CNA Exam in Texas and Florida: Format, Fees and Pass Rates

Both states use a two-part exam: a written test and a skills test, run by Prometric. Here's what each part involves, what happens if you fail, and how Florida test takers have done.

By the All CNA Classes Editorial Team · Updated November 3, 2026

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On this page

The two parts of the exam
The exam in Texas
The exam in Florida
Florida exam fees and languages
After you pass
How Florida test takers did
Common questions

The two parts, under federal rules

The CNA exam is what federal rules call the nurse aide competency evaluation. You pass it once to be listed on your state's nurse aide registry, which is what makes you a certified nursing assistant. Every state's competency evaluation has:

a written or oral exam. You must be allowed to choose between a written and an oral version, and
a skills demonstration, using tasks picked at random from a pool of tasks nurse aides commonly do, including personal care.

You must pass both parts.

Source: 42 CFR §483.154(b) and (e), Cornell LII.

Texas

You take a written exam and a skills exam after finishing a state-approved program (60 classroom plus 40 clinical hours).
Prometric handles scheduling and testing, and sends your scores to HHSC.
HHSC staff then issue your certificate.

Source: Texas HHSC: Become a Certified Nurse Aide in Texas, checked November 3, 2026.

Florida

Written test: 60 multiple-choice questions in 90 minutes.
Skills test: you perform 5 randomly selected nursing assistant skills.
Prometric is the state's contracted test administrator. You apply and pay the testing fees to Prometric.
If you completed an approved training program within 6 months of applying, you take only the written part.
After 3 failed attempts, you must complete an approved training program before you can test again.
You need Livescan fingerprints before your application can be approved.

Source: Florida Board of Nursing: Certified Nursing Assistant, checked November 3, 2026.

Florida CNA exam fees and languages

Florida CNA exam fees

You pay these fees to Prometric when you apply. Your application and fees are good for one year: if you aren't approved or don't schedule a test within a year, you start again.

Exam	Fee
Skills test and written test (written in English or Spanish, or as an audio test)	$155
Written test only (English or Spanish)	$35
Written test only, audio (English or Spanish)	$35
Skills test only (English only)	$120
Rescheduling, at least five full working days before your test	$30

If a nursing home employs you within 12 months of getting your certification, federal law requires it to pay your training and testing fees.

Source: Prometric: Florida Nurse Aide Candidate Information Bulletin (Rev. 11/01/2025), checked November 2, 2026.

We couldn't confirm current Texas exam fees from an official source, so we don't show them here. Ask your training program or Prometric before you apply.

After you pass the exam

Texas

Prometric sends your scores to Texas HHSC, and HHSC staff issue your certificate. Employers check certificates on HHSC's TULIP public search, and you can look up your own record there too.

Source: Texas HHSC: Become a Certified Nurse Aide in Texas, checked November 3, 2026.

Florida

Prometric sends your scores to the Board of Nursing about one week after you test.
The Board can take up to four weeks to issue and mail your certificate.
After the Board approves you, being added to the Florida CNA registry takes three to five weeks.
The public can verify a CNA's certification on the registry at flhealthsource.
The written test is offered in English and Spanish, and as an audio test. The skills test is in English only.

Source: Prometric: Florida Nurse Aide Candidate Information Bulletin (Rev. 11/01/2025), checked November 2, 2026.

How Florida test takers did

In 2025, 89.1% of first-time test takers in Florida passed (4,985 of 5,596).

Vertical axis starts at 75%. Hover a point for the counts.

By part of the exam, 2025

Written test, English86.3%5,154 first-time testers

Written test, Spanish57.9%898 first-time testers

Skills (clinical) test68.6%95 first-time testers

In 2025, first-time testers who took the Spanish written test passed at a much lower rate than those who took it in English. If you plan to test in Spanish, ask programs how they prepare students for the written part, and compare each program's pass rate.

Source: Florida Board of Nursing, FLCNA First Time Combined Pass Rate by Program, 2025 report (State Totals row).

Common questions

Who gives the CNA exam in Texas and Florida?

Prometric runs the exam in both states. In Texas it schedules and scores the tests and sends results to HHSC, which issues your certificate. In Florida it is the state's contracted test administrator, and you apply and pay your testing fees to Prometric.

How many questions are on the Florida CNA exam?

The written test has 60 multiple-choice questions, and you have 90 minutes. The skills test asks you to perform 5 randomly selected nursing assistant skills.

How much does the Florida CNA exam cost?

The skills and written tests together cost $155. Your application and fees are good for one year, and a nursing home that employs you within 12 months of certification must pay your training and testing fees under federal law.

Can I take the CNA exam in Spanish?

In Florida, yes. The written test is offered in English and Spanish, and as an audio test. The skills test is in English only. In 2025, 57.9% of first-time testers passed the Spanish written test, compared with 86.3% in English.

What is the Florida CNA exam pass rate?

In 2025, 89.1% of first-time test takers in Florida passed (4,985 of 5,596), according to the Florida Board of Nursing.

What happens if I fail the Florida CNA exam three times?

You must complete an approved training program before you can take the exam again.

How long does it take to get certified after passing in Florida?

Prometric sends your scores to the Board of Nursing about one week after you test. The Board can take up to four weeks to issue your certificate, and being added to the registry takes three to five weeks after the Board approves you.

Related guides

Sources

This guide explains official rules in plain language. It isn't legal advice. Your state's regulator has the final word.