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

Registered nurses form the backbone of North Dakota's health care delivery system, providing essential patient care in settings ranging from bustling urban medical centers to critical access rural hospitals. Their role combines clinical expertise with compassionate care, making a direct impact on patient outcomes across the state.

For those considering nursing in North Dakota, the profession offers unique opportunities to serve diverse communities while building a stable career. The state's strong health care networks, combined with the close-knit nature of its communities, create an environment where nurses can develop deep professional relationships and make meaningful contributions to public health.

Key Points:  

• North Dakota requires completion of a board-approved nursing program, passing the NCLEX-RN exam, and obtaining state licensure for registered nurses (RNs).  
• The average annual salary for RNs in North Dakota is $79,190, with an hourly mean wage of $38.07, according to the Bureau of Labor Statistics.  
• The state has approximately 10,350 employed RNs, with job opportunities spanning urban hospitals and rural facilities.  
• Continuing education and biennial license renewal are required to maintain RN licensure in the state.  
• Major employers for RNs include Sanford Health, Essentia Health, and CHI St. Alexius Health.  

What is a Registered Nurse (RN)?

A registered nurse is responsible for providing direct patient care, coordinating treatment plans, and educating patients about medical conditions. Primary responsibilities often include monitoring symptoms, administering medication, and documenting patient information. RNs also work closely with physicians and other health care professionals to provide comprehensive care.  

Specializations such as pediatrics, oncology, and critical care allow nurses to focus on specific patient populations. Advanced communication skills, critical thinking, and attention to detail are essential for success in this role. Many RNs in North Dakota work in settings like hospitals, outpatient clinics, and nursing homes.  

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

Step 1: Enroll in a Board-Approved Nursing Program

The first requirement is completing a nursing program recognized by the North Dakota Board of Nursing. Approved programs ensure students gain the clinical experience and foundational knowledge needed for licensure.  

Degree Options

1. Associate Degree in Nursing (ADN): ADN programs require two years of full-time study and focus on core nursing skills. Schools such as Bismarck State College offer ADN programs that prepare graduates for entry-level nursing positions.  
2. Bachelor of Science in Nursing (BSN): BSN degrees require four years at universities like the University of North Dakota (UND) or North Dakota State University (NDSU). BSN programs include leadership training and advanced coursework. Employers often prefer BSN-prepared nurses for specialized and management roles.  
3. Accelerated BSN (ABSN): ABSN programs are designed for individuals holding a bachelor’s degree in another discipline. These programs can be completed in 12 to 18 months, depending on the institution.  
4. LPN-to-RN Programs: Licensed practical nurses (LPNs) can pursue bridge programs to earn ADN or BSN degrees. These programs account for prior work experience, often reducing completion time.  

Accreditation

Accreditation is mandatory for eligibility to take the NCLEX-RN exam. Verify that the program is accredited by a national body such as the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). Programs must also be approved by the North Dakota Board of Nursing to meet licensure standards.  

Financial Considerations

ADN programs in North Dakota typically cost between $10,000 and $20,000, while BSN programs range from $20,000 to $40,000. Financial aid options include grants, scholarships, and federal student loans. The North Dakota Board of Nursing and local universities often provide scholarship opportunities for nursing students.  

Step 2: Pass the NCLEX-RN Exam

The NCLEX-RN exam is required to become licensed as an RN in North Dakota. The exam measures competency in patient care and medical knowledge.  

Steps to Register

• Apply for licensure through the North Dakota Board of Nursing and register for the NCLEX-RN through Pearson VUE.  
• Pay a $200 exam fee to Pearson VUE and a $130 application fee to the state board. Fingerprinting and a background check are required, costing $20.  
• Schedule the exam after receiving an Authorization to Test (ATT).  

Exam Focus

The NCLEX-RN evaluates knowledge in areas such as pharmacology, patient safety, and care coordination. Study tools include practice exams, test prep books, and online review courses.  

Temporary permits allow candidates to work under supervision while awaiting exam results. These permits are valid for 90 days.  

Step 3: Obtain RN Licensure in North Dakota

After passing the NCLEX-RN, apply for licensure through the North Dakota Board of Nursing.  

Licensing Process

• Submit proof of graduation from a board-approved nursing program.  
• Complete a criminal background check.  
• Pay the $130 licensure fee.  

North Dakota participates in the Nurse Licensure Compact (NLC), which allows RNs to practice in other NLC states without obtaining additional licenses.  

Step 4: Begin Employment as an RN in North Dakota

Once licensed, pursue employment opportunities in hospitals, clinics, and other health care facilities across the state.  

Employment Landscape

North Dakota has a growing demand for RNs, particularly in rural areas. Urban centers like Fargo and Bismarck offer job opportunities in larger health care systems. Rural facilities often provide incentives such as loan repayment assistance to attract qualified nurses.  

Major Employers

1. Sanford Health: Provides roles in specialties like cardiology, pediatrics, and surgery.  
2. Essentia Health: Focuses on professional development for nursing staff.  
3. CHI St. Alexius Health: Offers positions in critical care, emergency medicine, and outpatient services.  
4. Altru Health System: Employs RNs in areas such as rehabilitation and primary care.  
5. Rural Health Clinics: Serve underserved populations and offer diverse clinical experiences.  

The job market for RNs in North Dakota is supported by an aging population and increased demand for health care services.  

Step 5: Maintain RN Licensure

RNs in North Dakota must complete specific requirements to maintain licensure.  

Renewal Process

1. Renew licenses every two years.  
2. Complete 12 contact hours of continuing education during each renewal period.  
3. Verify 400 hours of nursing practice within the previous four years.  
4. Pay the $140 renewal fee.  

Failure to meet renewal requirements may result in license suspension. Continuing education can be completed through professional organizations, local universities, or online platforms.  

Licensure in North Dakota

Registered nurses must meet three primary requirements to obtain licensure in North Dakota:
1. Complete a North Dakota Board of Nursing-approved program.
2. Pass the NCLEX-RN exam.
3. Submit a criminal background check with fingerprints.  

Out-of-state programs must include supervised clinical experience across the lifespan to qualify. For detailed licensing requirements, refer to the RN Licensing Requirements.  

Frequently Asked Questions

Can you take an RN exam without going to school?  

No, completing a board-approved nursing program is required to qualify for the NCLEX-RN.  

What is the fastest you can become an RN?  

The fastest path to becoming an RN is through an accelerated BSN or an ADN program, which can take as little as 16 months of full-time study.  

What is a 2-year nursing degree called?  

A two-year nursing degree is called an Associate Degree in Nursing (ADN).

Starting Your North Dakota Nursing Journey

Registered nurses in North Dakota blend clinical expertise with compassionate care, making meaningful differences in patients' lives daily. From bustling urban medical centers to critical access rural hospitals, RNs develop valuable relationships with patients while mastering advanced medical technologies and contributing to improved health outcomes across diverse communities.

Ready to pursue a career in nursing? Start by researching North Dakota's approved nursing programs, connecting with current RNs to learn about their experiences, and reaching out to admissions counselors at local schools. Your path to becoming an RN begins with a single step - choosing the right educational program that aligns with your goals and circumstances.