How to Become a Nurse: A Complete Guide (2023)

Nurses of all educational backgrounds and levels are needed now more than ever. With the population aging and becoming sicker, there is an especially urgent demand for second career nurses. Nurse Practitioners (NPs) and nursing assistants are also highly sought after.

The increased need for more nurses in the workforce necessitates the education of nursing students to prepare them for the real world. This article will help you understand how to become a nurse from start to finish, including the education aspiring nurses need to complete, such as an online accelerated Bachelor of Science in Nursing degree.

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The following information will serve as a good starting point for anyone who is interested in becoming a nurse:

  • What is a Nurse?
  • How to Become a Nurse: 4 Steps
  • History of Nursing
  • Paths to Becoming a Nurse: 5 Types of Nurses
  • Common RN Practice Areas and Work Hours
  • RN versus NPs: What’s the Difference?
  • Where Do Nurses Work?
  • Required Skills to Become a Nurse
  • Qualities of a Nurse
  • Roles and Responsibilities of a Nurse
  • How Much Do Nurses Make?
  • How Long Does It Take to Become a Nurse?

What is a Nurse?

Working within a team of health care professionals, nurses are responsible for the care and overall well-being of individuals who may need medical or care interventions for a multitude of reasons. Nurses provide compassionate support in an ever-changing environment.

Nurses work in a wide range of areas and specialties, including acute care settings like hospitals and surgical centers, as well as home health agencies, schools and nursing homes. Roles can range from working as a certified nursing assistant to conducting research on a variety of complicated health care questions at the PhD or doctorate level.

The majority of the workforce consists of registered nurses (RNs). Most RNs have a bachelor’s degree, which is typically acquired at a four-year university. However, this can be completed in as little as two years through certain accelerated nursing programs.

How to Become a Nurse: 4 Steps

The path toward delivering patient care as a licensed RN can vary from person to person, but the general steps will be the same. The nursing program and state where you are planning to practice will determine the necessary process for how to become a nurse.

Step 1: Complete an Education

The first step toward becoming an RN is to complete an official registered nurse program. Many programs are limited entry, which means that there are specific requirements such as a certain GPA and prerequisites. Additionally, an application is needed to be accepted into the program.

If you are accepted into a nursing program, the following prerequisite courses are typically necessary in order to start. Many also require laboratory hours, so this should be factored in when planning your semester:

  1. Anatomy and Physiology 1 and 2
  2. General Chemistry for Health Science Majors
  3. Developmental Psychology
  4. Microbiology
  5. Sociology or Anthropology
  6. Statistical Analysis

Additionally, some programs require applicants to sit for an entrance exam to ensure that the minimum math, English and science standards are met. Each program is different, and how the entrance exam is applied can inform your approach to it. Some programs will take an average score of prior exams, while others will accept your highest score if attempted more than once.

Step 2: Register for and Pass the NCLEX-RN Exam

After you have completed an accredited nursing program, you can register to take the exam all nurses must complete to become licensed. The NCLEX-RN is a standardized test that determines whether a newly graduated nurse can competently and safely perform the duties of the job.

As a nursing student, you will be required to study for the board certification examination as part of your program. Review courses are available, which offer additional preparation to help you pass the boards on your first attempt. Depending on the type of nursing program, you may be required to complete a review course as part of your tuition, while others offer it for an additional cost.

Apply for State Licensure

After you pass the NCLEX-RN exam you’ll need to apply for the state license or compact license with the state board of nursing that you wish to work in. Some states are considered “compact states,” which allows a nurse to obtain licensure in a particular state and practice in several other states that participate in the compact agreement.

Apply for Nursing Jobs

Upon receiving your state or compact nursing license you can start to apply for available nursing positions. If you’ve been granted a compact license, you can apply for RN jobs in any state that’s part of the Nurse Licensure Compact.

