How to Become an LVN in North Dakota for 2025

Co-Founder and Chief Data Scientist

Becoming a Licensed Vocational Nurse (LVN) in North Dakota offers a clear and rewarding path into the healthcare field. With more than 2,500 LVNs employed statewide in 2022 and job growth projected to increase by over 8% by 2032, demand for practical nurses continues to rise. This article outlines the key steps to earning your LVN license in North Dakota—from education and training to passing the NCLEX-PN—so you can begin a meaningful and stable career in nursing.

Key Things to Know About Becoming an LVN in North Dakota

You must complete a state-approved practical nursing program, which typically takes about 12 months and includes both classroom instruction and clinical experience.
Licensure is issued by the North Dakota Board of Nursing, which requires an application, background check, and proof of completed education and exam results.
North Dakota's LVN workforce is projected to grow to nearly 3,000 by 2032, offering solid employment prospects, especially in rural and underserved areas.

How do you become an LVN in North Dakota?
How does an LVN differ from an RN or CNA in North Dakota?
What is the scope of practice for an LVN in North Dakota?
What educational requirements are needed to become an LVN in North Dakota?
How long does it take to complete an LVN program?
What are the costs associated with LVN programs?
How can LVNs advance their careers in North Dakota?
What are the requirements for LVN licensure in North Dakota?
How do I choose the right LVN program in North Dakota?
What are the continuing education requirements for LVNs in North Dakota?
How can LVNs stay updated on evolving licensing requirements in North Dakota?
What is the job growth outlook for LVNs in North Dakota?
What are the salary expectations for LVNs in North Dakota?
How can LVNs diversify their skills for career advancement in North Dakota?
Which professional organizations can help LVNs thrive in North Dakota?
Other Things You Should Know About Becoming an LVN in North Dakota

How do you become an LVN in North Dakota?

Becoming an LVN—more commonly referred to as a Licensed Practical Nurse (LPN) in North Dakota—involves a structured path of education, examination, and licensure. Here’s a comprehensive look at the process:

Complete a State-Approved Practical Nursing Program: The first step is to enroll in and successfully complete a practical nursing program approved by the North Dakota Board of Nursing. These programs are offered by community colleges, technical schools, and some universities. Typically lasting 12 to 18 months, the curriculum includes both classroom instruction and hands-on clinical training. Coursework covers subjects like anatomy, pharmacology, nutrition, and patient care.
Apply for Licensure Through the North Dakota Board of Nursing: Upon graduation, you must submit an application for licensure by examination to the North Dakota Board of Nursing. This process includes providing transcripts, verifying program completion, and submitting to a criminal background check.
Register and Pass the NCLEX-PN: To become licensed, you must pass the NCLEX-PN (National Council Licensure Examination for Practical Nurses). This standardized exam evaluates your knowledge and readiness to practice safely as an entry-level nurse. Once your application is approved, you’ll receive an Authorization to Test (ATT) and can schedule your exam through Pearson VUE.
Receive Your License and Begin Practice: After passing the NCLEX-PN, the Board will issue your official nursing license. You are then legally allowed to practice as an LVN/LPN in North Dakota. Many newly licensed nurses begin their careers in hospitals, long-term care facilities, clinics, or home health settings.
Maintain Your License: North Dakota requires nurses to renew their licenses every two years. This involves completing a certain number of continuing education hours and submitting a renewal application through the Board’s online portal.

By following these steps, you’ll be well on your way to starting a fulfilling nursing career in North Dakota, where demand for skilled LVNs continues to grow.

Currently, North Dakota has a relatively small LVN workforce, reflecting its population size and healthcare infrastructure. This scarcity could mean more opportunities but also challenges in workload and resource availability. Aspiring LVNs should weigh these factors carefully when considering this career path.

How does an LVN differ from an RN or CNA in North Dakota?

In North Dakota, LVNs/LPNs serve as a vital part of the nursing workforce, positioned between Certified Nursing Assistants (CNAs) and registered nurses (RNs) in both training and responsibilities.

LVNs/LPNs provide essential bedside care, including monitoring patient health, administering medications, changing dressings, and assisting with daily living activities. However, they must work under the supervision of an RN or physician, which limits their autonomy in making clinical decisions. While their role is hands-on and patient-focused, their scope of practice is more restricted than that of RNs.

RNs hold the highest level of responsibility among the three roles. With more advanced education—typically an associate or bachelor’s degree—they are licensed to assess patient conditions, create care plans, perform diagnostic procedures, and coordinate complex treatment regimens. RNs also supervise LVNs and CNAs, and they are more likely to work in hospitals, emergency departments, and specialized care units. As of 2024, North Dakota had approximately 17,065 active RN licenses, highlighting their dominant presence in clinical settings.

