You’ve been a CNA for a while now, confidently performing your duties, anticipating patient needs, and maybe even wondering what’s next. You watch the LPNs on your unit—administering medications, changing wound dressings, collaborating closely with nurses—and think, “I could do that. I want to do that.” This ambition is exactly what drives great healthcare professionals forward. But you’re wondering about the logistics: can a CNA take the LPN boards directly? Let’s dive into the reality of this career advancement path.
The Direct Answer: Can a CNA Take the LPN Boards?
Here’s the straightforward answer: No, a CNA cannot directly take or challenge the LPN boards (NCLEX-PN) without completing an accredited practical nursing program first.
Clinical Pearl: The NCLEX-PN isn’t just a test of nursing skills—it’s designed to verify that you’ve completed a formal, state-approved practical nursing curriculum that includes both classroom theory and supervised clinical practice.
The National Council of State Boards of Nursing (NCSBN) requires all candidates to graduate from an approved LPN program before sitting for the licensing exam. This isn’t about doubting your capabilities—it’s about ensuring every licensed practical nurse has met the same standardized educational requirements for patient safety.
Understanding the Gap: Why LPN Education is Non-Negotiable
Think of it like building a house. Your CNA training gave you a solid foundation—you know basic patient care, infection control, and communication skills. LPN education, however, builds the entire structure: advanced anatomy and physiology, pharmacology, nursing theory, complex clinical procedures, and critical thinking for patient assessment.
Your scope of practice as an LPN will expand significantly to include:
- Administering medications (oral, injectable, IV in some states)
- Performing sterile procedures like wound care and catheterization
- Developing and contributing to nursing care plans
- Starting IV lines and managing IV therapy
- Supervising other healthcare staff, including CNAs
These expanded responsibilities aren’t something you can safely learn just by on-the-job experience—they require formal education, supervised practice, and demonstrated competency.
The Real Path: How a CNA Can Actually Become an LPN
Now that we’ve cleared that up, let’s focus on the exciting part: your actual pathway to becoming an LPN. Here’s the 4-step journey you’ll take:
- Fulfill LPN Program Prerequisites
- Choose and Complete the Right Program
- Graduate and Apply for the NCLEX-PN
- Pass the NCLEX-PN and Obtain Your License
Each step is achievable with the right planning. Your CNA experience actually gives you a significant advantage throughout this process—you’re already familiar with healthcare environments, patient interaction, and the demands of patient care.
Step 1: Fulfill LPN Program Prerequisites
Before you can even apply to an LPN program, you’ll need to meet several requirements. While these vary slightly by school and state, here’s what most programs expect:
Academic Prerequisites:
- High school diploma or GED
- Minimum GPA (often 2.5-3.0)
- Completion of specified courses (biology, algebra, psychology, English)
Testing Requirements:
- TEAS (Test of Essential Academic Skills) exam
- Minimum scores in reading, math, science, and English
Other Requirements:
- Current CNA certification
- Current CPR/BLS certification
- Criminal background check
- Drug screening
- Health screening and immunizations
- Professional liability insurance
Pro Tip: Some CNA-to-LPN bridge programs may waive certain prerequisites or accept work experience in lieu of some requirements. Ask each school specifically what your CNA background might qualify you for.
Step 2: Choose the Right CNA-to-LPN Program
This decision will impact your timeline, costs, and overall success. You typically have three main options:
| Program Type | Timeline | Key Benefits | Best For | Cost Range |
|---|---|---|---|---|
| Traditional LPN Program | 12-18 months | Standard curriculum, financial aid | CNAs who need flexibility | $5,000-$25,000 |
| CNA-to-LPN Bridge | 9-12 months | Faster completion, CNA experience credit | Experienced CNAs ready to advance | $4,000-$20,000 |
| Online LPN Programs | 12-24 months | Flexible schedule, self-paced | Working CNAs needing flexibility | $8,000-$30,000 |
| Winner/Best For | CNA-to-LPN Bridge | Most efficient path for experienced CNAs | Those wanting to leverage experience | Best ROI for CNAs |
LPN Program Research Checklist
Use this checklist when evaluating programs:
- [ ] Accreditation by state board of nursing
- [ ] NCLEX-PN pass rates (aim for 85%+)
- [ ] Clinical rotation sites and specializations
- [ ] Class schedule compatibility with work
- [ ] Total program costs and financial aid options
- [ ] Support services for students
- [ ] Student-to-instructor ratios for clinicals
- [ ] Job placement assistance after graduation
Common Mistake: Choosing the Cheapest Option
Common Mistake: Don’t automatically enroll in the cheapest program you find. A program with an excellent NCLEX pass rate and strong clinical partnerships will actually cost you less in the long run through fewer retake fees and better job opportunities.
