How to become a RN

Q: How to become a RN?

A: To become a Registered Nurse (RN) in the United States, you must complete three core steps: 1) Graduate from an accredited nursing education program, 2) Pass the NCLEX-RN national licensing exam, and 3) Obtain a state license from the board of nursing where you wish to practice.

Q: What are the main educational pathways to become an RN?

A: There are three primary academic routes, each with a different time commitment and career entry point:

1. Associate Degree in Nursing (ADN): A 2-3 year program typically offered at community colleges. It’s the fastest route to becoming an RN and entering the workforce.
2. Bachelor of Science in Nursing (BSN): A 4-year university degree. This is increasingly becoming the preferred educational standard for hospitals and health systems, especially for career advancement into leadership, education, or specialized fields.
3. Accelerated BSN or Direct-Entry MSN: For individuals who already hold a bachelor’s degree in another field. These intensive programs can prepare you for the NCLEX-RN in 12-24 months.

Q: What is the NCLEX-RN and how do I pass it?

A: The National Council Licensure Examination for Registered Nurses (NCLEX-RN) is the standardized, computerized test that all nursing graduates must pass to obtain a license. It tests your knowledge, skills, and abilities essential for safe and effective entry-level nursing practice.

• Preparation: Success requires a dedicated 2-3 month review period using NCLEX-specific review books, question banks, and practice tests. Focus on critical thinking, clinical judgment, and test-taking strategies for its adaptive format.
• Passing: You will receive a “pass” or “fail” result. If you do not pass, you can retake the exam after a mandatory waiting period (typically 45 days).

Q: What are the steps after passing the NCLEX-RN?

A: After passing the NCLEX, you must:

1. Apply for State Licensure: Submit an application to the Board of Nursing (BON) in the state where you wish to be licensed. This involves a background check and paying licensing fees.
2. Maintain Your License: RN licenses must be renewed every 1-2 years, which involves completing state-mandated Continuing Education (CE) hours and paying renewal fees.

Q: What about career advancement after becoming an RN?

A: An RN license is the foundation. For career growth, many nurses pursue:

• Specialty Certifications: Credentials in areas like Critical Care (CCRN), Oncology (OCN), or Pediatrics (CPN).
• Advanced Degrees: A Master of Science in Nursing (MSN) to become a Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Nurse Anesthetist (CRNA), or Nurse Midwife (CNM). A Doctor of Nursing Practice (DNP) is the highest clinical degree.