How to Become a Registered Nurse (RN): A Step-by-Step Guide (2023)



How to Become a Registered Nurse (RN): A Step-by-Step Guide

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Registered nurses are integral health care professional that provide patients with the care they need. Learn the steps you need to take to join this impactful profession.

How to Become a Registered Nurse (RN): A Step-by-Step Guide (1)

Registered nurses (RNs) provide care to patients and assist other health care professionals, such as physicians, to ensure they have the support they need to do the best possible job. Over the coming years, demand for health care workers is growing. According to the US Bureau of Labor Statistics (BLS), health care jobs are expected to grow 13 percent between 2021 and 2031, resulting in about 1.9 million job opening per year throughout the decade [1]. Among health care workers, registered nurses make up the largest group of employees in the health care system [2].

If you want to enter an impactful health care career with a bright job outlook, then you might consider a career as an RN. In this article, you'll learn what you need to do to become an RN, find out more about the profession, and explore their pay and job outlook. At the end, you'll also find suggested courses that can help you learn job-relevant skills today.

What is a registered nurse (RN)?

Registered nurses provide care for patients and support doctors and other medical professionals in their day-to-day duties. Some common tasks RNs perform include administering prescribed medications, inserting catheters, monitoring vital signs, creating patient care plans, and documenting patient information.

Read More: What Does a Registered Nurse Do?

Where do nurses work?

RNs can work in a variety of settings, such as hospitals, doctor’s offices, travel clinics, nursing homes, schools, and even within airplanes. In effect, there are many different types of RN, including psychiatric nurses who specializing in mental health work, flight nurses who work in helicopters and airplanes, and oncology nurses who specifically work with cancer patients.

(Video) How to Become a Registered Nurse (RN) | Ways to Become an RN

How to Become a Registered Nurse (RN): A Step-by-Step Guide (2)

Salary and job outlook

RNs make a higher than average salary in the United States and have a positive job outlook over the coming years.

According to the US BLS, the median annual pay for registered nurses was $77,600 a year as of May 2021. As a result, RNs make an annual salary that is comfortably higher than the median for all jobs in the United States, which the US BLS pinned at $45,760 during the same year [3].

Much like other health care professions, registered nurses can expect an increase in job openings over the next decade. According to the US BLS, the number of job openings for RNs is expected to grow by six percent between 2021 and 2031, resulting in approximately 203,200 new job openings each year [3].


A higher than average salary and in-demand skillset are just some of the perks of being a registered nurse. Here are just some of the other benefits you can expect by joining this big-hearted, in-demand career:

  • Work in shifts: Nurses don’t work a typical 9-to-5 workday. Often, RNs work 12-hour shifts three days per week, meaning that your time off can be spent doing other things that you love like being with family or enjoying a hobby.

  • Job security: Hospitals and clinics are always hiring nurses. This need is projected to increase in the coming years.

  • Flexibility: Nurses, like doctors, are needed nearly everywhere. While you may not be licensed or certified in other countries, you do have the option to do so, and working as a travel nurse can be a lucrative career.

  • Active lifestyle: As a nurse, you’ll be on your feet often, rather than sitting at a desk all day. This can be a huge positive for those who prefer to not sit for eight hours a day.

  • Make a difference: Nursing is all about helping people. If you’re a people person, then you might be drawn to this field of work where you'll be able to have meaningful interactions with patients every day.

How to Become a Registered Nurse (RN): A Step-by-Step Guide (3)


(Video) How To Become A Registered Nurse

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How to become a registered nurse

RNs are highly-trained health care professionals tasked with helping patients and ensuring they receive the care they need. As a result, the path to becoming a registered nurse is one defined by training, certification, and specialization.

Here's what you can expect to do as you work toward joining this impactful health care career:

1. Complete an accredited nursing program.

To qualify for your nursing certification, you'll need to first enroll in and complete a nursing program. Taking anywhere from two to four years, nursing programs prepare students for a career in the field by covering such important topics as chemistry, psychology, anatomy, physiology, and applied learning courses like how to care for wounds.

