Maryland Nursing Assistant / Nurse Aide Guide

CNA - Certified Nursing Assistant - Aide Practice Exam Is a License or Certification needed:  To get licensed and work as a nursing assistant or nurse aide in Maryland, you need to complete a nursing assistant program. An exam is not required for initial licensure, though it is required to work as a geriatric nurse assistant. 
Who Grants Certification: The Maryland Board of Nursing grants certification to Maryland nursing assistants and nurse aides.

The Qualifications to become Certified:

In order to receive a new nurse aide certification in the state of Maryland, you must successfully pass a background check before completing a state-approved nurse aide program. You can find a list of these programs here

How to Apply for Certification:
Apply for your certification by faxing, emailing or sending a postal letter to the Maryland Board of Nursing. Your request must supply:
  • Your Name
  • Address
  • Phone Number
  • Whether this is an Endorsement, Renewal or Initial Certified Nurse Aide application
If using fax, fax this information to 410-764-8042.

Mail a request to:
Maryland Board of Nursing
Nursing Assistant Certification Program
4140 Patterson Avenue
Baltimore, MD 21215
Find full instructions for applying offline here.
You may also apply online.
How to Apply to Take the Exam:
The National Nurse Aide exam can be taken in Maryland at one of these locations. You may use this form to apply to take the test.  

Test Content

The NNAAP test has two parts, a Skills Evaluation and a Written (or oral) part.  Both parts must be passed to be listed on the Maryland Nurse Aide Registry. The written section is 70 questions in length, 60 are multiple-choice and 10 are reading comprehension questions. Take two pencils with you. You will have two full hours to complete the exam. (The oral exam if given in place of the written exam is 160 questions in length.) The Skills Evaluation will be a 25 minute time period given to complete 5 randomly selected nurse aide skills. Content topics include:
  • Activities of Daily Living – Hygiene, Dressing and Grooming, Nutrition and Hydration, Elimination, Rest/Comfort/Sleep
  • Basic Nursing Skills - Infection Control, Safety/Emergency, Therapeutic/Technical Procedures, Data Collection and Reporting
  • Restorative Skills – Prevention, Self-care/Independence
  • Psychosocial Care Skills – Emotional and Mental Health Needs
  • Spiritual and Cultural Needs
  • Communication
  • Client Rights
  • Legal and Ethical Behavior
  • Member of the Health Care Team
See the Candidate Handbook for more details.

Certification Renewal and Continuing Education Requirements:

In order to renew your certified nurse aide license in Maryland, you will need to pay a fee for the two-year renewal. Your CNA certification will expire 2 years after your first license renewal on the 28th day of your birth month. If you were born in an odd year, your license will expire in an odd year and if you were born on an even year, your CNA license will expire on an even year.

MD Nurse Aide Registry 
MD Board of Nursing 
4140 Patterson Avenue 
Baltimore, MD 21215-2254 

Phone: 410-585-1990,
Fax: 410-764-8042
Verification Line: 410-585-1994


To prepare for your nursing assistant or nurse aide exam, use’s Certified Nursing Assistant Exam Practice Test Kit with 300 multiple choice questions, written by nursing experts and educators.

For more information on licensing and exam prep, go to's CNA Test Guide.

And take's free CNA Practice Test.

For nursing assistant and nurse aide exam preparation products and services, such as study guides, practice tests, flashcards and courses, go to's CNA listings.
Quality starts with who wrote the material.
Our practice exam writer
Alene Burke, RN, MSN
, is a multidisciplinary nursing educator and has taught nurses and CNAs for the last 25 years. She has developed curriculum for college level health care educational institutions and has served as a member of the American Nurses Association’s Credentialing Center Innovative Collaborative Initiative on healthcare education.

Dorothy Belding, RN, MSH
, is an instructor in the CNA program at Mitchell Community College in North Carolina.  Dorothy has over 30 years of experience as an RN and has worked in the skilled nursing environment supervising CNAs.

Diane Hill, RN, BSN
, is an instructor in CNA studies at Cumberland Community College in New Jersey. Diane is a state-certified CNA educator and has worked as an assistant director and staff nurse in nursing homes.

National Nurse Aide Assessment Program (NNAAP) Exam Content Outline Review

I. Physical Care Skills

A. Daily Living Activities:

  • Hygiene
  • Dressing and Grooming
  • Nutrition and Hydration
  • Elimination
  • Rest/Sleep/Comfort

B. Skills of Basic Nursing:

  • Infection Control
  • Safety/Emergency
  • Therapeutic/Technical Procedures
  • Data Collection and Reporting   

C. Restorative Skills:

  • Prevention
  • Self Care/Independence

II. Psychosocial Care Skills

A. Emotional and Mental Health Needs

B. Spiritual and Cultural Needs

III. Nurse Aide Roles

A. Communication

B. Client Rights

C. Legal and Ethical Behavior

D. Member of the Health Care Team