New Hampshire Registered Nurse License Exam
To obtain licensure in New Hampshire, Registered Nurses are required to take a nursing exam known as the National Council for Licensure Exam-RN (NCLEX-RN) which ensures the candidate is prepared for entry-level nursing practice.
Need for a Registered Nurse License: A Registered Nurse is required to be licensed to practice nursing in the state of New Hampshire.
Who Grants a Registered Nurse License: Licenses are granted by the New Hampshire Board of Nursing.
Qualifications to Receive a License: Applicants must graduate from an approved and accredited nursing program (diploma, associate or baccalaureate degree) and pass the NCLEX-RN exam.
Applying for State Licensure and the NCLEX-RN Exam: The application process consists of two parts which are completed together: 1) applying for New Hampshire Licensure and 2) registering for the NCLEX-RN exam.
- First, complete and submit an Application for Licensure by Examination with the New Hampshire State Board of Nursing. The application may be downloaded here for completion.
- You will complete fingerprints and a criminal background check according to the instructions outlined within the application.
- You will need to provide a declaration of New Hampshire as your primary state of residence and attach a copy of your driver’s license.
- You will need to request your nursing school mail an official copy of your transcript with degree and date conferred directly to the Board at the following address: New Hampshire Board of Nursing 121 South Fruit Street Concord, NH 0330.
- Second, the NCLEX exam is administered by Pearson VUE. You must register to take the NCLEX exam, in addition to applying for Licensure. Registration can be done online via the Pearson VUE website. Alternatively, you may call Pearson VUE NCLEX Candidate services (toll-free) at1.866.49NCLEX (1.866.496.2539), Monday-Friday, 7 am to 7 pm, Central Standard Time.
- Once the New Hampshire State Board of Nursing provides clearance to Pearson VUE, you will receive an Authorization to Test (ATT) notice from Pearson VUE. This allows you to schedule your exam at a convenient Pearson VUE location, typically within 90 days from receipt of the ATT.
Fees: There are fees for both a New Hampshire RN license and the NCLEX exam.
NCLEX-RN Exam Content: The NCLEX-RN exam is a computerized test that utilizes “adaptive testing.” This means that the computer will determine your level of competency throughout the exam and the number of questions will vary based upon your competency level. A minimum of 75 questions and a maximum of 265 questions are administered. At a minimum, 60 questions will be scored and 15 questions will be practice questions. The test taker will not know which are scored and which are not. You will have a maximum of 6 hours to complete the exam.
There are two optional breaks after 2.5 and 3.5 hours, respectively.
There are four subject categories and several sub-categories for the NCLEX-RN exam. They are as follows:
- Safe, effective care environment
- Management of care
- Safety and infection control
- Psychosocial integrity
- Physiological integrity
- Health promotion and maintenance
- Basic care and comfort
- Pharmacologic and parenteral therapies
- Reduction of risk potential
- Physiological adaptation
The percentage of questions per subject area and difficulty levels will depend upon each individual candidate.
The NCLEX-RN results are pass/fail. Results from the NCLEX-RN exam are delivered by the respective Board of Nursing within 2-4 weeks from the exam date. If you do not pass the exam, you will receive a diagnostic profile that outlines your performance on the exam. You will need to retake the exam at a later date.
Who Administers the Exam: The NCLEX-RN exam is developed and approved by the National Council for State Boards of Nursing (NCSBN). The test is administered at Pearson VUE testing locations.
License Renewal and Continuing Education Requirements: New Hampshire RN licenses require renewal every two years and can be completed online. Continuing education requirements include 30 hours of board-approved nursing education per renewal period. All RN’s must also have completed 400 hours of active practice in the four years preceding renewal or have attended a board-approved refresher course. Details regarding the above requirements can be found here. A select number of applicants will be audited for proof of CE completion.
Special Notice: New Hampshire is a Compact State. The Compact State agreement allows nurses who practice in specific states to have License reciprocity in those other participating states. Therefore, if your primary residence is within another Compact State, you need not apply for additional Licensure from the New Hampshire Board of Nursing.
