Certified Nursing Assistant (CNA) in New Hampshire
This guide details the process of becoming a Certified Nursing Assistant (CNA) in New Hampshire. The journey from meeting prerequisites to receiving certification typically spans 8-12 weeks and costs between $800 and $2,500. Key steps include completing state-approved training, passing a competency exam, and registering with the state's CNA registry.
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In New Hampshire, the career of a Certified Nursing Assistant (CNA) presents a promising pathway for individuals interested in the healthcare sector. The state has witnessed a steady increase in demand for CNAs, with projections suggesting continued growth due to an aging population and increasing healthcare needs. Currently, CNAs in New Hampshire earn an average salary of approximately $32,000 annually, with top earners reaching around $39,000. This role not only offers stable employment but also provides a critical foundation for those looking to advance in nursing or healthcare administration careers.
New Hampshire's regulatory environment and healthcare infrastructure create a unique setting for CNAs. The state mandates specific training hours and competency evaluations that align with federal guidelines, ensuring a high standard of care. New Hampshire's healthcare system is dominated by several major hospitals and a network of smaller clinics, particularly concentrated in cities like Manchester and Nashua. These institutions frequently seek well-trained CNAs, underscoring the availability of job opportunities. Additionally, the state's rural expanses pose unique challenges and opportunities, often requiring CNAs to adapt to environments where resources may be limited but community reliance on their skills is high.
This guide will provide readers with detailed information on how to become a certified CNA in New Hampshire, outlining necessary steps from educational requirements to state certification processes. Prospective CNAs will find specifics on the number of training hours required, the nature of competency exams, and how to maintain certification once acquired. The guide also covers salary ranges and job market insights, helping readers form realistic expectations about their career trajectory in this field. By equipping future CNAs with this knowledge, the guide aims to prepare them effectively for a rewarding career in New Hampshire's healthcare system.
Licensing Authority
New Hampshire Board of Nursing
In New Hampshire, Certified Nursing Assistants must meet specific state-mandated requirements including training, examination, and background checks to obtain licensure. The New Hampshire Board of Nursing oversees the licensing process for CNAs.
Official Resources
New Hampshire Requirements
Training Requirements
- Education
- High school diploma or equivalent
- Total Training Hours
- 100 hours
- Classroom Hours
- 60 hours
- Clinical Hours
- 40 hours
- Minimum Age
- 18 years old
Additional Requirements
- Background check (State and federal) with fingerprinting
- CPR certification
Certification Exam
- Exam
- National Nurse Aide Assessment Program (NNAAP)
- Components
- Written, Skills demonstration
- Fee
- $105
How to Become a Certified Nursing Assistant in New Hampshire
tuition $500-$2,000, exam fee $105, background check $50, application fee $35, textbooks/supplies $60, scrubs $50
Fastest Path
4-6 weeks
Typical Timeline
8-12 weeks
Estimated Cost
$800–$2,500
Verify You Meet New Hampshire's Prerequisites
Begin by confirming you meet the prerequisites for CNA training in New Hampshire. These include being at least 18 years old, having a high school diploma or GED, and being in good physical health. Visit the New Hampshire Board of Nursing website to download the necessary checklist and forms. Processing these initial verifications typically takes 1-2 days.
Tip
Order your high school transcript online through Parchment.com ($15) to avoid a 2-week mail delay from your school's registrar office.
Complete Background Check and Health Screenings
Schedule a New Hampshire state police background check and get fingerprinted at an authorized location. You'll need a fingerprint card, which can be obtained during your visit. Also, complete a health screening, including a TB test and a physical examination, to ensure you meet the health requirements. Background checks can take up to 2 weeks to process.
Tip
Schedule your fingerprinting appointment early as slots fill up quickly.
Research and Choose an Approved Training Program
Identify a state-approved CNA training program in New Hampshire by visiting the New Hampshire Board of Nursing's website. Approved programs meet the state's requirements of 100 total hours, including 60 classroom hours and 40 clinical hours. Attending a non-approved program will render you ineligible for the state exam. Review program costs, locations, and schedules to choose the best fit.
Tip
Consider programs offered at community colleges for potentially lower tuition rates.
