Licensed Practical Nurse (LPN) in Tennessee
This guide outlines the steps to become a Licensed Practical Nurse (LPN) in Tennessee, detailing prerequisites, training, examination, and certification processes. The path to becoming an LPN can be completed within 4 to 20 weeks depending on the chosen study mode, with costs ranging from $800 to $2,500. Key steps include meeting state prerequisites, completing state-approved training, passing the NCLEX-PN exam, and obtaining state certification.
In Tennessee, the career of a Licensed Practical Nurse (LPN) presents a stable and rewarding opportunity. With a median salary of $49,780 per year, LPNs in Tennessee earn a competitive wage in the healthcare sector. The national projection indicates a growth of 2.6% in the field by 2034, reflecting an enduring demand for these professionals. This growth is driven by an aging population and an increasing need for healthcare services, making the role of an LPN a prudent career choice for those interested in nursing and patient care.
Tennessee offers a unique environment for LPNs due to its specific state regulations and healthcare needs. The state's healthcare system is expansive, with a significant presence of major healthcare facilities and regional hospitals that serve as major employers for LPNs. Tennessee's regulations governing LPNs are managed by a dedicated state board, ensuring that practitioners meet the requisite standards of care. Additionally, the state's diverse demographic and rural areas provide varied work environments and experiences that can enhance an LPN's career development and skills.
This guide aims to provide a detailed roadmap for becoming a Licensed Practical Nurse in Tennessee. Readers will learn about the licensing process, which involves specific educational requirements and passing the NCLEX-PN examination. The guide also covers steps to obtain and maintain certification, along with insights into salary expectations and the job market in Tennessee. By offering a clear outline of the necessary steps and what to expect in terms of career prospects, this guide serves as a valuable resource for aspiring LPNs in the state.
Licensing Authority
Tennessee Department of Health, Division of Health Related Boards
In Tennessee, becoming a Licensed Practical Nurse (LPN) requires completing an approved practical nursing program, passing the NCLEX-PN exam, and meeting background check requirements. Licenses must be renewed biennially with continuing education.
Official Resources
Tennessee Requirements
Training Requirements
- Education
- High school diploma or equivalent, graduation from an approved practical nursing program
- Total Training Hours
- Not specified hours
- Classroom Hours
- Not specified hours
- Clinical Hours
- Not specified hours
- Minimum Age
- 18 years old
Additional Requirements
- Background check (State and federal) with fingerprinting
- Physical exam required
Certification Exam
- Exam
- NCLEX-PN
- Components
- Written, Skills demonstration
- Fee
- Not specified
How to Become a Licensed Practical Nurse in Tennessee
Itemized breakdown: tuition $500-$2,000, exam fee $200, background check $50, application fee $50, textbooks/supplies $0-$200, scrubs $0-$50
Fastest Path
4-6 weeks
Typical Timeline
8-12 weeks
Estimated Cost
$800–$2,500
Verify You Meet Tennessee's Prerequisites
Confirm that you meet the necessary prerequisites for becoming an LPN in Tennessee. Requirements include being at least 18 years old, having a high school diploma or GED, and being in good physical and mental health. Visit the Tennessee Health Department website to review detailed requirements and download any necessary forms. Processing times for verifying prerequisites typically take 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
Undergo a background check and complete the required health screenings. Tennessee requires an FBI fingerprint background check, which can be done through Identogo centers. You also need a recent TB test and a physical examination report. Results typically take 2-3 weeks. Disqualifying criminal records may require applying for a waiver.
Tip
Schedule your fingerprint appointment online at Identogo to minimize waiting times.
Research and Choose an Approved Training Program
Select a state-approved LPN training program in Tennessee. Attending a non-approved program will prevent you from sitting for the licensure exam. Approved programs can be found on the Tennessee Board of Nursing website. Ensure the program meets state requirements of classroom and clinical hours. Contact programs directly to inquire about schedules, costs, and any additional requirements.
Tip
Contact multiple programs to compare costs and schedules that fit your needs.
Enroll in and Complete Training
Enroll in your chosen state-approved LPN program in Tennessee. Complete the required classroom and clinical hours as specified by the program. Attendance and performance in both classroom and clinical settings are crucial for your success. Upon completion, you will receive a certificate or diploma which is necessary for exam eligibility.
