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Vermont Certified Nursing Assistant — Requirements & Free Practice

US-VT · License preparation

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Licenses, application pathways and examination requirements

Each license and applicant pathway has its own requirements and exemptions. Choosing practice questions does not determine your eligibility.

Licensed Nursing Assistant

Vermont nursing-assistant license; examination, endorsement, military endorsement and ongoing licensing pathways.

Licensing authority: Vermont State Board of Nursing / Office of Professional Regulation · Application information

Licensure by endorsement
No examination is required for this applicant pathway.
Background check
Complete a federal criminal background check.
Fast track
This route applies when not eligible for expedited endorsement under Rule 4-1.
Other license
Be licensed or certified as a nursing assistant in another U.S. jurisdiction.
Practice
Document at least 400 hours in the two preceding years of nursing-assistant or skill-reinforcing work, using an employer verification or job description.
Verification
Send original and most recent licensure verifications. The Board application also asks for substantially equivalent standards.

Official no-examination sources

Effective from 2026-09-22.

Licensure by examination — nursing assistant program

At least one of the following alternatives:

  • All of the following:

  • All of the following:

    • Excel Testing Nursing Assistant Written (or Oral) Examination (practice unavailable)
    • Excel Testing Nursing Assistant Clinical Skills Examination (assessment without a question bank)
Application
Submit the online application and required fee; supporting education documentation must be sent directly by the program where required.
Background check
Complete a fingerprint-supported federal criminal background check.
Education
Complete a DAIL-approved nursing-assistant program or its equivalent in another U.S. jurisdiction.
Education window
Complete the approved or equivalent nursing-assistant studies within two years before application.
Minimum age
At least 16 years of age under 26 V.S.A. § 1642.
Published exam instructions
OPR February 2026 instructions name NNAAP written and skills exams; OPR links Excel Testing, whose own instructions name its written and clinical skills tests. These are distinct test pairs, not identical examinations. Rule 10-1(c) permits a DAIL-approved or Board-acceptable equivalent; follow the Board-issued authorization to test. Neither pair requires sitting the other pair.
Retakes
After three unsuccessful LNA examination attempts, repeat an approved nursing-assistant education program.
Licensure by examination — RN or LPN student

At least one of the following alternatives:

  • All of the following:

  • All of the following:

    • Excel Testing Nursing Assistant Written (or Oral) Examination (practice unavailable)
    • Excel Testing Nursing Assistant Clinical Skills Examination (assessment without a question bank)
Application
Submit the online application and required fee; supporting education documentation must be sent directly by the program where required.
Background check
Complete a fingerprint-supported federal criminal background check.
Education
Be enrolled in an RN or LPN program and have completed studies equivalent to the nursing-assistant program; the nursing school sends the education verification.
Education window
Complete the approved or equivalent nursing-assistant studies within two years before application.
Minimum age
At least 16 years of age under 26 V.S.A. § 1642.
Published exam instructions
OPR February 2026 instructions name NNAAP written and skills exams; OPR links Excel Testing, whose own instructions name its written and clinical skills tests. These are distinct test pairs, not identical examinations. Rule 10-1(c) permits a DAIL-approved or Board-acceptable equivalent; follow the Board-issued authorization to test. Neither pair requires sitting the other pair.
Retakes
After three unsuccessful LNA examination attempts, repeat an approved nursing-assistant education program.
Fast Track Endorsement
No examination is required for this applicant pathway.
Application statement
The February 2026 instructions ask for verification of continuous active licensure in good standing for the three preceding years.
Background check
Complete the criminal background check and submit the application and fee.
Other license and practice
Three or more years of full-time licensed LNA practice in good standing in another U.S. jurisdiction under Rule 4-1; the Director may waive the practice requirement under § 136a(c).

Official no-examination sources

Effective from 2026-09-22.

