Ebook Nursing assistant/nurse aide exam (6/E): Part 1

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SixthEdition
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CONTENTS
LISTOFCONTRIBUTORS
CHAPTER1TheNursingAssistant/NurseAideExam
CHAPTER2TheLearningExpressTestPreparationSystem
CHAPTER3NursingAssistant/NurseAidePracticeExam1
CHAPTER4NursingAssistant/NurseAidePracticeExam2
CHAPTER5NursingAssistant/NurseAidePracticeExam3
CHAPTER6NursingAssistant/NurseAidePracticeExam4
CHAPTER7NursingAssistant/NurseAidePracticeExam5
CHAPTER8NursingAssistant/NurseAidePracticalSkillsExam
CHAPTER9CertificationRequirementsandTrends
CHAPTER10ImportantResources

APPENDIXNursingAssistant/NurseAidePracticeExamQuestionOutline
ADDITIONALONLINEPRACTICE


LISTOFCONTRIBUTORS
MarleneBeck,RN,MSNisaNursingInstructorattheBridgeportHospital
SchoolofNursing.Shehashadextensiveexperienceasamanagerandeducator.
Inhercurrentposition,shehasbeeninstrumentalincurriculumdevelopment,
teaching,andclinicalsupervision.Previously,shewasAdministrativeManager
ofOrganization,Development,andEducationatBridgeportHospital/YaleNew
HavenHealthcareSystem.Inthisrole,shedevelopedandimplementedthefirst
CertifiedNursingAssistantprogramforthehospital.ShelivesinSeymour,
Connecticut.
JudithElkins,PhD,MSN,MBA,RNC-OBhasbeenteachingnursingforover
20yearsinvariouscollegesanduniversities.Currently,Judithisaninstructorat
RosemanUniversityofHealthSciencesinHenderson,NV,wheresheteaches
BSNclasses.SheisalsoanonlinenursinginstructorattheUniversityof
Phoenix.PriortohermovetoHenderson,shewasanursingdirectorinvarious
organizationsnationwideandservedasaqualityprogramcoordinatoratan
urbanchildren’shospital.JudithcurrentlysitsonanIRBboardinLasVegas,
NV.
PatriciaMulraneisafreelancewriterwithaBachelorofArtsinPrintMedia.
Shebeganherpublishingcareerin1994andiscurrentlyMarketingDirectorfor
PeterLangPublishing/USA,ascholarlypressinNewYorkCity.Shelivesin
Brooklyn,NewYork.
MaryE.Muscari,PhD,CPNP,APRN-BCstartedoutasadiplomanursing
graduateandcontinuedhereducationtobecomeanadvancedpracticenurse,
educator,andwriter.Shehaswrittenseveralbooksandnumerousarticles,and
continuestopracticenursing.Dr.Muscarialsopresentsatnumerous
conferences,inspiringothernursestofindtheirpassionsandenhancetheir

careers.
JohannaRubin,BS,RNworksfortheNewYorkHarborHealthCareSystemas
aComplianceOfficer,displayingexpertiseinclinicalserviceeducation.Her


clientsincludedoctors,nurses,andnursingassistants.Sheisalsoaninstructorat
FranklinCareerInstitute,whereshetrainsbeginningnursingassistants.
CarenSilhavey,RN,MSN,CURNisaNursingInstructorattheBridgeport
HospitalSchoolofNursing,Bridgeport,Connecticut.Priortothat,shewasa
StaffDevelopmentInstructorintheOrganizationalDevelopmentandEducation
DepartmentatBridgeportHospital,whereshetaughtandcoordinatedboththe
ClinicalCareProviderprogram(extendedNursingAssistant)andtheCertified
NursingAssistantProgram.ShelivesinStratford,Connecticut.
NationalOccupationalCompetencyTestingInstitute(NOCTI)isa
recognizedleaderinoccupationalcompetencytestingandhasdevelopedand
validatedover250writtenexamsandperformanceassessmentsthatmeasurethe
skillsofentry-levelandexperiencedworkers.Anon-profitinstitute,NOCTIhas
createdhundredsofcustomizedworkplace-relatedassessmentsformajor
corporationssuchasDisney,Toyota,GTE,and3M.
HelenS.Wilson,BSN,RN,iscurrentlyaninstructorandcoordinatorofthe
CertifiedNursingAssistantProgramatFranklinCareerInstituteinHempstead,
NewYork.Previously,shetaughttheCertifiedNursingAssistantprogramsat
SuburbanTechnical(Hempstead,NewYork)andAllenSchoolforNursing
Assistants(Queens,NewYork)andtheLicensedPracticalNurseprogramat
VEEBinUniondale,NewYork.Beforeretiring,sheservedasaNursing
AdministratorandSupervisorattheVeteransAffairsExtendedCareFacility
(Queens,NewYork).SheresidesinUniondale,NewYork.


