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PROMETRIC-NA Requirements 2026: Eligibility, Prerequisites & How to Qualify

TL;DR
  • Standard eligibility requires a DPH-approved program with at least 100 combined classroom and clinical hours.
  • The written exam has 60 questions (50 scored, 10 pretest, unscored) with a 90-minute limit.
  • Written-only or oral-only testing costs $48 starting August 1, 2026; full written plus skills costs $125.
  • You must pass both the knowledge and clinical skills exams within 24 months of finishing training.

What the PROMETRIC-NA Written Exam Actually Requires

Before you can sit for the Prometric Connecticut Nurse Aide Written (Knowledge) Examination, you have to satisfy a specific chain of prerequisites set by the Connecticut Department of Public Health (DPH) and administered through Prometric. This isn't a "study a book and show up" credential - eligibility is tied to completed training hours, a defined testing window, and exact fee structures that changed as of August 1, 2026. Getting the requirements wrong (wrong training hours, missed deadline, wrong ID) is one of the most common reasons candidates get turned away at the test center or have to restart the eligibility clock.

This guide walks through exactly who qualifies, what the written exam looks like on test day, what it costs under the current 2026 fee schedule, and what happens after you pass. For a deeper breakdown of exam content itself, see the PROMETRIC-NA Exam Domains 2026 guide, and if you're still deciding whether this certification fits your career plans, check Is the PROMETRIC-NA Certification Worth It?

Who Governs This Exam: The Connecticut Department of Public Health sets the eligibility rules and passing standard. Prometric develops, administers, and scores the exam, and also manages the CNA registry contract on behalf of the state.

Route 1 Eligibility: The 100-Hour Training Pathway

Standard Route 1 applicants - the vast majority of first-time Connecticut CNA candidates - must complete a DPH-approved nurse aide training program consisting of at least 100 combined classroom and clinical hours. This is the foundational prerequisite: you cannot register for the written or clinical skills exam without documentation that your program met this hour minimum and was DPH-approved.

  • Training must cover the content areas later tested across all five exam domains.
  • Both classroom instruction and supervised clinical practice hours count toward the 100-hour total.
  • Programs must be listed as DPH-approved - hours from a non-approved course will not satisfy eligibility.

Once your program confirms completion, your training provider or program coordinator typically facilitates exam registration with Prometric. From that point, the clock starts on your eligibility window (more on that below).

Key Takeaway

Confirm your training program's DPH approval status before enrolling. Hours completed in a non-approved program will not count toward Route 1 eligibility, regardless of how many hours you log.

Exam Format, Timing, and Question Structure

The written knowledge exam is computer-delivered, closed-book, and administered in English at an approved, proctored Prometric test site. It contains 60 multiple-choice questions total, but not all of them count toward your score:

  • 50 scored questions - these determine your pass/fail result.
  • 10 unscored pretest questions - mixed in to evaluate future exam items, indistinguishable from scored questions during testing.
  • 90-minute time limit for the full 60-question set.

Because the 10 pretest questions look identical to scored ones, you cannot tell which items are being trialed. Treat every question on the exam as if it counts. Since Prometric uses a state-adopted, equated passing standard, the number of correct answers needed to pass can vary slightly between different test forms - the exam is scaled rather than graded on a fixed raw count. For a full explanation of how equating affects your target score, see PROMETRIC-NA Passing Score 2026.

Format Reminder: Translation dictionaries and translators are prohibited during written testing. If English-language testing is a barrier, the oral option (discussed below) is the approved accommodation path - not an outside translator.

Fees Effective August 2026

Connecticut's Prometric fee schedule changed effective August 1, 2026. Understanding these fees matters because candidates often confuse the "written-only" charge with the total cost of becoming certified - they are not the same thing.

Testing OptionFee (Effective Aug. 1, 2026)
Written + Clinical Skills (combined)$125
Oral + Clinical Skills (combined)$125
Written-Only or Oral-Only$48
Clinical-Skills-Only$77

Note the critical distinction: initial certification requires passing both the knowledge exam and the clinical skills exam. The $48 fee only covers the knowledge component - it is not the full cost of becoming certified if you're testing both parts separately. For a complete cost breakdown including retake scenarios, read PROMETRIC-NA Certification Cost 2026.

ID Requirements and Testing-Day Rules

Prometric enforces strict identification requirements at the test center. You must bring two matching-name identification documents, and one of them must be a government-issued photo ID. Names across both documents must match exactly - a maiden name, nickname, or unupdated legal name mismatch can result in denied entry and a forfeited testing fee.

  • Verify both ID documents show the identical name you used during registration.
  • Government-issued photo ID (such as a driver's license or state ID) is required as one of the two documents.
  • Arrive prepared for a closed-book, proctored environment - no notes, phones, or reference materials permitted.

Oral Testing and Disability Accommodations

Connecticut offers an oral testing option for candidates who need it, along with approved disability accommodations. Both must be requested during the application process - you cannot switch to oral testing on the day of the exam if you haven't arranged it in advance.

  • The oral-only fee mirrors the written-only fee at $48.
  • Oral + clinical skills combined costs $125, identical to the written + skills combined price.
  • Disability accommodation requests go through the same application channel - plan ahead, since approval takes time to process.

Learn more about how the oral format differs in question delivery in PROMETRIC-NA Study Guide 2026, which covers preparation strategies for both testing formats.

The Five Domains You Must Prepare For

Connecticut's Candidate Information Bulletin defines five official domains, each weighted differently on the scored portion of the exam. Knowing these weights lets you prioritize study time instead of reviewing everything equally.