Military medic endorsement
No examination is required for this applicant pathway.
Documents
Upload military identification or DD214, technical school training, and NREMT certification; complete background-check requirements.
Military status
Active service member or qualifying veteran; veteran discharge must be honorable or general under honorable conditions within two years before application.
Other profession certification
Be certified as a National Registry Emergency Medical Technician; this is another profession credential and not a nursing-assistant exam leaf.
Training
U.S. Armed Forces 68W Combat Medic Specialist or equivalent.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after five or more years of absence from practice

At least one of the following alternatives:

  • All of the following:

  • All of the following:

    • Excel Testing Nursing Assistant Written (or Oral) Examination (practice unavailable)
    • Excel Testing Nursing Assistant Clinical Skills Examination (assessment without a question bank)
Absence
Five or more years of absence from practice.
Background check
Complete the federal criminal background check.
Discretion
Rule 4-10(b) and 3 V.S.A. § 135(b) permit individualized assessment, retraining, testing or reapplication; the applicant may demonstrate retained competencies and receive an unencumbered license.
Education
Current renewal instructions require repeating a nursing-assistant education program and passing written and skills examinations.
Published exam instructions
OPR February 2026 instructions name NNAAP written and skills exams; OPR links Excel Testing, whose own instructions name its written and clinical skills tests. These are distinct test pairs, not identical examinations. Rule 10-1(c) permits a DAIL-approved or Board-acceptable equivalent; follow the Board-issued authorization to test. Neither pair requires sitting the other pair.
Renewal of expired or lapsed license after fewer than five years of absence from practice

At least one of the following alternatives:

  • All of the following:

  • All of the following:

    • Excel Testing Nursing Assistant Written (or Oral) Examination (practice unavailable)
    • Excel Testing Nursing Assistant Clinical Skills Examination (assessment without a question bank)
Absence
Fewer than five years of absence from practice.
Background check
Complete the required reinstatement background check.
Competency
26 V.S.A. § 1645(c)(1) requires repeat competency examinations; if they are failed, repeat the education program and competency examination.
Published exam instructions
OPR February 2026 instructions name NNAAP written and skills exams; OPR links Excel Testing, whose own instructions name its written and clinical skills tests. These are distinct test pairs, not identical examinations. Rule 10-1(c) permits a DAIL-approved or Board-acceptable equivalent; follow the Board-issued authorization to test. Neither pair requires sitting the other pair.
Source difference
3 V.S.A. § 135(a) generally infers readiness from continuing education for an absence below five years; the later profession-specific § 1645(c), effective July 1, 2025, expressly requires LNA competency examinations. The March 2026 renewal instructions apply this exam demand when practice requirements are not met. Examinations are retained under the contract rule for same-rank disagreement.
Late renewal or reinstatement with continuous practice elsewhere
No examination is required for this applicant pathway.
Application
Submit the late-renewal or reinstatement application and applicable fees; the Board may waive penalties where no Vermont practice occurred.
License lapse
Licenses expired over two years require reinstatement; a federal criminal background check applies.
Practice
Provide proof of continuous qualifying practice elsewhere; satisfy the renewal practice threshold. There has been no absence from professional practice.

Official no-examination sources

Effective from 2026-09-22.

Biennial renewal with qualifying practice
No examination is required for this applicant pathway.
Application
Submit renewal online and pay the fee before expiry.
Practice
At least 400 hours in the two preceding years of LNA or other work that reinforces the LNA training and skills; employer verification and job description for another role.

Official no-examination sources

Effective from 2026-09-22.

Renewal without the required active practice

At least one of the following alternatives:

  • All of the following:

  • All of the following:

    • Excel Testing Nursing Assistant Written (or Oral) Examination (practice unavailable)
    • Excel Testing Nursing Assistant Clinical Skills Examination (assessment without a question bank)
Education
Repeat the approved nursing-assistant education program.
Exam authorization
Obtain Board authorization for the competency examinations.
Practice
The active licensee has insufficient qualifying LNA practice. Rule 4-8(b)(1) requires repeating the nursing-assistant education program and competency examination.
Published exam instructions
OPR February 2026 instructions name NNAAP written and skills exams; OPR links Excel Testing, whose own instructions name its written and clinical skills tests. These are distinct test pairs, not identical examinations. Rule 10-1(c) permits a DAIL-approved or Board-acceptable equivalent; follow the Board-issued authorization to test. Neither pair requires sitting the other pair.

