Key Points
- Kimberly Oquendo became a CNA to honor her late father’s memory.
- The U.S. needs 211,800 new nursing assistants each year through 2034.
- After certification, she will start RN school in August 2026.
How CNA training launched real careers: stability, pay growth, and advancement tips inside.
On June 26, 2026, six students walked across the stage at Glendale Home's CNA graduation in Schenectady, N.Y. For Kimberly Oquendo, the moment meant fulfilling a promise to the father she had just lost.
That sense of purpose is a common thread in nursing assistant careers. Alongside a reliable starting wage, typically between $34,000 and $40,000 per year, CNAs often describe the emotional rewards of direct patient care as the true draw.
According to federal projections, the healthcare system will need 211,800 new CNAs every year through 2034, a number that reflects deep, persistent demand.
For many aspiring nursing assistants, the path into healthcare begins not with a career aptitude test, but with a deeply personal moment. Kimberly Oquendo stepped into the certified nursing assistant program at Glendale Home carrying grief and a quiet promise. When she graduated on June 26, 2026, alongside five classmates in Schenectady, New York, her father was not in the audience , but she made sure he was with her.
Around Oquendo's neck hung a small pendant, one that holds more than sentimental value. It contains her father's ashes. He passed away before the training began, and that loss became the fuel for her ambition. "I do everything for my dad," Oquendo told Spectrum Local News1, a statement that captures the depth of purpose driving many who enter long-term care. Her story, covered by the outlet in June 2026, illustrates how personal tragedy can spark a career dedicated to serving others.
Oquendo did not view getting her CNA license as a finish line. She sees it as the first rung on a ladder. In August 2026, just weeks after pinning on her nursing assistant badge, she plans to start RN school. That rapid progression from student aide to future registered nurse showcases a common trajectory in the field: CNAs often use their foundational experience as a springboard to go from CNA to RN. The Glendale Home program, which places graduates directly into jobs at the facility, gave her the stability to plan that next move while earning a paycheck.
When Oquendo walked across the stage, a full cheering section celebrated with her: her grandmother, mother, stepmother, boyfriend, and her two daughters, ages 14 and 4. That multigenerational support system underscores a reality for many CNA students , success rarely happens in isolation. CNA training programs that accommodate family responsibilities and offer cohort-style camaraderie can make the difference between dropping out and walking across the stage.
Oquendo's journey reminds us that behind every set of scrubs there is often a story of loss, love, and a promise kept.
I do everything for my dad.
The median annual salary for nursing assistants is a reliable starting point for new CNAs. Actual pay can increase with experience, additional certifications, and the type of healthcare facility where you work.

CNA salaries vary significantly by location, reflecting local demand, cost of living, and employer competition. The table below highlights the top 10 metropolitan areas with the highest employment of nursing assistants, along with their median annual wages according to the U.S. Bureau of Labor Statistics. Among these, New York-Newark-Jersey City offers the highest median pay at $47,810 per year.
| Metro Area | Total Employment | Median Annual Salary |
|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 77,360 | $47,810 |
| Chicago-Naperville-Elgin, IL-IN | 42,800 | $46,050 |
| Los Angeles-Long Beach-Anaheim, CA | 39,910 | $46,140 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 30,390 | $43,000 |
| Boston-Cambridge-Newton, MA-NH | 25,870 | $46,110 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 24,080 | $43,330 |
| Dallas-Fort Worth-Arlington, TX | 23,280 | $37,260 |
| Miami-Fort Lauderdale-West Palm Beach, FL | 22,640 | $37,690 |
| Atlanta-Sandy Springs-Roswell, GA | 22,530 | $38,250 |
| Houston-Pasadena-The Woodlands, TX | 19,510 | $36,940 |
Healthcare staffing shortages have pushed employers to actively invest in helping CNAs move up the clinical ladder, and the CNA-to-RN pipeline has become one of the most established advancement routes in the field. If you are working as a CNA and thinking about becoming a registered nurse, you have more options today than in years past, including bridge programs, employer tuition assistance, and hybrid coursework designed for people already working bedside shifts.
