How to become a CNA

The fastest way into nursing: training hours, the state exam, and where CNAs work.

Take a state-approved course

Federal rules for nursing homes require nurse aides to complete at least 75 hours of training, including at least 16 hours of supervised hands-on practice. Many states require more. Courses run at community colleges, the Red Cross, and some employers, often in 4 to 12 weeks.

Pass the competency exam

The exam has a written (or oral) part and a skills part where you demonstrate tasks like transfers, vital signs and hand hygiene. Passing puts you on your state’s nurse aide registry.

Where CNAs work

Nursing homes, hospitals, assisted living, and home care. Home care often means one-to-one work with a single client, sometimes children with complex medical needs.

Pay and next steps

The national median CNA wage is $19.01/hr. Lots of nurses started as CNAs; some employers help pay for LPN or RN school.

See CNA jobs

General information, not legal or licensing advice. Requirements change; your state board of nursing has the final word. Pay figures: BLS OEWS May 2024 national medians.

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