CNA vs NCLEX-PN
CNA is an entry-level certification for nursing assistants who provide basic patient care. NCLEX-PN licenses Practical Nurses (LPNs) who have broader scope including medication administration. CNA requires 4-12 weeks training; LPN requires 12-18 months.
Side-by-Side Comparison
| Feature | CNA | NCLEX-PN |
|---|---|---|
| Full Name | Certified Nursing Assistant | National Council Licensure Examination for Practical Nurses |
| Exam Cost | $100-$150 | $200 |
| Passing Score | 70-80% | Pass/Fail (Logit scoring) |
| Questions | 60-100 (varies by state) | 85-205 (adaptive) |
| Time Limit | 2-3 hours | 5 hours max |
| Study Time | 75-150 hours (training) | 150-300 hours |
| Difficulty | Entry-level | Moderate-Challenging |
| Prerequisites | CNA training program (4-12 weeks) | LPN/LVN program (12-18 months) |
| Exam Body | State Nursing Board | NCSBN |
Key Differences
- 1CNA: 4-12 weeks training; LPN: 12-18 months program
- 2CNA: basic care tasks; LPN: medications, nursing care, some procedures
- 3CNA works under LPN/RN supervision; LPN works under RN/physician supervision
- 4CNA avg salary $30-35K; LPN avg salary $45-55K
- 5CNA exam: 60-100 questions; NCLEX-PN: 85-205 adaptive questions
- 6CNA: state-specific certification; NCLEX-PN: nationwide license
- 7CNA: faster entry; LPN: more responsibilities and higher pay
What Each Exam Allows You To Do
CNA
- Provide basic patient care under supervision
- Take vital signs and document observations
- Assist with bathing, feeding, and mobility
- Work in nursing homes, hospitals, home care
- Entry point into healthcare careers
NCLEX-PN
- Practice as a Licensed Practical Nurse (LPN/LVN)
- Administer medications (some IV restrictions)
- Provide comprehensive nursing care
- Work under RN or physician supervision
- Earn significantly higher salary than CNA
Who Should Take Each Exam?
Take the CNA if you...
- →Those exploring healthcare careers
- →Quick entry into patient care
- →High school graduates interested in nursing
- →Stepping stone to LPN or RN
Take the NCLEX-PN if you...
- →Those committed to nursing career
- →CNAs seeking advancement
- →Those wanting faster entry than RN path
- →Long-term care and home health focus
Which Should You Take First?
Start with CNA if you're exploring healthcare or need to work quickly. Becoming a CNA lets you gain patient care experience while deciding if nursing is right for you. Many CNAs later pursue LPN programs, using their experience to strengthen their applications.
Frequently Asked Questions
QShould I get CNA before LPN?
It's not required, but it's beneficial. CNA experience gives you patient care skills, helps you decide if nursing is right for you, and looks great on LPN program applications. You can also work as a CNA while completing your LPN program.
QHow much more does an LPN make than a CNA?
LPNs typically earn $45,000-$55,000 annually compared to CNAs at $30,000-$35,000. That's roughly 50% more pay, reflecting the additional training, responsibilities, and medication administration authority.
QCan I skip CNA and go straight to LPN?
Yes, you can enroll directly in an LPN program without CNA certification. However, many students benefit from CNA experience first - it confirms your interest in nursing and provides valuable hands-on patient care skills.
QCan CNAs administer medications?
Generally no. CNAs cannot administer medications in most states (some allow CNAs to assist with medications in certain settings after additional training). LPNs can administer most medications, including some IV medications with additional certification.
10 free AI interactions per day
Ready to Start Studying?
Free study materials for both exams - start learning today.
Related Exam Comparisons
Stay Updated
Get free exam tips and study guides delivered to your inbox.