Have you ever felt called to help others, especially in times of need? If so, nursing might be the path that leads you to a fulfilling and impactful career. Nurses are in every corner of the healthcare system – from hospitals and clinics to schools and community centers. But the road to becoming a nurse isn’t one-size-fits-all.
Whether you’re a high school student planning your future, a working adult considering a career change, or someone returning to school later in life, this guide is here to walk you through every step. From choosing the right nursing program to preparing for licensure, we’ll break down the educational pathways, exam requirements, and advancement opportunities available to you.
Let’s explore how to turn your compassion into a rewarding profession that makes a real difference.
Schools Offering Nursing Degrees
Nursing Degrees from Chamberlain University
BSN, RN-to-BSN, MSN, RN-to-MSN, DNP, Nurse Practitioner
Nursing Degrees from Walden
BSN, MSN, DNP, PhD in Nursing
Nursing Degrees from Western Governors University
RN-to-BSN, BS in Nursing (Prelicensure), BSN-to-MSN, RN-to-MSN
Different Types of Nursing Roles
There are various nursing roles to consider as you embark on your nursing career, each with its own set of responsibilities and educational requirements. Here, we will explore four common nursing roles: Registered Nurse (RN), Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN), Nurse Practitioner (NP), and Clinical Nurse Specialist (CNS).
Registered Nurse (RN) is a healthcare professional responsible for assessing patients, creating care plans, administering medications, and collaborating with physicians. To become an RN, you must earn either an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN) and pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN).
Moving on to Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN), they provide basic nursing care under the supervision of RNs or physicians. LPNs/LVNs monitor patients, administer medications, and assist with personal care. To become an LPN/LVN, you must complete an accredited practical nursing program and pass the National Council Licensure Examination for Practical Nurses (NCLEX-PN).
For those seeking more advanced roles, a Nurse Practitioner (NP) is an option. NPs are registered nurses with advanced education and clinical training, allowing them to diagnose and treat health conditions, prescribe medications, and order diagnostic tests. To become a Nurse Practitioner, you must obtain a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP) and pass a national certification exam in your chosen specialty.
Lastly, a Clinical Nurse Specialist (CNS) is an advanced practice nurse with expertise in a specific clinical area, such as critical care, geriatrics, or oncology. CNSs provide direct patient care, lead nursing practice improvements, and serve as clinical experts and educators. To become a CNS, you must obtain a master’s or doctoral degree in nursing and a national certification in your chosen clinical specialty.
Educational Pathways to Become a Nurse
There’s no single path to becoming a nurse – your journey will depend on your current level of education, professional background, and long-term career goals. Whether you’re starting fresh out of high school or switching careers later in life, there’s a pathway that fits your needs.
High School Preparation (if applicable)
If you’re still in high school and considering a nursing career, now is a great time to start laying the groundwork. Focusing on science and health-related subjects will prepare you for nursing school and help you stand out during the application process.
Recommended Courses:
- Biology
- Chemistry
- Anatomy & Physiology
- Algebra or Statistics
- Psychology
- Health Sciences (if available)
Volunteer Opportunities:
Gaining hands-on experience can give you insight into the nursing profession and strengthen your college applications. Look for opportunities such as:
- Volunteering at local hospitals or clinics
- Assisting at blood drives or health fairs
- Shadowing a nurse or healthcare professional
Entry-Level Nursing Pathways
For those ready to begin their nursing journey, several entry-level options can lead to licensure and employment in the field.
Licensed Practical/Vocational Nurse (LPN/LVN)
- Takes about 12–18 months to complete.
- Offered through vocational schools or community colleges.
- Prepares you to provide basic nursing care under the supervision of an RN or physician.
- Requires passing the NCLEX-PN exam for licensure.
Associate Degree in Nursing (ADN)
- Typically takes 2 years at a community college.
- Prepares you to become a Registered Nurse (RN).
- Focuses on clinical and technical skills.
- Graduates are eligible to take the NCLEX-RN exam.
- Offers a faster and more affordable route into nursing, with the option to pursue a BSN later.
Bachelor of Science in Nursing (BSN)
- A 4-year degree offered by universities and colleges.
- Provides a more comprehensive education, including leadership, research, and public health.
- Preferred or required by many employers, especially hospitals.
- Graduates are also eligible to take the NCLEX-RN.
- Opens the door to advanced practice and management roles later on.