Tip
Keep a record of all classroom and clinical hours completed for your records and future reference.
Prepare for the Competency Exam
Prepare for the NCLEX-PN, the required exam for LPN licensure in Tennessee. The exam includes a written portion with multiple-choice questions covering practical nursing subjects. Study materials and practice exams are available online. Register for the exam through Pearson VUE, and schedule your testing date. Adequate preparation is key to passing the exam.
Tip
Utilize free online resources and practice exams to prepare effectively.
Register for and Schedule the Exam
After preparing, register and schedule your NCLEX-PN exam through Pearson VUE. The cost of the exam is $200. You can choose a date and testing center that are convenient for you. Ensure that you have all required identification and authorization notices from your training program on the day of the exam.
Tip
Schedule your exam as soon as you receive your ATT to get your preferred date and location.
Take and Pass the Exam
On your scheduled exam date, arrive at the Pearson VUE testing center with the required IDs and your ATT letter. The NCLEX-PN consists of up to 145 questions with a 5-hour time limit. If you fail, you can reschedule after 45 days. Passing the exam is mandatory to proceed with licensure application.
Tip
Arrive at least 30 minutes early to the testing center to allow time for check-in.
Apply for State Certification/Registry
After passing the NCLEX-PN, apply for your LPN license through the Tennessee Board of Nursing. Submit your application online, including proof of education and test results. The application fee is $50. Processing typically takes 2-4 weeks. Once approved, your license will appear in the Tennessee Nurse Aide Registry.
Tip
Ensure all documents are correctly filled out to avoid delays in processing.
Receive Your Certification and Verify on State Registry
Once your application is processed and approved, you will receive your LPN license. Verify your license status on the Tennessee Nurse Aide Registry website. This verification is crucial for employers confirming your credentials. Typically, your license will appear online within a few days of issuance.
Tip
Regularly check the registry until your license appears to confirm the status.
Find Your First Job
With your LPN license, begin your job search. Utilize online job portals like Indeed, Glassdoor, and specialized healthcare job sites. Consider also visiting local hospitals, clinics, and other healthcare facilities to inquire about openings. Networking with classmates and instructors can also provide job leads. Be prepared to discuss your training, certification, and any specialties you might have.
Tip
Tailor your resume to highlight specific skills and experiences relevant to the positions you are applying for.
Alternative Training Paths
Employer-Sponsored Training at Nursing Homes
Some nursing homes in Tennessee offer employer-sponsored LPN training programs. These programs often cover tuition costs in exchange for a work commitment after licensure. This path is ideal for individuals looking to secure employment immediately after certification.
Best for: Individuals seeking immediate employment and tuition support
Common Mistakes to Avoid
- •Attending a training program not on the Tennessee 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
NCLEX-PN Examination administered by Pearson VUE
Written Test
Questions: 85 to 205 questions
Time Limit: 5 hours
Format: Multiple choice and alternate format questions
Passing Score: Pass/Fail based on adaptive testing algorithm
- • Safe and Effective Care Environment: 21-33%
- • Health Promotion and Maintenance: 6-12%
- • Psychosocial Integrity: 9-15%
- • Physiological Integrity: 38-62%
Skills Test
Skills Tested: Not applicable
Time Per Skill: Not applicable
The NCLEX-PN does not include a separate practical skills test; all assessments are integrated into the written exam.
What to Bring
- ✓ Authorization to Test (ATT) letter
- ✓ Valid, acceptable form of photo identification (e.g., driver's license, passport)
Do Not Bring
- ✗ Personal items such as bags, books, notes, or electronic devices
- ✗ Food or drink
Day-of Timeline
Arrive 30 minutes early. Check-in takes approximately 15 minutes. Written test is up to 5 hours.
Getting Your Results
Results are typically available within 6 weeks via the online portal provided by the Tennessee Board of Nursing.
If You Don't Pass
If you fail, you can retake the exam after 45 days. The cost of retake is the same as the initial test fee. There is no limit on the number of attempts in Tennessee.
Exam Strategies
- 1. Read each question carefully, especially the call of the question, to understand what is specifically being asked.
- 2. Use the process of elimination on multiple-choice questions to narrow down the options.
