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MarylandNURSE AIDEwritten (or oral) examination& skills evaluationCandidate HandbookSEARCHJuly 2018
QUICK REFERENCEMARYLAND BOARD OF NURSINGNursing Assistant Certification Program4140 Patterson AvenueBaltimore, MD 21215(410) 585-1990Hours of Operation 8:00 a.m. – 5:00 p.m.Wednesdays 9:30 a.m.- 5:00 p.m.(Eastern Time Zone)Call the Maryland Board of Nursing to: Obtain information on official regulations andguidelines for geriatric nursing assistants Change your current address or name on theRegistry Obtain information regarding reciprocity Obtain information on continued registration onthe RegistryMARYLANDCERTIFIED NURSING ASSISTANT (CNA)AND GERIATRIC NURSING ASSISTANT (GNA)REGISTRY VERIFICATIONTo view your registry verification, please spx
CREDENTIA3 Bala Plaza WestSuite 400ABala Cynwyd, PA 19004(877) 437-9587support@getcredentia.comHours of Operation Mon. – Fri. 8:30 a.m. – 6:00 p.m.(Eastern Time Zone)Call Credentia to: Obtain a Candidate Handbook Obtain or complete an Examination Application Schedule an examination Cancel an examination Arrange special examination requests and services Change your current address or name priorto testing (at least 11 days in advance)PEARSON VUE Maryland NNAAP PO Box 13785Philadelphia, PA 19101-3785(888) 274-7070Hours of Operation 8:00 a.m. – 5:00 p.m.(Eastern Time Zone)Call Pearson VUE to: Obtain information regarding your Score Report Change your current address or name prior toexamination results being sent to the Registry Request a duplicate Score Report Obtain information regarding the examinationGo to Pearson VUE’s website atwww.pearsonvue.com to: Download a Candidate Handbook Download an application View Test Center Schedule View Frequently Asked Questions View the Nurse Aide Practice Written Examination
Pearson VUE and Credentia do not discriminate on the basis of age, sex, race, creed,disabling condition, religion, national origin, or any other protected characteristics.Copyright 2018 Pearson Education, Inc., or its afliate(s).All Rights Reserved. Pubs orders@Pearson.comNNAAP Written Exam Content Outline and Practical Skills ListingCopyright 2016-2018 National Council of State Boards of Nursing, Inc. (NCSBN ). All rights reserved.
TABLE OF CONTENTSQuick Reference . inside front coverIntroduction . 1National Nurse Aide Assessment Program . 1Exam Overview . 2Eligibility. 2Eligibility Routes . 2Application and Scheduling . 5Filling Out an Application .Fees.Exam Fees.Other Fees .Exam Scheduling.Testing Locations.Accommodations .5555677Cancellation. 8Refunds . 8Absence Policy . 8Weather Emergencies. 9Exam Day . 9Checking In. 9What to Bring . 9Proper Identification. 10Security and Cheating . 10Testing Policies . 11Lateness . 11Electronic Devices . 11Study Aids . 11Eating/Drinking/Smoking. 11Misconduct. 11Guests/Visitors. 11The Written (or Oral) Exam . 12Written Exam . 12Oral Exam . 12continued on next page
Written (or Oral) ExamContent Outline . 13Sample Questions . 14Self-assessment reading test . 15-18The Skills Evaluation. 19What to Expect . 19Setting . 19Who Will Act as a Client? . 19Candidate Volunteer Requirements . 19The Tasks . 20Recording a Measurement . 21Sample Recording Sheet for Measurement Skills. 22Tips for the Skills Evaluation. 23Skills Listing . 24-38Score Reporting . 39Exam Results . 39Written (or Oral) Exam . 39Skills Evaluation . 39Failing. 39How to Read a Failing Score Report . 40Passing . 41Duplicate Score Report. 41grievance process . 42The Registry . 42Change of Address or Name.Registration Process.First-time Registration .Re-registration .Endorsement (Reciprocity) .4242424343maryland nursing assistantfrequently asked questions. 44-47AppendixAppendix A: Request for Duplicate Score ReportAppendix B: Change of Address or Name Form