CHAPTER1

THENURSING
ASSISTANT/NURSEAIDEEXAM
CHAPTERSUMMARY
Thischapterintroducesyoutothecertificationprocessfornursing
assistantsandshowsyouhowtousethisbooktohelpyoupreparefor
theexamtobecomeaCertifiedNursingAssistant(CNA).

I

nthisdayandageofprofessionalism,manycareersthatyearsagodidn’t
requiremuchexpertisenowrequirenotonlyformaltrainingbutalsosome
typeofrecognizedcertification.Thistrendisparticularlytrueformany
healthcareprofessions,includingnursingassistant/nurseaide(NA).
Priorto1987therewerenostandardsinnursinghomes,andthequalityof
carewasinquestion.Asthepublicbegantohearhorriblestoriesinthemediaof
theabuseandmistreatmentofresidentsinnursinghomes,thegovernment
decidedtostepinandtakeaction.TheresultwastheOmnibusBudget
ReconciliationActof1987(OBRA’87)thatimplementedstandardsfornursing
homesthatreceivefederalmoney,suchasMedicareorMedicaid.OBRA’87
alsoemphasizedresidents’rights,registerednurse(RN)presence,improvedfood
andmedicalservicesforpatients,andbettermaintenanceandhousekeeping.Due
tothesenewstandards,statesnowindividuallyregulatethetrainingandtesting
ofCertifiedNursingAssistants(CNAs).
TheinformationinthisbookisbasedonthenationalstandardsforCNAs.
Becauseeachstatespecifiestheamountoftrainingandwhatcertificationand
practical-skillsexamsCNAsmustpass,youwillalsoneedtocontactstateor
localagenciestofindoutaboutthespecificrequirementsinyourstate.

FindingOutaboutCertificationRequirements
IfyouwanttobecomeaCNA,thefirststepistocontactyourlocalcommunity

orstatehealthagencytoobtaincertificationrequirements.Youcanfindthese
agencieslistedintheblue(government)pagesofyourphonebookorby
searchingonline.Youcanalsocontactanemploymentagencyorthehealthcare
facilityyouwanttoworkfor,sincetheywilloftenbeabletoguideyouthrough
thetrainingandcertificationrequirements.Togiveyouanideaofwhatto
expect,seeChapter9foranoutlineofsomeofthecurrenttrendsinCNA
certification.
OBRA’87lawsalsorequirethatastateregistrybekeptforCNAs.
Informationsuchasdatesofcertification,reportsofabuseandneglect,andlapse
periodsareavailableintheseregistries.Alistofregistriesbystatefollowsinthis
chapter.

EducationandTraining
HealthcarefacilitiesusuallyrequireCNAstohaveahighschooldiplomaor
GEDandpassastate-approvedtrainingprogramthatconsistsofanywherefrom
75–150hoursoftraining.Youcanbehiredwithoutbeingcertified,butyoumust
receivecertificationwithinfourmonths.Whilethedutiesofanursingassistant
varydependingontheworkplace,thejobemphasisisalwaysonthephysicaland
emotionalwell-beingofthepatient.WhileadayinthelifeofaCNAisnoteasy,
especiallywhendealingwithadifficultpatient,mostgetgreatsatisfactionfrom
theirwork.Commoncharacteristicsforsomeoneconsideringthisprofessionare
dedication,patience,reliability,andcompassion.Anotherkeyelementtothejob
istheabilitytocommunicateandworkwellwithothers.ACNAmustalsobe
physicallyabletoperformthejob,whichoftenrequiresstandingforagood
portionofan8-to12-hourdayandliftingandmovingobjectsandequipment.
AsaCNA,yourtrainingwillconsistoflearningtoperformthefollowingbasic
duties:
•communicatingwiththepatientandothersonthejob

