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How To Become an LVN in Tennessee for 2025

Imed Bouchrika, Phd

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

Many aspiring healthcare professionals in Tennessee face the challenge of navigating the path to becoming a Licensed Vocational Nurse (LVN). With the demand for qualified nurses rising, driven by a projected 14.1% growth in LVN employment through 2026, many are uncertain about how to begin their journey. The process can be complicated, involving various steps and requirements.

This article, prepared by experts in career planning, will guide you through the essential steps to become an LVN in Tennessee. It will cover the necessary educational pathways and licensure requirements, helping you navigate the process with confidence and efficiency.

Key Things to Know About Becoming an LVN in Tennessee

  • To become an LVN in Tennessee, complete an approved nursing program, pass the NCLEX-PN exam, and submit an application along with necessary documents, including a background check.
  • Healthcare occupations, including LVN roles, are projected to grow by 16% in Tennessee from 2020 to 2030, well above the average for all fields.
  • LVN programs in Tennessee cost between $2,700 and $17,400, with additional fees for supplies and exams, but financial aid like Tennessee Promise can significantly reduce the cost.

Table of Contents

  1. How do you become an LVN in Tennessee?
  2. How does an LVN differ from an RN or CNA in Tennessee?
  3. What is the scope of practice for an LVN in Tennessee?
  4. What educational requirements are needed to become an LVN in Tennessee?
  5. How long does it take to complete an LVN program?
  6. What are the costs associated with LVN programs?
  7. How can LVNs advance their careers in Tennessee?
  8. What legal and ethical responsibilities must LVNs uphold in Tennessee?
  9. How Do I Choose the Right LVN Program in Tennessee?
  10. What are the admission criteria for LVN programs in Tennessee?
  11. What exam preparation resources can enhance my chances of passing the LVN licensure exam in Tennessee?
  12. What are the requirements for LVN licensure in Tennessee?
  13. What are the continuing education requirements for LVNs in Tennessee?
  14. What is the job growth outlook for LVNs in Tennessee?
  15. What are the salary expectations for LVNs in Tennessee?
  16. Other Things You Should Know About Becoming an LVN in Tennessee

How do you become an LVN in Tennessee?

To become a Licensed Vocational Nurse (LVN) in Tennessee, you must follow a structured process that includes education, examination, and licensure. Here's a step-by-step guide to help you navigate this path:​

  1. Complete an Approved Practical Nursing Program: Enroll in a Tennessee Board of Nursing-approved program, typically lasting 12 months and comprising 1,296 clock hours. These vocational nurse programs are offered by institutions like Tennessee College of Applied Technology (TCAT) campuses across the state.​
  2. Pass the NCLEX-PN Examination: After graduation, you must pass the National Council Licensure Examination for Practical Nurses (NCLEX-PN). This exam assesses your readiness to practice safely and effectively as an entry-level nurse.​
  3. Apply for Licensure with the Tennessee Board of Nursing: Submit an online application through the Tennessee Online Licensing System. Include a passport-style photo, official transcripts, a completed Declaration of Citizenship form, and a criminal background check.​
  4. Submit Required Documentation: Provide necessary documents such as your nursing diploma or transcript, a signed and dated passport-style photo, and a completed, signed, and notarized Declaration of Citizenship form with required proof of citizenship documentation
  5. Complete a Criminal Background Check: Undergo a fingerprint-based criminal background check as part of the licensure process.
  6. Obtain Licensure: Upon approval, the Tennessee Board of Nursing will issue your LVN license, allowing you to practice as a LVN in Tennessee.​

How does an LVN differ from an RN or CNA in Tennessee?

In Tennessee, an LVN is a healthcare professional who provides basic nursing care under the supervision of registered nurses (RNs) or physicians. LVNs typically perform tasks such as taking vital signs, administering medications, and assisting with patient hygiene. To become an LVN, individuals must complete licensed practical nurse training, which equips them with the necessary skills and knowledge to perform these duties effectively.

Registered nurses (RNs) have more advanced training than LVNs and have a broader scope of practice. RNs are responsible for developing care plans, performing diagnostic tests, and making critical medical decisions. To become an RN in Tennessee, one must earn an associate degree in nursing (ADN) or a bachelor's degree in nursing (BSN) and pass the NCLEX-RN exam. RNs also have more opportunities for specialization in various areas of healthcare.

On the other hand, certified nursing assistants (CNAs) provide basic patient care under the direction of nurses and physicians. Unlike LVNs and RNs, CNAs do not administer medications or perform complex procedures. Their duties include helping patients with activities of daily living, such as eating, dressing, and bathing. Becoming a CNA requires completing a state-approved training program and passing a competency exam, which is a shorter process than becoming an LVN or RN.

What is the scope of practice for an LVN in Tennessee?

