CNA Exams in Ohio

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The state of Ohio carries out the CNA exam under the guidance of the Ohio Department of Health’s NATCEP (Nurse Aide Training Competency) unit. This department is responsible for conduction of the examination, training of the candidates, classroom education, and dining assistant programmes, which are offered in Ohio and complies with the minimum federal and state requirements.

The NATCEP offers approximately 14 training programmes, 447 nurse aide training programmes and about 275 dining assistance programmes. This unit is responsible for the supervision of the written assessment and also for the clinical skill assessment.

Under the Ohio Department of Health, approximately 20,000 potential nurse assistants are tested on an annual basis.

The individuals, who wish to pursue the nurse aide examinations in Ohio, should keep the following points in mind to become an authorized nursing assistant.

  • An individual must be listed on the Ohio Nurse Aide Registry.
  • The state examination must be cleared by the aspirant. 


To become a suitable candidate for the CNA exam in Ohio, below instructions are to be followed:

  • The applicant must possess a GED or diploma.
  • To register himself/herself in the CNA exam in Ohio, the applicant must have completed the age of 18.
  • Applicants must have finished a state approved nurse aide training program.

Components of CNA Exam in Ohio

The nursing aide examination includes two parts. One among the two parts is a written exam that test out the theoretical knowledge of the applicant, and the other one is the practical examination, where the clinical dexterity of the applicant is examined. It is up to the candidate that whether he wants to get examined practically first or theoretically.

Written Test

The written test is carried out in a multiple-choice format, where the candidate is given 90 (ninety) minutes to complete 79 (seventy-nine) questions. The content outline of the written examination includes the following topics on which, the candidate is examined:

  • Basic Nursing Skills (11 items)
  • Safety (10 items)
  • Role and Responsibility (8 items)
  • Communication (7 items)
  • Infection Control (7 items)
  • Resident Rights (7 items)
  • Personal Care (7items)
  • Care Impaired (6 items)
  • Data Collection (4 items)
  • Mental Health (4 items)
  • Disease Process (4 items)
  • Older Adult Growth (4 items)

Oral Test

The examination can also be given orally by those candidates, who face complexity in reading English or consider it as their secondary language. The mode of language in which, the applicant wants to take the examination, is chosen at the time of filling up of form, which is unchangeable later. There are additional charges for the oral exam.

For the applicants, who opted for the oral mode of examination, the questions are narrated to them with the help of a cassette tape and are also provided with a printed exam leaflet. For the WEBETEST©, the candidate hears the questions on the headphones. The last seventeen questions, comprising of the comprehensive section, will not be narrated to the applicant as these must be read and answered without the help of any oral-aid.  This test is conducted to check the minimal English literacy skills of the candidate, as required by the Ohio Department of Health.

Skills Test

The clinical skill test includes five basic skills where, the nursing proficiency of the applicant is tested. Hand Washing is the compulsory skill that a candidate needs to perform, and other 5 skills are randomly selected from the list. The steps that are listed for each of the activity are required to be completed properly in order to finish the skill test. The candidates are scored individually on each step, and they are required to score at least 80% to pass the test.

If a candidate fails or does not complete any task or step, he/she will have to take another test with five tasks, including the one in which, the candidate failed.

Points to Remember while taking Clinical Skills Test

  • Each applicant is provided with a copy of General Instructions, which has to read immediately and carefully.
  • The candidates are given the five scenarios related to their tasks, which have to be read and taken care of, before commencing any of the tasks.
  • The candidates must check the website prior taking the test, as there might be any change regarding the skills or any protocol change.
  • Listen carefully to the invigilator and you can request to repeat the scenarios during the examination, any time.
  • The candidates will be given 35 (thirty-five) minutes to complete their five skills test.
  • The candidates are expected to spend no more than four hours at the testing site, on the day of testing.
  • If a candidate makes any mistake while performing a task, he/she must say it to the examiner and can start again to perform the step.
  • The candidate can repeat a task, if he/she believes that it is done incorrectly, within the allotted 35 minutes.
  • Once the test begins, the invigilator is not allowed to answer any questions of the candidate.
  • The clinical skill test room should be properly lit and aerated, and ought to include a privacy screen and curtain.
  • To qualify the skills test, it is compulsory for the candidate to attain bare minimum passing scores in every one of the five skills.
  • Candidates should be provided with a waiting area, where they can wait for their turn to arrive.

