If you’re pursuing a career as a Licensed Practical Nurse (LPN) in North Carolina, you’ll need to complete an approved training program, pass the NCLEX-PN, and obtain your license from the state board of nursing. Each state has its own requirements, and North Carolina’s process has some specifics worth knowing before you start.
This guide covers everything you need to become an LPN in North Carolina in 2026 — training programs, the exam, licensing, scope of practice, renewal requirements, compact status, and salary expectations.
Training and education requirements
LPN programs are typically 12-18 months through accredited community colleges. Must be approved by the North Carolina Board of Nursing.
When selecting a program, verify that it is approved by the North Carolina Board of Nursing. Only graduates of approved programs are eligible to sit for the licensing exam.
Licensing exam (NCLEX-PN)
After completing an approved program, you must pass the NCLEX-PN examination. The NCLEX-PN is a computer-adaptive test that covers safe and effective care, health promotion, psychosocial integrity, and physiological integrity.
Register for the exam through the North Carolina Board of Nursing and schedule your test date through Pearson VUE.
Licensing board
LPN licenses in North Carolina are issued and regulated by the North Carolina Board of Nursing. All license applications, renewals, and endorsements go through this board.
Scope of practice
North Carolina LPNs can administer medications (oral, injectable, IV with additional training), perform wound care, and provide patient care under RN or physician supervision. Must work under the direction of a licensed physician or RN.
Average salary in North Carolina
LPNs in North Carolina typically earn $44,000-$52,000 per year. Pay varies by setting, experience, shift differentials, and geographic location within the state.
Renewal requirements
Every 2 years. Must complete 15 contact hours of continuing education per renewal period, including content on substance abuse and the nursing practice act.
Nurse Licensure Compact (NLC) status
North Carolina IS a compact (NLC) state. LPNs with a multistate license from another compact state can practice in North Carolina without a separate license.
Frequently asked questions
How do I become an LPN in North Carolina?
LPN programs are typically 12-18 months through accredited community colleges. Must be approved by the North Carolina Board of Nursing. After completing your program, you must pass the NCLEX-PN examination to obtain your license.
How much do LPNs make in North Carolina?
LPNs in North Carolina typically earn $44,000-$52,000 per year. Pay varies by setting, experience, and geographic location within the state.
Is North Carolina a Nurse Licensure Compact state for LPNs?
North Carolina IS a compact (NLC) state. LPNs with a multistate license from another compact state can practice in North Carolina without a separate license.