In the United States, there are three types of programs that you can take to qualify for the nursing exam. These programs are:

  • Bachelor of Science in Nursing (BSN): An accredited bachelor's degree is the most common degree pursued to becoming a nurse today. Typically offered by colleges and universities, these programs usually take up to four years to complete, but can be completed in less time by those who already possess a prior nursing credential.A BSN is often the most competitive degree for entry-level nursing positions and a requirement to becoming a more advanced nurse.

    (Video) How to Apply || Become a Canadian Nurse in weeks || Step by step Guide including live application

  • Associate Degree in Nursing (ADN): Many technical and community colleges offer an associate degree in nursing, which typically takes about two to three years to complete.

  • Diploma program: ​​Diploma programs are the traditional way that many in the past joined the nursing profession. Though they are less common than BSNs and ADNs today, some hospitals do still offer nursing diploma programs, which typically take two to three years to complete.

Read more: How to Get Into Nursing School: Your Guide to a Degree

2. Take (and pass) the nurse licensing exam.

Once you’ve completed your coursework, you can register for the National Council Licensure Examination (NCLEX). Developed by the National Council of State Boards of Nursing (NCSBN), the NCLEX is the exam used by state regulatory boards to determine whether candidates are ready to obtain a nursing license [4].

Many nurses-to-be take the NCLEX-RN one month after graduation. In order to take the exam, applicants must meet all the eligibility requirements and apply through their local nurse regulatory body. Afterwards, candidates register on the Pearson VUE website or by phone, which generates an authorization email that provides test dates and information.

The NCLEX-RN costs $200 for the licensure registration fee in the US, but fees are charged for changing the type of exam, nursing regulatory body, or exam language. Administered on the computer, the exam requires test takers to complete a minimum of 75 (out of 205) questions and can take up to six hours to finish. Topics covered on the test include safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiological integrity.

To prepare for this important exam, applicants may want to take a practice exam, available on the NCSBN website. If you don’t pass the NCLEX-RN exam the first time, you must wait 45 days until you can take it again.

3. Get licensed where you want to practice.

After passing the NCLEX-RN exam, you will need to obtain a nursing license from the state in which you would like to practice. The exact requirements for obtaining licensure will vary from one state to another, so make sure to check with your state's regulatory board to ensure that you meet all of them. If you hope to work in multiple states (or countries), you’ll need to be licensed in each state.

Explore multi-state licensure

In 2018, the Nurse Licensure Compact (NLC) was implemented. This legislation allows RNs to have one multi-state license, so that nurses can practice in person or through telehealth in up to 38 (and counting) states in the US [5].

Multi-state licensure is particularly helpful for travel nurses. On average, travel nurses can make $3,000 per week plus stipends [6].

How to Become a Registered Nurse (RN): A Step-by-Step Guide (5)

4. Grow in your practice with a specialization or an advanced degree.

After you become a registered nurse, you may want to specialize in a specific area or pursue an advanced degree.There are several ways you gain the required training and qualifications you'll need to advance your career:

Board certification: To qualify for board certification, RNs usually need two or more years of clinical experience in a specialty focus and to pass an exam. Popular specializations include oncology, pediatrics, neonatal, gerontology, cardiac nursing, and more. Earning certifications can give you a salary boost and make you a more marketable nurse.

Advanced degree: To become an advanced practice registered nurse (APRN), such as a nurse practitioner or a clinical nurse leader, you’ll likely need to earn a master’s degree in nursing (MSN) or a doctorate of nursing practice (DNP). Advancing and investing further in your education can lead to a substantial increase in your paycheck, while you might also achieve more fulfillment by advancing in your nursing career.

Read more: Your Guide to Nursing Degrees and Certifications

Explore health care with Coursera

Get started on a fulfilling and in-demand career as a registered nurse with courses from top universities. In the University of Pennsylvania's Vital Signs: Understanding What the Body Is Telling Us, you'll explore the anatomy and physiology underlying the vital signs so that you will develop a systematic, integrated understanding of how the body functions.

(Video) HOW TO BECOME A NURSE IN CANADA (Part 1) | STEP-BY-STEP GUIDE | Pinoy IENs for Canadian Registration

In the University of Minnesota's Integrative Nursing Specialization, meanwhile, you'll identify ways to implement integrative nursing at work in alignment with research-based evidence and safety and quality considerations.