LVNs in Tennessee are essential healthcare professionals tasked with providing basic nursing care under the supervision of RNs or physicians. Their scope of practice includes the following responsibilities:

  • Monitoring Vital Signs: LVNs regularly check patients' blood pressure, temperature, heart rate, and respiratory rate to detect changes in health.
  • Wound Care: They assist with cleaning and dressing wounds, ensuring proper healing and preventing infections.
  • Medication Administration: LVNs administer medications as prescribed, but they must work under the supervision of RNs for certain treatments, especially involving intravenous medications.
  • Patient Assistance: LVNs help patients with activities of daily living, such as bathing, feeding, and dressing, ensuring comfort and support.
  • Sample Collection: They collect specimens for lab testing, such as urine or blood, to assist in diagnoses.
  • Health Education: LVNs educate patients and families on health conditions, treatment plans, and self-care techniques.
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What educational requirements are needed to become an LVN in Tennessee?

To become an LVN in Tennessee, you must complete specific educational steps designed to prepare you for the challenges of practical nursing. Below is a breakdown of the essential requirements:

  • Complete a State-Approved Practical Nursing Program: Enroll in accredited licensed practical nurse programs approved by the Tennessee Board of Nursing. These programs typically take 12 to 18 months and combine classroom learning with hands-on clinical training.
  • Study Core Nursing Subjects: Gain knowledge in subjects such as anatomy, physiology, pharmacology, nutrition, and nursing fundamentals. These courses build a strong foundation for safe and effective patient care.
  • Participate in Clinical Rotations: Get real-world experience through clinical placements in hospitals, long-term care facilities, or clinics. This practical training helps develop the skills needed for direct patient care.
  • Graduate With a Certificate or Diploma in Practical Nursing: Complete the program’s academic and clinical requirements to earn your certificate or diploma, which qualifies you to take the NCLEX-PN licensure exam.
  • Prepare for the NCLEX-PN Exam: Use review courses, practice exams, and study guides to strengthen your understanding of nursing concepts and test-taking strategies. Passing this national exam is required for licensure.

How long does it take to complete an LVN program?

The length of an LVN program typically ranges from 12 to 18 months, depending on whether the program is pursued on a full-time or part-time basis. Full-time students generally complete the coursework and clinical requirements within a year and a half. The program includes both classroom instruction and hands-on clinical training, which allows students to develop essential nursing skills in real-world settings.

However, the exact duration may vary depending on factors like the school’s schedule and whether students attend during summer or winter breaks. Part-time programs may extend the completion time as they allow for more flexibility but require more time to finish the necessary courses and clinical hours. Some fast-track LPN programs are also available, enabling students to complete their education in a shorter period by attending year-round or participating in intensive learning formats.

What are the costs associated with LVN programs?

Tuition fees for these programs generally range from approximately $2,976 to $8,489, depending on the institution and program specifics. Additional costs include textbooks and supplies, which can add between $1,000 and $4,000 to the total expense. Some programs also require a Health Education Systems, Inc. (HESI) entrance exam, with fees ranging from $39 to $50 per attempt. These programs typically span 11 to 12 months, culminating in a diploma and eligibility to sit for the NCLEX-PN licensure examination.​

Beyond tuition, students should budget for various mandatory fees such as background checks, drug screenings, and clinical insurance, which can collectively amount to several hundred dollars. Financial assistance is available through state programs like Tennessee Promise and Tennessee Reconnect, which can significantly reduce out-of-pocket expenses for eligible students. Overall, the total cost of an LVN program in Tennessee can range from approximately $2,700 to $17,400, encompassing tuition, fees, and associated expenses.

How can LVNs advance their careers in Tennessee?

LVNs seeking greater professional opportunities can explore several advancement pathways. Transitioning to roles with increased responsibility often involves pursuing additional certifications, specialized training, or bridging education programs that enable the shift to registered nursing or other advanced roles. For instance, some LVNs choose to enroll in LPN-to-RN bridge programs, while others may look into targeted specialties such as IV therapy or gerontology to distinguish themselves within the field. Moreover, motivated professionals may also consider further studies to transition into advanced practice roles—learn more about how to be a nurse practitioner in Tennessee as an example of these opportunities.

What legal and ethical responsibilities must LVNs uphold in Tennessee?

Licensed Vocational Nurses (LVNs) in Tennessee are expected to adhere to strict legal and ethical standards that protect patient welfare and maintain professional integrity. LVNs must ensure patient confidentiality under HIPAA regulations, obtain informed consent, and follow state and federal guidelines that govern clinical practice. They are also responsible for recognizing conflicts of interest and exercising sound judgment in complex care situations. Continuous awareness of regulatory updates and periodic legal education are essential to prevent disciplinary actions and promote safe, ethical care. For professionals looking to diversify their career opportunities with complementary roles, additional insights can be found in medical billing and coding in Tennessee.