History of Nursing

The history of nursing dates back to the mid-19th century with Florence Nightingale, who had a theory that the environment around those who are sick could affect the overall health and recovery process of an individual. The theory involved five main environmental areas of concern:

  • Fresh air
  • Pure water
  • Effective drainage
  • Cleanliness or sanitation
  • Light or direct sunlight

In 1854, Nightingale tested her nursing theory during Britain’s Crimean War. Thanks to her revolutionary ideas during that period, many lives were saved. Nightingale’s approach to caring for the sick proved to be very effective.

At the turn of the 20th century, many industrialized countries began establishing professional associations that ultimately set the standards for both trained nursing assistants and untrained nurses.

In the mid-1930s, increased technological and clinical demands of patient care required transitioning to a more intensive setting than the home. This need for more specialized care led to the demand for hospital beds and trained nursing staff. By the mid-1950s, hospitals were the largest employer of RNs. This trend continues today — even with a growing number of in-home health options for patients.

Due to these changes in the health care industry over time, the educational path of nurses evolved. This includes training all nurses in typical educational settings. By the 1970s, education had expanded to include doctoral-level programs that emphasized nursing knowledge and research.

This expansion catered to the more immediate needs within the nursing field and paved the way for the present day, leading to the current nursing trends of today. While the majority of nurses are female, many males have worked in the nursing field throughout history and present day, making up about 13% of the nursing workforce.

How to Become a Nurse: A Complete Guide (1)

Paths to Becoming a Nurse: 5 Types of Nurses

RNs are the most sought-after nursing credential, making up most of the health care workforce. Education for nurses can range from earning the certificate necessary to become a certified nursing assistant (CNA) all the way to a doctorate for a nurse practitioner role. Each state has a different set of criteria and scope of practice for each level of nursing. Therefore, the path to becoming a nurse can vary greatly depending on the state where a nurse is licensed.

Certified Nursing Assistants (CNAs)

CNAs are nursing assistants who work directly with RNs to provide routine care and collect data for reporting purposes. They help patients with bathing, dressing and maintaining as much independence as possible. Most CNA programs can be completed in just a few weeks, with few prerequisites and a one-time certifying exam at the end of the program. CNAs are not required to take the NCLEX exam.

Licensed Practical Nurses (LPNs) and Licensed Vocational Nurses (LVNs)

Licensed practical nurses (LPNs) or licensed vocational nurses (LVNs) are nurses who work alongside RNs in direct patient care. LPNs are usually able to monitor and document medical history and communicate with doctors and RNs to provide the best possible care for their patients. The state where the LPN is licensed and the scope of practice defined by the state board of nursing will determine where LPNs are utilized within the workforce.

In most states, they can provide routine care and procedures such as changing dressings. Some states permit them to start IVs and administer medications independently. However, they are typically restricted to oral medication administration under the supervision of an RN. LPNs and LVNs must complete a diploma in practical nursing or an Associate Degree in Nursing (ADN) and pass the National Council Licensure Examination for Vocational or Practical Nurses (NCLEX-PN) before they can practice.

Registered Nurses

As the largest group of individuals in the health care field, RNs collaborate with LPNs and CNAs to ensure the safety of patients. RNs assess patients’ medical conditions, educate patients on disease processes, administer medications and communicate with physicians and health care team members. In addition to managing the care of multiple patients at once, they supervise CNAs and LPNs to ensure that competent and safe care is provided. Registered nurses must pass the NCLEX-RN exam.

Nurse Practitioners

A nurse practitioner (NP) is an advanced practice registered nurse (APRN) with an advanced degree, which is typically attained through either a master’s or a doctoral program. NPs perform similar duties to physicians, such as diagnosing and prescribing medications for patients. They also conduct assessments, analyze and interpret lab and test results and create care plans through collaboration with each patient and their needs.

In addition to passing the NCLEX-RN exam, aspiring NPs must also pass a nurse practitioner exam. The type of NP certification exam a candidate must sit for varies depending on the area of medicine they wish to specialize in, such as family nurse practitioner. A comprehensive list of NP certification exams is available on the American Nurses Association website.

