How to Become a Registered Nurse (RN) in North Carolina

Registered nurses form the backbone of North Carolina's health care system, providing essential patient care while serving as advocates and educators in diverse medical settings. From bustling urban hospitals to rural community clinics, RNs blend clinical expertise with compassionate care to meet the evolving needs of patients across the state.

The path to becoming an RN in North Carolina offers multiple entry points and specialization opportunities, supported by the state's renowned medical institutions and academic centers. Whether working in emergency departments, specialized clinics, or home health settings, RNs play a crucial role in shaping positive patient outcomes while contributing to the advancement of health care practices throughout the region.

Key Points  

• North Carolina employs 104,380 RNs, according to the Bureau of Labor Statistics.  
• The hourly mean wage for RNs in North Carolina is $39.68, while the annual mean wage is $82,530.  
• Aspiring RNs must complete a state-approved nursing program and pass the NCLEX exam to receive licensure.  
• Employment for RNs nationwide is projected to grow 6% from 2023 to 2033, creating 194,500 annual job openings on average.  
• RNs in North Carolina coordinate with health care teams to assess, plan, and implement patient care, as highlighted by O*NET Online.  

What is a Registered Nurse (RN)?

A Registered Nurse (RN) provides essential patient care in hospitals, clinics, and other health care settings. Responsibilities include monitoring vital signs, administering medications, and documenting patient progress. RNs also educate patients and families about treatment plans and coordinate with medical teams to deliver effective care.  

Many RNs specialize in fields such as emergency medicine, geriatrics, or mental health. RNs are known for skills like critical thinking, communication, and clinical expertise. These skills help ensure patients receive safe and effective care while improving outcomes.  

Steps to Become a Registered Nurse (RN) in North Carolina

Step 1: Complete a Registered Nurse (RN) Program

Earning a high school diploma or GED is the first step. Nursing programs require foundational knowledge in subjects like biology, chemistry, and math. Applicants must meet these prerequisites to enroll in nursing programs in North Carolina.  

Choose a State-Approved Program

The North Carolina Board of Nursing (NCBON) requires students to graduate from accredited nursing programs. Options include:  

• Associate Degree in Nursing (ADN): A two-year degree offered by community colleges. Programs such as those at Central Piedmont Community College are ideal for students seeking entry-level roles.  
• Bachelor of Science in Nursing (BSN): A four-year degree that includes leadership and research coursework. Universities like UNC Chapel Hill offer BSN programs that prepare students for management or specialized positions.  

Accelerated programs are available for students with previous degrees or nursing experience. For example:  

• Accelerated BSN (ABSN): Designed for individuals with non-nursing bachelor's degrees, ABSN programs can be completed in 12 to 18 months.  
• Bridge Programs: ADN-to-BSN or ADN-to-MSN options allow licensed RNs to advance their education. UNC Wilmington offers an online RN-to-BSN program for working professionals.  

Verify program accreditation through the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).  

Step 2: Gain Clinical Experience

Clinical training is required to develop practical skills. All accredited nursing programs in North Carolina include rotations in hospitals, clinics, and other health care settings.  

Training includes exposure to specialties like pediatrics, mental health, and critical care. Clinical rotations may take place at facilities like Duke University Hospital or Atrium Health Carolinas Medical Center. Practical experience ensures students are prepared for real-world patient care.  

Step 3: Pass the NCLEX-RN Exam

The National Council Licensure Examination for Registered Nurses (NCLEX-RN) is required to obtain RN licensure. The exam evaluates nursing knowledge and the ability to provide safe care.  

Steps to Register for the NCLEX

1. Submit an Application: Apply for licensure through the North Carolina Board of Nursing. Include transcripts from your nursing program.  
2. Register with Pearson VUE: Pay the $200 exam fee and schedule the test.  
3. Complete a Background Check: Submit fingerprints to the North Carolina State Bureau of Investigation and the FBI.  

The NCLEX consists of multiple-choice questions covering patient care, pharmacology, and safety standards. Passing the NCLEX demonstrates readiness to practice as an RN.  

Step 4: Apply for RN Licensure in North Carolina

After passing the NCLEX, apply for licensure through the North Carolina Board of Nursing. North Carolina is part of the Nurse Licensure Compact (NLC), allowing RNs to practice in 41 participating states with a multistate license.  

Application Requirements

• Completed application form  
• Transcripts from an accredited nursing program  
• NCLEX pass confirmation  
• Criminal background check results  
• $75 application fee  

Licenses must be renewed every two years. Renewal requires completing 15 continuing education hours or meeting alternative competency requirements through certifications or academic coursework.  

Step 5: Begin Your Career as a Registered Nurse

RNs in North Carolina work in diverse settings, including hospitals, outpatient care centers, and home health care services. Major employers include UNC Health, Duke Health, Novant Health, and WakeMed.  

Career Growth Opportunities

North Carolina offers roles in specialized fields like oncology and critical care, as well as positions in academic medical centers. Flexible options such as travel nursing and per diem shifts are also available.  

Step 6: Consider Advanced Education

Many RNs pursue higher education to expand career options.  

• Master of Science in Nursing (MSN): Prepares RNs for roles as nurse practitioners, educators, or administrators. Programs are available at UNC Greensboro and Duke University.  
• Doctor of Nursing Practice (DNP): Focuses on leadership and advanced practice. East Carolina University offers DNP programs for ambitious RNs.  

Certifications in areas such as wound care, critical care, or oncology further enhance career prospects. Certifications are available through organizations like the American Nurses Credentialing Center (ANCC).  

Licensure in North Carolina

The North Carolina Board of Nursing mandates that candidates graduate from an approved nursing program and pass the NCLEX-RN exam. Programs must meet curriculum standards set by the state or a National Council of State Boards of Nursing (NCSBN) member board.  

The RN licensure application fee in North Carolina is $75. Detailed licensure requirements can be found at HealthJob.org.  

Frequently Asked Questions

How long does it take to become an RN in North Carolina?  

The timeline depends on the educational path. ADN programs typically take two years, while BSN programs require four years. Accelerated options like ABSN programs can be completed in 12 to 18 months.  

How do I get my RN license in North Carolina?  

Graduating from an approved nursing program, passing the NCLEX-RN exam, and completing a background check are required. Submit an application to the North Carolina Board of Nursing along with a $75 fee.  

What are the main responsibilities of a Registered Nurse?  

RNs are responsible for monitoring patient conditions, administering medications, recording medical histories, and coordinating care with health care teams.  

What are common workplaces for RNs in North Carolina?  

RNs work in hospitals, outpatient care centers, home health care services, and physician offices. Major employers include UNC Health, WakeMed, and Duke Health.

Start Your Journey as a North Carolina RN

The path to becoming a Registered Nurse offers meaningful opportunities to impact lives through direct patient care. North Carolina's diverse health care landscape allows RNs to work in specialties ranging from pediatrics to geriatrics, while the state's prestigious medical centers provide access to cutting-edge treatments and technologies. Whether working in bustling urban hospitals or serving rural communities, RNs develop valuable skills while building lasting relationships with patients and colleagues.

Ready to take the first step? Research accredited nursing programs in your area, connect with current RNs to learn about their experiences, and reach out to admissions counselors at North Carolina nursing schools. Your future in nursing starts with understanding the educational path that best aligns with your goals and circumstances.