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516+ Free New Hampshire LNA Practice Questions

Prepare for the New Hampshire Licensed Nursing Assistant (LNA) exam with instant access — no signup required.

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Key Facts: New Hampshire LNA Exam

$105

Exam Fee (NH)

Excel Testing NH

60

Written Questions

Excel Testing NH

70%

Written Passing Score

Excel Testing NH

100 hrs

Min. Training Required

NH OPLC

24 CE hrs

CE for Renewal

NH Board of Nursing

200 hrs

Work Hrs for Renewal

NH Board of Nursing

New Hampshire uses the LNA (Licensed Nursing Assistant) designation, not CNA. The exam is administered by Excel Testing, the Board-approved testing agency (with approved community-college competency testing sites), and costs $105. NH requires a 100-hour Board of Nursing-approved LNA training program (54 classroom + 46 clinical). The written test has 60 questions in 90 minutes with a 70% passing score. Skills test allows 30 minutes for 4 randomly selected skills. Three attempts allowed within 2 years of training completion, with a 2-day wait between attempts. LNA license renewal requires 24 CE hours and 200 hours of nursing assistant work every 2 years. Medication Nursing Assistant (MNA) is an add-on certification available after gaining LNA experience.

Sample New Hampshire LNA Practice Questions

Try these sample questions to test your New Hampshire LNA exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 516+ question experience with AI tutoring.

1When assisting a New Hampshire nursing home resident with a complete bed bath, which area should be washed LAST?
A.The face and neck
B.The arms and chest
C.The back and buttocks
D.The perineal area
Explanation: The perineal area should always be washed last during a complete bed bath to prevent cross-contamination. The correct sequence moves from the cleanest area (face) to the dirtiest (perineal). This practice minimizes the risk of introducing bacteria from contaminated areas to clean areas and helps prevent urinary tract infections.
2A resident at a New Hampshire long-term care facility has left-sided weakness following a stroke. When helping the resident get dressed, the CNA should:
A.Dress the left (weaker) side first to minimize discomfort
B.Dress the right (stronger) side first to prevent muscle fatigue
C.Have the resident choose which side to dress first
D.Dress both sides simultaneously to speed up the process
Explanation: When assisting a resident with hemiplegia (one-sided weakness), always dress the weak or affected side first. This allows the garment to be positioned over the arm with limited mobility before threading the stronger arm through. When undressing, remove the strong side first. The mnemonic is: "Dress the worst first, undress the best first."
3While providing oral care to an unconscious resident at a New Hampshire facility, the CNA should position the resident:
A.Flat on the back (supine)
B.In a sitting position at 90 degrees
C.On the side (lateral position) with head turned to allow drainage
D.Prone (face-down) to keep airway clear
Explanation: An unconscious resident must be positioned on their side (lateral/Sims position) with the head turned during oral care to prevent aspiration of fluids into the lungs. The supine position is dangerous because secretions and fluids can pool in the throat and be aspirated. This is a critical safety measure emphasized in New Hampshire LNA training programs.
4When storing a resident's dentures overnight at a New Hampshire nursing facility, the CNA should:
A.Store them dry in a labeled container
B.Place them in a labeled container with cool water or denture solution
C.Wrap them in a tissue and place on the bedside table
D.Store them in hot water to kill bacteria
Explanation: Dentures should be stored in a labeled container filled with cool water or a denture cleanser solution when not being worn. Hot water can warp dentures, causing them to not fit properly. Storing them dry can cause the plastic to crack or distort. Tissues are inappropriate because dentures can accidentally be thrown away.
5A resident at a New Hampshire facility refuses to let the CNA assist with a bed bath. The CNA should:
A.Insist on completing the bath for the resident's hygiene
B.Respect the resident's right to refuse and report to the nurse
C.Skip the bath for today and try again tomorrow
D.Ask the family to convince the resident
Explanation: Residents have the right to refuse care per OBRA regulations, which apply to all New Hampshire nursing facilities. The CNA should respect the refusal, document it, and report to the nurse. The nurse can then assess the situation, speak with the resident, and determine the appropriate course of action. Forcing care violates resident rights.
6When performing nail care for a diabetic resident at a New Hampshire long-term care facility, the CNA should:
A.Clip toenails straight across and file smooth
B.Refer all nail care to the nurse or podiatrist
C.Soak feet for 20 minutes before clipping
D.Apply lotion between the toes after care
Explanation: CNAs should NOT clip the toenails of diabetic residents. Diabetics have reduced circulation and sensation in the feet, making even minor cuts potentially serious. Toenail care for diabetic residents must be performed by a nurse or licensed podiatrist. The CNA can wash and inspect the feet but must refer nail trimming to licensed professionals.
7While assisting a female resident with perineal care following urination, the CNA should clean:
A.Back to front using gentle pressure
B.In a circular motion around the urinary opening
C.From front to back (urethra toward anus) using a clean stroke each time
D.Starting from the outer areas and moving inward
Explanation: Perineal care should always be performed from front to back (from the urethra toward the anus) to prevent introducing bacteria from the anal area into the urinary tract. Using a clean stroke each time prevents spreading bacteria. This technique significantly reduces the risk of urinary tract infections, which are common in long-term care facilities.
8A resident's incontinence brief is soiled. The CNA should change it:
A.Only at scheduled times to maintain routine
B.Immediately upon discovery to prevent skin breakdown
C.After completing other assigned tasks
D.Only if the resident complains of discomfort
Explanation: Soiled briefs must be changed immediately upon discovery to prevent skin breakdown, pressure injuries, and infections. Prolonged contact with urine and feces causes skin maceration and irritation. New Hampshire facilities are monitored by the Department of Health and Human Services (DHHS) for proper skin care and incontinence management.
9When making an occupied bed for a resident with a Foley catheter, the CNA should:
A.Remove all linens at once to save time
B.Keep the drainage bag below bladder level throughout the process
C.Disconnect the catheter tubing while changing linens
D.Place the drainage bag on the bed for easy access
Explanation: When making a bed with a Foley catheter in place, the drainage bag must always remain below bladder level to prevent urine backflow, which can cause infection. The tubing should never be disconnected, and the bag should never be placed on the bed (above bladder level) or on the floor. Proper catheter care prevents catheter-associated urinary tract infections (CAUTIs).
10A resident with contractures has fingers permanently flexed. When cleaning the hands, the CNA should:
A.Force the fingers open to clean thoroughly
B.Gently clean between fingers without forcing the joints
C.Skip cleaning the hand to avoid causing pain
D.Use a cotton swab to clean between closed fingers
Explanation: Residents with contractures have permanently flexed joints that cannot be fully straightened. The CNA should gently work within the resident's comfortable range of motion, carefully cleaning between fingers without forcing the joints. Forcing contracted joints can cause severe pain, muscle tears, or fractures. Skipping hygiene leads to skin breakdown and infection.