- 3. Manage your time effectively, aiming not to spend too long on any single question to ensure you can attempt all questions within the allowed time.
- 4. Familiarize yourself with the computer adaptive test format beforehand to reduce anxiety and improve navigation during the exam.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED
From previous educational institution or GED testing service · Varies · Varies; typically 2-4 weeks
Official transcripts may be required; check with the LPN program for specifics.
Immunization Records
From personal physician or health department · Varies · 1-2 weeks
Must include MMR, Varicella, Hepatitis B, and TB test.
CPR Certification
American Heart Association or American Red Cross · Approximately $50-$100 · Varies; typically a one-day course
Basic Life Support (BLS) for Healthcare Providers is required.
Criminal Background Check
Third-party provider or state agency · Approximately $30-$50 · 1-3 weeks
Some programs require a fingerprint-based check.
2During Training
Enrollment Verification
From the nursing school · No cost · Immediate upon enrollment
Needed for various external applications or benefits.
Clinical Rotation Approval
From the nursing school · No cost · Varies; depends on school
Required before starting clinical rotations; includes liability insurance proof.
Academic Transcripts
From the nursing school · Varies; typically $5-$15 per copy · 1-2 weeks
Needed for transfer credits or future educational pursuits.
3For the Exam
NCLEX-PN Registration
Pearson VUE website · Approximately $200
Must register to schedule the exam; eligibility verified by the state board.
Authorization to Test (ATT)
Email from Pearson VUE · No additional cost
Received after application approval by the Tennessee Board of Nursing.
4For Certification
Passing NCLEX-PN Score Report
Automatically sent by Pearson VUE to the Tennessee Board of Nursing · Included in exam fee
Ensure that Pearson VUE has correct contact information for the board.
LPN License Application
Tennessee Board of Nursing website · Approximately $100 application fee
Complete after passing the NCLEX-PN; includes fee for initial licensure.
Proof of Continued Education
From approved continuing education providers · Varies by course or provider
Required for license renewal, not initial certification.
After You're Certified: What's Next
Verify your status in the Tennessee Health Care Worker Registry. Obtain your LPN certificate from the Tennessee Board of Nursing. Update your personal identification and employment documents.
Finding Your First Job
Where to Look
- • Tennessee-specific job boards like TNHealthJobs.com, hospital websites, and general platforms like Indeed and LinkedIn
Best Employers for New Grads
- • Hospitals, long-term care facilities, outpatient clinics, and home health agencies. Hospitals offer diverse experiences but can be demanding; long-term care focuses on elderly care with a stable patient base; outpatient clinics provide regular hours; home health offers flexibility and one-on-one patient interaction.
Resume Tip: List your LPN license, any clinical rotations, basic nursing skills, patient care, CPR certification, and soft skills like communication and teamwork.
Interview Tip: Describe a time you handled a stressful situation.How do you prioritize tasks when managing multiple patients?Explain how you would handle a disagreement with a coworker.What motivates you to work in healthcare?
Expected First-Year Salary
Approximately $35,000 to $45,000, depending on the employer and location within Tennessee.
Career Advancement Path
Registered Nurse (RN)
Completing an Associate's Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN), passing the NCLEX-RN exam.
Challenges to Prepare For
- • Handling emotional and physical stress, managing time effectively in fast-paced environments, adapting to different healthcare settings, dealing with patient and family dynamics.
Licensed Practical Nurse Salary in Tennessee
In Tennessee, the median annual salary for Licensed Practical Nurses (LPNs) is $49,780, which is significantly lower than the national median. This reflects both regional economic conditions and local demand for healthcare professionals.
Entry Level
$40,000
0-1 years experience
Median Salary
$49,780
$23.93/hr · Bureau of Labor Statistics
Experienced
$58,000
5+ years experience
Compared to National Median
$59,730 national · -16.7% in Tennessee
Salary by Metro Area
Higher demand in urban centers
Slightly below state median
Lower than state median
Salary by Employer Type
The lower salary in Tennessee may be offset by a lower cost of living compared to many other states.
Benefits & Compensation
Typical benefits include health insurance, retirement plans, and paid leave. Some employers may offer tuition assistance.
Salary Growth Outlook
Salary growth for LPNs in Tennessee is expected to align with national healthcare demand increases.
