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

Registered nurses form the backbone of South Dakota's health care system, providing essential patient care in settings from bustling urban hospitals to rural clinics across the state's diverse landscape. Their role combines clinical expertise with compassionate care, making a direct impact on patient outcomes and community health.

For those considering nursing in South Dakota, the profession offers meaningful work with opportunities to specialize in areas like pediatrics, emergency care, or public health. The state's strong health care networks, combined with the flexibility of the Nurse Licensure Compact, create a supportive environment for nurses to build rewarding careers while serving both urban and rural communities.

Key Points:  

• South Dakota employs approximately 14,600 registered nurses, with growing demand in rural and urban areas.  
• Becoming an RN requires completing a nursing program, passing the NCLEX-RN exam, and meeting state licensing requirements.  
• South Dakota offers diverse employment settings, including hospitals, clinics, and veterans' health care facilities.  
• Licensure involves mandatory background checks and adherence to South Dakota Board of Nursing guidelines.  

What is a Registered Nurse (RN)?

A registered nurse is a licensed health care professional who provides direct care to patients. Responsibilities include administering medications, recording vital signs, maintaining accurate records, and monitoring patient conditions. RNs also collaborate with physicians and other team members to develop patient care plans.  

Nurses can specialize in areas like pediatrics, geriatrics, oncology, or public health. Strong communication, critical thinking, and organizational skills are essential for success in this profession. Registered nurses are often the primary point of contact for patients, ensuring quality care in both routine and urgent medical situations.  

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

Step 1: Complete a Registered Nurse (RN) Program

Aspiring RNs in South Dakota must complete an approved nursing program to qualify for licensure. Several pathways are available depending on career goals, time, and prior education.

Associate Degree in Nursing (ADN)

ADN programs generally take two years to complete and are offered at technical schools and community colleges. Institutions like Southeast Technical College in Sioux Falls provide foundational education and clinical training for entry-level nursing roles.

Bachelor of Science in Nursing (BSN)

BSN programs require approximately four years of study and are available at schools like South Dakota State University (SDSU) and the University of Sioux Falls. Coursework includes leadership, public health, and evidence-based practice, equipping graduates with advanced training for broader career opportunities.

Bridge and Accelerated Programs

LPN-to-RN and RN-to-BSN bridge programs offer options for licensed practical nurses or practicing RNs to further their education. Accelerated BSN programs are available for individuals with degrees in other fields, allowing completion in less time.

Accreditation

Ensure the program is accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). Accreditation is required for NCLEX-RN eligibility and is often preferred by employers.

Step 2: Pass the NCLEX-RN Exam

Graduates of accredited programs must pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to obtain licensure. The exam evaluates knowledge in patient safety, care management, and clinical decision-making.

Registration Process

• Apply to take the exam through Pearson VUE.  
• Pay the $200 registration fee.  
• Request that the nursing school sends a Certificate of Nursing Education to the South Dakota Board of Nursing.  

Exam Preparation

Most nursing programs in South Dakota incorporate NCLEX preparation. Additional resources, such as Kaplan and UWorld, provide practice exams and study guides to reinforce knowledge and improve outcomes.

Step 3: Apply for RN Licensure in South Dakota

After passing the NCLEX-RN, candidates must apply for licensure through the South Dakota Board of Nursing. The process involves submitting an application and meeting background check requirements.

Licensure by Examination

• Complete the South Dakota Board of Nursing’s online application.  
• Pay the $100 application fee.  
• Submit fingerprints for a criminal background check.  

Licensure by Endorsement

RNs licensed in another state can apply for licensure by endorsement. This process requires verification of existing licensure, submission of official transcripts, and completion of a criminal background check.

Nurse Licensure Compact (NLC)

South Dakota participates in the Nurse Licensure Compact, allowing RNs with multistate licenses to practice in other compact states without additional licensure. This is beneficial for travel nurses or those living near state borders.

Step 4: Begin Your Nursing Career in South Dakota

Employment Settings

South Dakota offers a range of opportunities for newly licensed RNs. Urban centers like Sioux Falls and Rapid City are home to major employers such as Sanford Health and Avera Health. Rural clinics and critical access hospitals also need skilled nurses to address health care shortages in underserved areas.

Major Employers

• Sanford Health has positions in specialized areas like oncology and cardiology.  
• Avera Health provides career advancement opportunities in behavioral health and acute care.  
• Monument Health offers acute and emergency care roles in western South Dakota.  
• Sioux Falls VA Health Care System employs nurses to care for veterans and provides competitive federal benefits.  

Step 5: Maintain RN Licensure

Registered nurses in South Dakota must renew their licenses every two years. The renewal process includes meeting continuing education requirements and paying renewal fees.

1. Complete 140 hours of nursing practice over a 12-month period or 480 hours over six years.  
2. Fulfill continuing education requirements as determined by the South Dakota Board of Nursing.  
3. Renew the license online and pay the renewal fee.  

Licensure in South Dakota

Licensure requires completing a board-approved program and passing the NCLEX-RN exam. Out-of-state programs must meet South Dakota’s standards. Initial fees, including the application and background check, are approximately $100 to $200. For more details, visit the state licensing requirements guide.  

How Much Do Registered Nurses Make in South Dakota?

According to the Bureau of Labor Statistics, the mean hourly wage for RNs in South Dakota is $33.19, with an annual mean wage of $69,030. Salaries vary by location, experience, and specialty, with urban areas like Sioux Falls offering higher wages due to demand.

Frequently Asked Questions

How do I become an RN in South Dakota?  

To become an RN in South Dakota, complete an accredited nursing program, pass the NCLEX-RN exam, and apply for licensure through the South Dakota Board of Nursing.  

What is a two-year RN degree called?  

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

Can you take an RN exam without going to school?  

No, the NCLEX-RN exam requires completion of an approved nursing program.  

What is the fastest you can become an RN?  

Accelerated nursing programs allow individuals to become RNs in 12 to 18 months, depending on their prior education.

Starting Your South Dakota Nursing Journey

The nursing profession offers meaningful opportunities to make a difference in patients' lives while building a stable career. South Dakota's mix of urban and rural settings provides unique experiences, from working in advanced medical centers to serving communities in critical access hospitals. This diversity allows nurses to develop broad skill sets while choosing work environments that align with their interests.

Ready to pursue a nursing career in South Dakota? Begin by researching accredited nursing programs that match your goals and schedule. Contact program advisors to learn about admission requirements, clinical partnerships, and financial aid options. Your path to becoming a registered nurse starts with taking that first step toward education.