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Indiana Nurse Aide Competency Evaluation (CNA Written and Skills Exams)

The Indiana Certified Nurse Aide certification evaluation is a two-part competency exam (a 100-question multiple-choice written test, available in English, Spanish, or an approved oral format, plus a separately administered untimed skills evaluation) that the Indiana Department of Health (IDOH) requires for listing on the Indiana Aides Registry. IDOH owns the program and the test content standards; Ivy Tech Community College administers the exams as the state's contracted testing entity.

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Questions100 multiple-choice questions on the written portion, plus a separately administered skills evaluation
Testing time90 minutes allowed for the written exam; the skills exam is untimed
ScoringWritten portion: may miss no more than 20 questions for a passing grade of 80%; skills evaluation: pass/fail assigned by the evaluator (tests are scored at the testing site and pass/fail results are assigned to both the written/oral and skills evaluations)
Exam feeUSD 100 for the combined written & skills exam (USD 90 for one section only — written or skills; USD 90 per single-section retake, USD 100 for retaking both), effective January 1, 2025; all fees paid online at application by credit/debit card

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Who runs it
IDOH
Category
Nurse Aide & Nursing Assistant
Current version
Current specification; no public version label. Test questions and skills evaluations are developed directly from the IDOH-approved Resident Care Procedures (2014) and Course Content Standards
Where it applies
US-IN, United States
Exam languages
English, Spanish
Testing provider
Ivy Tech Community College
Format
In-person testing: written exam at a candidate-selected Ivy Tech Testing Center; skills evaluation at the candidate's training program facility or a Community Day event at an Ivy Tech campus (oral accommodated exams use Read&Write by Texthelp software)
Availability
Year-round by appointment: after the application is processed (about one week), candidates request a written-exam appointment at any Ivy Tech Testing Center; skills evaluations are scheduled at the training facility or at periodic Community Day events
Results
Pass/fail results are provided at the test site on the day of testing; allow up to 30 days to be added to the Indiana Aides Registry and 8 to 10 weeks to receive the certificate in the mail

Exam structure

Two parts: a 100-question multiple-choice written test (90 minutes; available in English, a Spanish version, and an approved oral read-aloud format) and a separate untimed hands-on skills evaluation; both must be passed for registry placement

Where rules vary

This is the Indiana state nurse aide competency evaluation; passing it and being listed on the Indiana Aides Registry is required to work as a CNA in Indiana long-term-care settings, and the test is built from IDOH-approved state standards

Eligibility

Completion of an IDOH-approved CNA training program (the 105-hour Certified Nurse Aide program) or an eligible alternate pathway (currently enrolled nursing student who passed Fundamentals of Nursing with a C or better, graduate nurse, EMR/psychiatric attendant/military health-care experience with skills testing effective 9/1/2026); out-of-state CNAs in good standing no longer test as of 9/1/2025

Retake policy

Four (4) attempts within the two-year period; a new payment is required for each retest ($90 single section, $100 both); a candidate who does not pass within four attempts must personally appear before the Certified Health Care Professions Commission before reapplying; cancel at least 48 hours ahead or forfeit the fee