Common RN Practice Areas and Work Hours

Nursing professionals are dispersed across various settings and work with many different patient populations. Professionals interested in how to become a nurse have numerous specialization areas and settings they can work in, including:

  • Pediatrics
  • Surgical services
  • Women’s health
  • Research
  • Geriatrics
  • Skilled nursing or home health
  • Inpatient psychiatric facilities
  • Education

Working hours for RNs and NPs can vary widely based on the facility where they work. For example, those employed in private or group practice settings may work 40 hours per week, Monday through Friday, during standard business hours. Nurses employed by facilities that provide 24-hour care, such as hospitals and hospice care centers, may need to work night, weekend, holiday and on-call shifts.

RN versus NPs: What’s the Difference?

One of the biggest differences between these roles is how to become a nurse versus a nurse practitioner. NPs possess at least a master’s-level education and can specialize in several different areas. Certified nurse anesthetists may administer anesthesia for both routine and complex medical procedures. Most programs require years of critical care clinical experience to apply for additional certifications.

Family nurse practitioners (FNPs) are nurse practitioners whose scope of practice ranges across the entire lifespan. FNPs are in growing demand and have the potential to work in many different specialties and settings.

Like RNs, advanced practice nurses work directly with patients to provide compassionate and appropriate care. Working independently within a team, they do what is best for the patient at any given point throughout their care.

Because NPs hold at least a master’s degree, they can participate in the research and development of policies and procedures and hold more leadership roles. Depending on the scope of practice, NPs may independently order tests and procedures and perform more complex and more invasive procedures than RNs can.

Determining your path comes down to knowing what you are looking for in a career. Some thrive in a leadership role with more autonomy and responsibility, while others prefer to be hands-on with patients at the bedside in an RN role.

How to Become a Nurse: A Complete Guide (2)

Where Do Nurses Work?

Many health care facilities are always open. With most nurses employed by hospitals and nursing care facilities, most of their patients require care 24 hours a day. As a result, nurses are commonly employed in full-time positions. However, part-time and per diem roles are also available to provide around-the-clock care. This means shifts can last either eight or twelve hours, depending on your specialty and setting.

  • CNAs are largely employed in nursing care settings like skilled nursing facilities, with another one-third in hospitals.
  • The majority of LPNs work in nursing homes and residential care facilities. Hospitals, doctors’ offices and home health settings are the main employers of LPNs.
  • Hospitals employ the majority of RNs in the workforce. This is followed by outpatient facilities and doctors’ offices.
  • The largest employer of NPs is hospitals, followed by outpatient facilities and educational services.

Required Skills to Become a Nurse

During any shift, a nurse performs many duties and tasks that require specialized training and education. That being said, maintaining a good understanding of yourself and how you work and learn best is one of the most important skills a nurse can learn to develop to provide competent care.

  • Performing and monitoring invasive procedures: Nurses are responsible for handling many procedures. Staying organized and aware of surroundings is critical to maintaining a sterile environment. Nurses are skilled in starting and maintaining intravenous access and drawing blood for laboratory tests.
  • Basic mathematics: Nurses are required to accurately determine the dose of medications and ensure the safety of patients. Most measurements and medication dosages you will be working with use the metric system, so understanding it is important to ensure safety and consistency throughout care.
  • Critical thinking: Nurses work in a highly dynamic industry. Needs are rarely the same from one patient to the next. Conditions can change rapidly, which requires medical staff to look at the entire person and provide individualized care.
  • Communication skills: Working directly with patients, nurses are responsible for providing education and presenting important medical information. Being an efficient and effective communicator is especially important. This includes sharing changes with all necessary individuals and explaining complex medical conditions in a way that makes sense to patients.
  • Time management: In many settings, nurses are responsible for multiple patients at a time. Patients’ needs must be prioritized and clustered to complete all necessary tasks. Time management is a skill that benefits both nurses and patients.

Qualities of a Nurse

Nurses are the front line of health care. They work directly with patients, collect data and facilitate the logistics required at every turn of care. Nurses are experienced in working with people and managing their health-related problems and concerns. They are also trained in looking at the individual as a whole.