Domain 4: Basic Nursing Care Provided by the Nurse Aide (26%)

The single largest domain. Covers hands-on care tasks nurse aides perform daily under nursing supervision.

  • Vital signs, personal hygiene, positioning, and mobility assistance
  • Nutrition and hydration support
  • Comfort and rest measures

Domain 3: Promotion of Function and Health of Residents (24%)

Second-largest domain, focused on maintaining and restoring resident independence and psychosocial well-being.

  • Range of motion and restorative care principles
  • Supporting self-care and independence
  • Emotional and social needs of residents

Domain 1: Role of the Nurse Aide (18%)

Covers professional boundaries, communication, and the aide's place within the care team.

  • Legal and ethical behavior
  • Communication with residents, families, and staff
  • Member of the health care team responsibilities

Domain 2: Promotion of Safety (18%)

Tied with Domain 1 in weight, this covers preventing harm to residents and staff.

  • Infection control procedures
  • Fall prevention and body mechanics
  • Emergency response procedures

Domain 5: Providing Specialized Care for Residents with Changes in Health (14%)

The smallest domain by weight but still tests meaningful clinical judgment.

  • Recognizing and reporting changes in condition
  • End-of-life and specialized care needs
  • Common disease-related care adjustments

For a question-by-question walkthrough of each domain's content, visit the complete guide to all 5 content areas. If you're wondering how challenging the exam is overall relative to these weights, How Hard Is the PROMETRIC-NA Exam? breaks down difficulty by domain.

24-Month Window and Unlimited Retakes

Connecticut sets a firm eligibility deadline: both the knowledge exam and the clinical skills exam must be passed within 24 months after completing your training program. Miss that window, and you may need to repeat training to regain eligibility.

The good news is that within this 24-month period, Connecticut permits unlimited attempts at both exam components. There's no cap on retakes - if you don't pass on your first try, you can register again as many times as needed, provided you stay within the 24-month clock and pay the applicable fee each time.

Retake Strategy: Because retakes are unlimited within the eligibility window, use an early attempt as a diagnostic if you're unsure about your readiness - but budget for the retest fee each time. See PROMETRIC-NA Pass Rate 2026 for what the available data shows about first-attempt outcomes.

After You Pass: Registry and Recertification

Passing both the written and clinical skills exams gets your name placed on Connecticut's nurse aide registry. From there, staying certified requires ongoing employment verification rather than repeated testing:

  • Registry renewal itself is free.
  • Renewal requires employer verification of at least one eight-hour paid shift providing nursing or nursing-related services before your certification expires.
  • Recertification lasts two years from your last verified date of employment.

This structure means the exam requirements you satisfy up front are only half the picture - maintaining active registry status depends on staying employed in a qualifying nursing role. For context on where CNAs typically work after certification, see PROMETRIC-NA Jobs and PROMETRIC-NA Salary Guide 2026.

Building a Domain-Weighted Study Plan

Once you've confirmed eligibility and registered, allocate study time proportionally to domain weight rather than splitting attention evenly across all five areas.

Week 1

Basic Nursing Care (26%)

  • Drill vital signs, hygiene, positioning, and nutrition scenarios - this is the highest-weighted domain
Week 2

Promotion of Function and Health (24%)

  • Review restorative care and psychosocial support concepts
Week 3

Role of the Nurse Aide + Promotion of Safety (18% each)

  • Combine these two equally-weighted domains into one focused review block
Week 4

Specialized Care (14%) + Full Practice Simulation

  • Cover the smallest domain, then run a full 60-question, 90-minute timed simulation

Running a full-length practice simulator that mirrors the real 60-question, 90-minute format - including the mix of scored and unscored pretest items - is one of the most effective ways to build test-day comfort. You can start practicing with timed questions modeled on the real domain weights at our Connecticut CNA practice test platform. Combine that with the structured review approach in the PROMETRIC-NA Study Guide 2026 for a complete prep plan.

Key Takeaway

Spend roughly proportional time to domain weight: Basic Nursing Care and Promotion of Function together make up half your scored questions, so they deserve half your review time.

If you want a fast reference to keep nearby during final review, the PROMETRIC-NA Cheat Sheet 2026 condenses the domain weights, fee table, and eligibility rules onto one page. And if scheduling logistics are your next question, PROMETRIC-NA Exam Dates 2026 covers testing windows and deadlines in detail.

Frequently Asked Questions

How many training hours do I need before I can register for the PROMETRIC-NA written exam?

Standard Route 1 applicants need a DPH-approved training program with at least 100 combined classroom and clinical hours before registering for either exam component.

What happens if I don't pass both exam parts within 24 months of finishing training?

Connecticut requires both the knowledge and clinical skills exams to be passed within 24 months after training completion. Missing that window can mean losing eligibility under your original training and needing to retake or extend training requirements.

Is there a limit on how many times I can retake the written exam?

No. Connecticut permits unlimited attempts at both the knowledge and clinical skills exams as long as you remain within the 24-month eligibility period.

Does the $48 fee cover full certification?

No. The $48 fee covers written-only or oral-only testing. Initial certification requires passing both the knowledge exam and the clinical skills exam, so most candidates will pay separately for skills testing or choose the $125 combined written-plus-skills or oral-plus-skills option.

How do I request oral testing or a disability accommodation?

Both the oral testing option and approved disability accommodations must be requested during the application process, not on test day. Plan ahead so your request can be processed before scheduling.

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