Medication Nursing Assistant Endorsement to LNA License

Medication-administration specialty designation on an active Vermont LNA license, not an independent basic nursing license.

Licensing authority: Vermont State Board of Nursing / Office of Professional Regulation · Application information

MNA specialty designation — equivalent training from another jurisdiction
Excel Testing Medication Nursing Assistant Competency Examination (practice unavailable)
Application
Use Add A Specialty in the online account and obtain the Board authorization to test.
Base license
Hold an unencumbered active Vermont LNA license; existing LNA licensure is an applicant condition.
Basic education test
The current Board-linked application, item 4, states: 4. Verification of passing the Test for Adult Basic Education (TABE) examination* • If you have already taken the TABE examination, a scanned copy of your completed TABE examination test results TABE is a basic education test, not a nursing-assistant examination leaf.
Education
High school diploma or GED.
Excel delivery
Excel administers math and medication knowledge together as one exam, with retakes available for a failed portion; no separate math exam identity is invented.
Experience
Two years and at least 4,000 LNA hours, including at least one year and 2,000 hours in a long-term-care nursing facility.
Mace requirement
The current Board-linked MNA application, item 3, states: 3. Verification of passing the Medication Aide Certification Examination (MACE)* • If you have already taken the MACE examination, a copy of your completed MACE examination test results. MACE has no registered version in the supplied nationwide context and therefore is retained as a condition pending national registration. The Board also links the Vermont Excel MNA examination; the named nationwide examination is not silently substituted by Excel.
Minimum age
At least 18 years old.
Training
MNA training from another jurisdiction must be found substantially equivalent by the Board; competency and math proficiency examinations remain required.
MNA specialty designation — nursing student waiver
Excel Testing Medication Nursing Assistant Competency Examination (practice unavailable)
Application
Use Add A Specialty in the online account and obtain the Board authorization to test.
Base license
Hold an unencumbered active Vermont LNA license; existing LNA licensure is an applicant condition.
Basic education test
The current Board-linked application, item 4, states: 4. Verification of passing the Test for Adult Basic Education (TABE) examination* • If you have already taken the TABE examination, a scanned copy of your completed TABE examination test results TABE is a basic education test, not a nursing-assistant examination leaf.
Education
High school diploma or GED.
Excel delivery
Excel administers math and medication knowledge together as one exam, with retakes available for a failed portion; no separate math exam identity is invented.
Experience
The Board may waive Rule 10-6(d) experience for an eligible RN or LPN student.
Mace requirement
The current Board-linked MNA application, item 3, states: 3. Verification of passing the Medication Aide Certification Examination (MACE)* • If you have already taken the MACE examination, a copy of your completed MACE examination test results. MACE has no registered version in the supplied nationwide context and therefore is retained as a condition pending national registration. The Board also links the Vermont Excel MNA examination; the named nationwide examination is not silently substituted by Excel.
Minimum age
At least 18 years old.
Training
The Board may waive Rule 10-6(e) MNA training for a student enrolled in a Board-approved RN or LPN program that has covered MNA training content.
Reinstatement after five or more years of absence from practice

At least one of the following alternatives:

  • All of the following:

  • All of the following:

    • Excel Testing Nursing Assistant Written (or Oral) Examination (practice unavailable)
    • Excel Testing Nursing Assistant Clinical Skills Examination (assessment without a question bank)
Absence
Five or more years of absence from practice.
Background check
Complete the federal criminal background check.
Base license
Satisfy the LNA renewal requirements.
Discretion
Rule 4-10(b) and 3 V.S.A. § 135(b) permit individualized assessment, retraining, testing or reapplication; the applicant may demonstrate retained competencies and receive an unencumbered license.
Education
Current renewal instructions require repeating a nursing-assistant education program and passing written and skills examinations.
Mna continuing education
Four hours of qualifying continuing education specific to medication administration.
Mna practice
At least 100 hours of the qualifying LNA experience must be MNA functions.
Published exam instructions
OPR February 2026 instructions name NNAAP written and skills exams; OPR links Excel Testing, whose own instructions name its written and clinical skills tests. These are distinct test pairs, not identical examinations. Rule 10-1(c) permits a DAIL-approved or Board-acceptable equivalent; follow the Board-issued authorization to test. Neither pair requires sitting the other pair.
Renewal of expired or lapsed license after fewer than five years of absence from practice