Despite the fact that there are no character requirements for acceptance into a nursing program, certain qualities can help you become a nurse and improve the lives of patients as well as make nurses’ lives in and out of work run more efficiently, including:

  • Emotional stability: Working in emotionally charged situations can be challenging for nurses. Understanding yourself, maintaining the ability to control your emotions and having a healthy outlet to release frustrations may be crucial. A strong support system can also be invaluable for nurses who find themselves in these situations daily. Knowing people will support you during difficult times can be very comforting and play a part in how you process the emotions of the job.
  • Choosing to care for those at their most vulnerable: As a health care professional, you will be exposed to many vulnerable moments throughout your career. You may find yourself in many situations where you have no control over the outcome. Nevertheless, showing support for your patients as they go through vulnerable transitions is imperative.
  • Physical stamina: Nurses spend most of their time at work on their feet in a fast-paced working environment. Shifts can be very long, and there may be limited time to sit down and nourish yourself. Patients are also becoming heavier. Nurses are typically responsible for turning those patients who are bedbound and need assistance. This means that it could be helpful for nurses to be capable of lifting a considerable amount of weight.
  • Compassion: It’s important to be compassionate and empathetic when it comes to handling patients' conditions. Nurses care for people when they are in a vulnerable state, which can be challenging on an emotional level.

Roles and Responsibilities of a Nurse

RNs are responsible for many aspects of the health care system, including overall patient well-being and safety. They also have medical knowledge that allows them to conduct assessments, prioritize medical interventions, administer medications and educate patients about simple and complex medical procedures.

RNs can be given a range of tasks and responsibilities, depending on their clinical setting and official duties. They are responsible for drawing blood, communicating lab results, administering treatment or procedures and educating patients on their changing health conditions. General duties include:

  • Documenting and communicating health history
  • Communicating with physicians
  • Monitoring responses to medications
  • Consulting with health care team
  • Assessing health status
  • Interpreting vital signs

How Much Do Nurses Make?

Nursing salaries vary by level of education, geographical location across the country and the specialty and setting a nurse works in. Most nurses work in full-time positions that typically include retirement and insurance packages. Because there is such high demand for nurses, there are many opportunities to increase income by picking up extra shifts or working a per diem job in addition to your full-time position.

Keeping that variability in mind, median salaries for these common nursing roles are a good estimate of what the typical nurse in each position earns.

  • CNA: The median annual income was $30,310 in 2021.
  • LPN: The median annual income was $48,070 in 2021.
  • RN: The median annual income was $77,600 in 2021.
  • NP: The median annual income was $120,680 in 2021.

How Long Does It Take to Become a Nurse?

Becoming a nurse can take as little as 16 months depending on the route and role you're interested in. If you remain focused and have a previous degree before enrolling, there could be prerequisite classes that you do not need to retake.

There are many different ways to become an RN and various levels of education to get there. Typical nursing programs are held at four-year universities and follow a traditional school semester schedule. Due to the popularity and increased demand for more nurses, there are now many nontraditional options when it comes to nursing school.

Nowadays, several nursing programs are specifically designed for a career transition to nursing, with many online class options for convenience. These fast-track nursing programs can be completed in as little as 16 months and can have you starting your new career in another industry in less than two years.

Learn why Marymount University's online ABSN students chose our fast-track nursing program to kickstart their new careers.

Become a Nurse with Marymount University’s Online ABSN Program

Nursing can be a fulfilling and rewarding career, offering the ability to provide patients with competent and compassionate care. Starting with education, this continues throughout all phases of the job. By working as a nurse, you are given the chance to make a difference.

Marymount University’s online accelerated BSN is designed for the second career nurse and offers clinical placement assistance and NCLEX review courses to prepare you to enter the workforce as quickly as possible. Explore becoming a nurse at Marymount University.