•bathinganddressingthepatient(generalskincareandhygiene)
•helpingpatientsoutofbed
•settingupandstoringmedicalequipment
•takingvitalsigns—pulse,bloodpressure,temperature,andrespiration


•feedingthepatient
•changingbedlinens
•cleaningbedpansandmeasuringurineoutput
•ambulatingpatients

CareerOutlookandEarningPotential
Thenursingassistantprofession,onthewhole,isgrowingfasterthanaverage.
Nurseaidesheldmorethan1.5millionjobsin2015andthatnumberisexpected
toincreaseby17%through2024.Whilejobprospectsaregood,thesalariestend
tobelow.Medianhourlypayis$12perhour,butvariesdependingonwhich
partofthecountryyoulivein.SalariesintheNortheastarehighestwhilethe
Southislowerpaying.Ifyouhavefiveyearsofexperienceormore,yourpay
increasesbyafewdollarsperhour.Paidholidays,hospitalandmedicalbenefits,
extrapayforovertime,andpensionplansareavailabletomanyhospitaland
somenursinghomeemployees.
Onceyouknowwhatyouhavetodotobecertifiedinyourstate,youcan
begintoplanyourCNAstudyprogram.Gotoalocaljob-counselingcenter,state
employmentagency,orprivatehealthcarejob-placementservicetoget
informationabouthowtogetthetrainingyouneedtobecomeaCNA.Many
healthcareagencieswillprovideyouwiththetrainingyouneed.Oryoumaybe
abletoprepareonyourownandsimplydemonstrateyourcompetencebytaking
awrittenexam,apracticalexam,orboth.Whetheryou’reinvolvedinatraining
classorworkingonyourown,youshouldbeusingtextbooksandothermaterials
thatwilltrainyouinthemostimportantskillsaCNAneeds.Suchbookswillbe

availableinpubliclibrariesandcollegebookstores;job-searchagenciesmay
alsohavesomesupplementalmaterialsavailable.

HowtoUseThisBook
Manystateandlocalagenciesrequireawrittenexamconsistingof
approximately70multiple-choicequestionsaspartofthecertificationprocess
forCNAs.Thisbookcontainsfivepracticewrittenexamsbasedonthenational
standardsthatcontainquestionsaboutalltheskillsyouwilluseasaCNA.The


writtenportionofthenursingassistantexamconsistsofmultiple-choice
questions,whiletheclinicalportionhasthetest-takerperformingfiveon-the-job
skills.Someoftheskillstestedinclude:
•personalcareskills,suchasclientbathing,grooming,dressing,toileting,
skincare,andnutrition
•basicnursingskills,suchasprovidingasafeandcleanenvironment,
recognizingabnormalsignsorsymptomsofdiseasesandconditions,
communicatingwithclients,andunderstandingbasicprinciplesof
infectionandcontrol
•mentalhealthandsocialserviceneeds,suchaspsychosocialcharacteristics
ofpopulations,identificationofdevelopmentaltasksassociatedwith
aging,andbehaviormanagement
•basicrestorativedevices,suchasuseofassistivedevices,rangeofmotion,
clienttransfer,bowelandbladdertraining,andcareanduseofprosthetic
devices
•clients’rights,suchasprivacy,grievances,clientandfamilygroup
participation,physicalandchemicalrestraints,andpersonalpossessions
•employabilityskills,suchasacquiringandmaintainingajob
Evenifyourstateoragencydoesn’trequireawrittenexam,you’llfindthat
thesepracticeexamsareavaluablewaytoreviewandsolidifyyourskills.

