How to Become a Registered Nurse (RN) in Missouri

Registered nurses shape the foundation of Missouri's health care system, working across settings from bustling urban hospitals to rural community clinics. Their role combines clinical expertise with compassionate patient care, making them essential partners in medical teams throughout the state.

For those considering a nursing career in Missouri, the path offers opportunities to make meaningful impacts in patient lives while building a stable professional future. The journey requires dedication to education, clinical training, and ongoing learning - but leads to a career marked by purpose-driven work and the ability to serve communities across the Show-Me State.

Key Points  

• There are 73,190 registered nurses employed in Missouri, according to the Bureau of Labor Statistics.  
• Core responsibilities include monitoring patient conditions, administering medications, and recording patients' medical information and vital signs.  
• Registered nurse jobs are projected to grow by 6% between 2023 and 2033, as reported by the Bureau of Labor Statistics.  
• Missouri licensure requires official transcripts, proof of U.S. citizenship or lawful presence, and criminal background checks.  

What is a Registered Nurse (RN)?

A registered nurse is a licensed health care professional who provides essential medical care to patients in a variety of settings. Registered nurses assist patients with chronic conditions, acute illnesses, and post-surgical recovery. Some registered nurses specialize in specific areas such as oncology, neonatal care, or geriatrics.  

The role requires strong clinical skills, critical thinking, and communication. Registered nurses often coordinate with doctors, therapists, and other health care team members to develop effective treatment plans.  

Common Duties of Registered Nurses

• Monitor patient conditions and assess care needs.  
• Administer medications and treatments as prescribed.  
• Educate patients and families on treatment plans or post-care instructions.  
• Maintain accurate records of patient medical histories and current conditions.  

Steps to Become a Registered Nurse (RN) in Missouri

Step 1: Complete a Registered Nurse (RN) Program

To become licensed in Missouri, an approved nursing program must be completed. Programs include an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN).  

Associate Degree in Nursing (ADN)

ADN programs take two years to complete and are available at community colleges, such as St. Louis Community College. These programs focus on essential nursing skills and clinical training, preparing students for entry-level positions.  

Bachelor of Science in Nursing (BSN)

BSN programs typically require four years of study and are offered at universities like the University of Missouri-Columbia. Hospitals and other employers often prefer BSN graduates, as the degree provides a broader education in leadership, public health, and advanced nursing practices.  

Accelerated and Bridge Programs

• Accelerated BSN: For students who hold a bachelor’s degree in another field. Goldfarb School of Nursing offers such programs.  
• Bridge Programs: LPN-to-RN and ADN-to-BSN programs, such as those at Missouri State University, allow nurses to advance their education and career opportunities.  

Accreditation and Approval

Missouri nursing programs must be accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). Accreditation ensures that programs meet established educational standards.  

Step 2: Pass the NCLEX-RN Exam

Graduates of approved programs must pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to gain licensure.  

Registration Details

• Register for the NCLEX-RN through Pearson VUE.  
• Pay the $200 exam fee during registration.  
• Schedule the exam at an approved testing center.  

Exam Preparation

Many nursing programs include NCLEX preparation courses. Additional resources, such as UWorld and Kaplan, offer practice exams and detailed study guides to reinforce knowledge.  

Step 3: Apply for Licensure in Missouri

Submit an application for licensure to the Missouri State Board of Nursing after passing the NCLEX-RN.  

Required Documents and Fees

• A completed application form and a $45 fee.  
• Official nursing school transcripts.  
• Proof of U.S. citizenship or lawful presence, such as a birth certificate or passport.  
• Fingerprint-based criminal background check results.  

Temporary Permits

Missouri offers a temporary permit for graduates awaiting NCLEX results. This permit allows individuals to work as Graduate Nurses (GNs) for up to 90 days. The permit application fee is $10.  

Licensure by Endorsement

Licensed nurses from other states may apply for endorsement in Missouri. Nurses from Nurse Licensure Compact (NLC) states are permitted to practice in Missouri without additional licensure.  

Step 4: Begin a Career as an RN in Missouri

Once licensed, registered nurses can pursue employment in Missouri’s health care industry.  

Job Outlook and Opportunities

Missouri offers positions in hospitals, outpatient clinics, long-term care facilities, and schools.  

Major Employers in Missouri

• BJC Health Care: Operates hospitals like Barnes-Jewish Hospital, offering loan repayment programs and nursing residencies.  
• SSM Health: Features flexible scheduling and professional development opportunities in hospitals such as Saint Louis University Hospital.  
• HCA Midwest Health: Provides jobs across hospitals and outpatient centers in Missouri.  

Step 5: Pursue Professional Development

Registered nurses in Missouri can pursue additional certifications or advanced degrees to broaden career opportunities.  

Specializations

Nurses may earn certifications in areas like critical care, pediatrics, or surgical nursing. Specializations often result in expanded responsibilities and higher salaries.  

Continuing Education

Missouri does not require continuing education for license renewal. However, pursuing advanced certifications or degrees, such as a Master of Science in Nursing, can improve career prospects.  

Licensure in Missouri

Missouri requires applicants to submit proof of U.S. citizenship or lawful presence, official transcripts, and a fingerprint-based background check. The transcript must indicate the degree earned and the date of completion. For more details, visit the registered nurse (RN) licensing requirements by state.  

How Much Do Registered Nurses Make in Missouri?

The Bureau of Labor Statistics reports that registered nurses in Missouri earn an average annual wage of $77,590, which equates to an hourly mean wage of $37.30.  

Frequently Asked Questions

How long does it take to become an RN in Missouri?  

The time required depends on the program chosen. An Associate Degree in Nursing (ADN) typically takes two years, while a Bachelor of Science in Nursing (BSN) requires four years. Accelerated programs may offer shorter timelines.  

What is a 2-year RN degree called?  

A 2-year RN degree is called an Associate Degree in Nursing (ADN).  

Can I become an RN in one year?  

It is uncommon to become an RN in one year. However, accelerated BSN programs may allow those with prior bachelor’s degrees to complete the program in a shorter time.  

What nursing programs are available in Missouri?  

Missouri offers ADN, BSN, accelerated BSN, and bridge programs. Programs are available at institutions such as Saint Louis University and Missouri State University.  

What is the NCLEX-RN?  

The NCLEX-RN is the licensing exam required to become a registered nurse. The exam assesses the knowledge and skills needed for safe nursing practice.

Start Your Journey as a Missouri Registered Nurse

The path to becoming a registered nurse offers meaningful opportunities to make a difference in patients' lives while building a stable career. Missouri's diverse health care landscape, from urban medical centers to rural clinics, provides nurses with flexibility in choosing work environments that align with their interests and lifestyle preferences.

Ready to take the first step? Research accredited nursing programs in Missouri, connect with current RNs to learn about their experiences, and reach out to nursing schools that match your career goals. Whether you're drawn to direct patient care, leadership roles, or specialized practice areas, Missouri's nursing community welcomes dedicated individuals committed to advancing health care excellence.