CNA Exam Fee

  • Written Examination – $24.00 ea
  • Oral Examination –  $34.00 ea
  • Skills Test – $76.00 ea
  • Rescheduling – $35.00 ea
  • Cancellation Charges – $24.00 ea
  • Priority Fax Service – $5.00 ea
  • Overnight Shipping Charges –  $19.50
  • Express Service Fee –  $15.00 ea

ADA Accommodations

The Ohio Department of Health, in collaboration with the D & S Diversified Technologies nurse aide testing program, makes available all the judicious lodgings for the candidates, suffering with any kind of disabilities that may hamper their capability to be presentable at the nurse aide skill exam.

Accommodations are arranged in agreement with the Americans with Disabilities Act. If you are a candidate with a disability and wish to request a place of abode, complete the form 1404OH, available on the website

On the Day of Exam

To assure the proper execution the nursing aide examination, following rules are to be followed on the day of the exam.

  • Candidates must arrive 20-30 minutes before the listed time to the exam centre.
  • They must bring their non-expired, government issued and signed photo ID along with them, which includes Drivers License, State ID, Military ID, and passport.
  • If a candidate fails to bring any required documents, he/she will not be allowed to appear in the exam, and has to reapply for a new test date, along with the repayment of the testing fees.
  • The candidate must be in full clinical clothing, clinical shoes, and properly tied hair; otherwise, the candidate will be considered as a No Show and their testing fee will be seized.
  • The candidate must carry their test notice letter and map, even though, they are not required.

Testing Policy

A candidate must observe the below given testing policies at each test site –

  • If the candidate arrives late for the confirmed test, or does not bring apposite ID, he/she will not be allowed to take the test, and the fees will not be refunded.
  • If a candidate becomes No Show on the day of testing, he/she will not get any kind of fees reimbursement.  He/she will have to reapply along with the required fees.
  • Personal stuffs, like cell-phones, cameras, tape-recorders, beepers, etc. or other belongings are not allowed in the exam area.
  • Candidates are not allowed to wear any hooded apparel or hats due to security reasons.
  • Candidates are allowed only to bring the language translation dictionary (only paper or hard back, not electronic) that has to be shown prior to the examination to the invigilator.
  • Any notes, devices, papers or other objects, like bags, briefcases, books, etc. are not allowed. They will be collected and returned later.
  • Candidates, who are found guilty of any misconduct, cheating, or creating a disturbance in the examination hall, will be debarred from the test.
  • Candidates are not allowed to eat, drink or smoke in between the examination.
  • No visitors, guests or children are allowed on the testing site.
  • Clinical attire is compulsory.

Reschedule/Cancellation Policy


If any applicant wishes to reschedule the testing date, one time during the 3 attempts, he/she may get it rescheduled at some mutually agreed upon date in the future.

The procedure of rescheduling must occur within 60 days of the actual testing date, if not, the candidate will be charged with a fee of $35. After 120 calendar days, no reimbursement will be granted.


Cancellations must be emailed or faxed within 24 hours from the actual testing date (excluding Sundays and holidays); no phone calls will be accepted to qualify for a complete reimbursement minus a $24 cancellation fee.

If you do not show up for your scheduled test and don’t notify the same to D&S DT at least twenty-four (24) hours from the actual test time (excluding holidays and Sundays), you will be regarded as a No Show. In this case, you will have to schedule for a new testing date by submitting a new application and required fees. No fee is refundable after 120 calendar days.

No Shows

If a candidate after applying for the examination does not turn up on the scheduled date without informing D&S DT before 24 hours from the actual time, he/she will be considered a No Show. The candidate is then required to apply again with all required fees for a new date of test.

If a candidate has a No Show status for any of the following reasons, they have to provide the following documents:

  • Death in the family: In case of death of an immediate family member, the candidate must have to present an obituary within 14 business days from a missed exam date; otherwise, the candidate will be regarded as a No Show. The name of the candidate must appear in the obituary.
  • Car breakdown: You need to fax a tow bill within 48 hours of the exam date. If your testimony does not reach on time, you will be considered as a No Show.
  • Medical emergency: Doctor notes or prescriptions are to be presented within 5 working days, otherwise, you will be deemed as a No Show.

Exam Results

Test results will be provided on the candidate’s email address, if they have provided it on the application form or you can access the result on the

After a candidate successfully passes both the Written/Oral Test and Skill Test, she/he will be eligible to be placed on the Ohio nurse aide registry, and will receive a certification notice from D&S DT, along with a laminated wallet ID card.

On the other hand, if a candidate fails, he/she must reapply to retake the STNA test. The procedures for reapplying for the test are integrated with the failure notification letters.