Onceyouhavecompletedyourcourseofstudy,youarereadytotakethefirst
practiceexaminthisbook.Eachpracticeexamcontains70multiple-choice
questionsonallaspectsofthejob.Allowyourselfenoughtimetocompletethe
entireexamatonesitting,approximatelytwo-and-a-halfhours.
Eachpracticeexamhasananswerkeyattheend,whichnotonlytellsyouthe
rightanswerbutalsoexplainswhythatanswerisright.Ingeneral,youshould
countyourselfsuccessfulwhenyoucanscoreatleast75%.Ifyoudon’tgetthat
scoreonthefirstpracticeexam,don’tpanic!First,reviewtheanswer
explanationstoseewhereyouwentwrong.Then,seewhichareasyoudidwell
inandwhichareasgaveyoumoretrouble.Gobacktoyourtextbookorother
trainingmaterialstoreviewyourweakestareas.Thentakethesecondpractice


exam.Youshouldfindthatyourscoreimproves.Continuethisprocess—
reviewing,takingapracticeexam,morereview—untilyou’vecompletedallfive
practiceexamsinthisbook.Thatwayyou’llbewellpreparedforanystate
certificationexamyoumayhavetotake.
Practicewiththeexamsinthisbookisnotaguaranteethatyouwillpassa
statecertificationexam—orgetajobasaCNA.Butitcertainlydoesbringyou
closertothosegoalsthanifyouhadnotstudiedandprepared!
Inadditiontothepracticewrittenexams,thisbookalsoincludesasample
performanceassessmentinChapter8.Thisisasampleofthekindofjobtasks
youwillperformasaCNA.Youmaybeaskedtoperformtasksliketheseeither
duringastatecertificationexamorbyaprospectiveemployerduringajob
interview.Youshouldpracticethesetasksandbecomeproficientenoughto
performthemunderpressurewithanexamineroryourpotentialemployer
watchingyoucarefully.Carefullypracticingtheseskillswillhelpyousell
yourselftoyouremployerandwillputyouaheadofotherpeopleapplyingfor
thesameposition.Keepinmindthatthebest-trainedpersonisusuallytheone
whoisselectedfortheposition.

HerearethestepstotaketobecomeaCNA:
1.Contactlocalemploymentagenciesorthestatehealthofficetofindout
aboutcertificationstandards.(Alistofstateregistriesfollows.)
2.Contactlocalemploymentagenciesforemploymentopportunities.
3.TakeyourCNAcourseand/orusestudyguidesandtextbookstoprepare
forcertification.
4.Takethefirstpracticeexaminthisbookandscoreit.Reviewyour
weakestareas.
5.Continuetoreviewandtakepracticeexams.Scoreyourselfoneachexam
toseehowpreparedyouarefortheactualcertificationexam.
6.Onceyoufeelconfident,contactyourstateorlocalagencytosetadate
fortakingthecertificationexam.
7.Takethecertificationexamandpassit!
8.Showprospectiveemployersyourcertificate.Thisshowsyou’rereadyto
startajobandhavetheinitiativetoadvanceonceyou’rehired.


Ifyoufaithfullyfollowthesesteps,youwillbewellonyourwaytoa
successfulcareerasacertifiednursingassistant.

StateNursingAssistant/NurseAideRegistries
ALABAMA
AlabamaCertifiedNurseAideRegistry
AlabamaDepartmentofPublicHealth
DivisionofHealthCareFacilities
TheRSATower
201MonroeSt.,Suite700
Montgomery,AL36104
Phone:334-206-5169
Fax:334-206-0361

Website: />
ALASKA
AlaskaNurseAideRegistry
550W.7thAve.,Ste.1500
Anchorage,AK99501-3567
Phone:907-269-8160
Fax:907-269-8156
Website:
/>ARIZONA
ArizonaStateBoardofNursing
4747N.7thSt.,Ste.200
Phoenix,AZ85014-3655
Phone:602-771-7800
Fax:602-771-7888
Website:www.azbn.gov
ARKANSAS
ArkansasNurseAideRegistry


DepartmentofHumanServices
OfficeofLong-TermCare
P.O.Box8059,SlotS409
LittleRock,AR72203-1437
Phone:501-682-8430
Fax:501-682-1197
Website: />CALIFORNIA
DepartmentofHealthCareServices
CaliforniaDepartmentofPublicHealth
LicensingandCertification
P.O.Box997377,MS3000