Enroll in and Complete Training
Once you've selected an approved program, enroll and complete the required 100 hours of training, split between 60 hours in the classroom and 40 hours in a clinical setting. Ensure that the program provides all necessary materials and that you attend every session, as missing hours can delay your completion. Programs typically run between 4 to 12 weeks depending on their schedule.
Tip
Keep a record of all training hours in case of discrepancies with the program's records.
Prepare for the Competency Exam
After completing your training, prepare for the New Hampshire Nurse Aide Competency Exam, administered by Pearson VUE. The exam consists of a written section with 60 multiple-choice questions and a practical skills assessment. Use study guides and practice tests to prepare. You have two hours to complete the exam, and a passing score is required on both sections to qualify.
Tip
Focus on mastering the skills portion by practicing with classmates or a mentor.
Register for and Schedule the Exam
Register for the CNA competency exam through Pearson VUE. Choose a testing location and time that suits your schedule. The fee for the exam is $105. Registration can be completed online, and you should schedule as soon as you feel prepared, keeping in mind potential waiting periods for available testing slots.
Tip
Check for exam slots periodically if initially unavailable.
Take and Pass the Exam
On the day of the exam, arrive early with two forms of ID and all necessary materials. The exam consists of a written test and a skills demonstration. You will receive results within a few hours to a few days. If you fail, you can reschedule the exam by re-registering and paying the fee again. You have three attempts to pass.
Tip
Arrive at least 30 minutes early to allow time for check-in procedures.
Apply for State Certification/Registry
After passing the exam, apply for inclusion in the New Hampshire Nurse Aide Registry. Complete the application form available on the New Hampshire Board of Nursing website and submit it along with the required fee of $35. Processing typically takes 2-4 weeks. Once processed, your name will appear on the registry, confirming your certification.
Tip
Ensure all sections of the application are completed to avoid processing delays.
Receive Your Certification and Verify on State Registry
Once your application is processed and approved, you will receive your CNA certification via mail. Verify your status by checking the New Hampshire Nurse Aide Registry online. This verification is crucial as employers will check this registry before hiring. If there are any issues with your listing, contact the Board of Nursing immediately.
Tip
Regularly check the mail and the online registry for updates on your certification status.
Find Your First Job
With your certification in hand, start your job search. Utilize online job portals like Indeed, LinkedIn, and specialized healthcare job sites. Additionally, local hospitals, nursing homes, and care facilities often post job openings directly on their websites. Prepare your resume, highlighting your CNA certification and any relevant experience or skills.
Tip
Tailor your resume for each job application to highlight the most relevant skills and experiences.
Alternative Training Paths
Employer-Sponsored Training at Nursing Homes
Some nursing homes in New Hampshire offer employer-sponsored CNA training programs. These are often paid training opportunities that guarantee a job upon successful completion. The employer covers the cost of training in exchange for a commitment to work at the facility for a specified period.
Best for: Individuals looking for guaranteed employment post-certification
Common Mistakes to Avoid
- •Attending a training program not on the New Hampshire Board of Nursing approved list. You will complete the program but be unable to sit for the state competency exam, wasting both your time and tuition money.
What to Expect on Exam Day
NNAAP Written and Skills Examination administered by Pearson VUE
Written Test
Questions: 70
Time Limit: 2 hours
Format: Multiple choice
Passing Score: 70%
- • Physical Care Skills: 35%
- • Psychosocial Care Skills: 15%
- • Role of the Nurse Aide: 50%
Skills Test
Skills Tested: 5
Time Per Skill: 25 minutes total
Candidates demonstrate skills on a mannequin or with a volunteer under the observation of a Nurse Aide Evaluator.
What to Bring
- ✓ Two forms of identification with signatures, one of which must be a photo ID
- ✓ Authorization to Test letter
- ✓ Three No. 2 pencils and an eraser
Do Not Bring
- ✗ Personal items such as bags, watches, phones, or study materials
Day-of Timeline
Arrive 30 minutes early. Check-in takes approximately 15 minutes. Written test lasts 2 hours. 30-minute break. Skills test lasts approximately 25 minutes.
Getting Your Results
Results are issued by Pearson VUE through mail within 5-7 business days. Online access to results is also provided.
If You Don't Pass
Candidates may retest any portion of the exam. Retakes must be scheduled within 24 months. The cost varies by test site. Unlimited attempts are allowed.
