New Hampshire LNA study plan
New Hampshire LNA · Give each week a clear focus.
8 weeks · About 6 hours per week
Personal Care and Basic Nursing Skills
Define each personal care term in your own words rather than copying a glossary
Sequence the full steps of a bed bath, partial bath, and shower assist, noting safety checks at each step
Demonstrate proper positioning and body mechanics for moving a resident up in bed
Identify which personal care tasks a nursing assistant may perform independently and which require reporting to a licensed nurse
Your checkpoint
A handwritten skills log covering 12 personal care procedures, each written as an ordered step list with at least two safety checkpoints per procedure
Personal Care and Basic Nursing Skills
Measure and record temperature, pulse, respiration, blood pressure, and weight within accepted ranges
Describe how to promote hydration and nutrition, including documenting intake and output accurately
Explain elimination care, catheter care boundaries, and how to recognize and report abnormal output
Recognize early skin breakdown and list prevention measures for a resident who cannot reposition independently
Report changes in a resident's condition using objective, measurable language
Your checkpoint
A 40-question self-written quiz on vital signs, intake/output, and skin care, scored at 80% or higher with missed items rewritten as corrected statements
Safety, Infection Control, and Emergency Response
Perform the full hand hygiene sequence and identify the exact moments it is required
Select and sequence donning and doffing of gloves, gown, mask, and eyewear without contamination
Differentiate standard precautions from transmission-based precautions and match each to a scenario
Identify environmental hazards in a resident room and state the corrective action for each
Your checkpoint
A two-column hazard sheet listing 15 safety or infection-control hazards beside the specific corrective action, checked against your own step lists for accuracy
Safety, Infection Control, and Emergency Response
Sequence the response to choking, falls, seizures, and suspected stroke
Explain when and how to activate emergency help and what information to give
List restraint use limits and at least four alternatives to try first
Describe fire safety response, including evacuation versus defend-in-place decisions
Your checkpoint
A one-page emergency action card in your own words plus a timed 30-question domain 2 quiz scored at 85% or higher
Communication, Resident Rights, and Ethical Practice
Apply the elements of the resident rights statement to everyday care situations
Demonstrate communication that supports dignity, privacy, and choice during a care task
Identify the categories of abuse, neglect, and misappropriation and state your reporting duty
Distinguish ethical dilemmas involving confidentiality, consent, and conflicts of interest
Adapt communication for hearing, vision, and speech limitations
Your checkpoint
Ten written resident-rights and ethics scenarios with your chosen response and a one-sentence justification citing the principle involved
Mental Health, Cognitive Impairment, and Social Service Needs
Distinguish delirium, depression, and dementia by onset and key features
Apply validation and redirection techniques to distress behaviors instead of arguing or correcting
Structure a safe environment and routine for a resident with cognitive impairment
Identify signs of mental health crisis and state when to escalate immediately
Your checkpoint
A behavior-response map of 8 realistic scenarios, each with the likely cause, a first-line response, and an escalation trigger
Communication, Resident Rights, and Ethical Practice & Mental Health, Cognitive Impairment, and Social Service Needs
Integrate therapeutic communication with behavior management in dementia care scenarios
Resolve a resident or family conflict while preserving rights and confidentiality
Respond correctly to a suspected abuse disclosure from a cognitively impaired resident
Connect social service needs such as isolation, grief, and family stress to appropriate referrals
Your checkpoint
A full 100-question practice exam scored by domain, with every missed item rewritten as a corrected statement
Personal Care and Basic Nursing Skills & Safety, Infection Control, and Emergency Response
Re-drill the two lowest-scoring domains from week 7 until each clears 85%
Recite the personal care and infection control sequences from memory without notes
Rework every previously missed item across all four domains
Answer rapid-fire recall questions under a timed condition to build pacing
Your checkpoint
Two timed full-length practice exams at 85% or higher plus a one-page weakness sheet listing any remaining gaps and the specific fact that closes each one
Milestones
Week 2: Can write out 12 personal care procedures and vital sign ranges from memory and score at least 80% on a self-written domain 1 quiz
Week 4: Can state hand hygiene moments, PPE order, and all four emergency sequences without notes and score at least 85% on domain 2 questions
Week 6: Can justify a resident-rights response and a dementia behavior response for any given scenario aloud in under a minute each
Week 8: Two timed full-length practice exams at 85% or higher with no single domain below 80%