How to Become a Registered Nurse (RN) in 2026: Complete Licensing Guide
Registered Nurses (RNs) are the backbone of the U.S. healthcare system, providing direct patient care in hospitals, clinics, schools, and communities across the country. Across the 51 states we track, 41 participate in the Nurse Licensure Compact (NLC), and 1 require a Bachelor of Science in Nursing (BSN) for initial licensure.
This guide covers everything you need to know about becoming a Registered Nurse in 2026 -- from education and exam requirements to state-by-state licensing fees, the Nurse Licensure Compact, and continuing education.
Quick Overview
- Complete an accredited nursing program (ADN or BSN) from an accredited institution
- Pass the NCLEX-RN exam, the national licensure examination for registered nurses
- 41 of 51 states participate in the Nurse Licensure Compact, allowing multistate practice
- 1 states require a BSN degree for licensure; others accept an ADN
- 39 states require continuing education (CE) for license renewal, averaging 23.9 hours
- Average initial licensing fees: $374
What Does an RN Do?
Registered Nurses assess patient health, develop and implement care plans, administer medications and treatments, educate patients and families, and coordinate care with physicians and other healthcare providers. RNs work in a wide range of settings:
- Hospitals: Medical-surgical units, intensive care, emergency departments, labor and delivery, and specialty floors
- Outpatient clinics: Physician offices, surgery centers, dialysis centers, and specialty practices
- Community and public health: Schools, correctional facilities, home health agencies, and public health departments
- Long-term care: Skilled nursing facilities, assisted living, and rehabilitation centers
- Specialty and advanced roles: Travel nursing, case management, nursing education, and informatics
The RN designation requires a state-issued license and is distinct from Licensed Practical Nurses (LPNs) and Advanced Practice Registered Nurses (APRNs). RNs have broader scope of practice than LPNs and serve as the primary nursing workforce in most healthcare settings.
Step 1: Complete an Accredited Nursing Program
To qualify for RN licensure, you must graduate from a nursing program accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). There are two main educational pathways:
Associate Degree in Nursing (ADN)
The ADN is a 2-3 year program typically offered at community colleges. It is the faster and more affordable path to RN licensure and remains the entry-level credential in most states. ADN-prepared nurses are eligible to sit for the NCLEX-RN and practice as full RNs upon passing. Key considerations:
- Duration: Typically 2-3 years, including prerequisites
- Cost: Generally lower tuition than BSN programs, especially at community colleges
- Career path: Many ADN nurses pursue RN-to-BSN bridge programs after gaining work experience
- Limitations: Some employers, particularly Magnet hospitals, prefer or require BSN-prepared nurses for hire or advancement
Bachelor of Science in Nursing (BSN)
The BSN is a 4-year degree offered at colleges and universities. It provides a broader foundation in nursing science, research, leadership, and community health. BSN programs are increasingly preferred by employers and required by some states. Key considerations:
- Duration: Typically 4 years, or 1-2 additional years for RN-to-BSN bridge programs
- Magnet hospitals: Many Magnet-designated hospitals require 80% or more of nursing staff to hold a BSN
- Advancement: Required for most APRN programs (NP, CRNA, CNM, CNS)
- State requirements: 1 states currently require a BSN for initial RN licensure
States Requiring a BSN for Licensure
Step 2: Pass the NCLEX-RN Exam
All states require candidates to pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) before receiving an RN license. The exam is developed and administered by the National Council of State Boards of Nursing (NCSBN) at Pearson VUE testing centers nationwide.
As of 2023, the NCLEX-RN uses Next Generation NCLEX (NGN) format, which emphasizes clinical judgment and decision-making. Key facts about the exam:
- Format: Computer Adaptive Testing (CAT) -- the number of questions adapts based on your performance, ranging from 85 to 145 items under NGN
- Content: Safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiological integrity
- Passing standard: Set by NCSBN and updated periodically; the exam uses a pass/fail determination based on a logistic model
- Registration: Submit your application to your state board of nursing, then register with Pearson VUE and pay the $200 exam fee
- Retakes: Most states allow retakes after 45-90 days; check your state's policy for limits on attempts
The overall NCLEX-RN pass rate for first-time U.S.-educated candidates is approximately 80-85%. Thorough preparation using NCLEX review materials, question banks, and practice exams is strongly recommended.