CNAs focus on fundamental patient care, such as bathing, feeding, dressing, and mobility assistance. They are not licensed to administer medication or perform clinical assessments. CNAs typically complete a short certification program and play a key role in long-term care facilities, where consistent, hands-on support is essential.

While all three roles contribute to patient care, they differ in scope of practice, education requirements, supervisory structure, and work environments. LVNs often bridge the gap between CNAs and RNs, providing more skilled care than CNAs but with less authority and independence than RNs.

What is the scope of practice for an LVN in North Dakota?

In North Dakota, LPNs/LVNs play a vital role in delivering patient care under the supervision of RNs, Advanced Practice Registered Nurses (APRNs), or licensed practitioners. Their scope of practice is defined by the North Dakota Nurse Practices Act and the North Dakota Administrative Code, ensuring safe and competent care within a dependent nursing role.

Key Responsibilities of LPNs in North Dakota

LPNs in North Dakota are authorized to perform a range of duties that support patient care, including:

Conducting Focused Assessments: Collecting and contributing data to the nursing care plan based on the patient's immediate condition.
Implementing Nursing Interventions: Executing prescribed medical regimens and nursing interventions in a timely and safe manner.
Participating in Care Planning: Assisting in the development and modification of client-centered care plans in collaboration with RNs or other licensed practitioners.
Monitoring and Reporting: Observing patient responses to interventions and communicating relevant information to the healthcare team to ensure continuity of care.
Health Teaching: Engaging in health education activities as approved by a licensed practitioner.
Delegation and Supervision: Assigning specific nursing interventions to other LPNs or unlicensed assistive personnel, ensuring tasks are delegated appropriately and safely.
Professional Accountability: Maintaining competence through ongoing learning and adhering to the legal and ethical standards of nursing practice.

These responsibilities are carried out under the supervision of RNs, APRNs, or licensed practitioners, emphasizing the collaborative nature of nursing care in North Dakota.

Legal and Regulatory Framework

The scope of practice for LPNs in North Dakota is governed by:

North Dakota Nurse Practices Act (NDCC Chapter 43-12.1): Defines the legal parameters for nursing practice in the state.
North Dakota Administrative Code (NDAC Title 54): Outlines specific standards and rules for nursing practice, including LPN responsibilities.

These regulations ensure that LPNs provide care that is safe, effective, and within their authorized scope of practice.

What educational requirements are needed to become an LVN in North Dakota?

To become an LVN/LPN in North Dakota, candidates must complete a state-approved practical nursing program. These programs equip students with the academic knowledge and hands-on skills needed to provide safe, effective patient care.

Program Overview

Practical nursing programs typically last 12 to 18 months and result in a diploma or certificate. Programs are offered through community colleges, vocational schools, and technical institutions. Core components include:

Classroom Instruction in:

Anatomy and Physiology
Microbiology
Pharmacology
Nutrition
Nursing Fundamentals

Clinical Training in:

Basic patient care
Medication administration
Vital signs and documentation
Long-term and acute care settings

This blend of theoretical and real-world instruction ensures graduates are prepared to work under the supervision of RNs or physicians in various healthcare environments.

Approved Programs in North Dakota

Some of the top schools offering practical nursing programs include:

Bismarck State College
Dakota College at Bottineau
North Dakota State College of Science

All programs align with the standards the North Dakota Board of Nursing sets, ensuring eligibility to take the licensure exam upon graduation.

NCLEX-PN Preparation

Graduates must pass the NCLEX-PN to become licensed. While coursework provides a foundation, additional study tools are strongly recommended. These include:

NCLEX-PN review classes
Online practice exams
Study guides and workshops offered by schools or the Board of Nursing

According to the North Dakota Center for Nursing (2023), approximately 85% of graduates pass the NCLEX-PN on their first attempt, highlighting the importance of comprehensive exam preparation.

How long does it take to complete an LVN program?

The time required to complete an LVN degree in North Dakota generally ranges between 12 and 18 months, varying by program structure and school. For instance, the Dakota Nursing Program offers a practical nursing diploma that can be finished in about 12 months of full-time study, combining both classroom and clinical components. However, assumptions that all programs follow this timeline can be misleading, as part-time options and clinical placement availability may extend the duration.

After completing the educational component, candidates must dedicate additional weeks to prepare for the NCLEX-PN licensure exam. This review period is essential but often underestimated in planning. Altogether, the full process from enrollment to licensure typically spans 14 to 20 months. Prospective students should also consider the cost of LVN programs in North Dakota, which can influence their choices. For those exploring options, resources like licensed practical nurse programs degree options provide valuable insights into training pathways and expenses.