At least one of the following alternatives:

  • All of the following:

  • All of the following:

    • Excel Testing Nursing Assistant Written (or Oral) Examination (practice unavailable)
    • Excel Testing Nursing Assistant Clinical Skills Examination (assessment without a question bank)
Absence
Fewer than five years of absence from practice.
Background check
Complete the required reinstatement background check.
Base license
Satisfy the LNA renewal requirements.
Competency
26 V.S.A. § 1645(c)(1) requires repeat competency examinations; if they are failed, repeat the education program and competency examination.
Mna continuing education
Four hours of qualifying continuing education specific to medication administration.
Mna practice
At least 100 hours of the qualifying LNA experience must be MNA functions.
Published exam instructions
OPR February 2026 instructions name NNAAP written and skills exams; OPR links Excel Testing, whose own instructions name its written and clinical skills tests. These are distinct test pairs, not identical examinations. Rule 10-1(c) permits a DAIL-approved or Board-acceptable equivalent; follow the Board-issued authorization to test. Neither pair requires sitting the other pair.
Source difference
3 V.S.A. § 135(a) generally infers readiness from continuing education for an absence below five years; the later profession-specific § 1645(c), effective July 1, 2025, expressly requires LNA competency examinations. The March 2026 renewal instructions apply this exam demand when practice requirements are not met. Examinations are retained under the contract rule for same-rank disagreement.
Late renewal or reinstatement with continuous practice elsewhere
No examination is required for this applicant pathway.
Application
Submit the late-renewal or reinstatement application and applicable fees; the Board may waive penalties where no Vermont practice occurred.
Base license
Satisfy the LNA renewal requirements.
License lapse
Licenses expired over two years require reinstatement; a federal criminal background check applies.
Mna continuing education
Four hours of qualifying continuing education specific to medication administration.
Mna practice
At least 100 hours of the qualifying LNA experience must be MNA functions.
Practice
Provide proof of continuous qualifying practice elsewhere; satisfy the renewal practice threshold. There has been no absence from professional practice.

Official no-examination sources

Effective from 2026-09-22.

Biennial renewal with qualifying practice
No examination is required for this applicant pathway.
Application
Submit renewal online and pay the fee before expiry.
Base license
Satisfy the LNA renewal requirements.
Mna continuing education
Four hours of qualifying continuing education specific to medication administration.
Mna practice
At least 100 hours of the qualifying LNA experience must be MNA functions.
Practice
At least 400 hours in the two preceding years of LNA or other work that reinforces the LNA training and skills; employer verification and job description for another role.

Official no-examination sources

Effective from 2026-09-22.

Renewal without the required active practice

At least one of the following alternatives:

  • All of the following:

  • All of the following:

