Comprehensive Guide to Becoming a Licensed Nursing Assistant (LNA)

medappinsider By medappinsider December 24, 2025

Embarking on a career as a licensed nursing assistant (LNA) opens up numerous opportunities within the healthcare industry. With the healthcare sector continuously expanding, especially in roles that provide direct patient care, becoming an LNA offers a stable, rewarding, and versatile path for those interested in helping others and working in dynamic environments. This guide covers everything you need to know about what an LNA is, their responsibilities, the differences from other nursing roles, and how to pursue this fulfilling career in various states.

Understanding the Role of an LNA in Healthcare

A licensed nursing assistant plays a vital role in patient care by working under the supervision of registered nurses (RNs) or licensed practical nurses (LPNs). These professionals perform essential duties that support patient well-being and comfort across a range of healthcare settings. LNAs are often called nursing assistants, and while their qualifications are typically less extensive than those of registered nurses, they are nonetheless crucial members of the healthcare team.

LNAs work in diverse environments such as hospitals, nursing homes, assisted living facilities, adult daycare centers, home healthcare, and private medical practices. Their primary goal is to provide direct care, monitor patient conditions, and assist with daily activities, ensuring that patients receive compassionate and attentive treatment. The demand for these roles is expected to grow significantly, with projections indicating the addition of approximately 1 million new positions in the next decade, emphasizing the importance and stability of this career path.

Core Responsibilities of an LNA

One of the most rewarding aspects of being an LNA is the ability to make a tangible difference in patients’ lives. Daily interactions with patients allow LNAs to build meaningful relationships, fostering trust and empathy. Their duties typically include:

  • Measuring and recording vital signs such as blood pressure, temperature, and pulse.
  • Assisting patients with personal hygiene tasks like bathing, dressing, and grooming.
  • Helping patients with mobility, including transferring from beds to wheelchairs or repositioning in bed.
  • Supporting basic needs like feeding and hydration.
  • Maintaining cleanliness and sanitation of patient rooms.
  • Providing companionship to alleviate feelings of loneliness.
  • Facilitating communication between patients, their families, and healthcare professionals.

Given the variety of healthcare settings, LNAs must be adaptable and prepared to meet different patient needs and facility protocols. Their role is fundamental in delivering quality care and ensuring patient comfort.

Comparing LNAs to Other Nursing Support Roles

Though the titles are often used interchangeably, the distinctions between LNAs and other nursing assistants vary by state. In some regions, the term “certified nursing assistant” (CNA) is synonymous with LNA, with both performing similar duties. However, differences can exist in licensure requirements, fees, and background checks. For example, in Arizona, an LNA holds a distinct license that involves specific oversight and a more rigorous application process compared to CNA certification.

Understanding these differences is crucial for prospective candidates, as they influence training, certification procedures, and professional recognition. Both roles serve as stepping stones for individuals aiming to further their nursing careers and pursue advanced qualifications.

Pathways to Becoming an LNA in Different States

How to Become an LNA in New Hampshire

In New Hampshire, aspiring LNAs must complete a state-approved nursing assistant competency training program, which typically involves at least 200 hours of coursework and practical experience. After completing the training, candidates need to pass a competency exam and submit their certification to the NH Board of Nursing, along with proof of graduation and a criminal background check. Fees associated with training and licensure vary, so applicants should consult the New Hampshire Office of Professional Licensure and Certification for detailed requirements.

How to Obtain an LNA License in Arizona

Arizona’s licensing process distinguishes between CNAs and LNAs, with the latter requiring a separate license that involves more comprehensive oversight. Both credentials involve attending the same training program and passing a state competency exam. However, LNAs in Arizona are subject to background checks and more frequent supervision, with the Arizona State Board of Nursing maintaining strict standards for licensure and conduct. The terminology can be confusing, as the state also recognizes prior CNA certifications issued before July 2016, known as “Undeclared CNAs,” who may convert their credentials into formal LNA status if they choose.

For detailed information on licensing procedures and updates, review the Arizona State Board of Nursing’s guidelines.

Financial Aspects of the LNA Profession

Salary levels for LNAs can vary based on location, experience, and facility type. According to the U.S. Bureau of Labor Statistics, the national average annual wage for nursing assistants is approximately $36,220, which breaks down to about $17.40 per hour. In states like Arizona and New Hampshire, where demand is high, LNAs can expect to earn between $37,050 and $43,778 annually, or roughly $18.75 per hour. These figures reflect the importance of the role and the growing need for qualified healthcare support staff.

For those interested in healthcare data careers, exploring the earning potential of related roles like a healthcare data analyst can also be insightful, as data management and analysis are increasingly integral to healthcare operations.

Why Choose a Career as an LNA?

Working as an LNA offers a hands-on, impactful experience for individuals passionate about patient care. It provides a stable entry point into healthcare, with opportunities for advancement and specialization in various settings. The role is ideal for those seeking a flexible schedule, diverse daily tasks, and the satisfaction of making a real difference in patients’ lives. Many LNAs find this career to be a fulfilling foundation for future nursing education or other healthcare pursuits.

If you are already an LNA in Arizona or elsewhere, platforms like Nursa can connect you with high-paying PRN (as-needed) opportunities, helping you maximize your earning potential and gain additional experience in your field.