Registered Nurse

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Registered Nurse (RN)

Dreaming of a career in nursing? Becoming a registered nurse offers a pathway to meaningful work and numerous opportunities for career growth.

Registered Nurse
Joanna Whitfield, MSN, RN | July 31, 2024
Medically reviewed by EveryNurse Staff Writers
Registered Nurse
Summary

The practice of registered nursing is often described as a perfect harmony of science and heart. On one hand, it is deeply rooted in evidence-based research and cutting-edge clinical knowledge, demanding a strong foundation in the biological and medical sciences.

On the other hand, it is the compassionate heart of a nurse that brings a uniquely human touch to the profession. If you find yourself drawn to a career that combines your passion for helping others with the opportunity for continuous learning and growth, then the path of a registered nurse may be your true calling.

What Is a Registered Nurse?

As a registered nurse (RN), you’ll have the privilege of making a meaningful difference in people’s lives every single day while being part of a dynamic, highly respected profession. RNs are licensed healthcare professionals on the frontline of the medical workforce who provide direct patient care in various settings such as hospitals, clinics, schools, and homes. RNs assess patients’ health, administer treatments and medications, develop care plans, educate patients and families, and collaborate with other healthcare providers to deliver comprehensive care.

What Does a Registered Nurse Do?

Registered nurses (RNs) have a wide range of daily responsibilities that involve direct patient care, collaboration with healthcare teams, and administrative tasks. On a typical day, an RN assesses patients’ health conditions, administers medications and treatments, monitors vital signs, maintains accurate medical records, educates patients and families, and communicates with physicians and other healthcare professionals. The specific duties may vary depending on the work setting and specialty, but the primary focus is always on delivering high-quality, patient-centered care.

Key Responsibilities

  • Conducting physical examinations and health assessments
  • Obtaining and documenting patient medical histories and symptoms
  • Monitoring patients’ vital signs and overall condition
  • Administering medications and treatments as prescribed by physicians
  • Collaborating with doctors and other healthcare professionals to develop and implement patient care plans
  • Operating and monitoring medical equipment
  • Performing diagnostic tests and analyzing results
  • Educating patients and families about health conditions, treatments, and preventive care
  • Providing emotional support and guidance to patients and their loved ones
  • Maintaining accurate and detailed medical records
  • Ensuring adherence to healthcare policies, protocols, and regulations
  • Supervising and delegating tasks to licensed practical nurses (LPNs) and nursing assistants
  • Participating in quality improvement initiatives and research studies

How to Become a Registered Nurse

Becoming a registered nurse (RN) in the United States involves completing a series of well-defined steps that include earning a nursing degree from an accredited program, applying for licensure with your state board of nursing, passing the NCLEX-RN licensing exam, and obtaining your RN license. While the specific requirements may vary slightly by state, the overall process remains consistent across the country. 

1. Complete an Accredited Nursing Program

Earn an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from a nursing program accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). ADN programs typically take 2-3 years, while BSN programs take 4 years to complete. The curriculum includes nursing theory, clinical skills, and general education courses.

2. Apply for Licensure with Your State Board of Nursing

To apply for RN licensure, candidates must submit an application to their state board of nursing, along with required documents such as proof of education, background check results, and application fees. Applicants must meet state-specific requirements, which typically include U.S. citizenship or legal residency, graduation from an accredited nursing program, passing the NCLEX-RN exam, and demonstrating good moral character. The application process can take several weeks, and the RN license is issued once all requirements are met and the application is approved.

3. Register and Pass the NCLEX-RN Exam

Candidates must register with Pearson VUE to take the NCLEX-RN exam after receiving authorization from their state board of nursing. The computerized adaptive exam costs $200, takes up to 6 hours to complete, and consists of 75-145 questions. After taking the NCLEX-RN, candidates must wait up to 6 weeks for their state board of nursing to send official exam results. If a candidate does not pass the NCLEX-RN on their first attempt, they can retake the exam after a mandatory 45-day waiting period, with a maximum of 8 attempts per year.

4. Obtain Your RN License

After passing the NCLEX-RN exam, it typically takes 2-6 weeks for the state board of nursing to issue an RN license, depending on the state. The board must verify that all licensure requirements are met before issuing the license. Once licensed, RNs must renew their licenses periodically, usually every 2-4 years, by completing a minimum number of continuing education hours to ensure ongoing competency.