State-by-State RN Requirements
The table below summarizes key RN licensing requirements across all 51 states we track. Click any state for the full breakdown.
| State | Credential | NCLEX Required | NLC Member | BSN Required | CE Hours | Fees |
|---|---|---|---|---|---|---|
| Alabama | RN | Yes | Yes | No | 24 | $372.50-$472.50 |
| Alaska | RN | Yes | No | No | 30 | $575 |
| Arizona | RN | Yes | Yes | No | 0 | $550 |
| Arkansas | RN | Yes | Yes | No | 15 | $336.25 |
| California | RN | Yes | No | No | 30 | $549-$999 |
| Colorado | RN | Yes | Yes | No | 0 | $444.50 |
| Connecticut | RN | Yes | Yes | No | 0 | $430 |
| Delaware | RN | Yes | Yes | No | 30 | $381+ |
| District of Columbia | RN | Yes | No | No | 24 | $437 |
| Florida | RN | Yes | Yes | No | 27 | $360-$390 |
| Georgia | RN | Yes | Yes | No | 30 | $290 |
| Hawaii | RN | Yes | No | No | 30 | $544-$559 |
| Idaho | RN | Yes | Yes | No | 0 | $318.25 |
| Illinois | RN | Yes | No | No | 20 | $317 |
| Indiana | RN | Yes | Yes | No | 0 | $280 |
| Iowa | RN | Yes | Yes | No | 36 | $343 |
| Kansas | RN | Yes | Yes | No | 30 | $348-$373 |
| Kentucky | RN | Yes | Yes | No | 14 | $394 |
| Louisiana | RN | Yes | Yes | No | 30 | ~$350 |
| Maine | RN | Yes | Yes | No | 0 | ~$325 |
| Maryland | RN | Yes | Yes | No | 30 | ~$437 |
| Massachusetts | RN | Yes | Yes | No | 15 | $430 |
| Michigan | RN | Yes | No | No | 25 | ~$475 |
| Minnesota | RN | Yes | No | No | 24 | $337 |
| Mississippi | RN | Yes | Yes | No | 20 | $375 |
| Missouri | RN | Yes | Yes | No | 0 | $244.80 |
| Montana | RN | Yes | Yes | No | 24 | $345 |
| Nebraska | RN | Yes | Yes | No | 20 | $368 |
| Nevada | RN | Yes | No | No | 30 | $350 |
| New Hampshire | RN | Yes | Yes | No | 30 | $398 |
| New Jersey | RN | Yes | Yes | No | 30 | $459 |
| New Mexico | RN | Yes | Yes | No | 30 | $354 |
| New York | RN | Yes | No | Yes | 3 | $343 |
| North Carolina | RN | Yes | Yes | No | 15 | $313 |
| North Dakota | RN | Yes | Yes | No | 12 | $365 |
| Ohio | RN | Yes | Yes | No | 24 | $322.25 |
| Oklahoma | RN | Yes | Yes | No | 24 | $335 |
| Oregon | RN | Yes | No | No | 0 | $369+ |
| Pennsylvania | RN | Yes | Yes | No | 30 | $317-$335 |
| Rhode Island | RN | Yes | Yes | No | 10 | $365 |
| South Carolina | RN | Yes | Yes | No | 30 | $331 |
| South Dakota | RN | Yes | Yes | No | 0 | $343 |
| Tennessee | RN | Yes | Yes | No | 0 | $338 |
| Texas | RN | Yes | Yes | No | 20 | $314 |
| Utah | RN | Yes | Yes | No | 30 | $290 |
| Vermont | RN | Yes | Yes | No | 0 | $420 |
| Virginia | RN | Yes | Yes | No | 30 | $426-$429 |
| Washington | RN | Yes | Yes | No | 8 | $372-$386 |
| West Virginia | RN | Yes | Yes | No | 30 | $270 |
| Wisconsin | RN | Yes | Yes | No | 0 | $311 |
| Wyoming | RN | Yes | Yes | No | 20 | $395 |
Nurse Licensure Compact (NLC)
The Nurse Licensure Compact (NLC) is an agreement among participating states that allows RNs and LPNs/LVNs to hold a single multistate license and practice in any NLC member state without obtaining additional licenses. Currently, 41 of 51 states participate in the NLC.
