States that use Prometric
| State | Written | Fee | Guide |
|---|---|---|---|
| Florida | 60 Q / 90 min | $155 | Florida |
| Texas | 60 Q / 90 min | $31 written + $89 skills | Texas |
| Louisiana | 60 Q / 90 min | $125 | Louisiana |
| New York | 60 Q / 90 min | $115 | New York |
Prometric also lists nurse aide programs for other states on its site; this table covers the states we have verified from current bulletins.
- 1,297 original questions: CNA, PTCB, CCMA
- Timed full-length exams + domain score reports
- 90 days, one-time - emailed to you after purchase
Your course access is emailed to you after purchase. 14-day money-back guarantee. Refund policy
Exam format
| Item | Detail |
|---|---|
| Written (knowledge) test | 60 multiple-choice questions, 90 minutes, computer-based |
| Oral option | Available in most Prometric states; includes a reading comprehension section |
| Skills test | Scored on 5 skills: 3 assigned + handwashing + indirect care; must pass all 5 |
| Handwashing | Evaluated without prompting - you must wash hands without being told |
| Remote testing | Texas allows the written/oral test by live remote proctoring |
How registration works
- Complete your state-approved training (or qualify through another route).
- Apply through the state’s process - a Prometric application in Florida and Louisiana, HHSC TULIP in Texas.
- Receive your Authorization to Test (ATT) and schedule.
- Bring your ATT and two signed IDs (one government photo ID) on test day.
Test yourself on the CNA
Take the free practice test and get a score report by topic in a few minutes.
CNA, PTCB and CCMA prep course - $19
1,297 original practice questions for CNA, PTCB and CCMA, with explanations, timed exams and domain score reports. One-time $19 for 90 days, emailed to you after purchase - no subscription.
Your course access is emailed to you after purchase. 14-day money-back guarantee. Refund policy
HealthCert Prep is not affiliated with or endorsed by Prometric LLC. Prometric is a trademark of its owner. All practice questions on this site are original.
Frequently asked questions
What is indirect care on the Prometric skills test?
Care related to resident rights, communication, safety, comfort and infection control that is scored across all your skills - for example knocking, introducing yourself and leaving the call light in reach.
How many questions are on the Prometric CNA exam?
60 multiple-choice questions in 90 minutes in Florida, Texas, Louisiana and New York.
Is handwashing always tested with Prometric?
Yes - in the bulletins we reviewed, handwashing is scored on every skills test and is not prompted.
Sources
- Prometric - Florida CNA Candidate Information Bulletin (Rev. 11/01/2025) (accessed 2026-09-23)
- Prometric - Texas Nurse Aide Candidate Information Bulletin (accessed 2026-09-23)
- Prometric - Louisiana CNA Candidate Information Bulletin (accessed 2026-09-23)
- Prometric - New York State Nurse Aide Handbook (accessed 2026-09-23)