5. Consider Specialty Certifications and Advanced Degrees

Pursuing specialty certifications and advanced degrees like a Master of Science in Nursing (MSN) can significantly enhance a registered nurse’s career. Specialty certifications demonstrate expertise in specific areas, improving professional credibility and potentially leading to higher salaries. An MSN degree qualifies nurses for advanced practice roles, leadership positions, and increased autonomy. While these educational pursuits require substantial time and financial investments, they offer valuable returns in terms of professional growth, career satisfaction, and improved patient care.

Registered Nurse Education

The educational pathways for becoming a registered nurse include various programs, each offering different durations and levels of training. Understanding these options can help prospective students choose the best fit for their career goals.

Associate Degree in Nursing (ADN)

ADN programs typically take 2-3 years to complete and are offered at community colleges, vocational schools, and some four-year institutions. These programs focus on nursing fundamentals, clinical skills, and essential nursing theory, preparing students for entry-level nursing positions. ADN curricula include both classroom instruction and hands-on clinical experience.

Bachelor of Science in Nursing (BSN)

BSN programs are four-year degrees offered at colleges and universities. They provide a more comprehensive education in nursing theory, leadership, and clinical skills. It’s worth noting that while an ADN is the minimum requirement in most states, there’s a growing preference for BSN-prepared nurses. Some states, like New York, require RNs to obtain a BSN within 10 years of initial licensure. Many employers, especially hospitals, prefer or require a BSN for certain positions.

Transitioning From RN to BSN

While an ADN  program can qualify you to become an RN, many healthcare organizations prefer or require BSN-prepared nurses. For those already working as RNs with an ADN or diploma, there are RN-to-BSN programs available that allow them to earn a bachelor’s degree while working. These programs build on the nurse’s existing knowledge and typically take 1-2 years to complete.

Registered Nurse Salary & Wages

The average registered nurse  salary in the United States is approximately $94,480 per year or $45.42 per hour, according to recent data from the Bureau of Labor Statistics. However, RN salaries can vary significantly depending on factors such as location, experience, education, specialization, and work setting. For example, RNs in California earn an average of $137,690 per year, while those in Hawaii earn an average of $119,710 annually. Other high-paying states for RNs include Oregon, Washington, and Alaska.

Job Outlook

The job outlook for registered nurses is positive, with employment projected to grow 6% from 2022 to 2032. This growth is expected to result in about 177,400 new RN positions over the decade. The demand for nurses is driven by factors such as an aging population, increased emphasis on preventive care, and growing rates of chronic conditions like diabetes and obesity. While job prospects are generally good, they may vary by location and specialty. Nurses with bachelor’s degrees and advanced practice registered nurses (APRNs) are likely to have the best job opportunities.

Frequently Asked Questions

The time to become a registered nurse varies depending on the educational path chosen, ranging from 2 to 4 years. Traditional Associate Degree in Nursing (ADN) programs typically take 2-3 years, while Bachelor of Science in Nursing (BSN) programs require 4 years. Accelerated BSN programs for those with a bachelor’s degree in another field can be completed in 12-18 months. Less common hospital-based diploma programs usually last 2-3 years. For working RNs with an ADN, RN-to-BSN programs typically take 1-2 years to complete. After finishing any of these programs, graduates must pass the NCLEX-RN exam to obtain licensure, which can add a few months to the overall process.

While it’s not possible to become a registered nurse (RN) entirely online due to the hands-on nature of the profession, many schools offer hybrid programs that combine online theoretical coursework with essential in-person clinical experiences. These programs allow students to complete a significant portion of their studies online, including classes in nursing theory, pharmacology, and health promotion. However, all nursing programs require hands-on clinical experience, including on-campus lab sessions and clinical rotations in healthcare facilities. This hybrid approach provides flexibility for students with other commitments while ensuring they meet the practical training requirements mandated by state nursing boards for RN licensure.
The main difference between an RN and BSN lies in the level of education and the degree earned. RN (Registered Nurse) is a licensure designation for nurses who have completed either an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN) and have passed the NCLEX-RN exam. BSN specifically refers to a four-year bachelor’s degree in nursing. While both ADN-prepared and BSN-prepared nurses can become RNs, BSN programs offer a more comprehensive education, including advanced coursework in leadership, research, and public health.

Yes, there is typically a pay difference between RNs with an Associate Degree in Nursing (ADN) and those with a Bachelor of Science in Nursing (BSN). BSN-prepared nurses generally earn higher salaries than ADN-prepared RNs. For example, PayScale reports that BSN graduates earn about $91,000 annually, while ADN holders earn approximately $74,000. This salary gap tends to persist throughout a nurse’s career, with BSN holders often having access to more advanced positions and better career growth opportunities.

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