prometric vs Pearson VUE: What's the Difference?

Understanding your specific exam provider is the first step to passing. We break down the key differences between the two major CNA testing organizations.

Last Updated: January 2026

At a Glance Comparison

FeaturePrometricPearson VUE (Credentia)
Written QuestionsTypically 60 questionsTypically 70 questions
Skills Exam3-5 skills tailored to state5 skills (1 mandatory: Handwashing)
Time Limit90 Minutes (Written)2 Hours (Written)
States ServedFL, TX, NY, MI, and othersCA, PA, NC, GA, and others

Detailed Breakdown

Prometric CNA Exam

Prometric (often administered under the Nurse Aide Competency Evaluation Program or NACEP) is widely used in states like Florida, Texas, and New York. The written portion is generally slightly shorter, often consisting of 60 multiple-choice questions.

Key Strategy: Prometric exams heavily emphasize "Role of the Nurse Aide" and "Safety". Make sure you know your scope of practice inside and out.

Pearson VUE (Credentia)

Pearson VUE, now often partnering with Credentia for CNA testing, serves states like California, Pennsylvania, and North Carolina. Their exam is known as the NNAAP (National Nurse Aide Assessment Program).

Key Strategy: The NNAAP written exam is 70 questions. 10 of these are "pre-test" (non-scored) questions, but you won't know which ones. Treat every question as if it counts. The skills portion almost always starts with Hand Hygiene as a mandatory graded skill.

Ready to Practice?

Regardless of your provider, the core nursing concepts are the same. Our practice tests cover the intersection of both exam standards.

Start Free Practice Test