Essential Insights for Aspiring Certified Nursing Assistants
Discover comprehensive guidance on becoming a CNA, including certification requirements, exam details, job roles, and salary insights. This overview helps future healthcare workers understand the pathway to starting a rewarding career in patient care and healthcare support services.

Essential Insights for Aspiring Certified Nursing Assistants
A Certified Nursing Assistant (CNA) serves as an entry-level healthcare professional, working alongside Licensed Practical Nurses and Registered Nurses to deliver basic patient care. Known alternatively as nurse aides or patient care technicians, CNAs perform vital tasks such as assisting with bathing, dressing, and other daily activities. Prospective CNAs need to understand the role thoroughly and complete a recognized certification program to start their career.
What are the duties of a CNA?
The responsibilities of a CNA are diverse and demanding. They include:
- Treating wounds
- Preparing patient rooms for admission
- Repositioning patients for comfort and health
- Responding to patient calls and alarms
- Gathering supplies for healthcare staff
- Monitoring and recording food and fluid intake
- Assisting with medical procedures
- Feeding and bathing patients
- Dressing patients
- Tracking vital signs and health data
These duties offer a broad perspective of a CNA's role, which can vary based on workplace needs and regulatory guidelines.

How to become a CNA?
To qualify for CNA work, candidates must complete a state-approved training program that lasts from four to eight weeks. These programs are available at vocational schools, community colleges, hospitals, and technical institutes. After completing the coursework, aspiring CNAs must pass a licensing exam to obtain certification.
Prerequisites for CNA certification
Candidates should meet certain requirements, such as:
- High school diploma or equivalent
- Basic computer skills for online courses
- Passing a health screening
- Completion of math or reading assessments (TABE)
- Proficiency in English (reading test)
- Background check for criminal history
- Valid government-issued ID
- Knowledge of ethics, hygiene, privacy, and basic healthcare skills
Course content for CNA training
The curriculum includes topics designed to prepare students for clinical settings, emphasizing both theory and practical skills. Key topics include:
- Activities of daily living
- Aging and physiology
- Anatomy
- Data collection and documentation
- Monitoring vital signs
- Patient safety and infection control
- Range of motion exercises
- Legal and ethical considerations
- Effective communication and cultural sensitivity
- Nutrition and mental health
After mastering these topics, passing the exam, and obtaining licensure, individuals can begin working as CNAs. Those interested in advancing to Registered Nurse roles should pursue further education, such as a bachelor's degree.
CNA certification exam components
The certification involves a written knowledge test and a practical skills assessment. The written exam contains 70 multiple-choice questions, with some non-scored items used for statistical purposes. This test can be administered orally in English or Spanish. The skills portion evaluates candidates on five core abilities, including mobility assistance, hand hygiene, vital sign measurement, and data recording, with additional questions covering reading comprehension.
Certification validity and renewal
Certified CNAs must renew their certification every two years. Renewal requires continuing employment or passing a competency evaluation if employment has ceased. Renewals can often be completed online through the state's health department, involving a fee. Failure to renew on time may necessitate retaking the exam or paying delinquency fees, depending on state regulations.
Work environments for CNAs
Graduates of CNA programs typically find employment in skilled nursing facilities, long-term care homes, hospitals, adult daycare centers, and residential health facilities. While clinics and outpatient clinics are less common employers, some organizations utilize CNAs as liaisons between patients and medical staff.
Average salary for CNAs
The median pay for CNAs was approximately $18.36 per hour, or about $38,200 annually, according to recent data. Salary levels can vary based on location and work setting. Many choose this career for its emotional fulfillment and the opportunity to provide vital patient care.