Sacramento,CA95899-7377
Phone:916-552-8700
Fax:916-552-8785
Website:www.cdph.ca.gov/programs/LnC/Pages/LnC.aspx
COLORADO
ColoradoStateBoardofNursing
DivisionofProfessionsandOccupations
1560Broadway,Ste.1350
Denver,CO80202
Phone:303-894-7800
Fax:303-866-7693
Website:www.colorado.gov/dora/Nursing
CONNECTICUT
ConnecticutDepartmentofPublicHealth
410CapitolAve.
P.O.Box340308
Hartford,CT06134
Phone:860-509-8000
Website:www.ct.gov/dph
DELAWARE


DivisionofLong-TermCareResidents
Protection
3MillRd.,Ste.308
Wilmington,DE19806
Phone:302-577-6661
Fax:302-577-6672
Website:www.dhss.delaware.gov/dltcrp/cnareg.html
DISTRICTOFCOLUMBIA

DistrictofColumbiaBoardofNursing
DepartmentofHealth
HealthProfessionalLicensingAdministration
899N.CapitalSt.,NE
FirstFl.

Washington,D.C.20002
Phone:1-877-672-2174
Fax:202-442-4795
Website:www.doh.dc.gov/service/health-professionals
FLORIDA
DepartmentofHealth
BoardofNursing
4052BaldCypressWay
Bin#C-02
Tallahassee,FL32399-3252
Phone:850-245-4125
Fax:850-412-2207
Website:www.floridanursing.gov
GEORGIA
GeorgiaDepartmentofCommunityHealth
2PeachtreeSt.,NW
Atlanta,GA30303
Phone:404-656-4507
Website:www.mmis.georgia.gov


HAWAII
DepartmentofCommerceandConsumerAffairs
DCCA-PVL

Att:NA
P.O.Box3469
Honolulu,HI96801
Phone:808-586-2695
Website:www.cca.hawaii.gov/pvl/programs/nurse
IDAHO
IdahoNurseAideRegistry
BureauofFacilityStandards
CNARegistry
P.O.Box83720
Boise,ID83720-0009
Phone:208-334-6620
Fax:208-334-6629
Website:www.healthandwelfare.idaho.gov/?tabid=282
ILLINOIS
HealthCareWorkerRegistry
525-535W.JeffersonSt.
Springfield,IL62761
Phone:800-252-4343
Website:dph.illinois.gov/topics-services/health-care-regulation/healthcare-worker-registry
INDIANA
StateDepartmentofHealth
DivisionofLongTermCare
2N.MeridianSt.,4B
Indianapolis,IN46204
Phone:317-233-7442
Website:www.in.gov/isdh/23260.htm
IOWA

DepartmentofInspectionsandAppeals
HealthFacilitiesDivision
LucasStateOfficeBuilding
321East12thSt.,3rdFl.
DesMoines,IA50319-0083
Phone:515-281-4115
Fax:515-242-5022
Website:www.dia-hfd.iowa.gov/DIA_HFD/Home.do
KANSAS
HealthOccupationsCredentialing
612S.KansasAve.
Topeka,KS66603-3404
Phone:785-296-1240
Website:www.kdads.ks.gov/commissions/scc/health-occupationscredentialing
KENTUCKY
KentuckyBoardofNursing
312WhittingtonPrkwy.,Ste.300
Louisville,KY40222
Phone:502-429-3300
Fax:502-429-3311
Website:www.kbn.ky.gov
LOUISIANA
LouisianaNurseAideRegistry
StateofLouisiana
CNA-DSWRegistry
P.O.Box3767
BatonRouge,LA70821-3767
Phone:225-342-0138
Fax:225-342-5073
Website: />MAINE

