Exam Overview

North Carolina - National Nurse Aide Assessment Program (NNAAP)

Examination Overview

The NNAAP® examination consists of two required parts:

  1. Written (or Oral) Examination
  2. Skills Evaluation

You must pass both parts to be listed on the North Carolina Nurse Aide I Registry.


Written Examination

  • Contains 70 multiple-choice questions
  • You will have two (2) hours to complete this examination
  • Questions are based on a broad range of knowledge required for entry-level nurse aides in long-term care facilities

Oral Examination (Optional Substitute for Written Exam)

  • Must be requested at the time of application
  • Total time allowed: two (2) hours
  • A wired headset is required if taking the oral examination online

Structure of the Oral Examination:

Part 1:

  • 60 multiple-choice questions
  • Each question is read twice
  • Candidates mark their answers on a provided answer sheet

Part 2:

  • 10 multiple-choice questions
  • Tests your understanding of common words used in long-term care
  • Each word is read three times
  • Candidates must match the spoken word to the correct written word

Both parts must be passed to receive a passing score on the oral examination.


Skills Evaluation

  • You will be required to perform five (5) randomly selected nurse aide skills
  • Skills are evaluated by a Nurse Aide Evaluator
  • The evaluation reflects real-life scenarios you may encounter in a long-term care facility

Important Note:

The Nurse Aide Evaluator will have limited interaction with candidates during the examination. They are not permitted to answer questions while you are performing skills, as this is a standardized credentialing assessment.