How Do I Choose the Right LVN Program in Tennessee?

When evaluating LVN programs, consider factors such as accreditation, curriculum rigor, clinical rotation opportunities, faculty expertise, and NCLEX pass rates. Assess each program’s ability to offer hands-on training and access to comprehensive career development services. For candidates exploring remote learning options, reviewing the best online LPN programs in Tennessee can provide valuable insight into affordability and flexibility. This careful analysis ensures a high-caliber educational experience aligned with current industry requirements.

What are the admission criteria for LVN programs in Tennessee?

Prospective LVN students in Tennessee should expect a selection process that evaluates academic credentials, standardized test scores, and background checks. Most programs require a high school diploma or GED with competitive performance in science and mathematics, alongside documentation of prerequisite coursework. Some institutions additionally require completion of an entrance exam, such as the HESI, and may request letters of recommendation or conduct interviews to assess readiness for clinical training. For further insights into program expectations and preparation strategies, review the best nursing schools in Tennessee to ensure you meet each institution’s specific criteria and maintain a competitive application profile.

What exam preparation resources can enhance my chances of passing the LVN licensure exam in Tennessee?

Candidates preparing for the LVN licensure exam should integrate structured review sessions with tailored practice tests and focused study groups. Leveraging accredited NCLEX-PN review courses and professionally curated practice questions can bridge knowledge gaps specific to Tennessee’s clinical standards. Utilizing state-published guidelines and understanding the nursing licensing requirements in Tennessee further refines preparation strategies. Balancing self-study with expert-led tutorials and regularly updating study materials based on the latest exam frameworks helps ensure readiness and supports a successful exam outcome.

What are the requirements for LVN licensure in Tennessee?

​To become a licensed vocational nurse in Tennessee, applicants must meet the following requirements:​

  • Graduate from an Approved Nursing Program: Complete a practical LPN programs approved by the Tennessee Board of Nursing or a comparable out-of-state program. ​
  • Pass the NCLEX-PN Examination: Successfully pass the National Council Licensure Examination for Practical Nurses (NCLEX-PN). ​
  • Submit a Completed Application: Apply for licensure through the Tennessee Board of Nursing, including payment of the required fees. ​
  • Provide Proof of Citizenship or Legal Residency: Complete and notarize the Declaration of Citizenship form, and submit it along with required documentation. ​
  • Undergo a Criminal Background Check: Submit fingerprints and complete a background check as part of the application process. ​
  • Submit a Passport-Type Photo: Provide a recent (within 6 months) passport-style photograph, signed and dated on the front. ​
  • Provide Educational Transcripts: Submit a copy of your nursing diploma or transcript from your initial nursing education, or request an official transcript to be sent directly from your educational institution. ​
1745504319_2.png

What are the continuing education requirements for LVNs in Tennessee?

LVNs in Tennessee must meet specific continuing education (CE) requirements to maintain their licenses. These requirements ensure that LVNs remain competent and up-to-date with current nursing practices. Below are the approved options that LVNs can choose from to fulfill their continuing competency requirements:

  • Five Contact Hours of Continuing Education: Completing five contact hours of CE from an accredited provider satisfies one of the two required options. This is a common choice among actively practicing nurses. ​
  • Ten Contact Hours of Continuing Education (if not practicing): LVNs who are not currently engaged in nursing practice must complete ten contact hours of CE to fulfill the competency requirement. ​
  • Satisfactory Employer Evaluation: Providing a recent performance evaluation from an employer that indicates satisfactory nursing practice can serve as one of the competency options. ​
  • Letter from a Peer: A letter from a professional peer that offers a satisfactory evaluation of the nurse's performance can be submitted as evidence of continued competence. ​
  • Self-Evaluation Based on Standards of Competence: LVNs may conduct a written self-assessment aligned with the standards of competence outlined by the Tennessee Board of Nursing. ​
  • Documentation of Volunteer Nursing Service: Providing evidence of volunteer work in a nursing capacity, such as a letter from the organization served, can count toward the competency requirement. ​

What is the job growth outlook for LVNs in Tennessee?

​The job growth outlook for Licensed Vocational Nurses (LVNs) in Tennessee is strong, reflecting a broader trend in healthcare employment. According to the Tennessee Department of Labor and Workforce Development, healthcare occupations are projected to grow by 16% from 2020 to 2030, significantly outpacing the average for all occupations. This growth is driven by an aging population and increased demand for healthcare services.​

Specifically, the demand for LVNs, the counterpart to LVNs in Tennessee, is expected to rise due to their prevalence in long-term and residential care settings. A report by the Tennessee Hospital Association projects a 25% increase in LVN demand by 2035, outpacing overall population growth. This indicates a robust and expanding job market for LVNs in the state.​

What are the salary expectations for LVNs in Tennessee?

