Sources

Effective April 2024, based on the 2019-2020 Job Analysis and Knowledge, Skill, and Ability Study of Nurse Aides. Nine content areas with percentages and scored item counts summing to 100 percent and 60 items. Written exam is 70 items of which 10 are pretest; oral is 60 multiple-choice plus 10 reading comprehension items.

Carries the NNAAP skills listing of 23 skills, the rule that five skills are performed with Hand Hygiene always among them, the Critical Element Step scoring rule, and Colorado-specific fees and the 24-month window. Skills 12 and 23, electronic and manual blood pressure, are marked state specific and must not be substituted for one another.

Source for the paid Florida/Prometric written-question bank. The free NNAAP tools use a different pathway; this source does not replace their outline.

Hand hygiene plus four randomly selected skills; Credentia administers the NNAAP in Colorado.

Retrieved through the eCFR versioner API at title 42 issue date 2026-08-13. The federal floor every state must meet: 75 clock hours minimum at 483.152(a)(1), 16 hours supervised practical training, 16 hours before any direct resident contact, the curriculum areas at 483.152(b), and the competency evaluation rules at 483.154 including the randomly selected skills draw and the minimum of three attempts.