HawaiiRegistered Nurse License Requirements

Accepted Degree Types

Prerequisite Education

High school diploma or GED required for ADN programs; prerequisite college coursework required for BSN programs

Registered nurses must complete an approved nursing program — either an Associate Degree in Nursing (ADN), a Bachelor of Science in Nursing (BSN), or a diploma program. Programs must be accredited by ACEN or CCNE. BSN programs typically take 4 years while ADN programs take 2-3 years, both including required clinical hours.

Format: Computer Adaptive Testing (CAT), 75-145 questions

Retake Policy

45-day waiting period between attempts; must re-register and pay fee for each attempt

The NCLEX-RN is a Computer Adaptive Test (CAT) administered by the NCSBN. The exam adapts to each candidate, with a minimum of 75 and maximum of 145 questions. A jurisprudence exam on state-specific nursing laws may also be required depending on the state.

Compact Privileges

Hawaii is NOT a member of the Nurse Licensure Compact. RNs must obtain a separate Hawaii license to practice in this state. Active/pending NLC legislation has been introduced.

The enhanced Nurse Licensure Compact (eNLC) allows registered nurses to hold one multistate license and practice in all compact member states without obtaining additional licenses. Nurses must meet uniform licensure requirements including a federal background check to qualify for a multistate license.

Restricted Activities

Advanced Practice Specialization Pathways

Registered nurses are authorized to perform patient assessments, develop care plans, administer medications, and provide IV therapy. RNs may delegate tasks to LPNs and CNAs under appropriate supervision. Advanced practice pathways include Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), and Certified Nurse-Midwife (CNM).

Regulatory Board

Registered nurse licenses must be renewed on schedule. Most states require continuing education hours covering topics such as pharmacology, patient safety, and nursing ethics. Some states also require minimum practice hours for renewal to ensure ongoing clinical competency.

Reciprocity Requirements

• •Active RN license in good standing in another state
• •Graduation from an approved nursing program
• •Passage of the NCLEX-RN
• •Complete electronic fingerprinting (one-time, $50-$75)
• •Submit endorsement application ($234 or $166 depending on timing)
• •Temporary permit available ($50)

The enhanced Nurse Licensure Compact (eNLC) allows registered nurses to practice in all compact member states with a single multistate license. Non-compact states require license by endorsement, which typically involves verifying NCLEX scores, submitting transcripts, passing a background check, and meeting state-specific requirements.