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Certified Nursing Assistant
Total cost: $164.15
Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
75 hrs
Training Hours
D&S Diversified Technologies (Headmaster) via TMU portal (tn.tmutest.com)
Exam Provider
164.15
Total Initial Fees
2 years
Renewal Period
12 hrs
CE Hours
Must have performed at least 8 consecutive hours of paid nursing-related work in a licensed or certified healthcare facility during the 24-month renewal period
Work Hours Req
Regulatory Information
VerifiedGoverning Authority
Tennessee Department of Health, Health Related Boards
615-532-5171
Program Approval Body
Tennessee Department of Health
State-Approved Training Program Required
Regulated by the Tennessee Department of Health, Health Related Boards
State-Approved Training Program
Training Hours Breakdown
75
Total Hours
59
Classroom
16
Clinical
Program Approval Body
Tennessee Department of Health
Topics Covered
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Exam Requirements
VerifiedRequired
Written Exam
Available
Oral Exam Option
Required
Skills Evaluation
Exam Provider
D&S Diversified Technologies (Headmaster) via TMU portal (tn.tmutest.com)
Written Exam Details
60
Questions
120 min
Time Limit
70%
Passing Score
Skills Evaluation Details
5
Skills Tasks
30 min
Time Limit
Attempts Allowed
3
Retest Waiting Period
Must complete the competency examination within 24 months from completion of training
Overall licensing difficulty: 1/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
Practice with realistic exam questions
CNA Certification Exam
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Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
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CNA Competency Exam
Questions
60 questions
Time Limit
120 minutes
Passing Score
70%
Administered By
D&S Diversified Technologies (Headmaster) via TMU portal (tn.tmutest.com)
Cost of failing
Retake fee: 127Invest in preparation to pass the first time.
How long should you study? Most candidates study 2–4 weeks before taking the CNA Competency Exam.
Study Materials & Exam Prep — CNA Certification Exam
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Study guides and practice tests for the certified nursing assistant exam.
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Minimum Age
Education
Background Check
Fingerprinting
Immunizations Required
TB Test Required
Abuse Registry Check
Physical Exam Required
CPR Certification
Not sure if you need a cna license? Check whether your state requires one.
| Fee | Amount |
|---|---|
Training Program Fee Varies by program; employers in LTC facilities must cover training costs under OBRA | $500–$1,200 |
Competency Exam Fee Knowledge exam $40 + Skills exam $100; employers in LTC facilities must pay testing fees | 127 |
State Registration Fee No separate registration fee; added to registry upon passing exam | $0 |
Background Check Fee Processed through IdentoGO (TN Department of Health selected vendor) | $37.15 |
Total Initial Fees Total of exam fee ($140) and background check ($37.15); excludes training program tuition | 164.15 |
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Scope of Practice
Mostly verifiedAllowed Duties
Restricted Duties
Supervision Requirements
Must work under the supervision of a licensed nurse (RN or LPN)
Approved Work Settings
Renewal & CE Requirements
Verified2 years
Renewal Period
Must have performed at least 8 consecutive hours of paid nursing-related work in a licensed or certified healthcare facility during the 24-month renewal period
Work Requirement
12
In-Service/CE Hours
Renewal Fee
$0
No renewal fee; renewals processed through TMU portal
Late Renewal Fee
N/A
If certification lapses beyond 24 months, must retest or retrain
Inactive Reinstatement
Must retake and pass the competency exam if certification has lapsed; if lapsed more than 24 months, may need to complete new training program
Regulatory Board
CNAs must maintain active certification by meeting work hour requirements and completing in-service training within each renewal cycle. Failure to renew may require retaking the competency exam.
Out-of-State Reciprocity
VerifiedAccepts Out-of-State CNA Certification
Transfer Process
Must apply for reciprocity through the Tennessee Department of Health, provide verification of active certification from previous state, and pass a background check
Additional Requirements for Transfer
Out-of-state CNAs typically need to apply for reciprocity through the state's nurse aide registry. Verification of active, good-standing status on the originating state's registry is usually required.
Moving to another state? Use our Transfer Tool to see what you need →
Compare Tennessee with other states →
See how requirements, costs, and timelines differ across all 50 states.
Tennessee uses D&S Diversified (Headmaster) for testing, not Pearson VUE. The knowledge exam has 100 questions (more than most states). Skills evaluation requires 100% of key steps. As of March 2025, all renewals managed through tn.tmutest.com.
Tennessee follows the federal OBRA minimum of 75 training hours (40 classroom + 35 clinical)
The competency exam is administered by D&S Diversified Technologies (Headmaster), not Pearson VUE
Knowledge exam has 100 multiple-choice questions with a 75% passing score
Skills evaluation requires 100% of key steps and 80% overall score
As of March 2025, all nurse aide renewals and demographic changes are managed through tn.tmutest.com
Background check is processed through IdentoGO at a cost of $37.15
Minimum age is 16 years old
Employers in long-term care facilities must cover testing and training costs
There is no interstate compact for CNAs. Transfer between states requires reciprocity application to the new state's Nurse Aide Registry.
As of March 28, 2025, all Nurse Aide Renewals and demographic changes moved to tn.tmutest.com or 1-877-201-0758
CNA requirements in nearby states
Other professional licenses in Tennessee
See how Tennessee compares: CNA License Fees by State — Cheapest to Most Expensive →
Related Guides
Explore requirements for other professional licenses in Tennessee.
CNA Schools in Tennessee
Compare approved training programs, costs, and requirements.
Moving to Tennessee? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your CNA license to Tennessee →
Transfer your CNA license from Tennessee to: Alabama → | Arkansas → | Georgia → | Kentucky → | Mississippi → | Missouri → | North Carolina → | Virginia →
Tennessee requires 75 hours of training and passage of the D&S Diversified Technologies (Headmaster) via TMU portal (tn.tmutest.com) competency exam to become a Certified Nursing Assistant. All certification is managed through the Tennessee Department of Health, Health Related Boards.
Requirements vary by state. Always verify current requirements with your state Board of Nursing.