How to Become a Registered Nurse (RN): A Step-by-Step Guide (6)


Integrative Nursing

Patient-Centered, Relationship-Based Nursing Care. By the end of this specialization, you will be able to practice a patient-centered, relationship-based approach to nursing that utilizes a variety of integrative healing modalities.


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Average time: 7 month(s)

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integrative healthcare, wellbeing, patient-centered care, improved symptom management, evidence-based practice, symptom management, healthcare, Stress Management, Pain Management, whole-person care, Mindfulness, integrative medicine

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This content has been made available for informational purposes only. Learners are advised to conduct additional research to ensure that courses and other credentials pursued meet their personal, professional, and financial goals.

(Video) How to Become a Registered Nurse in 2021 || MUST WATCH!


What steps should I take to become a nurse? ›

Steps to Become a California Registered Nurse
  1. Take college prep classes in high school.
  2. Choose the type of nursing school you want to attend.
  3. Select a college and apply for admission.
  4. Apply for financial aid.
  5. Obtain an RN license.

How to become a registered nurse for dummies? ›

Steps for Becoming a Nurse
  1. Choose your path to an initial nursing license (LPN or RN). ...
  2. Choose a nursing degree program. ...
  3. Obtain your nursing degree. ...
  4. Submit your application for state licensure. ...
  5. Complete a background check. ...
  6. Pass the NCLEX-PN or NCLEX-RN exam. ...
  7. Pursue employment as a nurse.

What are the three stages of a RN? ›

In general, nurses fall into three categories: non-degree, degree, and advanced degree. Non-degree nurses include certified nursing assistants (CNAs) and licensed practical nurses (LPNs), who complete nursing education programs that don't culminate in a degree.

What is the hardest part of becoming a RN? ›

Hardest Nursing School Classes
  • Pathophysiology. In this course, students learn how different anatomical systems work and how diseases or injuries affect these systems. ...
  • Pharmacology. ...
  • Medical Surgical 1 (also known as Adult Health 1) ...
  • Evidence-Based Practice.

What are the requirements to study nursing in USA? ›

Required documents
  • A graduated Bachelor's degree.
  • Official transcript of records (grade list)
  • GPA scores.
  • A resume with relevant experience in the field of Nursing.
  • Letters of recommendation from past teachers or employers.
  • Recommender's contact information.
  • A letter of motivation or personal essay.
Nov 17, 2022

Is the Nclex hard? ›

The NCLEX is a hard exam, but it's not impossible to pass. Statistically, over 80% of students who take the NCLEX RN or NCLEX PN exam will pass. Most likely, a student will pass if they went to a good nursing program, bought a good NCLEX prep course, and has a good NCLEX study plan in place.

What is the shortest nursing program? ›

Fastest Route to Registered Nursing: Associates Degree in Nursing. Students wanting to become registered nurses first can do so by obtaining an Associates of Science Degree in Nursing. You can obtain your RN degree in under two years.

What is the first level of nursing? ›

Level 1 - Certified Nursing Assistant (CNA)

Certified nursing assistants (CNAs) are also known as nursing assistants or nursing aides. They typically work in home care and long-term care facilities and are the primary point of contact between patients and the medical staff.

What does a beginner nurse do? ›

As an entry-level nurse, you should be making rounds, administering medication as needed. If you are working in a clinic, you could be responsible for providing first aid and immunizations. You might also be responsible for inserting catheters and feeding tubes.

What are the 7 steps of nursing? ›

  • Assessment. Assessment is the first step and involves critical thinking skills and data collection; subjective and objective. ...
  • Diagnosis. ...
  • Maslow's Hierarchy of Needs.
  • Planning. ...
  • Implementation. ...
  • Evaluation.

How many levels of RN are there? ›

There are five levels of nursing: Certified Nursing Assistant (CNA), Licensed Practical Nurse (LPN), Registered Nurse (RN), Advanced Practice Registered Nurse (APRN), and Doctor of Nursing Practice (DNP). Each level has different requirements, educational qualifications, and salary rates.