Most CNAs who transition to RN follow one of two academic paths: an Associate Degree in Nursing (ADN), usually offered through community colleges, or a Bachelor of Science in Nursing (BSN) offered by four-year universities. Prerequisites like anatomy, microbiology, and college-level math often add a semester or two before the nursing program itself begins. Working CNAs frequently take these part-time, which extends the overall timeline.
For exact program lengths, contact community colleges and nursing schools in your area directly. The U.S. Bureau of Labor Statistics (BLS.gov) is a reliable starting point for understanding the national education requirements for registered nurses.
When you compare programs, ask about NCLEX-RN pass rates, which measure how many graduates pass the national licensing exam on the first try. Your state board of nursing publishes these figures, and the National League for Nursing (NLN) offers additional guidance on program accreditation and outcomes. Peer-reviewed nursing education journals also study completion rates for CNAs entering RN programs, and many report that prior bedside experience is an asset in clinical rotations, although nursing student mental health challenges can arise.
RNs consistently earn substantially more than CNAs, as reflected in CNA salary data, and salary tends to grow with experience, specialty certifications, and shift differentials. For current median wages in your state or metro area, the BLS Occupational Employment and Wage Statistics database is the most reliable source. The American Nurses Association (ANA) publishes industry reports on longer-term salary growth, and tools like Glassdoor and Payscale let you filter by role and years of experience.
Before committing to a program, talk to nurses at your workplace, ask HR about tuition reimbursement, and check whether your employer offers a preferred CNA training partnership with a local nursing school. Real-world conversations often reveal opportunities that never make it into a brochure.
Evening and weekend CNA programs are available across the country, giving working adults a path into healthcare without sacrificing their current income.1 Many accelerated options compress training into just four to eight weeks.2 This flexibility is only part of the equation, though. Successfully juggling classes, a job, and family responsibilities requires deliberate planning and the right support systems.
Treating class time as a non-negotiable appointment is the single most common habit among graduates who thrive.4 It means blocking off the hours on a calendar and protecting them the same way you would a work shift. Beyond class, most students find it realistic to schedule one or two focused study blocks per week, each lasting 90 to 120 minutes.5 On particularly busy days, micro-sessions of 10 to 30 minutes, reviewing flashcards on a break or watching a skills video while dinner cooks, keep the material fresh without overwhelming a packed schedule.1 Building in one or two buffer blocks each week prevents a single unexpected event from derailing the entire plan.6
Healthcare employers often want you to succeed and may even help with paying for nursing school. Tuition reimbursement programs are common at major hospital systems and nursing homes, and they typically come with a service commitment ranging from six to 24 months after you earn your certification.3 This arrangement can eliminate out-of-pocket costs and immediately connect you to a job. Some facilities also offer flexible scheduling for in-house classes or let current employees adjust their shifts to attend training during slower periods. Always ask a prospective employer’s HR department about tuition assistance and on-the-clock study policies before enrolling.
Parents in CNA programs frequently lean on creative, low-cost childcare strategies. Care-swaps with classmates are a popular solution: one student watches the children during a partner’s class or study block, then the favor is returned.7 Even a short, intentional connection time of just 10 to 15 minutes of focused attention after a study session helps children feel secure and reduces parent guilt.6 Online didactic components, where the lecture portion happens from home, can also ease the childcare puzzle. When in-person clinicals are required, coordinating schedules with a family member, partner, or trusted neighbor early in the term prevents last-minute scrambling.
Graduates who balanced work, school, and family often describe the same handful of habits. They communicated openly with their supervisors about their training schedule, which sometimes led to shift swaps or reduced hours during clinical weeks. They kept their family involved by explaining what they were learning, turning study time into a shared experience rather than a source of separation. One recent CNA put it simply: “I treated class like a non-negotiable appointment and reminded myself every day why I started. That mindset got me through the hard weeks.”
According to the Bureau of Labor Statistics, the country will need about 211,800 new nursing assistants and orderlies every single year through 2034. That is not a typo, it is the projected annual openings nationwide, driven by retiring workers and growing demand for long term care. For anyone weighing this path, the job security is real.
What study strategies actually help students pass the CNA exam on the first try? It is a question that every aspiring nursing assistant asks, and the answer lies in three things: consistent study habits, deliberate clinical practice, and smart anxiety management. Thousands of candidates sit for the certification test each year, yet first-time pass rates nationally hover between 60% and 75%.1 The good news is that your choice of program makes a measurable difference, and your own preparation can push those odds even higher.