To obtain a multistate license, you must:
- Declare your primary state of residence as an NLC member state
- Meet all licensure requirements for that state
- Apply for licensure through your home state's board of nursing
- Your multistate license is automatically valid in all other NLC member states
If you move to another NLC state, you must apply for a new license in your new home state within 60 days of establishing residency. The NLC is especially valuable for travel nurses and those who live near state borders.
NLC Member States
Continuing Education (CE) Requirements
39 of 51 states require RNs to complete continuing education (CE) hours as a condition of license renewal. The average requirement among states with CE mandates is 23.9 hours per renewal cycle. Requirements vary significantly by state:
- Hours required: Typically range from 15 to 30 hours per renewal period (usually 2 years)
- Subject areas: Many states specify required topics such as pharmacology, infection control, pain management, or cultural competency
- Delivery formats: Online courses, live seminars, webinars, hospital in-service training, and academic coursework are commonly accepted
- Documentation: Retain CE certificates for at least 3-4 years, as states may audit licensees to verify compliance
States with CE Requirements
Frequently Asked Questions
How long does it take to become an RN?
The timeline depends on your educational path. An ADN typically takes 2-3 years (including prerequisites), while a BSN takes 4 years. After graduation, you must apply for licensure, pass the NCLEX-RN, and receive your license -- a process that usually takes 4-8 weeks. Accelerated BSN programs for those with a non-nursing bachelor's degree can be completed in 12-18 months.
How much does it cost to become an RN?
Costs vary widely. Community college ADN programs can cost $10,000-$30,000 total, while BSN programs at public universities typically range from $40,000-$80,000. Additional costs include the NCLEX-RN exam fee ($200), state licensure application fees (averaging $374), background check fees, and NCLEX review course costs ($100-$500).
Do I need a BSN to become an RN?
In most states, no -- an Associate Degree in Nursing (ADN) is sufficient for initial RN licensure. However, 1 states require a BSN for licensure, so check your state's specific requirements. Many nurses earn their ADN first, gain work experience, and complete an RN-to-BSN bridge program while working.
What is the NCLEX-RN pass rate?
The overall first-time pass rate for U.S.-educated candidates is approximately 80-85% as of 2024. Pass rates vary by nursing program and preparation. Thorough use of NCLEX-specific review resources, question banks, and practice exams significantly improves outcomes.
What is the Nurse Licensure Compact (NLC)?
The NLC is an agreement that allows RNs to hold a single multistate license valid in all 41 member states. It is particularly useful for travel nurses and nurses who live near state borders. To qualify, you must establish your primary residence in an NLC member state and meet that state's licensure requirements.
Can I become an RN with a criminal record?
Possibly, depending on the state and the nature of the offense. Most state boards of nursing review applications on a case-by-case basis. Offenses related to drugs, patient abuse, or fraud are more likely to result in denial. Many states allow applicants to request a preliminary determination before investing in education. Background checks are required in all states as part of the licensure process.
How do I renew my RN license?
RN licenses must be renewed periodically -- typically every 1-2 years depending on the state. Renewal requires submitting a renewal application, paying a renewal fee, and in 39 states, completing the required CE hours. Some states also require proof of practice hours or other attestations. Check your state board of nursing's website for exact renewal deadlines and requirements.
Sources
Education, exam, licensure, and fee data are sourced from official state boards of nursing and national nursing organizations.
- Individual state boards of nursing websites (cited on each state page).
- NCSBN (National Council of State Boards of Nursing) -- ncsbn.org
- Nurse Licensure Compact (NLC) administrator information -- ncsbn.org/nlc
- ACEN (Accreditation Commission for Education in Nursing) -- acenursing.org
- CCNE (Commission on Collegiate Nursing Education) -- aacnnursing.org/ccne-accreditation
Data was last verified in March 2026. Requirements can change as states update their regulations. Always confirm current requirements with your state's board of nursing before beginning the licensing process.
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