Exam Strategies
- 1. Focus on mastering skills during training, as you must demonstrate these practically.
- 2. During the written exam, carefully read each question and all possible answers before choosing your response.
- 3. Manage your time wisely during the skills test, practicing timed runs of each skill during your study period.
- 4. Familiarize yourself with the format and common questions/topics through Pearson VUE's practice tests and study materials.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED
From previously attended high school or GED program · Varies, usually no cost for copies · 1-2 weeks
Required to enroll in most CNA training programs
Government-issued Photo ID
State DMV or other government body · Varies by type of ID · 1-2 weeks
Needed for identity verification during training and exams
Social Security Card
Social Security Administration · 1-2 weeks
Required for background check and employment verification
Immunization Records
Personal physician or local health department · May incur cost for copies or any missing vaccinations · 1-3 weeks
Ensure vaccinations are up-to-date, especially for Hepatitis B, MMR, and Varicella
Criminal Background Check
New Hampshire Department of Safety or approved third-party vendor · Approximately $25-$50 · 2-4 weeks
Some training programs may require this before admission
Tuberculosis Test Results
Local clinic or health provider · Approximately $20-$50 · 1-2 days for test, up to 1 week for results
Proof of negative TB test often needed before clinical training
CPR Certification
American Red Cross, American Heart Association, or other certified provider · Approximately $50-$100 · Varies by course availability, usually 1 day
Must be a healthcare provider-level certification
2During Training
Training Completion Certificate
From the CNA training program · Usually included in the course fee · At end of course
Required to sit for the state certification exam
3For the Exam
Exam Application Form
New Hampshire Board of Nursing website or training provider · No cost for the form
Must be submitted by specified deadlines
Examination Fee
Payable to the New Hampshire Board of Nursing or testing service · Approximately $105-$155
Non-refundable, required to schedule the exam
2 Passport-sized Photos
Photo center or similar service provider · Approximately $10-$15
Needed for exam application
4For Certification
Certification Fee
Payable to the New Hampshire Board of Nursing · Approximately $35
Required to issue the CNA certificate upon passing the exam
Employment Verification Form
From employer or through self-submission if self-employed · No cost
To verify hands-on work experience, if applicable
After You're Certified: What's Next
Verify your status on the New Hampshire Board of Nursing's online registry. Ensure your CNA certificate arrives by mail, or contact the board if there are any issues.
Finding Your First Job
Where to Look
- • Indeed.com with filters for 'CNA' and 'New Hampshire', LinkedIn for networking and job postings, and NHcarepath.org specifically for local healthcare jobs
Best Employers for New Grads
- • Hospitals often offer a structured environment with potential for shift differential pay. Nursing homes and long-term care facilities are prevalent employers with a high demand for CNAs, providing job security but possibly more physically demanding work. Home health agencies offer flexible schedules and the opportunity to work in less stressful environments, though they might offer fewer benefits.
Resume Tip: Highlight any clinical experience from your training, including externships. Focus on skills such as patient care, communication, and teamwork. Mention any relevant certifications like CPR, even if they were part of your CNA training.
Interview Tip: Prepare to discuss why you chose a career in healthcare, your experiences during clinical training, how you handle stressful situations, and your approach to patient care. Be ready to demonstrate knowledge of basic care procedures.
Expected First-Year Salary
In New Hampshire, starting salaries for CNAs range from $28,000 to $33,000 annually, depending on the employer and location.
Career Advancement Path
LPN (Licensed Practical Nurse)
Complete a state-approved LPN program, which typically lasts 1 to 2 years.
Challenges to Prepare For
- • Physical demands can lead to burnout. Manage this by maintaining good physical health and seeking support when needed. Emotional stress from patient care is common; developing coping strategies and utilizing support systems within the workplace can help.
Certified Nursing Assistant Salary in New Hampshire
In New Hampshire, Certified Nursing Assistants (CNAs) earn a median annual salary of $35,000, which translates to an hourly wage of approximately $16.83. This figure is slightly above the national average for CNAs.