Step 3: Graduate and Apply for the NCLEX-PN
Once you’ve successfully completed your LPN program (congratulations!), you’re ready for the licensing process. Here’s what happens next:
1. Graduate with your Practical Nursing Diploma
- Ensure all clinical requirements are met
- Verify your school has submitted your graduation to the board
2. Submit Your Licensing Application
- Complete your state’s Board of Nursing application
- Pay application fees (typically $75-$200)
- Include fingerprint cards for background check
3. Register with Pearson VUE
- Create an account at pearsonvue.com/nclex
- Pay the $200 NCLEX-PN registration fee
- Wait for your Authorization to Test (ATT)
4. Schedule Your Exam
- Available dates appear within 30 days of receiving ATT
- You have 90 days to take the exam after scheduling
- Choose a testing center and time that works for you
This process typically takes 4-6 weeks from graduation to test day.
Step 4: Pass the NCLEX-PN and Become Licensed
The NCLEX-PN is the final hurdle between you and your LPN license. Here’s what to know:
Exam Format:
- Computer Adaptive Test (CAT)
- 85-205 questions
- 5-hour time limit
- Minimum passing standard updated every three years
Question Types:
- Multiple choice
- Multiple response
- Fill-in-the-blank
- Drag-and-drop
- Hot spot
- Chart/exhibit
Pass Rates:
- First-time US-educated PN candidates: 85-87%
- CNA-experienced candidates often have slightly higher pass rates
Pro Tip: Start studying for the NCLEX-PN while still in your LPN program. Many programs integrate NCLEX preparation throughout the curriculum, which significantly improves pass rates.
Once you pass, you’ll receive your license number and can officially begin working as an LPN!
Your Secret Advantage: How to Leverage Your CNA Experience
Your CNA background isn’t just a stepping stone—it’s a competitive advantage throughout your LPN journey and beyond.
During Your Program:
- You’ll understand medical terminology and healthcare workflows
- Patient care procedures won’t be completely new
- You’ll feel more comfortable during clinical rotations
- Time management skills from CNA work will help with studies
After Graduation:
- Healthcare facilities value candidates with hands-on experience
- You’ll have references from current healthcare professionals
- Interpersonal skills with patients and families already developed
- Understanding of healthcare team dynamics
Key Takeaway: Don’t discount your CNA experience when applying for LPN programs or jobs. Highlight how your background provides clinical insight many new LPN graduates lack.
Imagine this scenario: You’re in your LPN clinical rotation, and a patient suddenly becomes confused and agitated. While your classmates might panic, you recognize the signs of delirium from your CNA experience, know to immediately ensure patient safety, and can provide the nurse with a detailed report of baseline versus current behavior. This is how your CNA experience translates directly into better nursing practice.
Frequently Asked Questions
1. How much does it cost to go from CNA to LPN?
The total cost ranges from $4,000 to $30,000 depending on program type, location, and whether you qualify for in-state tuition. Don’t forget expenses for books, uniforms, equipment, and testing fees.
2. Can I work as a CNA while in LPN school?
Yes, many students work part-time, but full-time work with full-time school is extremely challenging. Programs often require flexibility for clinical hours, which may conflict with work schedules.
3. Will my CNA credits transfer to an LPN program?
Some CNA-to-LPN bridge programs may award credits for certain courses or allow placement testing to waive prerequisites. However, you’ll still need to complete the core nursing curriculum.
4. How is the NCLEX-PN different from the CNA certification exam?
The CNA exam tests basic skills and knowledge for patient care assistance. The NCLEX-PN tests critical thinking, nursing judgment, and clinical decision-making at a much higher complexity.
5. What if I fail the NCLEX-PN on the first try?
It’s disappointing but not the end of your journey. You can retake the exam after 45 days. Most states allow up to 8 attempts per year. Use your Candidate Performance Report to identify weak areas and focus your studying.
Your Next Step Forward
The path from CNA to LPN requires commitment, planning, and perseverance—but it’s absolutely achievable. Your CNA experience has prepared you in ways new students can’t imagine. Now you have the roadmap: complete an accredited LPN program, pass the NCLEX-PN, and unlock new opportunities in your nursing career.
The healthcare field needs dedicated professionals like you who understand patient care from the ground up. Your ambition to become an LPN doesn’t just advance your career—it expands your ability to make a difference in patients’ lives every day.
What’s your biggest concern about transitioning to an LPN program? Share your thoughts in the comments below—others are likely facing the same questions!
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