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It is a voluntary credential for nurses who meet specific nursing practice, continuous learning and testing requirements. As of 2019, CNA certification is available to registered nurses, nurse practitioners and licensed/registered practical nurses. The first certification exam, offered in 1991, was in neuroscience nursing.
In the US, scope of practice is determined by jurisdiction. Each has its own laws, rules, and regulations that describe what nurses with a given qualification may provide. Many jurisdictions have adopted the Model Nursing Practice Act and Model Nursing Administrative Rules created by the National Council of State Nursing Boards (NCSNB). [21]
The American Nurses Credentialing Center (ANCC), a subsidiary of the American Nurses Association (ANA), is a certification body for nursing board certification and the largest certification body for advanced practice registered nurses in the United States, [1] as of 2011 certifying over 75,000 APRNs, including nurse practitioners and clinical nurse specialists.
CNA certification requirements vary by state. The requirements generally include taking an accredited CNA course, passing the state's CNA written and practical exams, registering as a CNA within the state, and acquiring a minimum number of hours of supervised on-duty experience.
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The NCLEX exam consists of multiple-choice questions, questions that require choosing all of the correct answers from a list of options, putting a number of steps in the correct sequence, or identifying a correct area on a picture. Some of these alternative format questions ask information about a chart, graph, or audio clip.