Entry Level
$28,000
0-1 years experience
Median Salary
$35,000
$16.83/hr · Bureau of Labor Statistics
Experienced
$40,000
5+ years experience
Compared to National Median
$33,000 national · +6.06% in New Hampshire
Salary by Metro Area
Highest in the state, strong demand for CNAs
Competitive wages due to proximity to other states
Lower than state average but with consistent job openings
Salary by Employer Type
While the median CNA salary in New Hampshire is slightly above the national average, it may not fully compensate for the state's higher living costs, particularly in housing.
Benefits & Compensation
Typical benefits for CNAs in New Hampshire include health insurance, paid time off, and retirement plans. Some employers also offer tuition assistance.
Salary Growth Outlook
CNA salaries in New Hampshire are expected to grow at a moderate pace due to increasing demand for healthcare services and an aging population.
Salary Negotiation Tips
- •Highlight any specialized skills or certifications to justify a higher starting salary.
- •Discuss the total compensation package, including benefits and potential for professional development.
Job Market in New Hampshire
The Certified Nursing Assistant (CNA) job market in New Hampshire is experiencing a stable demand, driven primarily by an aging population and increased health care needs. The Bureau of Labor Statistics projects a moderate growth rate for CNA positions nationally, and New Hampshire aligns closely with this trend. Factors such as the state's aging demographics and the expansion of healthcare facilities contribute to the steady need for CNAs.
Top Hiring Areas
Largest city with multiple healthcare facilities
Growing healthcare sector
Top Hiring Industries
Best time to apply: Early spring and late fall, aligning with hiring cycles of major healthcare providers
Opportunities
- Opportunities for further training and certification
- Rising demand in specialized elder care
Challenges
- Lower wages compared to neighboring states
- High turnover rates due to job stress and physical demands
Training Programs in New Hampshire
New Hampshire offers several CNA training programs across various educational settings, preparing students for state certification and employment in healthcare.
Program Types Comparison
| Type | Duration | Cost | Format | Pros / Cons |
|---|---|---|---|---|
| Community College | 6 to 12 weeks | $1,200 to $1,500 | In-person/Hybrid |
|
| Vocational/Trade School | 4 to 10 weeks | $800 to $1,200 | In-person/Hybrid |
|
| Employer-Sponsored | Varies, typically 4 to 8 weeks | Free | On-the-job |
|
Top Programs
Laconia, New Hampshire
High pass rates and strong local hospital partnerships
Manchester, New Hampshire
Offers extensive hands-on training
Online & Hybrid Options
Some programs offer hybrid models where theoretical components are online, but practical training requires in-person attendance.
How to Choose a Program
- •Verify the program's state approval and exam pass rates to assess quality.
Financial Aid & Free Training
Get free Certified Nursing Assistant program info for New Hampshire
Renewal Requirements
Renewal Period
Every 2 years
Renewal Fee
$35
CE Hours
12 hours
Work requirement: 400 hours of paid employment as a CNA
CE Topics: Patient care, Infection control
Out-of-State Reciprocity
New Hampshire offers reciprocity to CNAs from other states, provided they meet New Hampshire's standards and have an active, unencumbered certification.
Requirements for Reciprocity
- Proof of current certification
- No disciplinary action on record
State Agreements
All states as long as the CNA's certification is in good standing
Additional Exams
No additional exams required if the existing certification meets NH standards
Application Process
Submit a completed application with verification of certification and employment
Fees
$35
Processing Time: 4-6 weeks
Licensing Tips
Ensure all sections of the application are complete to avoid delays
Maintain continuous employment as a CNA to simplify renewal
Recommended Resources
CNA Exam Preparation
This book offers a complete review with practice questions and detailed answers for the CNA exam.
CNA Study Guide
Includes practice test questions and strategies for the Certified Nursing Assistant exam.
CNA Certified Nursing Assistant Exam Cram
Provides a concise review of all necessary nursing assistant topics and skills.
CNA Study Guide: Nurse Assistant Complete Test Prep
Covers all essential areas of nursing care skills, plus exam tips and techniques.
Blood Pressure Cuff and Stethoscope Kit
Used for practicing vital signs measurement, a fundamental skill for CNAs.
Nursing Scrubs
Required attire for clinical training, providing comfort and hygiene during practical sessions.
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Sources
- Bureau of Labor StatisticsAccessed 2026-02-13
- New Hampshire Licensing BoardAccessed 2026-02-13
- CareerOneStopAccessed 2026-02-13