Treat your training like a job. Set aside daily blocks for reading, reviewing skills checklists, and quizzing yourself. Many successful students use a three-step loop: preview the material before class, actively take notes during lecture, and then teach the concept to a friend or family member the same evening. CNA programs require at least 75 hours of instruction1, though states like California mandate 150 hours6; the extra time often correlates with stronger clinical readiness. Community college programs tend to report first-time pass rates between 80% and 95%2, while private vocational programs commonly fall in the high-70s to 90% range3, based on state nursing board data. Employer-based programs, such as the one held at Glendale Home in New York that graduated six new CNAs in June 2026, can also produce strong outcomes, though fewer aggregate numbers exist. When evaluating a program, look for a pass rate above 95% as a quality benchmark4.
Practice tests are not just a review tool; they are a performance booster. Students who take multiple full-length practice exams before the written test improve their scores by 15% to 20% on average1. Search for CNA training resources or purchase a study guide that mirrors the actual exam format. Focus on the domains that trip up most candidates: infection control, resident rights, and emergency procedures. Timed practice trains your brain to move through questions efficiently on exam day, reducing the chance of getting stuck and second-guessing yourself.
The skills test is where textbook knowledge meets real human interaction. You will be asked to perform a handful of randomly selected tasks, such as taking vital signs, providing perineal care, or positioning a resident. Practice each skill exactly as the state checklist outlines, not how a coworker might do it on the floor. Set up a mock station at home with a pillow as your resident and talk through every step aloud. If your program offers open lab hours, use them. Record yourself and watch for missed steps like forgetting to knock, introduce yourself, or ensure privacy. The examiner cannot read your mind; narrating your actions demonstrates competence and builds confidence.
Test-day nerves are normal, but they should not dictate your performance. Start by arriving early, dressed comfortably, with your ID and all required materials. In the days leading up to the exam, practice a five-minute breathing exercise: inhale for four counts, hold for four, exhale for four. Visualize yourself moving calmly through each skill station. On the written test, skip difficult questions and return to them later; getting momentum on easy items can reset your confidence. If your hands shake during a skill, pause for a deep breath. Examiners are not looking for perfection but for safe, respectful care. Pair these mental techniques with a solid preparation plan, and you will walk into that testing room with the same determination that carried you through clinicals.
Specialized certifications can open doors to higher pay and new roles. Here's how common CNA certifications stack up.

Paying for CNA training and finding the time to complete it can feel overwhelming, but a wide network of financial aid programs, employer partnerships, and community organizations exists to remove these barriers. Understanding what is available is the first step toward starting your certification journey without unnecessary debt.
If you meet income guidelines, the Pell Grant can cover tuition and fees at accredited programs, including many CNA courses offered through community colleges. Additionally, the Workforce Innovation and Opportunity Act (WIOA) provides funding for in-demand healthcare occupations through local American Job Centers. Your state may also operate its own training grants; check with your local workforce development board to see if you qualify for tuition assistance that does not need to be repaid.
Many nursing homes and long-term care facilities, like Glendale Home in Schenectady, New York, run their own state-approved CNA programs at no cost to students, often incorporating simulation in CNA programs. Graduates often move directly into paid roles at the same facility, removing the job search step entirely. Even if you attend an outside program, employers may offer tuition reimbursement after you have worked for a set period. When interviewing, always ask about these benefits; they can save you hundreds or even thousands of dollars.
Organizations such as the American Red Cross deliver CNA training in many regions, with scholarships and payment plans available for those who qualify. Local non-profits, churches, and community foundations sometimes sponsor students entering healthcare fields. Contact your nearest workforce development board or dial 211 for United Way referrals to training grants, childcare assistance, and transportation support that can make attending classes possible.
Beyond funding, look for programs that offer wrap-around support. Some community colleges provide free tutoring, textbooks, and exam prep. Online forums and Facebook groups for nursing assistants can connect you with peers who share study tips, encouragement, and job leads. If personal challenges arise during training, communicate early with your instructor; many schools partner with counseling and emergency aid services to help you stay on track.
Have questions about how to become a CNA? We've gathered answers to some of the most common inquiries from aspiring nursing assistants.