INTRODUCTIONTis handbook is designed for candidates seekingGeriatric Nursing Assistant (GNA) registration inMaryland. It describes the process of applying for theNational Nurse Aide Assessment Program (NNAAP )and taking the NNAAP Examination. It should be keptfor future reference.Te Maryland Board of Nursing, Nursing AssistantCertifcation Program, has contracted with Pearson VUE ,a nationally recognized leading provider of assessmentservices to regulatory agencies and national associations,to develop, score, and report the results of the NNAAPExamination required for registration as a GNA. Credentiawill be working with Pearson VUE to schedule and administer the examination to qualifed individuals.Te Maryland Board of Nursing is responsible for theNursing Assistant Certifcation Program in the state ofMaryland including GNA registration and Registry services.In order to be registered in Maryland as a GNA, you mustfrst be certifed as a Certifed Nursing Assistant (CNA).Please visit http://www.pearsonvue.com/md/nurseaidesand click on the Untested Skills link to see four skills thatare required knowledge for the state of Maryland, but are nottested on the skills evaluation.NATIONAL NURSE AIDE ASSESSMENTPROGRAM (NNAAP )Te Nursing Home Reform Act, adopted by Congress aspart of the Omnibus Budget Reconciliation Act of 1987(OBRA ’87), was designed to improve the quality of carein long-term health care facilities and to defne trainingand evaluation standards for GNAs who work in suchfacilities. Each state is responsible for following the termsof this federal law.Te National Nurse Aide Assessment Program (NNAAP )is an examination program designed to determine minimalcompetency to become a certifed GNA in your state. TeNNAAP was developed by the National Council of StateBoards of Nursing, Inc., (NCSBN) to meet the nurse aideevaluation requirement of federal and state laws and regulations. Pearson VUE is the authorized administrator of theNNAAP in your state.Te NNAAP Examination is an evaluation of nurseaide-related knowledge, skills, and abilities. Te NNAAPExamination is made up of both a Written (or Oral)1
Examination and a Skills Evaluation. Te purpose of theNNAAP Examination is to test that you understand andcan safely perform the job of an entry-level GNA.EXAM OVERVIEWTe two parts of the examination process, the Written(or Oral) Examination and the Skills Evaluation, will beadministered on the same day. You must pass both parts inorder to be registered and listed on the Maryland GeriatricNursing Assistant Registry.Te Written Examination consists of seventy (70) multiple-choice questions written in English. Sample examination questions are provided in this handbook. AnOral Examination may be taken in place of the WrittenExamination if you have difculty reading English. TeOral Examination consists of sixty (60) multiple-choicequestions and ten (10) reading comprehension questions. Ifyou want to take the Oral Examination, you must requestit when you submit your application.At the Skills Evaluation you will be asked to perform fve(5) randomly selected GNA skills. You will be given thirty(30) minutes to complete the fve (5) skills. You will berated on these skills by a Nurse Evaluator. A complete listing of the skills is shown on pages 24 to 38.See The Written (or Oral) Exam and The Skills Evaluationfor more details about the NNAAP Examination.ELIGIBILITYELIGIBILITY ROUTESIn order to become registered in Maryland as a GNA, youmust frst: Complete a Board of Nursing approved GNAtraining program or its equivalent Pass both parts of the NNAAP Examination Be certified as a CNA in MarylandNOTE: Every CNA working in a Maryland Licensed NursingHome MUST be registered as a GNA within 120 days ofbeing hired by the facility. You may not work as a GNA, evenwhile waiting to take the NNAAP Examination, unless youare already a CNA in good standing, certified through theMaryland Nursing Assistant Certification Program.Choose one of the following eligibility routes to qualify forthe NNAAP Examination:2
A-1 NEW GERIATRIC NURSING ASSISTANTTo qualify to take the NNAAP Examinationunder Route A1, you must choose one of the followingcriteria categories Completed Training: have successfully completed, within the last twelve (12) months, a Boardof Nursing-approved 100-hour nursing assistanttraining program that includes clinical experiencein a Maryland Licensed Nursing Home. A copy ofthe new training program certificate must accompany your examination application. Student Nurse — Active: as a student nursecurrently enrolled in an nursing education program; have successfully completed the portionof the curriculum determined by the nursingeducation program and the Board of Nursingas having met the requirements of the (above)100-hour Board of Nursing-approved