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February 19, 2025

How to Become a Registered Nurse (RN) in Tennessee

Becoming a registered nurse in Tennessee opens the door to a stable and meaningful career, with opportunities to make a difference in hospitals, clinics, and communities across the state.
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How to Become a Registered Nurse (RN) in Tennessee

Registered nurses represent the backbone of Tennessee's patient care system, combining clinical expertise with compassionate care to support individuals across all stages of health and illness. Their scope extends far beyond traditional hospital settings into schools, clinics, and community health centers, where they deliver essential medical services and health education.

The path to becoming an RN in Tennessee offers multiple entry points and specialization opportunities, allowing aspiring nurses to align their career goals with the state's diverse health care needs. From Nashville's cutting-edge medical centers to rural community clinics in the Appalachian region, Tennessee RNs play a crucial role in advancing public health while enjoying strong professional growth potential.

Key Points  

  • Completion of an approved nursing program is mandatory to become an RN in Tennessee.  
  • Passing the NCLEX-RN exam is required for licensure.  
  • Tennessee employs 63,460 RNs, with an annual mean wage of $78,240, according to the Bureau of Labor Statistics.  
  • Clinical rotations provide experience in real-world settings.  
  • Tennessee participates in the Nurse Licensure Compact (NLC), which allows multistate practice.

What is a Registered Nurse (RN)?

A registered nurse provides patient-focused care, supports health care teams, and educates individuals about health conditions. RNs work in diverse settings such as hospitals, outpatient clinics, and schools. Responsibilities include recording vital signs and medical histories, administering medications, and coordinating care plans.

Specializations include oncology, pediatrics, or critical care, among others. The role requires strong attention to detail, critical thinking, and adaptability for fast-paced environments.

Steps to Become a Registered Nurse (RN) in Tennessee

The process to become an RN in Tennessee involves completing an approved educational program, licensure examination, and state-specific requirements.

Step 1: Graduate from an Approved Nursing Program

Students must complete an accredited nursing program that meets the Tennessee Board of Nursing's standards. Program type determines the duration and depth of education.

Program Accreditation

Choose programs accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). Accreditation ensures quality education aligned with licensure requirements.

Step 2: Pass the NCLEX-RN Exam

Graduates must pass the NCLEX-RN exam to obtain licensure. The exam evaluates readiness for entry-level nursing practice.

Steps to Take the NCLEX-RN

  1. Register with Pearson VUE Create an account and pay the $200 exam fee.  
  2. Receive Authorization to Test (ATT) After eligibility is verified, the ATT allows scheduling the exam.
  3. Prepare for the Exam Use resources like practice exams and review courses. Programs such as Hurst Review Services, based in Tennessee, offer preparation tools.  
  4. Take the Exam The computerized test assesses areas such as patient care, pharmacology, and safety protocols.  

Passing the NCLEX-RN is mandatory to move forward with licensure.

Step 3: Apply for Tennessee RN Licensure

After passing the NCLEX-RN, candidates must complete the licensure process through the Tennessee Board of Nursing.

Licensure Process

  1. Submit an Application Applications can be submitted online through the Tennessee Board of Nursing.  Pay the $115 application fee.  
  2. Provide Transcripts  Official transcripts from the completed nursing program must be sent to the Board of Nursing.
  3. Complete a Background Check Schedule fingerprinting through IdentoGO to fulfill the background check requirement.
  4. Multistate Licensure  Tennessee participates in the Nurse Licensure Compact, permitting practice in other NLC states without additional applications.

Step 4: Begin Your Career as an RN in Tennessee

Once licensed, RNs can pursue employment in Tennessee’s diverse health care settings.

Major Employers in Tennessee

  • HCA Health care/TriStar Health operates hospitals and clinics throughout the state, including TriStar Centennial Medical Center in Nashville.  
  • Vanderbilt University Medical Center offers opportunities in research-focused and specialized care environments.  
  • Methodist Le Bonheur Health care, based in Memphis, emphasizes high-quality patient care and employs a significant number of RNs.  
  • LHC Group focuses on home health care, catering to Tennessee’s aging population.  

Job Market Insights

The demand for registered nurses is increasing statewide. Urban centers such as Nashville and Memphis provide higher salaries, while rural areas may offer loan forgiveness programs for nurses in underserved locations.

Step 5: Maintain Tennessee RN Licensure

RNs must renew their licenses every two years. Renewal requires completion of continuing education or other competency requirements.

Renewal Requirements

  1. Complete 5 contact hours of continuing education in pharmacology or clinical practice.  
  2. Provide proof of competency through certifications, employer evaluations, or additional coursework.  
  3. Submit renewal applications and fees through the Tennessee Board of Nursing.  

Licensure in Tennessee

Tennessee requires RNs to graduate from an approved nursing program and pass the NCLEX-RN. The state’s participation in the Nurse Licensure Compact allows registered nurses to practice in other participating states without applying for additional licenses. Out-of-state programs must meet Tennessee’s curriculum standards. Licensing fees include a $115 application fee.

More information on licensing requirements is available through HealthJob.

How Much Do Registered Nurses (RNs) Make in Tennessee?

The Bureau of Labor Statistics reports that the annual mean wage for RNs in Tennessee is $78,240, with an hourly mean wage of $37.61. Salaries vary based on geographic location, experience, and specialization.

Frequently Asked Questions

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

The time varies based on the program. An ADN typically takes two to three years, while a BSN requires four years. Accelerated programs, such as LPN-to-RN or ABSN tracks, can be completed in 12 to 18 months.

What are the most common RN work settings?  

Registered nurses in Tennessee often work in hospitals, outpatient clinics, schools, home health care agencies, and public health departments.  

Can an RN in Tennessee advance their career?  

Yes, RNs can pursue advanced roles through certifications or higher education. Opportunities include becoming a nurse practitioner, clinical nurse specialist, or nurse educator.

Start Your Journey as a Tennessee RN

The role of a registered nurse extends far beyond traditional patient care. RNs in Tennessee serve as patient advocates, team leaders, and vital members of interdisciplinary health care teams. From Nashville's cutting-edge research facilities to rural community clinics in the Appalachian region, Tennessee offers diverse opportunities for nurses to make meaningful impacts in their communities while building fulfilling, stable careers.

Ready to take the first step? Begin by researching accredited nursing programs in your area, connecting with current RNs to learn about their experiences, and reaching out to admission counselors at Tennessee nursing schools. Your dedication to helping others through nursing can transform lives while providing you with a rewarding professional path in health care.

Program outcomes may vary depending on each institution's specific curriculum and employment opportunities are not guranteed.