Steps to Becoming a Registered Nurse

A diverse group of nursing students in scrubs attentively listening to a lecture in a bright, modern classroom.

Understanding the Role and Requirements

Becoming a registered nurse (RN) is a rewarding career path that offers numerous opportunities to make a difference in people's lives. RNs provide and coordinate patient care, educate patients about health conditions, and offer emotional support to patients and their families in various settings, including hospitals, clinics, and community health organizations.

Educational Pathways

Types of Nursing Degrees

  • Associate Degree in Nursing (ADN)

    • 2-3 year program at community colleges
    • More affordable than BSN programs
    • Faster entry into the workforce
    • May need to pursue BSN later for career advancement
  • Bachelor of Science in Nursing (BSN)

    • 4-year program at universities
    • More comprehensive education
    • Better career advancement opportunities
    • Preferred by many employers
  • Accelerated BSN Programs: Designed for individuals who already hold a bachelor's degree in another field

Prerequisites and Coursework

Before entering nursing school, you'll need to complete several prerequisite courses:

  1. Anatomy and Physiology
  2. Chemistry
  3. Biology
  4. Mathematics
  5. Psychology
  6. English Composition

During the nursing program, you'll study:

  • Nursing Practice and Theory
  • Pharmacology
  • Medical-surgical nursing
  • Pediatric nursing
  • Maternal-child nursing

Clinical Experience

Clinical rotations are a critical component providing hands-on experience in various healthcare settings:

  • Hospitals
  • Clinics
  • Long-term care facilities
  • Community health centers

Clinical rotations are where theory meets practice. Students learn to apply classroom knowledge in real-world situations while developing critical thinking and decision-making skills.

NCLEX-RN Examination and Licensing

After graduating, you must pass the National Council Licensure Examination (NCLEX-RN) to become licensed. The exam covers:

  • Safe and Effective Care Environment
  • Health Promotion and Maintenance
  • Psychosocial Integrity
  • Physiological Integrity

State licensing requirements typically include:

  1. Completed nursing program from an accredited school
  2. Passed NCLEX-RN
  3. Background check
  4. Application fee
  5. Continuing education requirements

Career Advancement and Specialization

Once licensed, RNs can pursue various specializations:

SpecializationAdditional Certification RequiredAverage Salary Increase
Critical CareYes15-20%
PediatricsYes10-15%
OncologyYes12-18%
EmergencyYes15-25%

For further advancement, consider:

  • Master of Science in Nursing (MSN)
  • Doctor of Nursing Practice (DNP)
  • Nurse Practitioner certification
  • Clinical Nurse Specialist roles

Essential Skills and Professional Development

Successful nurses possess:

  • Strong communication abilities
  • Critical thinking skills
  • Emotional resilience
  • Physical stamina
  • Attention to detail
  • Time management expertise

Professional Organizations

Join professional organizations for networking and resources:


Remember that maintaining an active RN license requires regular renewal, continuing education credits, and adherence to state nursing board requirements. The nursing profession offers numerous opportunities for growth and specialization, making it a dynamic career choice with strong job security and personal satisfaction.