Washington Nursing Assistant / Nurse Aide Guide
Who Grants Certification: The Washington State Department of Social and Health Services grants certification to nursing assistants and nurse aides.
The Qualifications to become Certified:
There are three routes of eligibility in order to qualify for receiving a Nurse Aide License in the state of Washington. These include:
- You have successfully completed a Washington state-approved training program within the past year.
- You are a currently enrolled nursing student who has passed the first year of classes.
- Your previous CNA certificate has lapsed. If it has been more than a year since you successfully completed, you will need to retrain and retest.
In order to apply for Nurse Aide Licensure in the state of Washington, you will need to first complete a Washington state-approved nurse aide training program (that includes 40 hours of clinical practice) successfully. Upon completion, your trainer will add your name to the PearsonVue website. You will receive an email with instructions on how to activate your account. Once your account is activated, you will be able to schedule your test.
Washington test sites can be found here.
The NNAAP test has two parts, a Skills Evaluation and a Written (or oral) part. Both parts must be passed to be listed on the Washington State Nurse Aide Registry. The written section is 70 questions in length, 60 are multiple-choice and 10 are reading comprehension questions. Take two pencils with you. You will have two full hours to complete the exam. (The oral exam if given in place of the written exam is 160 questions in length.) The Skills Evaluation will be a 25 minute time period given to complete 5 randomly selected nurse aide skills.
Content topics include:
- Activities of Daily Living – Hygiene, Dressing and Grooming, Nutrition and Hydration, Elimination, Rest/Comfort/Sleep
- Basic Nursing Skills - Infection Control, Safety/Emergency, Therapeutic/Technical Procedures, Data Collection and Reporting
- Restorative Skills – Prevention, Self-care/Independence
- Psychosocial Care Skills – Emotional and Mental Health Needs
- Spiritual and Cultural Needs
- Client Rights
- Legal and Ethical Behavior
- Member of the Health Care Team
Certification Renewal and Continuing Education Requirements:
According to Washington state law, to renew your license, it is required that you have worked in the paid role of a nurse aide during the past 24 months. This must be paid employment, not volunteer work, and in a nursing environment such as a nursing home, home health setting or a hospital.
You can renew your license online, through the mail or in-person with the Washington State Department of Health. All further renewal and continuing education details can be found here.
WA OBRA Nurse Aide Registry
Aging & Services Administration Disabilities
PO Box 45600
Olympia, WA 98504-5600
For more information on licensing and exam prep, go to Tests.com's CNA Test Guide.
To prepare for your nursing assistant or nurse aide exam, use Tests.com’s Certified Nursing Assistant Exam Practice Test Kit with 300 multiple choice questions, written by nursing experts and educators.
And take Tests.com's free CNA Practice Test.
For nursing assistant and nurse aide exam preparation products and services, such as study guides, practice tests, flashcards and courses, go to Tests.com's CNA listings.
Dorothy Belding, RN, MSH
Diane Hill, RN, BSN
National Nurse Aide Assessment Program (NNAAP) Exam Content Outline Review
I. Physical Care Skills
A. Daily Living Activities:
- Dressing and Grooming
- Nutrition and Hydration
B. Skills of Basic Nursing:
- Infection Control
- Therapeutic/Technical Procedures
- Data Collection and Reporting
C. Restorative Skills:
- Self Care/Independence
II. Psychosocial Care Skills
A. Emotional and Mental Health Needs
B. Spiritual and Cultural Needs
III. Nurse Aide Roles
B. Client Rights
C. Legal and Ethical Behavior
D. Member of the Health Care Team