What are the 5 levels of nursing? ›

Benner (1984) also detailed the acquisition of nursing expertise and proposed five possible expertise levels: novice, advanced beginner, competent, proficient, and expert. Nurses at the novice stage are still in nursing school.

What type of RN makes the most? ›

The Certified Registered Nurse Anesthetist consistently ranks as the highest-paid nursing career. That is because Nurse Anesthetists are highly skilled Registered Nurses who work closely with medical staff during medical procedures that require anesthesia.

Why is RN school so hard? ›

Why is nursing school so hard? The top 6 challenges of earning a BSN include the rigorous curriculum, fast pace, need for multitasking, time commitment, personal sacrifices, and NCLEX preparation. However, despite these rigors, it's possible to rise up and master how to succeed in nursing school.

What GPA is required for nursing in USA? ›

GPA requirements depend on the type of nursing program you want to apply for, but most programs require at least a 3.0 GPA or higher. However, due to the competitive nature of nursing programs, most schools prefer a 3.7 to 4.0 GPA.

How much does nursing school cost in the US? ›

Bachelor of Science in Nursing (BSN)

Students can pay between $20,000 to over $100,000 in total for a BSN degree. In most cases, out-of-state tuition costs significantly more than in-state tuition.

What is the fastest way to become a nurse in the US? ›

The fastest way to become an RN is through an RN diploma program, which can be completed in as little as a year. While completing this program does not lead to a degree, it does make the individual eligible to take the NCLEX and earn their RN license.

How many times can I fail my NCLEX? ›

If they fail, they'll need to wait 45 days before retesting. After failing three times, though, they'll need to complete a board-approved remediation program before the next retake. test-takers have six attempts to pass in total.

How many times do people fail the NCLEX? ›

What Are Your Chances Of Failing NCLEX-RN On The First Attempt? The National Council of State Boards of Nursing (NCSBN) reports 13.43% of NCLEX-RN candidates fail the exam on their first attempt. The number of unsuccessful test-takers is low compared to the more than 86% who pass the exam on their first try.

How many times can I take the NCLEX? ›

If you happen not to pass the exam, you can retake it after 45 days. And if you are wondering how often you can take the NCLEX, the NCSBN retake policy allows for a retake eight times a year, ensuring 45 exam-free days between each test.

What is the lowest GPA for nursing? ›

While most nursing schools set their minimum GPA requirements at 3.0, there are accelerated nursing programs out there that accept students with 2.7 and 2.8 GPAs. Keep in mind that this doesn't mean you'd receive a lesser nursing education with these programs.

What is the easiest class in nursing school? ›

The Easiest Classes in Nursing School
  • Social Sciences (Intro Psychology, Sociology, etc.)
  • Humanities.
  • Intro to Speech (or Communication)
  • English Composition.
  • History.
  • Using Information Technology.

What kind of questions are on the RN Nclex? ›

The NCLEX-RN® is composed of primarily multiple-choice, four-option, text-based questions written at the application/analysis level of difficulty. These questions may include charts, tables, or graphic images.

What are first year nurses called? ›

Associate in Nursing (ASN)

RNs are the first line of care in many healthcare settings, and they are in increasingly high demand as healthcare organizations strive to accommodate a growing patient population.

What does RN Level 2 mean? ›

The Level II Registered Nurse, under the direction of the Nurse Manager, is accountable for provision of competent patient care based on established standards. The Level II Registered Nurse assumes an expanded role, which may include charge nurse, preceptor, and committee member responsibilities.

Is BSN higher than RN? ›

Compared to RN, BSN is a degree, not a job title – it's the next-level nursing education program that can lead to becoming an RN.

Is learning to be a nurse hard? ›

Nursing requires more dedication than many other careers. However, it's one of the most rewarding jobs you can have. Nursing school is notoriously difficult—and it's not for everyone. Graduate school is challenging as well.

How do you know if nursing is not for you? ›

So, ask yourself how caring are you of other individuals and their needs. In order to be a good nurse, you have to deeply care about people. If you are one of those types of people who just worry about themselves and do not really concentrate on how to help others, then nursing really is not for you.

How do I know if I want to be a nurse? ›

If you want to make a difference in your community, and you have the patience required to work with people, then this might be the tell-tale sign that you are meant to become a nurse. If you want a job that is exciting and brings a new challenge every day, then you will find happiness in nursing.

