California Nursing Schools, Programs and Degrees

How to Become a Nurse

A step-by-step guide to becoming a nurse

Registered Nurse (RN)

Registered nurses go to college for 2 - 4 years. After obtaining their license, registered nurses can independently perform a wide range of complex health care in many types of settings. Qualified registered nurses may perform more advanced activities such as in the case of nurse practitioners, nurse midwives, or nurse anesthetists.

Licensed Vocational Nurse (LVN)

Licensed vocational nurses go to school for about one year and typically perform tasks under the supervision of a registered nurse. Although the activities of licensed vocational nurse are not as complex as those of the registered nurse, they provide clinical care that has a direct impact on the patient's return to health.

How To Become a Registered Nurse

Select the item that describes your situation:

New Registered Nurse

  1. Take college prep classes in high school
  2. Choose the type of nursing school you want to attend
  3. Select a college and apply for admission
  4. Apply for financial aid
  5. Obtain a Registered Nurse license

1. Take college prep classes in high school

You need a high school diploma to become a registered nurse. Check out nursing prerequisites at colleges you are considering. Individual nursing schools vary in their nursing course prerequisites. If you did not take the required courses in high school, you may be able to make them up at college. But the more prerequisites you take in high school, the more quickly you can become a registered nurse. Talk to your high school guidance counselor, and check out the California Nursing Schools you are considering. In general, take the following classes in high school, and you will have a head start on your nursing class prerequisites at college:

  • English : 4 years
  • Math : 3 - 4 years ( including algebra and geometry )
  • Science : 2 - 4 years ( including biology and chemistry, physics and computer science are recommended )
  • Social Studies : 3-4 years
  • Foreign Language : 2 years, recommended, but not required

2. Choose the type of nursing school you want to attend

In California, there are three types of pre-licensure nursing programs, and two alternative routes to become a registered nurse:

Associate Degree in Nursing (ADN)
Associate Degree in Nursing programs take 2 - 3 years and are offered at many community colleges. The ADN program prepares you to provide RN care in numerous settings.

Bachelor of Science in Nursing (BSN)
Bachelor of Science in Nursing programs take four years. BSN programs are offered at many California State Universities and some private colleges. BSN programs prepare you to provide RN care in numerous settings and to move to administrative and leadership positions.

Masters Entry Level Program in Nursing
This nursing program is designed for adults who have a baccalaureate degree in another field and wish to become registered nurses. The MSN programs take 1 - 2 years depending on how many nursing course prerequisites you have already completed. Graduates of this program receive a masters degree in nursing.

LVN 30 Unit Option
This program is designed as a career ladder for licensed vocational nurses wishing to become registered nurses. This nursing program takes approximately 18 - 24 months and no degree is granted upon completion. Most other states do not recognize California's LVN 30 Unit Option and will not issue RN licenses to these LVNs. Some LVNs prefer to complete an ADN program in order to obtain a degree and to have the flexibility to get a registered nurse license in other states. Most ADN programs will give LVNs credit for some of the coursework they completed to become an LVN.

Military Corpsmen
California law permits military corpsmen to take the national exam for RN licensure if they have completed RN level education and clinical experience.

3. Select a college and apply for admission

You should find out how far in advance to apply by checking the nursing school's website or contacting them. Find out which entry exams are required at the colleges you are considering. Many require the SAT or ACT and the National League for Nursing Pre-Admission Exam.

It is better to apply at more than one college to give yourself options since some colleges have limited space for nursing students. You may want to visit the websites and campuses of the colleges in the geographic areas of interest to you. You can choose from nearly 100 California Nursing Schools.

4. Apply for financial aid

Opportunities abound for nursing scholarships, loans, and loan forgiveness programs.

5. Obtain a registered nurse license

To practice as a registered nurse in California, you must be licensed by the California State Board of Registered Nursing (BRN). You must meet educational requirements, pass a criminal background check, and pass the national licensing examination. To apply for licensure: get an application package and detailed instructions online at the BRN, send your application and have your school send your transcripts to the BRN, complete a fingerprint background check and apply for an interim permit if you wish to work in a supervised nursing capacity while awaiting your application process. Take and pass the National Council Licensing Examination ( NCLEX ). New graduates are advised to take the exam soon after graduation because research has shown that there is a higher success rate for early test takers compared with those who wait several months.

Out-of-State Registered Nurse

To qualify for endorsement (reciprocity) into California as a registered nurse, you must hold a current and active license in another state, have completed an educational program meeting all California requirements, and have passed the National Council Licensure Examination (NCLEX-RN) or the State Board Test Pool Examination (SBTPE). If you do not possess these qualifications, you do not qualify for licensure by endorsement and must apply to take the examination instead.

International Registered Nurse

If you are licensed in another U.S. State and have passed the U.S. licensing exam, you may qualify for endorsement licensure. Here are the basic steps to become a California registered nurse if you were educated in another country, and have never been licensed in another state in the U.S.

First you need to request or download an application packet from the Board of Registered Nursing. You need to submit your application form, with appropriate fees, your fingerprints for a criminal background check, a (translated) copy of your license or diploma that permits you to practice as a registered nurse in your country ( have your college transcripts sent directly to the California Board of Registered Nursing and if your college has never submitted a transcript to the BRN for evaluation, the BRN will also need the college's curriculum, catalogs, or other documents for evaluation ), and provide your U.S. Social Security number.

You can apply for an Interim Permit if you wish to work under supervision temporarily while your licensing application is being evaluated. If you are from a non-English speaking country or did not take your country's licensing examination in English, you will need to take an English comprehension examination to qualify for an Interim Permit. The last step is to take and pass the National Council Licensing Examination (NCLEX).

Former Registered Nurse

California registered nurses can easily reactivate their licenses if they are inactive or lapsed. Experienced nurses are highly valued and needed in today's health care market. A licensee cannot practice as a registered nurse in California with an inactive license (registered nurses who have paid the appropriate renewal fee, but have not completed the required 30 hours of continuing education). To change from inactive to active status, the licensee must submit proof of 30 hours of continuing education taken within the past two years to the Board of Registered Nursing.

Registered nurses may choose to let their license lapse, or expire, if they no longer wish to practice nursing in the state of California. If the registered nurse chooses at a later date to return to nursing and it has been less than eight years since the license expired, the RN will be required to submit the appropriate renewal fee, and proof of 30 hours of continuing education within the prior two-year period. If the license has been lapsed longer than eight years, the registered nurse must submit a renewal fee, proof of 30 hours of continuing education, and proof of competency to practice by either a verification of a current active license in another state, or by retaking the licensing exam.

To update your skills, many hospitals provide nurse re-entry programs. Another alternative is to check the refresher course providers listed on this site. There's never been a better time to re-enter nursing, and California's patients can definitely benefit from your experience.