About the New Hampshire LNA Exam

The New Hampshire LNA exam certifies Licensed Nursing Assistants to provide basic patient care in New Hampshire. Note: New Hampshire uses the LNA (Licensed Nursing Assistant) designation rather than CNA. Administered by Excel Testing, the NH Board of Nursing-approved testing agency (with approved community-college competency testing sites), under the Office of Professional Licensure and Certification (OPLC), it includes a 60-question written test and a 4-skill clinical demonstration.

Questions

60 scored questions

Time Limit

90 min written + 30 min skills test

Passing Score

70% written + 100% skills

Exam Fee

$105 (Excel Testing / NH Board of Nursing (OPLC))

New Hampshire LNA Exam Content Outline

23%

Role of the Nursing Assistant

Scope of practice, delegation, documentation, HIPAA, OBRA resident rights, abuse and neglect reporting, RSA 326-B and NH regulations

7%

Safety

Body mechanics, injury prevention, falls prevention, restraint rules, wanderguard/elopement alarms

10%

Human Needs and Human Development

Psychosocial and cultural needs, aging changes, cognitive changes including dementia and delirium

30%

Basic Nursing Skills

Vital signs, infection control, PPE donning/doffing order, observation and reporting

30%

Personal Care Skills / ADLs

ADL and hygiene sequence, transfers and range of motion, nutrition and elimination care, end-of-life care

How to Pass the New Hampshire LNA Exam

What You Need to Know

  • Passing score: 70% written + 100% skills
  • Exam length: 60 questions
  • Time limit: 90 min written + 30 min skills test
  • Exam fee: $105

Keys to Passing

  • Work through all 516 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

New Hampshire LNA Study Tips from Top Performers

1New Hampshire calls it LNA (Licensed Nursing Assistant), not CNA — know the distinction
2Schedule through Excel Testing (exceltestingnh.com) or an approved community-college competency testing site
3Study RSA 326-B (NH Nurse Practice Act) — NH-specific regulations fall under the Role of the Nursing Assistant domain (23% of the exam)
4NH requires 100 hours of training (54 classroom + 46 clinical) — more than many states
5Know the MNA (Medication Nursing Assistant) pathway as a career advancement option
6Renewal requires both 24 CE hours AND 200 work hours — plan ahead for these requirements

Frequently Asked Questions

Why does New Hampshire use LNA instead of CNA?

New Hampshire uses the Licensed Nursing Assistant (LNA) designation rather than CNA. Under RSA 326-B (the NH Nurse Practice Act), nursing assistants in New Hampshire are licensed rather than certified. The exam content is essentially the same as other states' CNA exams.

Who administers the New Hampshire LNA exam?

New Hampshire LNA exams are administered by Excel Testing, the NH Board of Nursing's approved testing agency, along with approved community-college competency testing sites (such as Lakes Region Community College), through the Office of Professional Licensure and Certification (OPLC). Schedule through exceltestingnh.com or the OPLC nursing board page at oplc.nh.gov/board-nursing.

How much does the New Hampshire LNA exam cost?

The NH LNA exam costs $105 for the testing fee. Total investment including the 100-hour training program and background check ranges from $930 to $1,705.

How do I renew my New Hampshire LNA license?

NH LNA licenses renew every 2 years. Renewal requires 24 hours of continuing education AND 200 hours of nursing assistant work during the renewal period. This is more stringent than most states' requirements.

What is the Medication Nursing Assistant (MNA) certification?

The MNA is an add-on certification for experienced LNAs in New Hampshire. It requires an additional 80-hour course and allows LNAs to administer medications in long-term care facilities under specific conditions.