What are the 4 core of nursing? ›

A core competency of nursing is “the ability to practice nursing that meets the needs of clients cared for using logical thinking and accurate nursing skills.” The nursing competency structure consists of four abilities: the ability to understand needs, the ability to provide care, the ability to collaborate and the ...

What are the 4 basic principles of nursing? ›

Nurses are advocates for patients and must find a balance while delivering patient care. There are four main principles of ethics: autonomy, beneficence, justice, and non-maleficence.

What are the 4 nursing techniques? ›

These are:
  • Inspection. This technique uses the eyes, ears, or nose to look for observable signs on the body. ...
  • Auscultation. This usually follows inspection, particularly during abdominal assessments. ...
  • Palpation. Health practitioners use this technique during physical examinations. ...
  • Percussion.
Jan 2, 2020

What is the difference between a certified nurse and a registered nurse? ›

A certified nurse (CN) provides general patient care and works under registered nurses, while a registered nurse (RN) provides a higher level of patient care and coordination and works under a doctor.

What is a level 4 RN? ›

Registered Nurse Level 4' means a Registered Nurse who is engaged as such and may be referred to as Assistant Clinical Care Supervisor – Care, Assistant Clinical Care Supervisor – Management, or Assistant Clinical Care Supervisor – Staff Development.

What makes more than an RN? ›

According to the Bureau of Labor Statistics (BLS), registered nurses earn a median pay of $70,000 per year. Nurse practitioners, on the other hand, earn a median annual salary of $110,930.

What is a level 6 RN? ›

Nurse practitioner (level six): A level six nurse is a nurse practitioner who has a master's degree in nursing and assists medical teams in an advanced clinical role. They have a nurse practitioner endorsement which requires several years of nursing experience to obtain.

Is a nursing assistant a nurse? ›

Certified nursing assistants, or CNAs, work under registered nurses (RNs) or licensed practical nurses (LPNs). They assist with daily patient care tasks like dressing, bathing, and checking patient vital signs. You may also refer to CNAs as: Nursing assistants.

What are the 6 core of nursing? ›

The 6 Cs – care, compassion, courage, communication, commitment, competence - are a central part of 'Compassion in Practice', which was first established by NHS England Chief Nursing Officer, Jane Cummings, in December 2017.

What's the easiest job in a hospital? ›

8 Health Care Jobs That Require No Experience
  • Caregiver. ...
  • Medical Assistant. ...
  • Medical Biller. ...
  • Medical Secretary. ...
  • Nursing Assistant. ...
  • Occupational Therapy Aide. ...
  • Patient Sitter. ...
  • Psychiatric Aide.

What is the least stressful type of nurse? ›

Institutional Nurses

These nurses administer more basic care and typically don't have to work long hours and overnight shifts, so this field of nursing tends to be low-stress. Even with less excitement, these nurses find fulfillment in providing basic and family care to those in need.

Which state is easiest to get RN license? ›

Easiest states to become a nurse – Length of licensing process
  • Maine: 1-2 weeks.
  • Maryland: 2-3 days.
  • Missouri: 2 weeks.
  • Nevada: 1-2 weeks.
  • North Carolina: 1-2 weeks.
  • North Dakota: 1-2 weeks.
  • Texas: 2 weeks.
  • Vermont: 3-5 business days.

What is the most stressful RN job? ›

The most stressful nursing jobs include ICU nurse, ER nurse, and NICU nurse. In these roles, nurses work in an intense environment with high stakes. They manage emergency situations and care for critically ill patients. Other stressful nursing jobs include OR nursing, oncology nursing, and psychiatric nursing.

What is the most an RN can make an hour? ›

How Much Do Rn Jobs Pay per Hour?
Annual SalaryHourly Wage
Top Earners$107,000$51
75th Percentile$86,500$42
25th Percentile$60,500$29

Where do RNs get paid the most? ›

In the United States overall, the average registered nurse salary is $82,750 and the median (50th percentile) is $77,600. California, with RN salaries averaging $124,000, is the highest-paying state for nurses as of May 2021 (according to the Bureau of Labor Statistics).

