How to Become a CNA in Tennessee (2026 Guide)

Q: How much does it cost to become a CNA in Tennessee?

The state exam fee in Tennessee is $100. Training program costs vary — community college programs typically run $500–$1,500, while nursing home-sponsored programs may be free in exchange for a work commitment.

Becoming a CNA in Tennessee takes about 4–6 weeks. You'll complete 75 hours of approved training, pass a written and skills exam administered by Prometric, and get listed on the Tennessee Nurse Aide Registry. Starting pay averages $15.33/hr.

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Tennessee CNA — At a Glance

75h

Training required

4–6 weeks

Program length

$100

State exam fee

$15.33/hr

Avg starting pay

Exam vendor: PrometricTennessee Nurse Aide Registry →

How to Become a CNA in Tennessee: Step by Step

Follow these five steps to earn your CNA certification in Tennessee. Most candidates complete the process in 4–6 weeks.

1
Meet eligibility requirements
You must be at least 16 years old (18 for some employers), have a high school diploma or GED, pass a criminal background check, and complete a health screening including TB test. Tennessee uses the OBRA federal minimum standards as a baseline. Certain convictions are disqualifying — see our background check guide for details.
2
Complete 75 hours of state-approved training
Enroll in a state-approved CNA program — offered through community colleges, vocational schools, Red Cross chapters, and some nursing homes. Programs run 4–6 weeks and cover both classroom content and hands-on clinical hours. Hybrid programs (online classroom, in-person clinical) are available. Some long-term care facilities offer free training in exchange for a work commitment after you pass.
3
Pass the Prometric competency exam
After training, register with Prometric and pay the $100 exam fee. The exam has two parts: a written knowledge test and a clinical skills evaluation where you perform 5 randomly selected skills in front of an evaluator. Both parts must be passed — if you fail only one, you can typically retake just that section. Up to 3 attempts within 2 years.
4
Get listed on the Tennessee Nurse Aide Registry
Once you pass both portions, Prometric reports your results to the state. Your name is added to the official Nurse Aide Registry, which employers verify before hiring. To keep your listing active, you must work at least 8 hours of paid nursing-related care during each 24-month renewal period. Your employer also provides 12 hours of annual in-service training.
5
Apply for your first CNA position
With your registry listing active, you can apply to nursing homes, assisted living facilities, hospitals, home health agencies, and adult day programs. Recent CNA grads are in high demand — most facilities post open positions year-round. Median pay for CNAs in Tennessee is $15.33/hr.

CNA Training Programs in Tennessee

Tennessee requires a minimum of 75 training hours, split between classroom instruction and supervised clinical practice. Programs typically run 4–6 weeks full-time. Most approved programs include:

✓Community college programs — Usually $500–$1,500. Financial aid available. Daytime and evening options.
✓Vocational / career school programs — Accelerated format. Similar cost range.
✓Hospital & health system programs — May include job placement after passing the exam.
✓Nursing home-sponsored programs — Often free in exchange for a post-certification employment commitment.
✓American Red Cross programs — Available in many counties. Accepted by all states.

Find state-approved programs on the Tennessee Nurse Aide Registry →

The Tennessee CNA Certification Exam

The competency evaluation is administered by Prometric and has two parts. You must pass both.

Written (Knowledge) Test

Multiple-choice questions
Covers all 6 NNAAP topic areas
Minimum passing score required (varies by state)
Timed — check with Prometric for specifics

Clinical Skills Test

5 randomly selected skills
Evaluated by a trained observer
All critical steps must be performed
Handwashing and safety steps observed on every skill

Exam fee: $100 (both portions)

Retake policy: Up to 3 attempts within 2 years

Free written practice test →Clinical skills checklists →

CNA Salary in Tennessee

Full salary breakdown →

$15.33/hr

Median hourly

$32K

Median annual

-1.98/hr

vs national avg

31,280 CNAs employed in Tennessee (BLS OEWS, May 2024). National median: $18.17/hr.

Frequently Asked Questions

How long does it take to become a CNA in Tennessee?

Most CNA programs in Tennessee take 4–6 weeks to complete. The state requires a minimum of 75 hours of approved training before you can sit for the certification exam.

How much does it cost to become a CNA in Tennessee?

The state exam fee is $100. Training program costs vary widely — community college programs typically run $500–$1,500, while some nursing homes offer free training in exchange for a post-certification work commitment.

Who administers the CNA exam in Tennessee?

The Tennessee nurse aide competency exam is administered by Prometric. You register and schedule directly with them after completing your approved training program.

What happens if I fail the CNA exam in Tennessee?

If you fail one portion, you typically only need to retake that section — not both. Up to 3 attempts within 2 years. After exhausting your allowed attempts, most states require you to complete a new approved training program before testing again.