MaineRegistryofCertifiedNursingAssistants
MaineStateBoardofNursing
161CapitolSt.
158StateHouseStation
Augusta,ME04333-0158
Phone:207-287-1133
Fax:207-287-1149
Website:
www.pfr.maine.gov/almsonline/almsquery/SearchIndividual.aspx
MARYLAND
MarylandNurseAideRegistry
4140PattersonAve.
Baltimore,MD21215-2254
Phone:410-585-1900
Website:www.mbon.maryland.gov
MASSACHUSETTS
MassachusettsNurseAideRegistry
NurseAideRegistryProgram
99ChauncySt.,2ndFl.
Boston,MA02111
Phone:617-753-8144
Website:
www.mass.gov/eohhs/gov/departments/dph/programs/hcq/nurse-aides
MICHIGAN
MichiganDepartmentofCommunityHealth
ProfessionalLicensing
P.O.Box30670
Lansing,MI48909

Phone:517-373-8068
Website:www.michigan.gov/healthlicense
MINNESOTA
DivisionofComplianceMonitoring


NursingAssistantRegistry
P.O.Box64501
St.Paul,MN55164-0501
Phone:651-215-8705
Website:www.health.state.mn.us/divs/fpc/profinfo/narinfo/aboutnar.html
MISSISSIPPI
BureauofHealthFacilities—LicensureandCertification
P.O.Box1700
Jackson,MS39215-1700
Phone:601-576-7400
Website:www.msdh.state.ms.us
MISSOURI
MissouriDepartmentofHealthandSeniorServices
Attn:HealthEducationUnit
P.O.Box570
JeffersonCity,MO65102-0570
Phone:573-526-5686
Fax:573-526-7656
Website:www.health.mo.gov/safety/cnaregistry
MONTANA
DepartmentofPublicHealthandHumanServices
2401ColonialDr.,2ndFl.
P.O.Box202953
Helena,MT59620-2953

Phone:406-444-4980
Fax:406-444-3456
Website:www.dphhs.mt.gov/cna
NEBRASKA
NebraskaHealthandHumanServiceSystem
DivisionofPublicHealth,LicensureUnitOfficeofNursingandNursing
Support
P.O.Box95026


Lincoln,NE68509-5026
Phone:402-471-3121
Website:www.dhhs.ne.gov/publichealth/Pages/lis_lisindex.aspx
NEVADA
BureauofHealthCareQualityandCompliance
1550EastCollegeParkway,Suite158
CarsonCity,NV89706
Phone:775-687-4475
Fax:775-687-6588
Website:www.dhhs.nv.gov/Health/HCQL.htm
NEWHAMPSHIRE
NewHampshireBoardofNursing
21S.FruitSt.
Concord,NH03301
Phone:603-271-6282
Fax:603-271-6605
Website:www.nh.gov/nursing
NEWJERSEY
NewJerseyDepartmentofHealthandSeniorServicesOfficeof
ProgramCompliance—NurseAideRegistry

DivisionofHealthFacilitiesEvaluationandLicensing
P.O.Box358
Trenton,NJ08625-0358
Phone:609-633-9051
Fax:609-633-9078
Website:www.nj.gov/health/healthfacilities/nadetail.shtml
NEWMEXICO
DOH/DHI/HealthFacilityLicensingandCertificationBureau
HaroldRunnelsBuilding
1190S.St.FrancisDrive
SantaFe,NM87505
Phone:505-476-9040


AutomatedVoiceSystem:505-827-1453
Fax:505-476-9026
Website:www.nmhealth.org/about/dhi/hflc
NEWYORK
NewYorkStateDepartmentofHealth
CorningTower
EmpireStatePlaza
Albany,NY12237
Phone:518-408-1297
CNAVerificationsOnly:800-918-8818
Website:
www.health.ny.gov/health_care/consumer_information/nurse_aide_registry
NORTHCAROLINA
NorthCarolinaDepartmentofHealthandHumanServices
DivisionofHealthServiceRegulation
HealthCarePersonnelRegistrySection

2719MailServiceCenter
Raleigh,NC27699-2719
Phone:919-855-3969
Fax:919-733-9764
Website:www.ncnar.org
NORTHDAKOTA
NorthDakotaDepartmentofHealth
DivisionofHealthFacilities
600E.BoulevardAve.,Dept.301
Bismarck,ND58505-0200
Phone:701-328-2353
Fax:701-328-1890
Website: />OHIO
BureauofInformationandOperationalSupport
OhioDepartmentofHealth


NurseAideRegistry
246N.HighSt.
Columbus,OH43215
In-StateOnly(automatedsystem):800-582-5908
OutsideOhio(automatedsystem):614-752-9500
Fax:614-564-2461
Website:
www.odh.ohio.gov/en/odhprograms/io/nurseaide/nurseaide1.aspx

OKLAHOMA
StateDepartmentofHealth
NurseAideRegistryandNontechicalServicesWorkerRegistry
1000N.E.10thSt.