What is the hardest thing to learn as a nurse? ›

Hardest Nursing School Classes
  • Pathophysiology. In this course, students learn how different anatomical systems work and how diseases or injuries affect these systems. ...
  • Pharmacology. ...
  • Medical Surgical 1 (also known as Adult Health 1) ...
  • Evidence-Based Practice.

What is the hardest class in RN school? ›

What nursing classes SHOULD I fear? Pharmacology, Microbiology, and Anatomy & Physiology each have a well-earned reputation for being difficult to pass. Some students may find Cardiology, Chemistry, or even Mental Health especially trying.

How do you pass RN school? ›

  1. Time Management. To be successful in nursing school, you must manage your time appropriately. ...
  2. Get Organized. ...
  3. Use Mnemonics. ...
  4. Study Everyday. ...
  5. Complete Practice Questions. ...
  6. Participate in a Study Group. ...
  7. Focus on course objectives when studying. ...
  8. Know your learning style.

What are the fastest ways to become a nurse? ›

The fastest way to become an RN is through an RN diploma program, which can be completed in as little as a year. While completing this program does not lead to a degree, it does make the individual eligible to take the NCLEX and earn their RN license.

How to become an RN in California fast? ›

Those interested in becoming a nurse in California in the shortest amount of time should pursue an associate degree in nursing, as this can be completed within a two-year timeframe. Upon completion of the program, passing the NCLEX-RN and applying for a license can take an additional 10-12 weeks.

What kind of person do you need to be to be a nurse? ›

Kindness, fairness, caring, trustworthiness, emotional stability, empathy, and compassion are aspects of your personality that serve you well as a nurse. You exhibit strong communication skills. You communicate well with patients and colleagues — sometimes at their worst life moments.

What is the easiest level of nursing? ›

As registered nursing degree programs go, the easiest one out there is the ADN. An associate's degree program can prepare you for a career as a registered nurse, but you should know that this degree meets only the bare minimum requirement for qualification as an RN.

What is the quickest nursing certification? ›

Of all the nursing certifications, LPN or LVN programs are the quickest and most convenient options. Because training can be completed at a hospital, vocational technical school, community college and even online, LPN/LVN programs are ideal for students who work or have other obligations.

What is the earliest age you can become a RN? ›

This stipulation dictates that most aspiring nurses become licensed nursing professionals at the earliest ages of 20 and 22, depending on whether they have attended a two-year nursing program for an associate's degree or a four-year nursing program for a bachelor's degree.

What are the 6 C's of nursing? ›

The 6 Cs – care, compassion, courage, communication, commitment, competence - are a central part of 'Compassion in Practice', which was first established by NHS England Chief Nursing Officer, Jane Cummings, in December 2017.

What are the weaknesses of a nurse? ›

Spending too much time on paperwork. Paying too much attention to detail. Attempting to complete too many tasks at once. A lack of clinical experience, which may apply to recent graduates or new nurses.

What skills do nurses need? ›

These nursing skills are crucial for anyone in this important field.
  • Communication skills. No matter which type of nursing role you wind up in, communication will be a critical part of your job. ...
  • Critical thinking. ...
  • Patient assessment. ...
  • Empathy. ...
  • Urgent care. ...
  • Physical endurance. ...
  • Technology skills.

What mistake should a nurse never make? ›

Dispensing the wrong medication, dispensing the wrong dose of medication, giving a medication to the wrong patient, and failing to monitor patient's condition are some of the errors under this category. Keep in mind a are potentially life-threatening to patients.

What age do most nurses retire? ›

At What Age Do Most Nurses Retire?
  • 7% of both women and men retired at age 63.
  • 8% of women and 7% of men retired at age 64.
  • 11% of women and 13% of men retired at age 69.
  • 9% of women and 6% of men retired at the age of 70 or beyond.
Aug 4, 2022

Do you need a strong stomach to be a nurse? ›

Does a weak stomach mean that you're not cut out for nursing? Not at all. Between suctioning bodily fluids and smelling vicious odors, even seasoned nurses have to fight their gag reflex sometimes. Yet, veteran nurses have mastered ways to conquer queasiness and get the job done in spite of it.


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