Firstly, familiarize yourself with the exam's format. The NNAAP exam typically comprises two parts: a written (or oral) test and a skills demonstration component. The written portion covers a range of topics related to patient care, including basic nursing principles, patient rights, and communication skills. To prepare, start by reviewing study guides and textbooks that are specifically geared towards the NNAAP exam. Focus on understanding concepts rather than memorizing facts, as this will help you apply your knowledge in different scenarios. Additionally, take advantage of practice tests to get a feel for the types of questions you'll encounter. This will not only test your knowledge but also help reduce test anxiety.

Secondly, the practical skills portion of the exam is crucial, as it assesses your ability to perform nursing assistant tasks safely and effectively. Practice is key here. If possible, rehearse these skills in a clinical setting or use simulations at home. Pay special attention to the critical steps in each skill, such as hand hygiene, privacy maintenance, and accurate recording of information. Remember, the evaluators are looking for competency in skill execution and adherence to safety and privacy protocols. It can be helpful to have a study partner or mentor to practice with, who can provide feedback and help identify areas for improvement.

Finally, managing your time and stress leading up to the exam is vital. Create a study schedule that allows you to cover all topics without cramming. Ensure to include breaks and time for relaxation. The night before the exam, get a good night's sleep, and on the day, eat a healthy meal to fuel your brain. During the exam, read each question carefully and manage your time wisely. For the skills demonstration, stay calm and focused, and remember the training and practice you've undergone. If you make a mistake, don’t panic; demonstrate your ability to correct it efficiently and safely, as this is a valuable skill in itself.