LVNs in Tennessee earn an average annual salary of approximately $50,110, equating to about $24 per hour. Salaries typically range from $45,440 to $55,660, with some positions offering up to $60,713 annually. These figures align with the state's cost of living, which is about 7% lower than the national average.​

Here are the factors influencing LVN salaries in Tennessee:

  • Experience Level: Entry-level LVNs with less than one year of experience can expect to earn around $48,505 annually. With 2–4 years of experience, this increases to approximately $50,442, and those with over 8 years may earn about $52,900.​
  • Location: Cities like Nashville and Franklin offer higher wages, with average hourly rates of $38.36 and $35.01, respectively, compared to other regions in Tennessee.​
  • Work Setting: LVNs employed in specialized healthcare settings, such as rehabilitation hospitals or long-term care facilities, may receive higher compensation due to the nature of the work and required skills.​
  • Certifications and Skills: Additional certifications and specialized skills can enhance an LVN's qualifications, potentially leading to higher-paying opportunities and career advancement.

Here’s What Graduates Have to Say about Becoming an LVN in Tennessee

Becoming an LVN in Tennessee gave me the chance to combine my passion for healthcare with my desire to help underserved communities. The hands-on training was invaluable, and the clinical rotations in both rural and urban settings provided real-world experience that was essential for my development. I am now working in a facility where I feel I can truly make a difference every day. — Charm

The LVN program in Tennessee taught me not only the technical skills I needed but also the importance of patient care in a fast-paced environment. I appreciated how the curriculum included simulations that helped me prepare for real patient interactions, giving me the confidence I needed when I stepped into my first job. I’m grateful to be a part of a field where my work is appreciated and needed. — Tina

My experience training as an LVN in Tennessee exceeded my expectations, especially when I realized how many job opportunities were available in this field. From specialized care facilities to hospitals, the demand for skilled nurses is high, which gives me the job security I was looking for. The best part is knowing I can continue to grow professionally with additional certifications and specializations. — Sheryl

Other Things You Should Know About Becoming an LVN in Tennessee

Can LVNs in Tennessee specialize in specific areas of nursing?

Licensed Vocational Nurses (LVNs) in Tennessee can specialize by earning certifications in focused care areas. Popular specialties include long-term care, gerontology, pediatrics, and wound care. About 25% of licensed nurses work in long-term care, making it a key path. Certifications through the National Association of Licensed Practical Nurses, such as IV therapy and medication administration, enhance clinical skills and job options. Bridge programs also allow LVNs to advance and access broader specialties.

What financial aid options are available for LVN students in Tennessee?

LVN students in Tennessee can access several financial aid programs. The Tennessee Student Assistance Corporation offers state grants like HOPE and Reconnect, which support traditional and adult learners. Scholarships from groups like the Tennessee Nurses Foundation help cover costs. Many schools offer payment plans and discounts. Some healthcare employers provide tuition reimbursement for work commitments. Students should file the FAFSA and talk with school financial aid offices to explore all options.

Can an LVN transition to an RN program in Tennessee?

LVNs in Tennessee can become RNs through bridge programs at colleges and universities. Community colleges like Chattanooga State and Nashville State offer LPN-to-ADN options. Middle Tennessee State University provides BSN tracks that include advanced coursework and clinical experience. These programs shorten training time by recognizing prior learning. The Tennessee Board of Nursing regulates these pathways, while the Tennessee Nurses Association offers support and guidance for those making the transition.

How do Tennessee healthcare trends impact LVN demand?

Tennessee’s healthcare needs are boosting demand for LVNs. Chronic illnesses such as heart disease and diabetes require regular care in homes, clinics, and long-term facilities. The state’s aging population adds to this demand, especially in elder care settings. Rural areas face provider shortages, making LVNs vital in underserved communities. These trends create strong job prospects and rewarding roles for LVNs ready to support diverse patient needs across Tennessee.

References:

  • CareerOneStop. (2024). Licensed Practical and Licensed Vocational Nurses. Retrieved from CareerOneStop.
  • Data USA. (2022). Licensed Practical and Licensed Vocational Nurses. Retrieved from Data USA.
  • NetCE. (n.d.). Tennessee nurses CE requirements, accreditations & approvals. Retrieved from NetCE.com.
  • NursingCE. (n.d.). Tennessee board of nursing CE requirements. Retrieved from NursingCE.com.
  • NurseCe4Less. (n.d.). Tennessee nursing CE requirements - TN nursing license renewal. Retrieved from NurseCe4Less.com.
  • RegisteredNursing.org. (2025). What is an LPN/LVN? Education, licensing & career guide. Retrieved from RegisteredNursing.org.

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