By Viktor OrlovStreet and architectural photographer guiding students in composition and capturing urban narratives.
By Viktor OrlovStreet and architectural photographer guiding students in composition and capturing urban narratives.
Whether you are starting from a GED, a community college background, or a prior college degree, this guide helps you explore possible nursing education paths and see what may come next.
This guide covers several sections: why many people consider transitioning into nursing, a career path planning tool to help match your background to possible routes, different educational pathways for various starting points (GED, community college, accelerated programs, and bridge options), a self-assessment to help you think about whether nursing may be a good fit, information about the NCLEX licensure exam and what comes after school, a trust section focused on realistic pathways, and an FAQ section answering common questions. The goal is to provide useful background information for anyone trying to understand their options in nursing education.
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Not every nursing path starts the same way. Some people have a four-year degree in another field. Others have some college credits but no degree yet. Some are starting with a GED or high school diploma.
A good first step is to think about where you are right now. The nursing profession has multiple entry points, and the path that makes sense for one person may not be the right fit for another. Instead of jumping straight into looking at schools, consider what kind of educational background you already have and what your goals might be.
From there, you can start to explore which nursing education routes align with your situation.
There are many reasons someone might start looking into nursing as a career option. Some are looking for a more stable profession with consistent demand. Others want to enter the healthcare field but are not sure where to start. Some want a clearer educational path with defined steps from school to licensure. Many want to use a degree they already have to transition into a new field without starting completely from scratch. And some are starting with a GED or high school diploma and want to map out a realistic route forward.
The demand for nurses continues to be a topic of discussion in workforce planning. The Health Resources and Services Administration projects that registered nurse shortages will continue into the next decade. HRSA forecasts that in 2038, the RN shortage is projected to be 11 percent in nonmetropolitan areas versus 2 percent in metropolitan areas. These projections indicate that demand for nurses is expected to remain strong, particularly in certain geographic areas.
A useful way to start is to walk through a few basic questions about your educational background and goals. The answers can help narrow down which nursing education paths are worth a closer look.
Consider the following questions:
Based on how someone answers these questions, different pathways may come into focus. For example, someone with a non-nursing bachelor's degree may look at accelerated programs. Someone starting with a GED may look at prerequisite education followed by an associate degree program. Someone already working in healthcare may explore bridge options that build on existing experience.
The value here is breaking "nursing" down from a broad category into specific educational routes that fit a person's actual situation.
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Who it's for: Those who do not yet have a college degree and are starting with a high school diploma or GED.
A high school diploma or GED is generally required for admission to any accredited nursing program. From there, the next step is often enrolling in prerequisite courses—subjects like anatomy, physiology, biology, and chemistry—at a community college. After completing those prerequisites, a student can apply to an associate degree in nursing (ADN) program or a bachelor of science in nursing (BSN) program.
It is important to understand that having a GED or high school diploma is not the same as being ready to practice nursing. Rather, it may be the first step in a longer educational journey toward nursing licensure.
Who it's for: Those who want a relatively shorter route to becoming a registered nurse and prefer a community college setting.
An associate degree in nursing (ADN) is one of the common paths to becoming a registered nurse. According to the Bureau of Labor Statistics, registered nurses usually take one of three education paths: a bachelor's degree in nursing, an associate's degree in nursing, or a diploma from an approved nursing program. ADN programs typically take about two to three years to complete and include both classroom instruction and clinical rotations.
After completing an ADN program, graduates are eligible to take the NCLEX-RN exam. Passing the exam is required to obtain RN licensure.
Who it's for: Those who already have a bachelor's degree in a non-nursing discipline and want to transition into nursing without repeating general education courses.
Accelerated nursing programs are designed for individuals who have already completed a bachelor's or graduate degree in a non-nursing field. According to the American Association of Colleges of Nursing (AACN), accelerated baccalaureate programs offer the quickest route to licensure as a registered nurse for adults who already have a non-nursing degree. Fast-track entry-level baccalaureate programs typically take between 11 and 18 months to complete, including prerequisites.
These programs build on previous learning experiences and focus exclusively on nursing coursework, without requiring general education classes that have already been completed. Instruction is intensive, with courses offered full-time and often with limited breaks between sessions. Students receive the same number of clinical hours as their counterparts in traditional entry-level nursing programs.
Some accelerated programs offer hybrid formats, combining online didactic coursework with in-person labs, simulations, and clinical rotations. For example, Spalding University offers a 13-month accelerated BSN program with a hybrid online and on-campus format that includes 56 credits and 750 required clinical hours. Averett University offers an accelerated BSN program where didactic coursework is online while labs, simulations, and testing take place on campus.