LVNs with non-nursing bachelor's degrees

What are the costs associated with LVN programs?

Costs for LVN programs in North Dakota differ notably between public and private institutions, raising questions about value versus expense. Public community colleges, known for more affordable LVN program tuition costs in North Dakota, offer programs like Bismarck State College’s LVN track at approximately $3,500. In contrast, private schools such as Sanford Health’s vocational nursing program can charge over $12,000, prompting students to carefully assess if higher tuition corresponds to better outcomes or resources.

Beyond tuition, additional expenses significantly affect total investment. Room and board average around $8,000 annually, which can be a substantial burden for those relocating to urban centers. Textbooks, uniforms, and clinical supplies typically cost $1,200, while transportation expenses vary but average $1,000 per year. These essential costs should not be overlooked when evaluating affordable LVN training schools North Dakota offers.

Prospective students seeking alternative pathways might explore fast-track LPN programs degree options that may reduce time and overall expenses. Ultimately, understanding the full spectrum of costs—not just tuition—is crucial for making informed decisions about nursing education in North Dakota.

How can LVNs advance their careers in North Dakota?

LVNs seeking to broaden their professional scope can explore multiple advancement pathways that build on their clinical experience. Strategic enhancements include pursuing targeted certifications and enrolling in LVN-to-RN bridge programs, which open doors to more autonomous and specialized roles. Some professionals further their education by engaging in leadership and clinical management training, thus positioning themselves for roles that involve supervisory responsibilities. For those interested in higher degrees and advanced practice, structured academic pathways exist that lead to roles with greater clinical decision-making authority; detailed information is available on how to be a nurse practitioner in North Dakota.

What are the requirements for LVN licensure in North Dakota?

Becoming an LVN in North Dakota involves a clear, structured process:

Complete a State-Approved Practical Nursing Program: Candidates must graduate from a vocational nursing program accredited by recognized bodies. These programs typically take 12 to 18 months and provide essential education and clinical training to prepare for nursing practice.
Pass the NCLEX-PN Exam: After completing the program, candidates must pass the NCLEX-PN, which tests their ability to provide safe and effective care.
Apply for Licensure: Graduates must apply to the North Dakota Board of Nursing for licensure, which includes submitting proof of education, exam results, and a criminal background check.
Biennial License Renewal: North Dakota requires LVNs to renew their licenses every two years. This includes completing 24 contact hours of continuing education, ensuring that nurses maintain current knowledge and skills.
Endorsement for Out-of-State Nurses: Nurses licensed in other states can apply for licensure by endorsement, allowing for a smoother transition into the North Dakota workforce while maintaining state standards.

The entire licensure process, from enrollment to obtaining licensure, typically spans 18 to 24 months, with ongoing education and renewal requirements ensuring continued professional development.

One LVN from North Dakota shared their journey, highlighting both challenges and rewards. They recalled how navigating the background check and application process demanded patience due to thorough state reviews, but this rigor offered reassurance about the profession’s integrity. The LVN also appreciated local support from the North Dakota Nursing Association, which provided valuable continuing education and networking opportunities that enriched their professional growth. Their experience underscores the personal commitment required beyond just passing exams.

For those exploring educational options, considering top online LPN to RN programs may offer flexible pathways to advance nursing careers in North Dakota or beyond.

How do I choose the right LVN program in North Dakota?

When selecting an LVN program, prospective students should evaluate several critical factors including accreditation, clinical placement opportunities, NCLEX-PN pass rates, and program flexibility. Assess the curriculum to ensure it provides balanced theoretical instruction and hands-on clinical experience that aligns with state guidelines. It is also advisable to compare financial aid options and support services offered by each institution. For those considering remote learning, review the offerings of the best online LPN programs in North Dakota to verify that they meet industry standards and local licensure requirements.

What are the continuing education requirements for LVNs in North Dakota?

The continuing education requirements for LVNs in North Dakota involve completing 24 contact hours every two years to maintain licensure. This process aligns with the state’s biennial renewal cycle, which is tied to the nurse’s birth month. LVNs receive renewal notices approximately 60 days before their license expires, prompting timely completion of these educational hours.

A typical step-by-step approach includes first understanding the renewal timeline, then completing the required 24 contact hours through courses or workshops approved by the North Dakota Board of Nursing (NDBON). Choosing accredited providers is critical, as not all continuing education counts toward the renewal. Nurses must retain proof of completed courses for at least four years, anticipating potential audits.