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How do I become a nurse checklist? ›

Nursing School Preparation Checklist
  1. ☐ Get Your Background Check & Drug Screening.
  2. ☐ Get Up to Date on Immunizations.
  3. ☐ Earn Required Certifications.
  4. ☐ Determine Your Work-School-Life Balance.
  5. ☐ Get the Right Gear.
  6. ☐ Stock Up on Supplies.
  7. ☐ Setting Goals for the Semester Ahead.
Jul 7, 2020

How to pass nursing school for dummies? ›

  1. Time Management. To be successful in nursing school, you must manage your time appropriately. ...
  2. Get Organized. ...
  3. Use Mnemonics. ...
  4. Study Everyday. ...
  5. Complete Practice Questions. ...
  6. Participate in a Study Group. ...
  7. Focus on course objectives when studying. ...
  8. Know your learning style.

What is the hardest thing to learn as a nurse? ›

Pharmacology. Pharmacology, or the study of medication, can seem scary because of the sheer scope of the course. "It becomes one of the hardest classes for nursing students due to the depth and amount of knowledge needed," says Megan Lynch, RN and instructor at Pima Community College.

How do you pass a nursing test? ›

Basic Rules of Test-taking
  1. Read all instructions provided thoroughly and carefully.
  2. Read each test question (stem) carefully and identify what the question is seeking.
  3. Do not read into a question anything beyond what is stated. ...
  4. Pace yourself. ...
  5. Answer all questions on the exam, even it requires educated guessing.

What is the easiest way to be a nurse? ›

The way to become an RN with the lowest level of education is to go through an associate's degree in nursing, or ADN program. Most ADN programs are two years long and held at community colleges. There are numerous options to choose from, including part-time and full-time programs.

What is the first thing to know as a nurse? ›

Know the Patient's Diagnosis and Health History

You'll want to know why your patient is in your healthcare facility in the first place. Why are they receiving treatment? In addition, you'll want to know the patient's health history, as this will help you determine specific things to watch for during your shift.

What is the easiest nursing class? ›

There are several prerequisite courses that will be dog-easy for the majority of students.
The Easiest Classes in Nursing School
  • Social Sciences (Intro Psychology, Sociology, etc.)
  • Humanities.
  • Intro to Speech (or Communication)
  • English Composition.
  • History.
  • Using Information Technology.

How many hours a day should I study for nursing school? ›

How many hours a day should I study for nursing school? Everyone is different, but in general, it is recommended that nursing school students study anywhere from 2-4 hours a day. Committing class material to memory is essential to becoming a registered nurse, so the more time studying, the better!

How hard is the nursing exam? ›

Rather than using memorization skills, logic and critical thinking skills are required to succeed on this exam, making it more comprehensive and challenging. So, if you find yourself asking, "How hard is the NCLEX-RN? - The short answer is, it's very hard.

What are the weakness of a nurse? ›

Spending too much time on paperwork. Paying too much attention to detail. Attempting to complete too many tasks at once. A lack of clinical experience, which may apply to recent graduates or new nurses.

Does nursing ever get easier? ›

The Magic Number? In about six months to a year, you'll get comfortable with the skills such as starting IVs, drawing blood, accessing central lines, doing your head-to-toe assessments, charting, giving medications, and talking with doctors. You'll be doing those things so often that it will become second nature.

What makes nursing so hard? ›

Why is nursing school so hard? The top 6 challenges of earning a BSN include the rigorous curriculum, fast pace, need for multitasking, time commitment, personal sacrifices, and NCLEX preparation. However, despite these rigors, it's possible to rise up and master how to succeed in nursing school.

How many times can you fail nursing exam? ›

After failing three times, though, they'll need to complete a board-approved remediation program before the next retake. test-takers have six attempts to pass in total.

How many times can you fail the nurse exam? ›

Are You Limited to Retake the NCLEX-RN Exam? If you happen not to pass the exam, you can retake it after 45 days. And if you are wondering how often you can take the NCLEX, the NCSBN retake policy allows for a retake eight times a year, ensuring 45 exam-free days between each test.

What happens if you fail nursing exam? ›

You can retake the exam as soon as 45 days after your first attempt and take it up to eight times in a year. Also, the majority of states have no time limit on when you need to pass the NCLEX after graduation.

What is the shortest nursing program? ›

Certified Nursing Assistant

A CNA program is a fast-paced program that only takes a couple of months to fully complete. After graduation, students can enter the field right away, assisting nurses with patient work in a wide variety of settings.