OklahomaCity,OK73117
Phone:405-271-4085
Website:
www.ok.gov/health/Protective_Health/Health_Resources_Development_Service/Nurs
OREGON
OregonStateBoardofNursing
17938S.W.UpperBoonesFerryRd.
Portland,OR97224-7012
Phone:971-673-0685
Fax:971-673-0684
Website:www.oregon.gov/OSBN
PENNSYLVANIA
PearsonVUE/NurseAideRegistry
ThreeBalaPlazaWest,Suite300
BalaCynwyd,PA19004
Phone:1-610-617-9300
Website:www.pearsonvue.com/pa/nurseaides
RHODEISLAND
RhodeIslandDepartmentofHealth
3CapitolHill


Providence,RI02908
Phone:401-222-5960
Website:www.health.ri.gov
SOUTHCAROLINA
PearsonVUE
ThreeBalaPlazaWest,Suite300
BalaCynwyd,PA19004
Phone:1-610-617-9300

Website:www.pearsonvue.com/sc/nurseaides
SOUTHDAKOTA
BoardofNursing
4305S.LouiseAve.,Ste.201
SiouxFalls,SD57106-3115
Phone:605-362-2760
Fax:605-362-2768
Website:doh.sd.gov/boards/nursing
TENNESSEE
StateofTennesseeDepartmentofHealth
NurseAideRegistry
710JamesRobertsonParkway
Nashville,TN37243
Phone:615-532-5171
Toll-Free:800-778-4504
Fax:615-248-3601
Website:www.tn.gov/health/article/hcf-nurseaide
TEXAS
NFALicensing
DepartmentofAgingandDisabilityServices
P.O.Box149030
Austin,TX78714-9030
Phone:512-438-3011
Website:www.dads.state.tx.us/providers/nf/credentialing/nar


UTAH
UtahNursingAssistantRegistry
550E.300South
Kaysville,UT84037

Phone:801-547-9947
Website:www.utahcna.com
VERMONT
VermontStateBoardofNursing
OfficeofProfessionalRegulation
89MainStreet,3rdFloor
Montpelier,VT05620
Phone:802-828-2363
Fax:802-828-2496
Website:www.sec.state.vt.us/professional-regulation.aspx
VIRGINIA
VirginiaBoardofNursing
NurseAideRegistry
PerimeterCenter
9960MaylandDr.,Ste.300
Henrico,VA23233-1463
Phone:804-367-4515
Fax:804-527-4455
Website:www.dhp.virginia.gov/nursing
VIRGINISLANDS
VirginIslandsBoardofNurseLicensure
P.O.Box304247,VeteransDr.Sta.
St.Thomas,VI00803
Phone:1-340-776-7397
Fax:1-340-777-4003
Website:www.thevibnl.org
WASHINGTON
DSHSAgingandLong-TermSupportAdministration

DSHSCustomerServiceCenter
P.O.Box11699
Tacoma,WA98411-9905
Phone:360-725-5830
Website:www.dshs.wa.gov/altsa
WESTVIRGINIA
OfficeofHealthFacility
LicensureandCertification
408LeonSullivanWay
Charleston,WV25301
Phone:304-558-0050
Fax:304-558-2515
Website:
WISCONSIN
WisconsinDepartmentofHealthServices
1W.WilsonSt.
Madison,WI53703
Phone:608-266-1865
Website:www.dhs.wisconsin.gov/caregiver/nurse-aide/intro.htm
WYOMING
WyomingStateBoardofNursing
6101YellowstoneRoad,Suite186C
Cheyenne,WY82002
Phone:307-777-7123
Fax:307-777-7127
Website:www.health.wyo.gov/ohls/CNA.html