Video understanding in multimodal language models remains limited by context length: models often miss key transition frames and struggle to maintain coherence across long time scales. To address this, we adapt Native Sparse Attention (NSA) to video-language models. Our method, VideoNSA, adapts Qwen2.5-VL through end-to-end training on a 216K video instruction dataset. We employ a hardware-aware hybrid approach to attention, preserving dense attention for text, while employing NSA for video. Compared to token-compression and training-free sparse baselines, VideoNSA achieves improved performance on long-video understanding, temporal reasoning, and spatial benchmarks. Further ablation analysis reveals four key findings: (1) reliable scaling to 128K tokens; (2) an optimal global-local attention allocation at a fixed budget; (3) task-dependent branch usage patterns; and (4) the learnable combined sparse attention help induce dynamic attention sinks. Project Page: https://enxinsong.com/VideoNSA-web/, Code: https://github.com/Espere-1119-Song/VideoNSA