Alternate Paths for Career Changers
If you already hold a non-nursing bachelor’s degree, you may be eligible for accelerated or direct-entry nursing programs.
Accelerated BSN (ABSN) Programs
- Designed for individuals with a bachelor’s in another field.
- Typically 12–24 months of full-time study.
- Intensive, fast-paced programs that build on your existing education.
Direct-Entry Master of Science in Nursing (MSN) Programs
- For those with a non-nursing bachelor’s degree who want to enter nursing at the graduate level.
- Includes pre-licensure RN preparation followed by graduate-level coursework.
- May lead directly to roles such as nurse practitioner or nurse educator, depending on the program.
Bridging Programs for Career Advancement
If you’re already working in the field as an LPN or RN and want to advance your education, there are flexible nursing programs designed to help you level up without starting from scratch.
LPN to RN Programs
- Allows LPNs/LVNs to become Registered Nurses.
- May culminate in an ADN or BSN, depending on the program.
ADN to BSN Programs
- Also known as RN-to-BSN programs.
- Typically take 12–18 months and often offered online.
- Designed for working nurses seeking expanded opportunities.
RN to MSN or DNP Programs
- Bridge RN experience directly to advanced practice or leadership.
- May include options for nurse practitioner, nurse educator, or nurse executive tracks.
- Some programs offer a BSN along the way; others allow direct entry into graduate studies.
Choosing the right pathway depends on where you are now and where you want to go. The good news? Nursing is one of the most flexible, accessible careers in healthcare, with options for nearly every background and ambition.
Getting Licensed: NCLEX and State Requirements
No matter which educational path you choose, becoming a licensed nurse requires passing a national exam and meeting your state’s licensure requirements. This step ensures you’re prepared to provide safe, effective care to patients in real-world clinical settings.
What Is the NCLEX?
The National Council Licensure Examination (NCLEX) is a standardized test that all aspiring nurses must pass to earn their nursing license in the U.S. It’s administered by the National Council of State Boards of Nursing (NCSBN) and is designed to assess your ability to apply nursing knowledge to real-life clinical scenarios.
There are two main types of NCLEX exams:
- NCLEX-PN – for those seeking to become a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)
- NCLEX-RN – for those seeking to become a Registered Nurse (RN)
Both exams use a computer-adaptive testing (CAT) format, meaning the difficulty of questions adjusts based on your answers.
NCLEX-PN vs. NCLEX-RN: What’s the Difference?
| Feature | NCLEX-PN | NCLEX-RN |
|---|---|---|
| Who Takes It | LPN/LVN candidates | RN candidates |
| Focus Areas | Basic care, coordination, practical skills | Critical thinking, clinical decision-making |
| Education Required | LPN/LVN program | ADN or BSN program |
| Exam Length | 85–150 questions (approx.) | 85–150 questions (approx.) |
| Test Duration | Up to 5 hours | Up to 5 hours |
The NCLEX-RN requires deeper knowledge in areas like leadership, delegation, and managing care across complex scenarios, while the NCLEX-PN focuses more on supporting care under supervision.
State-by-State Licensure Considerations
Each U.S. state has its own Board of Nursing that oversees licensure requirements. While the NCLEX is a national exam, additional requirements may include:
- Background checks and fingerprinting
- Completion of state-approved nursing education programs
- English language proficiency (for international graduates)
- Continuing education or jurisprudence exams (in some states)
If you plan to work in a different state than where you were educated, it’s important to check with that state’s Board of Nursing for specific licensure steps.
Also worth noting: many states participate in the Nurse Licensure Compact (NLC), which allows RNs and LPNs to practice across state lines with a single multistate license.
👉 Check your state’s Board of Nursing here.
How to Register and Prepare
1. Apply for Licensure Through Your State Board of Nursing
Begin the process by applying for licensure with your state’s Board of Nursing. Once your application is approved, you’ll receive authorization to test (ATT).
2. Register for the NCLEX Exam
- Go to the Pearson VUE website to register and schedule your exam.
- Pay the registration fee:
- $200 for U.S. candidates (as of 2025)
3. Prepare Thoroughly
Success on the NCLEX comes down to preparation. Here are a few ways to get ready:
- Use NCLEX prep books, online courses, and question banks
- Take practice exams in a timed setting
- Join study groups or attend review workshops
- Review topics in pharmacology, safety, patient care, and clinical judgment
Pro Tip: Many nursing schools offer NCLEX prep support before graduation—take full advantage of these resources while the material is still fresh!