    • Excel Testing Nursing Assistant Written (or Oral) Examination (practice unavailable)
    • Excel Testing Nursing Assistant Clinical Skills Examination (assessment without a question bank)
Base license
Satisfy the LNA renewal requirements.
Education
Repeat the approved nursing-assistant education program.
Exam authorization
Obtain Board authorization for the competency examinations.
Mna continuing education
Four hours of qualifying continuing education specific to medication administration.
Mna practice
At least 100 hours of the qualifying LNA experience must be MNA functions.
Practice
The active licensee has insufficient qualifying LNA practice. Rule 4-8(b)(1) requires repeating the nursing-assistant education program and competency examination.
Published exam instructions
OPR February 2026 instructions name NNAAP written and skills exams; OPR links Excel Testing, whose own instructions name its written and clinical skills tests. These are distinct test pairs, not identical examinations. Rule 10-1(c) permits a DAIL-approved or Board-acceptable equivalent; follow the Board-issued authorization to test. Neither pair requires sitting the other pair.
MNA specialty designation — approved MNA program
Excel Testing Medication Nursing Assistant Competency Examination (practice unavailable)
Application
Use Add A Specialty in the online account and obtain the Board authorization to test.
Base license
Hold an unencumbered active Vermont LNA license; existing LNA licensure is an applicant condition.
Basic education test
The current Board-linked application, item 4, states: 4. Verification of passing the Test for Adult Basic Education (TABE) examination* • If you have already taken the TABE examination, a scanned copy of your completed TABE examination test results TABE is a basic education test, not a nursing-assistant examination leaf.
Education
High school diploma or GED.
Excel delivery
Excel administers math and medication knowledge together as one exam, with retakes available for a failed portion; no separate math exam identity is invented.
Experience
Two years and at least 4,000 LNA hours, including at least one year and 2,000 hours in a long-term-care nursing facility.
Mace requirement
The current Board-linked MNA application, item 3, states: 3. Verification of passing the Medication Aide Certification Examination (MACE)* • If you have already taken the MACE examination, a copy of your completed MACE examination test results. MACE has no registered version in the supplied nationwide context and therefore is retained as a condition pending national registration. The Board also links the Vermont Excel MNA examination; the named nationwide examination is not silently substituted by Excel.
Minimum age
At least 18 years old.
Training
Complete a Board-approved MNA program within the preceding year.

Provisional Licensed Nursing Assistant License

Voluntary provisional LNA licensure pending acceptable licensure verification or a required background check; full substantive eligibility must already be met.

Licensing authority: Vermont State Board of Nursing / Office of Professional Regulation · Application information

Provisional LNA — endorsement
No examination is required for this applicant pathway.
Agreement
Voluntarily agree to provisional licensure and summary withdrawal for incorrect material facts.
Board statement
The current nursing page says a provisional license is issued only once and cannot be extended; that lower-ranked statement is retained for the applicant, while statutory extension authority is preserved.
Other license
Nursing-assistant license or certification in another U.S. jurisdiction.
Pending document
All substantive full-licensure requirements must be met; only acceptable verification or background-check results are pending. Upload the fingerprint or mailing receipt.
Practice
At least 400 qualifying hours in the two preceding years.
Term
Initially 90 days. 3 V.S.A. § 130(e) permits extension if the issuing reason remains unresolved.

Official no-examination sources

Effective from 2026-09-22.

Provisional LNA — examination, approved program

At least one of the following alternatives:

  • All of the following:

  • All of the following:

    • Excel Testing Nursing Assistant Written (or Oral) Examination (practice unavailable)
    • Excel Testing Nursing Assistant Clinical Skills Examination (assessment without a question bank)
Agreement
Voluntarily agree to provisional licensure and summary withdrawal for incorrect material facts.
Application
Submit the online application and required fee; supporting education documentation must be sent directly by the program where required.
Background check
Complete a fingerprint-supported federal criminal background check.
Board statement
The current nursing page says a provisional license is issued only once and cannot be extended; that lower-ranked statement is retained for the applicant, while statutory extension authority is preserved.
Education
DAIL-approved or equivalent nursing-assistant education completed within two years.
Education window
Complete the approved or equivalent nursing-assistant studies within two years before application.
Minimum age
At least 16 years of age under 26 V.S.A. § 1642.
Pending document
All substantive full-licensure requirements must be met; only acceptable verification or background-check results are pending. Upload the fingerprint or mailing receipt.
Published exam instructions
OPR February 2026 instructions name NNAAP written and skills exams; OPR links Excel Testing, whose own instructions name its written and clinical skills tests. These are distinct test pairs, not identical examinations. Rule 10-1(c) permits a DAIL-approved or Board-acceptable equivalent; follow the Board-issued authorization to test. Neither pair requires sitting the other pair.
Retakes
After three unsuccessful LNA examination attempts, repeat an approved nursing-assistant education program.
Term
Initially 90 days. 3 V.S.A. § 130(e) permits extension if the issuing reason remains unresolved.
Provisional LNA — examination, nursing student

