Research Professional
Certified in Care Coordination and Transition Management
Certified Dialysis Licensed Practical Nurse
Certified Dialysis Licensed Vocational Nurse
Certified in Executive Nursing Practice
Certified Gastroenterology Registered Nurse
Certified Hospice and Palliative Care Administrator
Certified Hospice and Palliative Licensed Nurse
Certified Hospice and Palliative Nurse
Certified Hospice and Palliative Nursing Assistant
Certified Hospice and Palliative Pediatric Nurse
Certified Health Service Administrator
Occupational Health Nursing Case Management
Certification in Managed Care Nursing
Certified Medical-Surgical Registered Nurse
Certified Academic Clinical Nurse Educator
Certified Nephrology Nurse-Nurse Practitioner
Certified Corrections Nurse/Manager
Certified Neuroscience Registered Nurse
Certified Clinical Nurse Specialist Perioperative
Certified Ostomy Care Nurse-Advanced Practice
Certified Occupational Health Nurse
Certified Occupational Health Nurse-Specialist
Certified Otorhinolaryngology Nurse
Certified Pediatric Emergency Nurse
Certified Pediatric Hematology Oncology Nurse
Certified Professional in Healthcare Quality
Certified Professional in Healthcare Risk Management
Certified Pediatric Nurse Practitioner-Primary Care
Certified Pediatric Nurse Practitioner-Acute Care
Certified Registered Nurse Anesthetist
Certified Registered Nurse First Assistant
Certified Registered Nurse Infusion
Certification for Registered Nurses of Opthamology
Certified Rehabilitation Registered Nurse
Certified Surgical Services Manager
Certified Transport Registered Nurse
Certified Urologic Nurse Practitioner
Certified Urologic Registered Nurse
Certified Wound Care Nurse-Advanced Practice
Certified Wound Ostomy Continence Nurse
Certified Wound Ostomy Continence Nurse-Advanced Practice
Certified Wound Ostomy Nurse-Advanced Practice
Dermatology Certified Nurse Practitioner
Emergency Nurse Practitioner (specialty certification)
Holistic Baccalaureate Nurse, Board Certified
Health and Wellness Nurse Coach, Board Certified
International Board Certified Lactation Consultant
NNP-BC - Neonatal Nurse Practitioner
Orthopaedic Clinical Nurse Specialist - Certified
Orthopaedic Nurse Practitioner-Certified
Progressive Care Knowledge Professional (Adult)
Pediatric Clinical Nurse Specialist
Public/Community Health Clinical Nurse Specialist (retired exam)
Pediatric Primary Care Mental Health Specialist
Adult Psychiatric-Mental Health Clinical Nurse Specialist
Child/Adolescent Psychiatric-Mental Health Clinical Nurse Specialist
Adult Psychiatric-Mental Health Nurse Practitioner
Psychiatric-Mental Health Nurse Practitioner (across the life span)
Pediatric Primary Care Nurse Practitioner
Certified Vascular Nurse (retired exam)
College Health Nursing (retired exam)
Community Health Nursing (retired exam)
General Nursing, Practice (retired exam)
High-Risk Perinatal Nursing (retired exam)
RNC-LRN - Low Risk Neonatal Nursing
RNC-NIC - Neonatal Intensive Care Nursing
RNC-OB - Inpatient Obstetric Nursing
Sexual Assault Nurse Examiner - Adult/Adolescent
Sexual Assault Nurse Examiner - Pediatric
School Nurse Practitioner (retired exam)
WHNP-BC - Women’s Health Care Nurse Practitioner
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Medically reviewed by:
Wali Khan
BSN, RN, SRNA
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