RN/LPN Online Renewal

You must have a MasterCard™, Visa™, Discover™, or American Express™ debit or credit card to renew on line! 
If you do not, you must complete the paper renewal application.

Please note: You may not renew more than two months in advance of your expiration date.
  To proceed, please have your license number and your PIN available. Your PIN is the last 4 digits of your Social Security Number.

NO LICENSE CARD WILL BE ISSUED

If you need to change your address, please click here to submit your change of address
BEFORE completing your online renewal. 

If you wish to renew your license, please answer the following questions:

It is a violation of Nevada law to falsify this application and sanctions may be imposed for fraud or misrepresentation.

Yes No Inactive Status

I wish to place my License on Inactive Status NO FEE REQUIRED.


Section 1. Acceptance of Your Application
Yes No  

I am subject to a court order that requires me to pay for the support of one or more children.

I am in compliance with that court order.  (Make no selection if you answered "No" to the 
question above.)

My name has changed and I have not notified the Nevada State Board of Nursing. Please submit a completed name change form. (Click here for form.)

I have a Nevada state business license.  


Section 2. Practice and Continuing Education
Yes No  

I last practiced nursing on this date:  Please enter as MM/DD/YYYY.
In what state? 

I affirm (swear) I completed 30 hours of CE within the renewal period.* (Retain certificates for 4 years in case of audit.)

I affirm (swear) I completed the one-time required bioterrorism CE. (Retain certificate indefinitely in case of audit.)
I affirm (swear) that I have knowledge of and am in compliance with the guidelines of the Centers for Disease Control and Prevention concerning the prevention of transmission of infectious agents through safe and appropriate injection practices.
Pursuant to state law, I am aware that I am a mandatory reporter of child abuse.

Section 3. Application Screening Questions
(If you answer "Yes" to any of Questions 1 through 5 below, you must submit a paper application.)
Yes No Since your previous Nevada license was issued:

1. Has your application, or your license, registration, certificate, or privilege to practice in any jurisdiction, of any level (does not include driver's license or car registration):
a.  Ever been denied?
b.  Ever been disciplined including but not limited to reprimanded, censured, fined, suspended, revoked, limited or restricted, or placed on probation or monitoring
c.  Ever been subject to a non-disciplinary probation or monitoring program?
and/or
d.  Are you the subject of a current investigation or inquiry in any state or jurisdiction?
e.  Are you the subject of a pending hearing, settlement or action in any state or jurisdiction?

2. Have you had a criminal conviction, including a misdemeanor or felony, or had a civil judgment rendered against you?

3. Do you currently use chemical substances in any way which impairs or limits your ability to practice  the full scope of nursing?

4. Are you currently in recovery for chemical dependency, chemical abuse or addiction?

5. Do you currently have a medical or psychiatric/mental health condition which in any way impairs or limits your ability to practice the full scope of nursing?

*For audit purposes, the renewal period is the 24 months which immediately precede your most recent birthday.     


Section 4. Application Survey
1. What type of nursing degree/program qualified you for your first U.S. nursing license?
Vocational/Practical certificate Baccalaureate Degree
Diploma Master Degree
Associate Degree Doctoral Degree

2. What is the name of the school(education program) you graduated from that qualified you for your first U.S. nursing license? This list contains schools for both PN/LPN and RN education. PN/LPN schools are listed first by state and school name and then the RN schools are listed by state and school name. If there are multiple campuses the school name includes the city of the campus. Please select carefully. If your school is not listed please use the 'Other - School not in list' selection at the and of the list and fill in the name of the school on the next line.
If you selected "Other", please enter the name of the school here
In what city, state and country was this school(education program) you graduated from located?
City State
Country

3. What is your highest level of education?
Vocational/Practical Certificate in Nursing Baccalaureate Degree in other field
Diploma in Nursing Master Degree in Nursing
Associate Degree in Nursing Master Degree in other field
Associate Degree in other field Doctoral Degree in Nursing
Baccalaureate Degree in Nursing Doctoral Degree in other field

4. What is your race/ethnicity? (Mark all that apply)
American Indian or Alaska Native White/Caucasian
Asian Hispanic/Latino
Black/African American Other
Native Hawaiian or Other Pacific Islander

