In Maryland, any CNA student willing to appear for the NNAAP Examination, must complete state and OBRA/87 approved Nursing Assistant Certification Program. The Maryland Board of Nursing is responsible for the Nursing Assistant Certification Program in the state of Maryland including GNA registration and Registry services. It is also essential for a candidate to be certified as a Certified Nursing Assistant (CNA) first to be registered as a GNA.

The Maryland Board of Nursing, Nursing Assistant Certification Program has contracted with Pearson VUE to develop, assess, and inform the results of the NNAAP Examination required for registration as a GNA. The American Red Cross (ARC) Maryland Chapter jointly works with Pearson VUE to schedule and mange the examination.

In Maryland, the candidate wishing to get registered as GNA should complete GNA Training Program or its equivalent, pass the both parts of NNAAP Exam and has to be certified as a CNA.

Geriatric Nursing Assistant Application for Examination Registration:

Any candidate willing to sit for NNAAP examination should complete Application Form with following requirements:

• Personal information
• Examination Type and Fees
• Eligibility Route Information
• Training Program affidavit/completion certification
• Employment Information
• Test Site Code And Test Location (Race, GNA experience, Language, Education)
• Applicant’s affidavit

The candidate will have to complete the Geriatric Nursing Assistant

Application for Registration by examination form and should mail it to:

American Red Cross, PO Box 5875, Harrisburg, PA 17110 (For US Mail Service)

American Red Cross, 1804 North Sixth Street, Harrisburg, PA 17110 (for Overnight Courier Service)

The Application Form should also contain Fees, Letter of completion, or copy of Achievement Award.

For further assistance the candidate may contact ARC Customer Service Representative at

(866) 257-6470.

During exam day the candidate should bring following necessities:

• 2 nos. Signature Identification Form, one of which must be photo identification (driver’s license, government-issued photo identification, photo credit card, passport, or alien registration card)
• 2 sharpened pencils
• Eraser
• Your Social Security number
• Watch with a second hand

ADA accommodation is also available with prior information. Telecommunication Devices for the Deaf (TDD) is also provided to assist deaf and hearing-impaired candidates.

NNAAP Examination consists of two parts, written/oral test and clinical or skill evaluation test. The reason for the NNAAP exam is to evaluate GNA related knowledge, skills, and abilities in taking effective, competent and safety care of the residents in long term care units. The passing of test also provides them certification and registration as GNA with Maryland Board of Nursing, which makes them eligible to work as GNA in hospitals, long term care units and health centers.

Written/Oral Examination (70 questions)

• 60 multiple choice questions
• 10 reading comprehension questions
• Questions are provided on a cassette tape for listening
• For oral test, request must be made along with the application
• Time limit 2 hours

Oral test is based on Physical Care Skills, Psychosocial Care Skills and Role of the Nurse Aide along with other learning.

Skill Test

• 5 randomly selected skills performance
• Time limit is 25 minutes
• Nursing Assistant Evaluator assess the skill performance of the candidate and rate accordingly
• Successful demonstration of skills passes candidate’s skill evaluation

Skill test are performed on other student known as client and following skills are to be performed:

Measurement Recording, Blood Pressure Measurement, Hand Washing, Counts and Recording of Radial Pulse, Respiration Recording, Feeding and Bed Bath to the client, Bed Making, Movement of the patient, Denture, Mouth and Perennial care to patient, proper use of Bed Pan, Donning and Removing PPE (Gown and Gloves), Client Dressing and so on.

The candidate can ask for rescheduling of the exam for following reasons, which are permissible:

• Ailment/Illness of candidate or his/her family member

• Death in the family

• Disabling traffic accident

• Court appearance or jury duty

• Military duty

• Weather emergency

Any candidate getting employment within 12 months, as a nurse aide by a Medicaid Nursing Facility or Medicare is eligible for the reimbursement of the training and competency evaluation fees through the facility.

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