nursingassistant training program, including clinicalexperience in a Maryland Licensed NursingHome. Official student transcripts must accompany your examination application. Student Nurse — Inactive: as a student nurseno longer actively enrolled in a nursing education program; have successfully completed,within the last twelve (12) months, the portionof Maryland approved education program curriculum determined by the nursing educationprogram and the Board of Nursing as having metthe requirements of the 100-hour nursing assistant training program, including clinical experience in a Maryland Licensed Nursing Home.Official student transcripts must accompanyyour examination application. Graduate Nurse: has graduated from an accredited nursing education program in the UnitedStates. A copy of your diploma or degree mustaccompany the examination application. Graduate Nurse — Foreign: has graduatedfrom a nursing education program outside theUnited States, is currently licensed in the country as a nurse (not a midwife), and have beenpre-approved by the Maryland Board of Nursingto take the NCLEX Examination. The Boardof Nursing’s Authorization to Test (ATT) mustaccompany your examination application.3
A-2EXPIRED GNA CERTIFICATE(LESS THAN TWENTY-FOUR(24) MONTHS)If your GNA Certificate has been expired for less thantwenty-four (24) months, you may be eligible to becomeactive on the Registry by submitting to the Board ofNursing evidence of GNA practice for a minimum ofeight (8) hours in a Maryland Licensed Nursing Home.In the absence of working in a Maryland LicensedNursing Home, you must successfully re-test in orderto become active on the Maryland Geriatric NursingAssistant Registry. If you fail the Written (or Oral)Examination or the Skills Evaluation on the first try,you must complete a Board of Nursing-approved nursing assistant training program. A copy of your expiredGNA Certificate must accompany your examinationapplication.A-3EXPIRED GNA CERTIFICATE(MORE THAN TWENTY-FOUR (24)MONTHS)If your GNA Certificate has been expired for morethan twenty-four (24) months, you may be eligible tobecome active on the Registry by submitting evidenceto the Board of Nursing of continued GNA practicein a Maryland Licensed Nursing Home for at leasteight (8) hours for each two (2) year period. In theabsence of continued practice, you must successfullyre-train and re-test in order to become active on theMaryland Geriatric Nursing Assistant Registry. If youfail the Written (or Oral) Examination or the SkillsEvaluation on the first try, you must complete a Boardof Nursing-approved nursing assistant training program. A copy of your expired GNA Certificate mustaccompany your examination application.A-4 ENDORSEMENT/RECIPROCITYIf you are currently certifed and in good standing on theCNA registry in another state, you are NOT required totake the NNAAP Examination. You are eligible for GNAcertifcation in Maryland after you have obtained certifcation as a Maryland CNA. You must contact the MarylandBoard of Nursing, Nursing Assistant Certifcation Programfor a GNA endorsement application.4
APPLICATIONAND SCHEDULINGFILLING OUT AN APPLICATION You must complete an examination applicationto apply for the NNAAP Examination. You may get an application from your nursingfacility employer or your nursing assistant trainingprogram. You are responsible for completing the application.You may ask someone from your nursing assistanttraining program or nursing facility employer forassistance in completing the application. You should have received a Candidate Handbookbut if you did not, you may call Credentia forone. If you need help or otherwise have any questions about the application, please contact aCredentia Customer Service Representative at(877) 437-9587. Mail your completed application, requireddocuments, and appropriate fee, made payable to"Pearson VUE," together in one envelope to:Credentia, Maryland NNAAP,3 Bala Plaza West,Suite 400ABala Cynwyd, PA 19004FEESEXAM FEESWritten Examination &Skills Evaluationboth exams 105Oral Examination&Skills Evaluationboth exams 105Written ExaminationONLYre-test exam 35Skills Evaluation ONLYre-test exam 70Oral ExaminationONLYre-test exam 35You must pay for both the Written (or Oral) Examinationand the Skills Evaluation the first time you test.5