What sets North Dakota apart is the opportunity to engage in local and regional training tailored to state-specific healthcare challenges. Bodies like the North Dakota Nurses Association and local healthcare facilities offer specialized programs that go beyond generic content, fostering relevant skills for diverse populations. Additionally, some specialty certifications may supplement continuing education requirements, though they are not mandatory for license renewal.

For those exploring affordable options to begin their nursing career, investigating budget-friendly licensed practical nurse training can be a practical starting point. This complements understanding North Dakota LVN license renewal courses and supports planning a career pathway mindful of both educational and regulatory demands.

How can LVNs stay updated on evolving licensing requirements in North Dakota?

LVNs can maintain compliance and professional credibility by routinely monitoring state updates and regulatory changes. Subscribing to official communications from the North Dakota Board of Nursing and engaging with trusted professional networks ensures that practice settings align with current standards. Regular review of resources such as nursing licensing requirements in North Dakota can help LVNs identify modifications in renewal cycles, mandatory continuing education, and scope of practice adjustments without disrupting patient care delivery.

What is the job growth outlook for LVNs in North Dakota?

The job outlook for LVNs in North Dakota remains cautiously optimistic, with the employment figures showing about 2,570 LVNs working statewide in 2022. This number reflects a steady presence in the healthcare workforce, particularly in long-term care facilities, clinics, and home health settings. However, one might question whether this figure fully captures the demand in rural and underserved areas, where LVNs often fill critical roles.

Long-term projections from Projections Central estimate an 8.9% job growth for LVNs through 2032 in the region, which is significantly faster than the national average. While this suggests moderate expansion, it’s important to consider how evolving healthcare delivery models and technological advances might alter these projections. For those preparing to enter the field, understanding North Dakota LVN license renewal requirements is essential to maintain eligibility and adapt to regulatory changes.

The most popular cities for LVN employment include Fargo, Bismarck, and Grand Forks, where healthcare facilities are concentrated and opportunities may be more diverse. Yet, the question remains whether urban centers will continue to offer the best prospects, or if rural areas will see increased demand due to demographic shifts. Common employment requirements include completion of an approved vocational nursing program, passing the NCLEX-PN exam, current licensure with the North Dakota Board of Nursing, Basic Life Support certification, and passing clear background checks.

For students and graduates exploring pathways to enter this profession, pursuing licensed practical nurse training can provide a foundational step toward employment in this evolving healthcare landscape.

What are the salary expectations for LVNs in North Dakota?

As of 2025, the average salary of LVNs in North Dakota is around $65,700 annually, which corresponds to a monthly wage of approximately $$5,479. Entry-level LVNs usually start lower, near $35,000 annually or about $2,900 per month. While these figures provide a useful benchmark, it is important to consider that actual earnings may vary significantly depending on factors such as location, employer, and individual qualifications.

Grand Forks, Dawson, and Grafton stand out as the highest-paying cities in the state, often offering salaries above the statewide average. This pattern is likely connected to the concentration of larger healthcare facilities and higher living costs in these areas. However, this also raises the question of whether salary differences sufficiently compensate for the increased expenses associated with these cities.

Although the average salary for LVNs in North Dakota is slightly below the national average, the progression tends to follow a steady trajectory, with raises tied to years of experience, additional certifications, and specialized skills. Yet, one might question how accessible these opportunities are across different settings, especially for LVNs working in rural or underserved areas where resources and advancement paths may be limited.

The current positive job growth outlook suggests rising demand, potentially increasing salary opportunities. Still, prospective LVNs should critically assess whether the wage growth keeps pace with inflation and cost-of-living changes over time, particularly in a state with diverse economic conditions.

How can LVNs diversify their skills for career advancement in North Dakota?

LVNs in North Dakota looking to expand their professional opportunities may benefit from pursuing complementary certifications beyond direct patient care. Acquiring targeted credentials enhances versatility and positions candidates for roles in administration, healthcare technology, and revenue cycle management. In particular, certification in medical billing and coding in North Dakota equips LVNs with the skills needed to navigate billing protocols and optimize reimbursement processes. This strategic diversification can lead to broader career pathways, improved job stability, and enhanced earning potential in an evolving healthcare market.

Which professional organizations can help LVNs thrive in North Dakota?

Engaging with specialized nursing associations and local professional networks offers LVNs access to mentorship, continuing education events, and industry insights that go beyond conventional clinical training. These organizations provide platforms for sharing best practices, emerging technological trends, and policy updates that influence day‐to‐day practice. Participation in such networks can also lead to exclusive workshops and leadership programs designed to refine managerial and administrative skills. Furthermore, leveraging academic collaborations—such as those offered by the best nursing schools in North Dakota—can support pathways to advanced practice and broaden career opportunities.