At least one of the following alternatives:

  • All of the following:

  • All of the following:

    • Excel Testing Nursing Assistant Written (or Oral) Examination (practice unavailable)
    • Excel Testing Nursing Assistant Clinical Skills Examination (assessment without a question bank)
Agreement
Voluntarily agree to provisional licensure and summary withdrawal for incorrect material facts.
Application
Submit the online application and required fee; supporting education documentation must be sent directly by the program where required.
Background check
Complete a fingerprint-supported federal criminal background check.
Board statement
The current nursing page says a provisional license is issued only once and cannot be extended; that lower-ranked statement is retained for the applicant, while statutory extension authority is preserved.
Education
RN or LPN student with equivalent nursing-assistant studies completed within two years.
Education window
Complete the approved or equivalent nursing-assistant studies within two years before application.
Minimum age
At least 16 years of age under 26 V.S.A. § 1642.
Pending document
All substantive full-licensure requirements must be met; only acceptable verification or background-check results are pending. Upload the fingerprint or mailing receipt.
Published exam instructions
OPR February 2026 instructions name NNAAP written and skills exams; OPR links Excel Testing, whose own instructions name its written and clinical skills tests. These are distinct test pairs, not identical examinations. Rule 10-1(c) permits a DAIL-approved or Board-acceptable equivalent; follow the Board-issued authorization to test. Neither pair requires sitting the other pair.
Retakes
After three unsuccessful LNA examination attempts, repeat an approved nursing-assistant education program.
Term
Initially 90 days. 3 V.S.A. § 130(e) permits extension if the issuing reason remains unresolved.
Provisional LNA — fast track
No examination is required for this applicant pathway.
Agreement
Voluntarily agree to provisional licensure and summary withdrawal for incorrect material facts.
Board statement
The current nursing page says a provisional license is issued only once and cannot be extended; that lower-ranked statement is retained for the applicant, while statutory extension authority is preserved.
Other license and practice
At least three years of full-time licensed practice in good standing in another U.S. jurisdiction, subject to the statutory waiver.
Pending document
All substantive full-licensure requirements must be met; only acceptable verification or background-check results are pending. Upload the fingerprint or mailing receipt.
Term
Initially 90 days. 3 V.S.A. § 130(e) permits extension if the issuing reason remains unresolved.

Official no-examination sources

Effective from 2026-09-22.

Provisional LNA — military
No examination is required for this applicant pathway.
Agreement
Voluntarily agree to provisional licensure and summary withdrawal for incorrect material facts.
Board statement
The current nursing page says a provisional license is issued only once and cannot be extended; that lower-ranked statement is retained for the applicant, while statutory extension authority is preserved.
Military status
Qualifying service member or veteran, trained as a 68W Combat Medic Specialist or equivalent and certified as an NREMT.
Pending document
All substantive full-licensure requirements must be met; only acceptable verification or background-check results are pending. Upload the fingerprint or mailing receipt.
Term
Initially 90 days. 3 V.S.A. § 130(e) permits extension if the issuing reason remains unresolved.

Official no-examination sources

Effective from 2026-09-22.

National Nurse Aide Assessment Program (NNAAP) Skills Evaluation

This assessment does not have a question bank.