Choosing the Right Nursing School or Program
Finding the right nursing program is an important decision that can shape your educational experience and career opportunities. With so many options available, it’s essential to consider factors like accreditation, learning format, clinical access, and how well the program fits into your life.
Accreditation (ACEN, CCNE)
Accreditation ensures that a nursing program meets nationally recognized standards for quality and rigor. It also impacts your ability to get licensed, pursue advanced degrees, and qualify for financial aid.
- ACEN (Accreditation Commission for Education in Nursing): Accredits all levels of nursing education, including diploma, associate, and baccalaureate programs.
- CCNE (Commission on Collegiate Nursing Education): Accredits bachelor’s and graduate nursing programs.
Tip: Always verify that your chosen program is approved by your state’s Board of Nursing and holds national accreditation from ACEN or CCNE.
In-Person vs. Online or Hybrid Programs
Depending on your schedule and learning style, you may prefer a traditional campus-based program or a more flexible format.
- In-Person: Offers hands-on learning, face-to-face instruction, and structured schedules—ideal for students who prefer a more immersive classroom environment.
- Online or Hybrid: Combines online coursework with in-person clinicals. These are great for adult learners, working professionals, or parents needing flexibility.
Important: Even in fully online programs, clinical training must still be completed in person at an approved healthcare site.
Clinical Placement Opportunities
Clinical experience is a core part of nursing education. Look for programs that:
- Guarantee clinical placements (not all do)
- Have partnerships with reputable hospitals or clinics
- Offer a variety of settings (pediatrics, geriatrics, mental health, etc.)
Ask about clinical location options, distance from campus or home, and faculty supervision. Quality hands-on experience will better prepare you for the NCLEX and real-world nursing roles.
Tips for Adult Learners or Full-Time Workers
Balancing school, work, and personal responsibilities can be challenging—but many nursing programs are designed with adult learners in mind. Consider programs that offer:
- Part-time or evening/weekend options
- Online coursework with flexible deadlines
- Academic support for returning students
Also look into schools that provide childcare, tutoring, or academic coaching. Connecting with other nontraditional students can also make your experience more manageable and rewarding.
What to Expect in Nursing School
Nursing school is known for being demanding—but it’s also one of the most rewarding educational journeys you can take. Understanding what to expect can help you prepare and stay on track from day one.
Coursework Overview
Nursing programs combine classroom instruction with lab and clinical experiences. Common subjects include:
- Anatomy & Physiology
- Microbiology
- Pharmacology
- Pathophysiology
- Nutrition
- Nursing Fundamentals
- Psychology & Human Development
- Medical-Surgical Nursing
- Maternal, Pediatric, and Geriatric Nursing
Expect to build a strong foundation in science, critical thinking, and evidence-based care.
Clinical Rotations and Simulation Labs
Clinical experiences begin early in most programs and give you real-world practice in patient care under supervision.
- Clinical Rotations take place in hospitals, nursing homes, and community health centers. You’ll gain experience in multiple specialties.
- Simulation Labs offer safe, hands-on practice with lifelike mannequins and technology to help you develop clinical nursing skills before working with real patients.
These experiences are essential for developing confidence and competence.
Time Commitment and Workload
Nursing school is intensive—especially during core semesters. Be prepared for:
- Long lectures and lab sessions
- Early morning clinicals
- Hours of weekly reading and assignments
- Regular exams and practical skill checks
Many students compare nursing school to a full-time job. Good time management and support systems are key to success.
Support Services (Tutors, Mentors, Peer Support)
Reputable nursing programs often offer academic and emotional support to help students succeed. Look for:
- Tutoring services for challenging subjects like pharmacology
- Faculty mentors or academic advisors to guide you through the program
- Peer study groups to stay motivated and connected
- Mental health resources and wellness support for stress management
Don’t be afraid to ask for help – nursing school is a team effort, and support can make all the difference.
Continuing Education Requirements for Nurses
Nursing isn’t a static career, it’s a lifelong journey of learning and growth. Whether you’re aiming to keep your license current or move into a more specialized role, continuing education for nurses is important.
- Stay current on best practices
- Improve patient outcomes
- Advance into leadership or specialized roles
- Maintain licensure and professional credibility
Many employers also encourage or require ongoing training as part of professional development.