5. What is your primary employment status?
a. Actively employed in nursing
Full Time Part Time Per Diem
b. Actively employed in a field other than nursing
Full Time Part Time Per Diem
c.Working in nursing only as a volunteer
d.Unemployed
Seeking work as a nurse Not seeking work as a nurse
e.Retired from nursing

6. If unemployed, please indicate the reasons.
Taking care of home and family School
Disabled Difficulty finding a nursing position
Inadequate salary Other

7. In how many positions are you currently employed as a nurse?
0 1 2 3 or more

8. How many hours do you work during a typical week in all your nursing positions?

9. Please indicate the state and 5-digit ZIP code of your primary employer
State ZIP Code

10. Please identify the type of setting that most closely corresponds to your primary nursing practice position
Hospital Academic
Ambulatory Care Correctional Facility
Public Health School Health Service
Occupational Health Community Health
Insurance Claims/Benefits Policy/Planning/Regulatory/Licensing Agency
Nursing Home/Extended Care/Assisted Living Facility Other
Home Health

11. Please identify the position title that most closely corresponds to your primary nursing practice position
Staff Nurse Advanced Practice Nurse
Nurse Manager Nurse - Executive
Consultant/Nurse Researcher Other - Health Related
Nurse Faculty Other - Not Health Related

12. Please identify the employment specialty that most closely corresponds to your primary nursing practice position
Acute Care/Critical Care Palliative
Adult Health/Family Health Pediatrics/Neonatal
Anesthesia Public Health
Community Psychiatric/Mental Health/Substance Abuse
Geriatric/Gerontology Rehabilitation
Home Health School Health
Maternal/Child Health Trauma
Medical/Surgical Women's Health
Occupational Health Other
Oncology

13. Please identify the type of setting that most closely corresponds to your secondary nursing practice position
No Secondary Practice Position
Hospital Academic
Ambulatory Care Correctional Facility
Public Health School Health Service
Occupational Health Community Health
Insurance Claims/Benefits Policy/Planning/Regulatory/Licensing Agency
Nursing Home/Extended Care/Assisted Living Facility Other
Home Health

14. Please identify the position title that most closely corresponds to your secondary nursing practice position
No Secondary Practice Position
Staff Nurse Advanced Practice Nurse
Nurse Manager Nurse - Executive
Consultant/Nurse Researcher Other - Health Related
Nurse Faculty Other - Not Health Related

15. Please identify the employment specialty that most closely corresponds to your secondary nursing practice position
No Secondary Practice Position
Acute Care/Critical Care Palliative
Adult Health/Family Health Pediatrics/Neonatal
Anesthesia Public Health
Community Psychiatric/Mental Health/Substance Abuse
Geriatric/Gerontology Rehabilitation
Home Health School Health
Maternal/Child Health Trauma
Medical/Surgical Women's Health
Occupational Health Other
Oncology

16. Please select all states in which you hold an ACTIVE license to practice as an RN or LPN/VN.
Use the drop down to select the state and the ADD button to add it to the list. Select as many as necessary.
If you need to remove a state from the list use the drop down to select the state and then click the REMOVE button.
   Check this box if you do not hold an active license in any state, including Nevada
Active State
Active States:

17. Please select all states in which you are currently practicing as an RN or LPN/VN.
Use the drop down to select the state and the ADD button to add it to the list. Select as many as necessary.
If you need to remove a state from the list use the drop down to select the state and then click the REMOVE button.
   Check this box if you do not practice as a nurse in any state, including Nevada
Practice State
Practice States:

To continue with online renewal, please enter the information below using the last 4 digits
of your Social Security number as your PIN.  Both fields must be filled in.

I acknowledge that the Nevada State Board of Nursing will use the answers provided above
to determine my qualifications to be licensed as a nurse in the State of Nevada.

Affirmation.

By entering my PIN and license number, I affirm (swear) that I have read this application and the statements made are true and correct.

(Your PIN is the last 4 digits of your Social Security number.)

PIN
License Number
(enter without spaces)
(ex: RN55555, LPN55555)

04/14/14 16:40