What do LVNs say about their careers in North Dakota?

Completing my LVN program at the University of North Dakota was a life-changing experience. The hands-on training combined with supportive faculty really prepared me for the diverse healthcare needs of our rural communities. I love knowing that my work directly impacts families here, especially in remote areas where healthcare can be limited. It’s rewarding to grow both personally and professionally while serving the people of North Dakota. Sally
Attending Bismarck State College’s LVN program opened doors I never imagined. The unique challenges of working in North Dakota’s harsh winters and vast landscapes have taught me resilience and adaptability. I’ve found a strong sense of purpose in providing care that respects our state’s unique culture and resources. This career has not only advanced my skills but also deepened my passion for community health and lifelong learning. Jamal
My journey through the LVN program at Minot State University was both rigorous and fulfilling. The professional development opportunities here are excellent, allowing me to advance quickly in my nursing career. I appreciate how North Dakota’s stable healthcare job market offers security and growth potential. Being part of a profession that values continuous education keeps me motivated and proud to serve. Samantha

Other Things You Should Know About Becoming an LVN in North Dakota

Can LVNs in North Dakota specialize in specific areas of nursing?

LVNs in North Dakota can pursue specializations, though their scope is more limited than Registered Nurses (RNs) due to supervisory requirements. LVNs often focus on areas like geriatric nursing, long-term care, IV therapy, wound care, and pediatric nursing. Certifications in IV therapy and wound care are available through accredited programs, enhancing skills without altering licensure. According to 2023 data from the North Dakota Center for Nursing, about 40% of LVNs work in rural and long-term care settings, where specialized skills are in high demand. Popular continuing education includes medication administration and chronic disease management courses.

What financial aid options are available for LVN students in North Dakota?

Aspiring LVNs in North Dakota can access various financial aid options, including scholarships, grants, and tuition discounts. State-wide organizations like the North Dakota Board of Nursing and the North Dakota Center for Nursing offer scholarships, often prioritizing financial need or service in underserved areas. Need-based grants, such as the North Dakota Student Incentive Grant and federal Pell Grants, provide additional support without repayment obligations. Some nursing schools may offer tuition discounts or payment plans, particularly for students committing to rural or high-need areas. While these options help reduce costs, students should critically assess eligibility criteria and long-term commitments attached to certain aid programs.

Can an LVN transition to an RN program in North Dakota?

LVNs in North Dakota often consider LVN-to-RN bridge programs or Associate Degree in Nursing (ADN) pathways to become Registered Nurses. These programs frequently recognize prior LVN experience, potentially shortening the time to complete RN coursework. However, it's important to critically assess if accelerated programs adequately prepare students for complex RN roles or if traditional pathways offer deeper clinical exposure.

Institutions like Bismarck State College and North Dakota State College of Science provide these options, while the North Dakota Board of Nursing oversees licensure standards and program approvals.

Financial aid availability varies, so prospective students should explore scholarships, grants, and loans through schools and state nursing organizations to support their education without excessive debt.

How do North Dakota healthcare trends impact LVN demand?

North Dakota’s healthcare trends suggest increasing demand for LVNs, driven by an aging population and rural health challenges. However, it is worth questioning whether this demand will sustain long-term as technology and telehealth evolve, potentially reducing the need for direct care providers in remote areas. While chronic conditions like diabetes and heart disease emphasize the importance of skilled nursing, workforce shortages might also reflect broader systemic issues such as funding and healthcare infrastructure rather than just population needs. Prospective LVNs should consider how these factors interplay with job availability and the changing nature of healthcare delivery.

References:

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LVN Programs. (n.d.). LVN programs in North Dakota. LVNPrograms.org. Retrieved April 25, 2025.
NDBON. (2025, April 1). RN/LPN scope of practice. ND Board of Nursing. Retrieved April 25, 2025.
NDNA. (2024, April). The North Dakota nurse. North Dakota Nurses Association. Retrieved April 25, 2025.
U.S. BLS. (2025, April 18). Occupational outlook handbook: Licensed practical and licensed vocational nurses. U.S. Bureau of Labor Statistics. Retrieved April 25, 2025.
Unitek College. (2025, February 27). LVN to BSN: How vocational nurses can advance their nursing careers. Unitek College. Retrieved April 25, 2025.
ZipRecruiter. (2025, April 18). LPN salary in North Dakota. ZipRecruiter.com. Retrieved April 25, 2025.