Is it too hard to be a nurse? ›

Nursing is hard work and it requires a high level of dedication to helping people, excellent communication skills, and the right emotional temperament. On top of this, nursing requires extensive education and there is a steep learning curve for the clinical knowledge and skills needed to help patients.

What is the best nurse to become? ›

1. Certified registered nurse anesthetist. Nurse anesthetists are in one of the most well-respected fields in nursing, and it requires years of education, training, and experience to become one. These nurses provide anesthesia to patients, typically in a surgical, dental, or ER/OR scenario.

What are the 5 ways of knowing nursing? ›

Five fundamental patterns of knowing in nursing are empirical, ethic, personal knowledge, aesthetics, and social political.

How do I study for my first nursing exam? ›

10 Study Tips That Will Make Nursing School Easier
  1. Follow the nursing exam study guide. ...
  2. Focus on the material covered in class. ...
  3. Think in terms of action, not facts. ...
  4. Form a study group. ...
  5. Skim-read first. ...
  6. Use outside sources. ...
  7. Know your learning style. ...
  8. Use downtime as study time.

What does a beginner nurse do? ›

As an entry-level nurse, you should be making rounds, administering medication as needed. If you are working in a clinic, you could be responsible for providing first aid and immunizations. You might also be responsible for inserting catheters and feeding tubes.

Do you need math in nursing? ›

Nursing in the "real world" generally requires very basic math skills, but almost all programs require at least one college-level math class — usually algebra. Some nursing schools may require a basic statistics course as well, so if you know what schools you're applying to, be sure to check for this requirement.

What state pays RN the most? ›

In the United States overall, the average registered nurse salary is $82,750 and the median (50th percentile) is $77,600. California, with RN salaries averaging $124,000, is the highest-paying state for nurses as of May 2021 (according to the Bureau of Labor Statistics).

Which year is hardest in nursing school? ›

I would say that the fourth year (or second year in the nursing program) is the hardest because you have to prepare for NCLEX and you have more responsibility in clinicals. Also, the classes are harder because you are building on the things you learn in the first year.

Can an average student become a nurse? ›

To start nursing school, you don't need any prior nursing experience or healthcare education. All you need is a high school diploma or GED. Once you are accepted, your journey to RN begins! You can become an RN in 2 to 4 years by studying for an associate's degree (ASN) or bachelor's degree (BSN).

How much sleep do nursing students get? ›

Nursing (RNs)

On average, students in nursing school get 5.69 hours per night. That's probably because they're busy studying enough to get through their four-year degree program for a Bachelor of Science in nursing (BSN), an associate's degree in nursing (ADN) or a relevant diploma from an approved program.

Is there a lot of homework in nursing school? ›

If you are a nurse, you should know how much time nurses study. Besides classes, which are usually full-time, they spend about 17 hours on homework weekly in the U.S. Also, the majority of employed nursing students and interns work for 10–20 hours in hospitals.

What is the passing score for RN? ›

While it's possible to pass the NCLEX after answering all 135, it's also possible to pass the test with a minimum of 70 questions or any number in between. Keep in mind NCLEX has a time limit of five hours. If you haven't answered enough questions correctly when the clock runs out, you will fail the test.

What state is the hardest to get a nursing license? ›

  • MAINE. ...
  • ALASKA. ...
  • Georgia. ...
  • Alabama. ...
  • Hawaii. ...
  • South Carolina. ...
  • Kentucky. ...
  • Summary. There are a few cases when temporary licenses can be obtained through the state board of nursing.

What percentage of people pass nursing exam? ›

Pass rates continued to decline in 2022, with an average pass rate of 80.9% opens in a new tab or windowfor all first-time U.S.-educated candidates, and a rate of 66.6% for all candidates, based on a dataset that excludes the fourth quarter of the year.

What is your weakest nursing skill? ›

Examples of common nursing weaknesses our experts say they hear include: Paying too much attention to detail. Wanting to do everything at once. Spending too long on paperwork.