OTHER FEESUnder Federal and Maryland laws, nursing homes arerequired to pay the initial NNAAP fees for their GNAemployees.For testing, payment must be made in the form of a moneyorder, company check, or certifed check made payable to“Pearson VUE”; or paid by voucher. Even if it is from youremployer, the money order or certifed check must displayyour name so it can be applied to your examination. If youare not currently employed at a nursing home, you maypay the fee yourself. Personal checks and cash will not beaccepted. Fees are non-refundable and non-transferableonce submitted to Credentia because they cover the administrative costs of registration and testing.EXAM SCHEDULINGOnce Credentia receives your application, all requireddocuments (see Application and Scheduling), and fees, youwill be scheduled for testing. You will not be scheduledto test until all required materials are received. Credentiawill mail your Confrmation Letter to the address listed onyour application approximately two (2) weeks prior to theassigned examination date.Your Confrmation Letter has important information about the examination. If you do not get yourConfrmation Letter at least ten (10) business days priorto the examination date, call Credentia. Credentia is NOTresponsible for lost, misdirected, or delayed mail.6
TESTING LOCATIONSInformation about test sites may be obtained bycalling Credentia at (877) 437-9587, or by going toPearson VUE’s website at www.pearsonvue.com/md/nurseaides. Availability of testing at a particular locationis subject to change.ACCOMMODATIONSPearson VUE complies with the provisions of theAmericans with Disabilities Act as amended. Te purposeof accommodations is to provide candidates with fullaccess to the test. Accommodations are not a guarantee ofimproved performance or test completion. Pearson VUEprovides reasonable and appropriate accommodations toindividuals with documented disabilities who demonstrate a need for accommodations.Test accommodations may include things such as: A separate testing room Extra testing time for the Written/Oral exam A Reader or Recorder, for individuals with mobilityor vision impairments and cannot read or write ontheir ownTest accommodations are individualized and consideredon a case-by-case basis. All candidates who are requesting accommodations because of a disability must provideappropriate documentation of their condition and howit is expected to afect their ability to take the test understandard conditions. Tis may include: Supporting documentation from the professionalwho diagnosed the condition, including the credentials that qualify the professional to make thisdiagnosis A description of past accommodations the candidatehas receivedTe steps to follow when requesting test accommodationsvary, depending on your test program sponsor. To begin,go to http://pearsonvue.com/accommodations, and thenselect your test program sponsor from the alphabetized list.Candidates who have additional questions concerning testaccommodations may contact the ADA Coordinator ataccommodationspearsonvue@pearson.com.7
CANCELLATIONIf you are unable to attend your scheduled examination,you MUST call Credentia at least four (4) business daysbefore the examination date to re-schedule (Saturday andSunday and national holidays are not considered business days). If you do not call Credentia at least four (4)business days in advance to re-schedule the examination,and do not attend your scheduled examination, your feewill NOT be refunded and you cannot transfer the feeto another examination date. You also may not give yourexamination date to another person.If you do notify Credentia at least four (4) business days inadvance, you will not forfeit your fee and may transfer thefee to a new examination date. If your employer paid yourexamination fees, they should be notifed of any absenceand/or re-scheduling.REFUNDSOnce payment of exam fees is received, NO REFUNDSWILL BE ISSUED.ABSENCE POLICYSince unexpected situations sometimes occur, Credentiawill consider excus
Tis handbook is designed for candidates seeking Geriatric Nursing Assistant (GNA) registration in Maryland. It describes the process of applying for the National Nurse Aide Assessment Program (NNAAP ) and taking the NNAAP Examination. It should be kept for future r