Admission standards for accelerated programs are generally high, with many programs requiring a minimum GPA of 3.0 and a thorough prescreening process. Students in accelerated programs are typically advised not to work while enrolled, given the rigor of completing degree requirements in a condensed timeframe.
Although accelerated nursing programs are intensive in schedule, their content is essentially the same as traditional nursing programs, just compressed into a shorter period. Typical course content includes:
All accelerated programs require students to complete sufficient clinical practice hours before qualifying to take the NCLEX exam. Upon completion, graduates possess the same clinical judgment abilities and operational skills as graduates of traditional four-year BSN programs.
Who it's for: Those already working in healthcare—such as licensed practical nurses (LPNs), paramedics, or nursing assistants—who wish to advance their credentials, as well as RNs seeking higher degrees.
Bridge programs recognize prior training and experience, allowing students to complete their nursing education more efficiently than starting from scratch. RN-to-BSN programs are widely available, including fully online options, and typically take one to two years to complete depending on prior credits. For those interested in leadership, education, or advanced practice roles, master's and doctoral programs in nursing offer further career progression.
Before committing to a nursing education path, it can be helpful to think about whether the profession aligns with your personal strengths and preferences. Nursing is a demanding field that requires both academic ability and personal resilience.
Questions to consider:
Nursing is not a profession where the work is consistently easy or low-stress. However, for those who are suited to the demands, it can offer a structured career path with clear advancement opportunities.
Once you have a clearer sense of which nursing education path may fit your background, the next step is looking at specific programs.
At this point, you can:
Factors to consider when comparing programs include:
Becoming a licensed registered nurse involves several steps after completing an education program. Understanding the sequence can help set realistic expectations.
Nursing education is not a single fixed track. There are multiple starting points:
The key is to identify where you are starting from and then look at the next logical step. Each pathway is designed for career changers, and many programs are structured to help you compare options without starting over from zero.
Q1: Can someone become a nurse with only a GED?
A: A GED or high school diploma is typically the minimum educational requirement to begin prerequisite courses for nursing school. However, becoming a licensed registered nurse requires completing an approved nursing program (ADN or BSN) and passing the NCLEX exam. The GED is a starting point, not a final qualification.
Q2: Is an online accelerated nursing program possible?
A: Accelerated nursing programs exist for individuals who already hold a bachelor's degree in a non-nursing field. Some programs offer online or hybrid components for didactic coursework, though clinical rotations and hands-on skills labs generally require in-person attendance.
Q3: What degree do most RNs need?
A: The Bureau of Labor Statistics notes that registered nurses usually take one of three education paths: a bachelor's degree in nursing, an associate's degree in nursing, or a diploma from an approved nursing program. Each path leads to eligibility for the NCLEX-RN exam and RN licensure.
Q4: What exam do nurses take after school?
A: Nursing graduates take the National Council Licensure Examination, or NCLEX. The NCLEX-RN is for registered nurse candidates. Passing this exam is required to obtain a nursing license in the United States.
Q5: Is nursing still in demand?
A: Projections from the Bureau of Labor Statistics indicate that employment of registered nurses is expected to grow 5 percent from 2024 to 2034, with about 189,100 openings projected each year on average. The Health Resources and Services Administration projects continued RN shortages into the next decade, particularly in nonmetropolitan areas.
After identifying which nursing education path aligns with your background and goals, the next step is to explore specific programs that fit your situation. Look for accredited programs with strong NCLEX pass rates, clear clinical placement support, and a format (online, hybrid, or on-campus) that works for your circumstances.
Many schools offer program information sessions, virtual open houses, and detailed curriculum guides online. Comparing multiple programs can help you make an informed decision about which path to pursue.
Sources:
https://www.bls.gov/ooh/healthcare/registered-nurses.htm
https://www.bls.gov/careeroutlook/2020/article/careers-for-nurses-opportunities-and-options.htm
https://www.aacnnursing.org/students/nursing-education-pathways/accelerated-programs
https://www.aacnnursing.org/news-data/fact-sheets/accelerated-baccalaureate-and-masters-degrees-in-nursing
https://www.ncsbn.org/nclex.htm
https://www.ncsbn.org/exams.page
https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/nursing-projections-factsheet.pdf
https://bhw.hrsa.gov/data-research/projecting-health-workforce-supply-demand
https://www.aacnnursing.org/ccne-accreditation
https://www.aacnnursing.org/ccne-accreditation/find-accredited-programs
https://www.acenursing.org/
https://www.acenursing.org/accreditation
https://spalding.edu/programs/accelerated-nursing-second-degree/
https://spalding.edu/fast-track-programs/
https://absn.averett.edu/
https://absn.averett.edu/absn-program/




