Kenntnisprüfung in Bremen

• Oral part: case presentation and professional discussion (Fachgespräch) on the competence areas (Kompetenzbereiche) of the PflAPrV (nursing training and examination regulation)
• Practical part: care of patients in 2–4 nursing situations (real or simulated, § 45 PflAPrV) at a hospital or nursing school
• No written part – the Kenntnisprüfung is purely oral and practical (§ 45 PflAPrV)
• The exam language is German; B2 level is usually required

Bremen does not publish a fixed fee table: the administrative fee depends on the processing effort and the authority will tell you the amount (Serviceportal Bremen, as of 10/2026). On top of that come costs for the Kenntnisprüfung or a preparation course, depending on the provider. Bremen hospitals often cover the costs for their employees – be sure to ask!

1. Wait for the Defizitbescheid (deficit notice) from the Bremen health authority – it states that you are allowed to take the Kenntnisprüfung
2. Contact an exam school or exam centre and ask for a date (few centres – register early!)
3. Submit the registration documents: Defizitbescheid, proof of identity, B2 language certificate if required
4. Pay the exam fee and wait for the invitation
5. Before the exam, find out which care area (e.g. acute care, long-term care) will be tested

Exams take place at recognised nursing schools and hospitals in Bremen and Bremerhaven, e.g. around the Gesundheit Nord (GeNo) hospitals.

Bremen is small – that means short distances, but also only a few exam dates per year. Good to know: in Bremen you submit the application exclusively electronically; you present your original documents at an in-person appointment. Tip: Register immediately after the Defizitbescheid and at the same time ask about places on the waiting list.