New Hampshire Nursing Assistant / Nurse Aide Guide

CNA - Certified Nursing Assistant - Aide Practice Exam Is a License or Certification needed:  To get licensed and work as a nursing assistant or nurse aide in New Hampshire, you need to complete a nursing assistant program and pass the National Nurse Aide Assessment Program (NNAAP) exam.  You may be placed on the New Hampshire State Nurse Aide Registry just by successfully completing a state approved training program and being found competent by the state. Nursing Assistant Licensure is a separate licensing number and status.
Who Grants Certification: The New Hampshire Board of Nursing grants certification to New Hampshire nursing assistants and nurse aides.

The Qualifications to become Certified:

There are three ways to qualify to receive a nurse aide license in New Hampshire: Competency Evaluation, Comparable Education and Endorsement.  Please see here for detailed information.

How to Apply for Certification:

After taking a state approved nursing assistant training course, you can apply for a license with these forms.

 How to Apply to Take the Exam

Use the application to sign up to take the New Hampshire Certified Nurse Aide Exam. It is the same form as above because applying for license and tests are the same thing in New Hampshire.

Test Content

The NNAAP test has two parts, a Skills Evaluation and a Written (or oral) part.  Both parts must be passed to be listed on the New Hampshire Nurse Aide Registry. The written section is 70 questions in length, 60 are multiple choice and 10 are reading comprehension questions. Take two pencils with you. You will have two full hours to complete the exam. (The oral exam if given in place of the written exam is 160 questions in length.) The Skills Evaluation will be a 25 minute time period given to complete 5 randomly selected nurse aide skills.
Content topics include:
  • Activities of Daily Living – Hygiene, Dressing and Grooming, Nutrition and Hydration, Elimination, Rest/Comfort/Sleep
  • Basic Nursing Skills - Infection Control, Safety/Emergency, Therapeutic/Technical Procedures, Data Collection and Reporting
  • Restorative Skills – Prevention, Self-care/Independence
  • Psychosocial Care Skills – Emotional and Mental Health Needs
  • Spiritual and Cultural Needs
  • Communication
  • Client Rights
  • Legal and Ethical Behavior
  • Member of the Health Care Team
See the Candidate Handbook for more details.

Certification Renewal and Continuing Education Requirements:

If your license is still active and you would like to renew it before it lapses, see the requirements to renew your license on the NHBON website
Here are the requirements to renew a current license:
  • 200 hours active nursing assistant practice in past two years under the supervision of an LPN, RN or APRN
  • 12 CEU’s per year, totaling 24 for the past two years;
  • A clinical and written competency test successfully completed within the past two years.
If your license has lapsed after its 2 year run, you will need to reactivate it by successfully completing a written and clinical skills test after calling or emailing the New Hampshire Board of Nursing for a reinstatement application.

NH Nurse Aide Registry 
NH Board of Nursing 
21 South Fruit Street, Suite 16 
Concord, NH 03301-2431 
Phone: 603-271-6282 
Fax: 603-271-6605


To prepare for your nursing assistant or nurse aide exam, use’s Certified Nursing Assistant Exam Practice Test Kit with 300 multiple choice questions, written by nursing experts and educators.

For more information on licensing and exam prep, go to's CNA Test Guide.

And take's free CNA Practice Test.

For nursing assistant and nurse aide exam preparation products and services, such as study guides, practice tests, flashcards and courses, go to's CNA listings.
Quality starts with who wrote the material.
Our practice exam writer
Alene Burke, RN, MSN
, is a multidisciplinary nursing educator and has taught nurses and CNAs for the last 25 years. She has developed curriculum for college level health care educational institutions and has served as a member of the American Nurses Association’s Credentialing Center Innovative Collaborative Initiative on healthcare education.

Dorothy Belding, RN, MSH
, is an instructor in the CNA program at Mitchell Community College in North Carolina.  Dorothy has over 30 years of experience as an RN and has worked in the skilled nursing environment supervising CNAs.

Diane Hill, RN, BSN
, is an instructor in CNA studies at Cumberland Community College in New Jersey. Diane is a state-certified CNA educator and has worked as an assistant director and staff nurse in nursing homes.

National Nurse Aide Assessment Program (NNAAP) Exam Content Outline Review

I. Physical Care Skills

A. Daily Living Activities:

  • Hygiene
  • Dressing and Grooming
  • Nutrition and Hydration
  • Elimination
  • Rest/Sleep/Comfort

B. Skills of Basic Nursing:

  • Infection Control
  • Safety/Emergency
  • Therapeutic/Technical Procedures
  • Data Collection and Reporting   

C. Restorative Skills:

  • Prevention
  • Self Care/Independence

II. Psychosocial Care Skills

A. Emotional and Mental Health Needs

B. Spiritual and Cultural Needs

III. Nurse Aide Roles

A. Communication

B. Client Rights

C. Legal and Ethical Behavior

D. Member of the Health Care Team