Provider
Credentia Nurse Aide LLC (develops and manages the NNAAP exam); administered by Credentia at test centers
Format
Performance evaluation at a test center, scored and retaken separately from the Written (or Oral) Examination: the candidate performs five skills on a candidate volunteer acting as the client and is rated by a Nurse Aide Evaluator; each skill is scored Satisfactory or Unsatisfactory and all five must be Satisfactory to pass
Time limit
30 minutes
Examination sources

NNAAP Written (or Oral) Examination

Provider
Credentia Nurse Aide LLC (develops and manages the NNAAP exam); administered by Credentia online or at test centers
Format
Multiple-choice examination taken online or at a test center, in English or Spanish, scored and retaken separately from the Skills Evaluation; candidates may choose the Oral Examination form, in which the multiple-choice questions are read aloud by recorded voice (MP3 player at test centers) and ten reading comprehension (word recognition) questions are added, and both Oral sections must be passed
Exam questions
70 multiple-choice items: 60 scored and 10 pretest (non-scored); the Oral form has 60 multiple-choice items and 10 reading comprehension (word recognition) items
Time limit
2 hours
Examination outline
  • I. Physical Care Skills — A. Activities of Daily Living (22% of the exam; 13 questions) (22%)
    • Activities of Daily Living — 1. Hygiene
    • Activities of Daily Living — 2. Dressing and Grooming
    • Activities of Daily Living — 3. Nutrition and Hydration
    • Activities of Daily Living — 4. Elimination
    • Activities of Daily Living — 5. Rest/Sleep/Comfort
  • I. Physical Care Skills — B. Basic Nursing Skills (35% of the exam; 21 questions) (35%)
    • Basic Nursing Skills — 1. Infection Control
    • Basic Nursing Skills — 2. Safety/Emergency
    • Basic Nursing Skills — 3. Therapeutic/Technical Procedures
    • Basic Nursing Skills — 4. Data Collection and Reporting
  • I. Physical Care Skills — C. Self-Care and Independence (7% of the exam; 4 questions) (7%)
    • Self-Care and Independence
  • II. Psychosocial Care Skills — A. Emotional and Mental Health Needs (8% of the exam; 5 questions) (8%)
    • Emotional and Mental Health Needs
  • II. Psychosocial Care Skills — B. Spiritual and Cultural Needs (2% of the exam; 1 question) (2%)
    • Spiritual and Cultural Needs
  • III. Role of the Nurse Aide — A. Communication (7% of the exam; 4 questions) (7%)
    • Communication
  • III. Role of the Nurse Aide — B. Client Rights (8% of the exam; 5 questions) (8%)
    • Client Rights
  • III. Role of the Nurse Aide — C. Legal and Ethical Behavior (5% of the exam; 3 questions) (5%)
    • Legal and Ethical Behavior
  • III. Role of the Nurse Aide — D. Member of the Health Care Team (6% of the exam; 4 questions) (6%)
    • Member of the Health Care Team
Examination sources

Excel Testing Nursing Assistant Clinical Skills Examination

This assessment does not have a question bank.

Examination sources

Excel Testing Nursing Assistant Written (or Oral) Examination

Examination outline
  • Role of the Nursing Assistant (23%)
    • Structure of the healthcare system
    • Communication
    • Resident Rights / Abuse
    • Legal and Ethical issues
    • Personal and Career Care
  • Safety (7%)
    • Restraints
    • Body Mechanics
    • Environmental Safety
    • Accident Prevention
    • Emergency Care
  • Human Needs / Development (10%)
    • Cultural needs
    • Spiritual needs
    • Emotional and Mental Health needs
    • Aging Process
  • Basic Nursing Skills (30%)
    • Infection Control
    • Vital Signs
    • Positioning, moving and ambulation
    • Admission Procedures
    • Data Collection
    • Reporting
    • Disease Process
    • Abbreviations
  • Personal Care / Activities of Daily Living (30%)
    • The Resident’s environment
    • Skin care
    • Bathing
    • Grooming
    • Dressing
    • Oral Care
    • Nutrition
    • Urinary and Bowel elimination
    • Restorative Care and Rehabilitation (includes ROM)
    • Death and Dying
Examination sources

Excel Testing Medication Nursing Assistant Competency Examination

Examination outline
  • communication and documentation
  • ethical and legal responsibilities regarding medication administration
  • medication use, side effects, abbreviations, look-alike drugs, drug interactions, proper storage, and the need for reporting side effects
  • mathematics, apothecary, and metric measurements
  • patient safety principles regarding proper medication administration
  • common facility policies regarding medication errors
Examination sources