Salary Negotiation Tips
- •Research average salaries for your experience in your area.
- •Highlight specialized skills or certifications.
Job Market in Tennessee
In Tennessee, the job market for Licensed Practical Nurses (LPNs) is buoyant, reflecting a national growth trend. With a national growth rate projected at 2.6% from 2024 to 2034, Tennessee is expected to see similar or slightly higher growth due to its aging population and expanding healthcare facilities. The demand in urban areas, particularly in hospitals and long-term care facilities, drives this growth.
Top Hiring Areas
Major healthcare hub with numerous hospitals and clinics
Growing need for healthcare services in both urban and surrounding rural areas
Stable demand with several large healthcare institutions
Top Hiring Industries
Best time to apply: Early spring and late fall, aligning with budget cycles in major healthcare institutions
Opportunities
- Specialization in geriatric care or home health could lead to higher demand and wages
- Continued education programs supported by employers for career advancement
Challenges
- Competition with higher degrees like Registered Nurses (RNs)
- Limited public transportation in rural areas affecting commute times for potential employees
Training Programs in Tennessee
Tennessee offers diverse LPN training programs through community colleges, vocational schools, and employer-sponsored initiatives.
Program Types Comparison
| Type | Duration | Cost | Format | Pros / Cons |
|---|---|---|---|---|
| Community College | 12 to 18 months | $4,000 to $15,000 | In-person/Hybrid |
|
| Vocational/Trade School | 12 months | $5,000 to $20,000 | In-person/Hybrid |
|
| Employer-Sponsored | Varies | Free/Paid training | On-the-job |
|
Top Programs
Nashville, Tennessee
High NCLEX-PN pass rates
Nashville, Tennessee
Offers extensive clinical hands-on experience
Online & Hybrid Options
Some Tennessee programs offer hybrid formats, blending online theory with in-person clinical practice.
How to Choose a Program
- •Verify the program's accreditation and state approval status, and consider NCLEX-PN pass rates and employer partnerships for clinical placements.
Financial Aid & Free Training
Get free Licensed Practical Nurse program info for Tennessee
Renewal Requirements
Renewal Period
Every 2 years
Renewal Fee
Varies
CE Hours
Not specified hours
Work requirement: Not specified
CE Topics: Not specified
Out-of-State Reciprocity
Tennessee allows Licensed Practical Nurses (LPNs) licensed in other states to apply for licensure by endorsement if they meet specific state requirements.
Requirements for Reciprocity
- Active license in another state with similar or more stringent licensure requirements
- Proof of graduation from a state-approved nursing program
- Submission of official transcripts directly from the nursing school
- Submission of a criminal background check
State Agreements
Tennessee does not have specific reciprocity agreements but recognizes LPN licenses from all states through the endorsement process.
Additional Exams
No additional exams are required if the applicant has passed the NCLEX-PN.
Application Process
Applicants must submit an application for licensure by endorsement online, pay the required fees, and provide supporting documentation including licensure verification from the original state, transcripts, and a criminal background check.
Fees
The application fee for licensure by endorsement is $115.
Processing Time: Applications typically take 4 to 6 weeks to process, depending on the completeness of the application and the response time of third parties providing required documentation.
Licensing Tips
Ensure all documentation, especially proof of education and background checks, is complete before submission to avoid delays.
Regularly check the official Tennessee Department of Health website for updates on licensure requirements and fees.
Recommended Resources
NCLEX-PN Prep Plus by Kaplan
Offers detailed practice questions and test-taking strategies tailored for LPN licensure.
Saunders Comprehensive Review for the NCLEX-PN Examination
Provides a thorough review of all nursing content areas, complete with practice questions and rationales.
NCLEX-PN Secrets Study Guide
Includes tips and study strategies, along with practice questions to help master the material.
Davis's Q&A Review for the NCLEX-PN Examination
Features over 4,000 questions to simulate the actual exam and help identify areas of weakness.
3M Littmann Classic III Monitoring Stethoscope
Essential for practicing accurate patient assessments during training.
Nursing Scrubs
Required for clinical rotations to maintain hygiene and professionalism.
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Sources
- Bureau of Labor StatisticsAccessed 2026-02-08
- Tennessee Licensing BoardAccessed 2026-02-08
- CareerOneStopAccessed 2026-02-08