May 12, 2026
Free LNA Practice Test New Hampshire 2026 — NNAAP Exam Prep Guide
Everything New Hampshire LNA candidates need to know — exam format, Excel Testing locations, training requirements, and free NNAAP practice tests to help you pass on your first try.
New Hampshire LNA Exam — Key Facts (2026)
Here is what every New Hampshire LNA candidate needs to know before sitting for the exam — the real format is genuinely different from the generic NNAAP template:
• Training required: 100 hours
• Exam vendor: Excel Testing, on behalf of the New Hampshire Department of Health and Human Services (DHHS) — the same vendor used in neighboring Vermont
• Written exam: 60 questions, 90 minutes, 70% passing — not the 70-question/2-hour format most states use; an oral version is available via audio CD
• Skills exam: 4 randomly selected tasks (not 5), 30 minutes, full performance required (no simulating)
• Exam fee: $200 combined for the Written Test and Skills Test
• Registry: New Hampshire Nurse Aide Registry, maintained by DHHS, listing you as a Licensed Nursing Assistant (LNA)
If you've studied using a generic "70 questions in 2 hours, 5 skills" practice test, recalibrate — New Hampshire's real exam is 60 questions in 90 minutes with only 4 skill tasks.
New Hampshire LNA Certification Overview
In New Hampshire, nurse aides are called Licensed Nursing Assistants (LNAs) — not CNAs. To become an LNA in New Hampshire, you must complete a state-approved training program and pass the New Hampshire Nurse Aide Competency Evaluation administered by Excel Testing on behalf of the New Hampshire Department of Health and Human Services (DHHS).
New Hampshire requires a minimum of 100 hours of LNA training.
The exam has two parts:
• A written (or oral) knowledge test: 60 multiple-choice questions, 90 minutes, 70% passing
• A clinical skills evaluation: demonstration of 4 randomly selected nurse aide skills, 30 minutes
Both parts are given the same day. You must pass both to be listed on the New Hampshire Nurse Aide Registry as a Licensed Nursing Assistant.
New Hampshire LNA Written Exam — What Is Tested
New Hampshire doesn't use the national NNAAP content outline. Excel Testing's own test plan (confirmed from the identical guide used in neighboring Vermont, which shares this vendor) breaks the 60 questions into 5 content domains:
• Basic Nursing Skills (30%) — infection control, vital signs, positioning/moving/ambulation, admission procedures, data collection, reporting, disease process, abbreviations
• Personal Care / Activities of Daily Living (30%) — resident's environment, skin care, bathing, grooming, dressing, oral care, nutrition, urinary/bowel elimination, restorative care, death and dying
• Role of the Nursing Assistant (23%) — healthcare system structure, communication, resident rights/abuse, legal and ethical issues, personal and career care
• Human Needs / Development (10%) — cultural, spiritual, and emotional/mental health needs, aging process
• Safety (7%) — restraints, body mechanics, environmental safety, accident prevention, emergency care
Basic Nursing Skills and Personal Care together make up 60% of the exam — the two biggest single study priorities.
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New Hampshire Excel Testing Locations
The New Hampshire LNA written exam is administered by Excel Testing at testing centers in the state:
• Manchester
• Nashua
• Concord
• Derry
• Rochester
• Dover
• Merrimack
• Londonderry
• Salem
To find the nearest testing center and available exam dates, contact Excel Testing (exceltestingnh.com) or your training program for registration instructions. Manchester and Nashua have the most testing availability.
New Hampshire LNA Skills Test — What to Expect
The clinical skills exam is taken one-on-one with a test observer, immediately after the written exam on the same day. You'll be given 4 randomly selected clinical skills to demonstrate — fully perform them, not simulate — within a 30-minute time limit.
You must correctly perform every bolded ("key") step on each task, plus no more than 3 total non-key "skills errors" across all 4 tasks combined — 4 or more errors results in failure. If you believe you made a mistake, tell the test observer and repeat the step correctly before moving on.
Handwashing, infection control, resident rights, and communication (the "indirect observations") are scored throughout, not just as a standalone task. Another candidate from your test group plays the role of your resident.
Review your training textbook and Excel Testing's published skills guide — not a generic 25-skill NNAAP checklist — to prepare.
How to Prepare for the New Hampshire LNA Exam
New Hampshire's 60-question, 90-minute format with only 4 skill tasks is meaningfully different from the generic national template.
1. Take a full 60-question diagnostic practice test before studying. Review your scores across New Hampshire's 5 content domains — Basic Nursing Skills and Personal Care together make up 60% of the exam.
2. Practice under timed conditions — 90 minutes for 60 questions.
3. Drill full, start-to-finish skill demonstrations — Excel Testing requires you to physically perform every step, not describe it, and allows only 3 total non-key errors across all 4 of your assigned tasks.
4. Target 80% or higher on practice tests before your real exam.
CertPrepAcademy.com offers a free NNAAP-style practice test with 500+ questions — no signup required.
After You Pass — New Hampshire Nurse Aide Registry
After passing both parts of the New Hampshire exam, your name is added to the New Hampshire Nurse Aide Registry as a Licensed Nursing Assistant (LNA), maintained by DHHS. New Hampshire employers must verify registry status before hiring nurse aides in licensed facilities.
Your New Hampshire LNA certification is valid for 24 months. To maintain active status, you must work as a nurse aide for at least 8 hours for pay during each renewal period. Lapsed certifications require retaking the competency exam.
Registry status can be verified through the New Hampshire DHHS website.
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