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CNA vs LPN — What's the Difference and Which Is Right for You?

If you’re interested in a nursing career, you’ve probably wondered about the difference between a CNA (Certified Nursing Assistant) and an LPN (Licensed Practical Nurse). Both are essential healthcare roles, but they differ in scope, training, and pay.

Training & Education

CNA: 4-12 weeks of training (75-180 hours depending on state), followed by a state certification exam. Many programs cost under $1,500.

LPN: 12-18 months of education at a vocational school or community college, followed by a practical nursing licensure exam. Programs typically cost $10,000-$20,000.

Scope of Practice

CNAs can:

  • Assist with activities of daily living (bathing, dressing, eating)
  • Take and record vital signs
  • Assist with mobility and positioning
  • Report observations to the nursing team

LPNs can do everything CNAs do, plus:

  • Administer medications (oral, topical, injections in some states)
  • Perform wound care and dressing changes
  • Insert and manage catheters
  • Monitor IV infusions (in most states)
  • Develop and update care plans

Salary Comparison

CNALPN
Median Annual Salary$35,760$54,620
Hourly Rate~$17/hr~$26/hr
Job Growth (2022-2032)4%5%

Source: Bureau of Labor Statistics, 2024

Which Should You Choose?

Choose CNA if:

  • You want to enter healthcare quickly (weeks, not years)
  • You want to explore nursing before committing to a longer program
  • You enjoy direct patient care and hands-on work

Choose LPN if:

  • You’re ready for a longer educational commitment
  • You want a higher salary and more clinical responsibility
  • You want to work more independently

The CNA-to-LPN Pipeline

Many CNAs use their experience as a stepping stone to LPN or RN programs. Working as a CNA gives you clinical experience, patient rapport skills, and a realistic view of nursing — all of which strengthen your LPN school application.

Starting as a CNA is one of the smartest ways to begin a nursing career. Get certified, gain experience, and advance when you’re ready.

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