Why is the first year of nursing so hard? ›

The first year of nursing school is hard because you're starting a new venture. Not only are you learning new information specific to your industry, but you'll also be putting that education into action. Learning facts is much different than practicing them, so stretching yourself in this new way can be demanding.

How many nurses quit within first year? ›

But, one study found that a staggering 17% - 30% of new nurses leave their job within the first year and up to 56% leaving within the second year.

Why is the first year of nursing the hardest? ›

If you become a nurse, your first year on the job is often the hardest. Being in a new environment, suddenly having to use new skills, and the new responsibility of being a nurse hit you all at once. It can be overwhelming.

Is nursing school harder than med school? ›

However, don't take it for granted that nursing school will be much easier than medical school, especially in an accelerated format. Both offer a unique set of challenges and demand the utmost in student commitment and work rate.

What is the most stressful thing in nursing? ›

The most stressful nursing jobs include ICU nurse, ER nurse, and NICU nurse. In these roles, nurses work in an intense environment with high stakes. They manage emergency situations and care for critically ill patients. Other stressful nursing jobs include OR nursing, oncology nursing, and psychiatric nursing.

How do you know if nursing is not for you? ›

I would have to say being selfish, anxious, unreliable, and impatient are some signs that would indicate a person is not cut out to be a nurse. If you find yourself not being able to put others needs before your own it would be hard to deal with a patient population.

Are there people who never pass NCLEX? ›

The National Council of State Boards of Nursing (NCSBN) reports 13.43% of NCLEX-RN candidates fail the exam on their first attempt. The number of unsuccessful test-takers is low compared to the more than 86% who pass the exam on their first try.

Can you be a nurse if you fail the NCLEX? ›

All nurses have to pass the NCLEX to acquire a nursing license and practice. If you fail the exam, you should reschedule and restudy as soon as possible to get closer to working as a nurse. In some states, you must inform your employer once you learn you didn't pass the NCLEX (if you're already employed).

How long does a nursing exam last? ›

2. How Long is the NCLEX RN? The minimum number of questions on the NCLEX is 75, and the maximum number of questions is 145. The max amount of time you can take on the exam is 5 hours, including all breaks.

Which state has the highest NCLEX pass rate? ›

Top 5 States With the Highest NCLEX Pass Rates Over Five Years
  1. New Hampshire. NCLEX Pass Rate Average (2017-2021): 94.58% ...
  2. Louisiana. NCLEX Pass Rate Average (2017-2021): 92.74% ...
  3. North Dakota. NCLEX Pass Rate Average (2017-2021): 92.36% ...
  4. Nevada. NCLEX Pass Rate Average (2017-2021): 91.36% ...
  5. North Carolina.
7 days ago

Why is NCLEX so hard? ›

Unlike nursing school exams, which test for knowledge, the NCLEX tests your ability to apply and analyze situations using the nursing knowledge you gained in school. Logic and critical thinking, rather than rote memorization, are emphasized in this test—making it much more difficult and comprehensive.

Is it common to fail nursing class? ›

Many nursing schools require a minimum grade of roughly 80% to actually pass, as well. By the time you realize you aren't doing well enough to be successful in the course, the choices can be pretty limited. Failure happens all the time. It happens every day...

Is 75 questions on NCLEX good? ›

Yes, you can pass the NCLEX-RN by answering only 75 questions. Keep in mind, the number of questions you answer may be a sign you passed, but it is not a definite sign. If your questions got progressively more challenging until the test stopped, this is one of the good signs you passed NCLEX in 2023.

Is it rare to fail NCLEX in 75 questions? ›

While it is certainly possible to fail the NCLEX-RN or NCLEX-PN evaluation in only 75 questions, this rarely happens because most nursing students are far more prepared than they believe they are.

What are good signs you passed NCLEX? ›

5 Signs That You Passed the NCLEX
  • The difficulty of questions increased as the exam progressed. ...
  • You received a lot of synthesis and analysis questions. ...
  • You answered the least amount of questions required. ...
  • You answered the maximum amount of questions before the time limit. ...
  • The exam shuts off before the five-hour limit.