Continuing Education (CE) Requirements to Maintain Licensure
Most states require nurses to complete continuing education units (CEUs) to renew their license. Requirements vary by state but typically include:
- A set number of CE hours every 1–3 years
- Courses related to clinical practice, ethics, or patient safety
- State-specific topics (e.g., domestic violence, infection control)
Contact Hours or Continuing Education Units (CEUs): Nurses are often required to complete a certain number of contact hours or CEUs within a specific time frame, typically every renewal period. The number of required hours can vary by state or country.
License Renewal: Nurses must renew their nursing licenses periodically, and completion of continuing education is often a prerequisite for renewal.
State-specific Requirements: Each state or country may have its own set of continuing education requirements, so nurses should check with their local nursing board or regulatory authority to understand their specific obligations.
Advanced Certification: Nurses pursuing advanced practice roles, such as nurse practitioners or nurse anesthetists, may have additional continuing education requirements related to their specialty.
Online and In-Person Options: Continuing education can be completed through various means, including online courses, workshops, conferences, and in-person classes.
Accreditation: To ensure the quality of education, nurses are often required to complete courses from accredited providers or institutions.
Record Keeping: Nurses are typically required to maintain records of completed continuing education activities and provide proof of completion during license renewal.
Audit and Compliance Checks: Some nursing boards conduct random audits to ensure that nurses are complying with continuing education requirements.
Exemptions: Certain exemptions or accommodations may be available for nurses who are experiencing extenuating circumstances, such as medical conditions or military service.
It’s important for nurses to stay informed about their specific continuing education requirements, as failure to meet these requirements can result in license suspension or other disciplinary actions. Nurses can usually find detailed information about their requirements through their state or country’s nursing board or regulatory agency.
*Check your state’s Board of Nursing website to confirm exact requirements.
Advanced Practice Pathways
If you’re looking to take your nursing career to the next level, advanced practice roles can offer more autonomy, responsibility, and earning potential. Common advanced pathways include:
- Nurse Practitioner (NP)
- Clinical Nurse Specialist (CNS)
- Certified Nurse Midwife (CNM)
- Certified Registered Nurse Anesthetist (CRNA)
These roles typically require a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP).
* Learn more about specialized nursing roles on our Careers in Nursing page.
FAQs About Becoming a Nurse
How long does it take to become a nurse?
It depends on the path you choose:
- LPN/LVN: ~1 year
- ADN (Associate Degree in Nursing): ~2 years
- BSN (Bachelor of Science in Nursing): ~4 years
Accelerated or nursing bridge programs may shorten this timeline for those with prior education.
Can I become a nurse online?
Yes, many programs offer online coursework, especially for bridge nursing programs or advanced degrees. However, all nursing programs require in-person clinical hours at a healthcare facility to meet licensure requirements.
What’s the fastest way to become a nurse?
The fastest route is usually a 1-year LPN program, but to become a registered nurse (RN), the ADN route takes about 2 years. If you already have a bachelor’s degree in another field, an Accelerated BSN can get you there in 12–18 months.
Do I need a BSN to work as an RN?
No, but a BSN is increasingly preferred by hospitals and healthcare systems. While an ADN qualifies you to sit for the NCLEX-RN, earning a BSN can open more doors for career advancement and specialized roles.
Resources and Tools
Here are some helpful resources to guide you on your journey to becoming a nurse:
NCLEX Prep Resources
- NCSBN Learning Extension – Official prep materials from the NCLEX creators
- Kaplan, UWorld, and ATI – Popular NCLEX review tools
State Board of Nursing Directories
- NCSBN Contact Your Board of Nursing – Find licensure information for your specific state
Professional Organizations
- American Nurses Association (ANA)
- National League for Nursing (NLN)
- National Student Nurses’ Association (NSNA)
Joining professional organizations can connect you with mentors, continuing education opportunities, and job leads.
Takeaways
Becoming a nurse is more than just earning a degree, it’s stepping into a career that’s rooted in compassion, resilience, and lifelong learning. Whether you’re just starting out or changing paths, there’s a nursing pathway that fits your goals, schedule, and aspirations.
With the right education, preparation, and support, you can join one of the most respected and rewarding professions in healthcare. From passing the NCLEX to gaining hands-on clinical experience, every step you take brings you closer to making a meaningful impact in the lives of others.
Ready to take the first step? Explore accredited programs, understand your options, and begin your journey toward becoming a nurse today.
