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Challenge Program Guidelines

Pursuant to Nur 301.05, an individual may apply for a license as a nursing assistant if he or she has nursing educational experience that is comparable or greater than that required in Nur 704.11.

There are several ways in which an individual could qualify for licensure under this category. In order to qualify under Nur 301.05(d) to "challenge" LNA Education Program completion, the individual must document comparable or greater nursing educational experience and request and receive written approval from the Board of Nursing.

The purpose of the challenge examination requirement is to ensure that the individual’s comparable or greater educational experience has, indeed, provided them with the knowledge, judgement and skills expected of a graduate of a NH Board approved LNA Education program.

These guidelines are intended to provide the framework for current and future programs that wish to receive or continue approval as an LNA Education Challenge Program.

It is the expectation of the Board of Nursing that approved Challenge Programs will, at a minimum:

  • Provide individuals with written materials that cover the requirements of the theoretical portion of the LNA Education program as required in Nur 704.09; and
  • Administer a written/oral and skills test formulated from program objectives and expected outcomes as required in Nur 704.09(j); and
  • Require that the individual achieve a score of 70% or greater on the LNA Education Program’s theoretical exam and a grade of “pass" on a skills test as required in Nur 704.09(k); and
  • Upon successful completion of 1-3 above, issue documentation to the individual pursuant to 704.09 (l) and (m) that indicates completion of the Challenge Program.

Since the use of "take home" or other informal approaches to testing are not considered acceptable or appropriate for program completion in an LNA Education program, neither should they be considered acceptable for meeting the requirements for completion of a board approved LNA Challenge process.

These guidelines are intended to provide the framework for current and future programs that wish to receive or continue approval as an LNA Education Challenge Program.

If you have questions, please contact Lori Tetreault, Program Specialist at 271-8282.

New Hampshire Board of Nursing
121 South Fruit Street   |  Concord, NH 03301
Nursing (603) 271-2323  |  Nursing Assistant (603) 271-6282
Fax (603) 271-6605