What are the 5 steps to nursing? ›

The nursing process functions as a systematic guide to client-centered care with 5 sequential steps. These are assessment, diagnosis, planning, implementation, and evaluation.

How do I prepare for my first RN job? ›

6 Tips to Succeed at Your First Nursing Job
  1. Be teachable. If you've graduated from nursing school, one would assume you're quite teachable at this point. ...
  2. Look and listen. Situational awareness will go a long way in your nursing career. ...
  3. Show you're reliable. ...
  4. Humor yourself. ...
  5. Be a team player. ...
  6. Give it time.
Apr 26, 2022

How do I prepare for my first nursing job? ›

What You Need to Know About Your First Nursing Job
  1. Ask Questions, and Talk to Everybody. Everyone in a hospital or a private practice holds information you could benefit from. ...
  2. Learn the Policies and the Paperwork. ...
  3. Organize Yourself. ...
  4. Learn Efficiencies. ...
  5. Be Prepared for the Night Shift. ...
  6. Remember, You're Not Done Learning.
Apr 25, 2022

What are the five things to know about becoming a nurse? ›

Top 5 Things to Consider Before Becoming a Nurse
  • Preparation Requirements. You will need a nursing education to become an RN. ...
  • Personality. Your personality type can prove very important in a nursing career. ...
  • Responsibility. Nursing jobs involve a great deal of responsibility. ...
  • Decision-Making Ability. ...
  • Fitness and Health.

What are the 4 R's of nursing? ›

Turner and Rushton created a potential solution built on 4Rs: recognize, release, reconsider, and restart. Recognize. The first thing nurses should do is recognize the situation for what it is; not what it represents.

What are the 7 elements of nursing? ›

7 types of nursing theories
  • Environmental theory. Florence Nightingale, the creator of contemporary nursing, developed the environmental theory. ...
  • Nursing need theory. ...
  • Care, cure, core theory. ...
  • Self-care theory. ...
  • Theory of human caring. ...
  • Transcultural theory. ...
  • Patient-centred approach to nursing.
Mar 23, 2023

What are the four rules of nursing? ›

Nurses are advocates for patients and must find a balance while delivering patient care. There are four main principles of ethics: autonomy, beneficence, justice, and non-maleficence.

What is the shortest time to become a nurse? ›

The fastest way to become an RN is through an RN diploma program, which can be completed in as little as a year. While completing this program does not lead to a degree, it does make the individual eligible to take the NCLEX and earn their RN license.

What I wish I knew before going into nursing? ›

You will have to study hard

During your time in nursing school, you will quickly notice life getting much busier. Nursing school is difficult and, like any other healthcare-related program, involves a lot of studying. And not only that, but you'll also have to devote time to a clinical rotation program.

How hard is first year nursing? ›

The first year of nursing school is hard because you're starting a new venture. Not only are you learning new information specific to your industry, but you'll also be putting that education into action. Learning facts is much different than practicing them, so stretching yourself in this new way can be demanding.

How do new nurses deal with anxiety? ›

Have self-compassion and give yourself grace: Self-compassion is the ability to become mindful of your own distress and work to alleviate it. If you're feeling discouraged and anxious as a new nurse, offer yourself the same loving kindness you would offer a friend dealing with the same situation.

What are 3 interesting facts of being a nurse? ›

Did You Know These Interesting Nurse Facts?
  • There are 4.2 million registered nurses and 950,000 LVN's in the United States.
  • Registered nurses make up about 2% of the total workforce in the United States.
  • There are 4x as many nurses in the United States than physicians.
  • Nurses walk—a lot!
Mar 31, 2022

Do you need good memory to be a nurse? ›

A good memory is key

It's important for nurses to have a strong memory. Nurses are expected to remember all the details of their patients. If your memory isn't as strong as you'd like, this is when organizational skills come into play. Remember to record the important details.

What are 5 values that a nurse must possess? ›

Caring is best demonstrated by a nurse's ability to embody the five core values of professional nursing. Core nursing values essential to baccalaureate education include human dignity, integrity, autonomy, altruism, and social justice. The caring professional nurse integrates these values in clinical practice.


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