How to Become a Registered Nurse (RN) in Texas

Registered nurses form the backbone of Texas's health care system, providing essential patient care while serving as advocates, educators, and coordinators across diverse medical settings. Their unique combination of clinical expertise and compassionate care helps guide patients through their medical journeys, from routine check-ups to complex treatments.

In Texas, the path to becoming a registered nurse offers multiple entry points and specialization opportunities, supported by some of the nation's largest health systems and medical centers. The state's growing population and expanding health care needs create a dynamic environment where nurses can build meaningful careers while making significant impacts in their communities.

Key Points  

• Texas employs approximately 251,840 registered nurses, according to the Bureau of Labor Statistics.  
• The average annual salary for RNs in Texas is $90,210, with an hourly mean wage of $43.37.  
• Registered nurse employment is projected to grow by 6% from 2023 to 2033, creating approximately 197,200 new positions nationwide during this period, according to the Bureau of Labor Statistics.  
• Licensure in Texas requires passing the NCLEX-RN, the Texas Nursing Jurisprudence Exam, and submitting fingerprints for a background check.  
• Major employers of RNs in Texas include Texas Health Resources, Baylor Scott & White Health, and HCA Health care.

What is a Registered Nurse (RN)?

Registered nurses provide direct patient care, coordinate treatment plans, and educate patients about managing health conditions. Nurses work in settings such as hospitals, outpatient clinics, schools, and home health care services. Responsibilities include recording patient medical information and vital signs, monitoring symptoms, and administering medications.  

Specializations are available, including pediatrics, critical care, and oncology. Strong communication skills, organization, and proficiency with medical software such as Epic Systems and MEDITECH are essential for success.  

Steps to Become a Registered Nurse (RN) in Texas

Step 1: Complete a Registered Nurse (RN) Program

To qualify for licensure, students must graduate from an accredited nursing program. Aspiring RNs in Texas can choose between an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN). Both programs prepare students for the NCLEX-RN exam, but educational depth and career opportunities differ between ADN and BSN programs.

Associate Degree in Nursing (ADN)

ADN programs are typically two years long and focus on core nursing skills and clinical training. These programs are often offered at community colleges and are ideal for those seeking an efficient path to licensure.  

Bachelor of Science in Nursing (BSN)

BSN programs are four-year degrees that include advanced coursework in leadership, public health, and research. Graduates are often preferred for leadership roles or specialized nursing positions.  

Accelerated BSN programs are available for students with a non-nursing bachelor’s degree, allowing completion in as little as 12-18 months.  

Bridge Programs

Licensed vocational nurses (LVNs) and current RNs with an ADN can pursue bridge programs such as LVN-to-BSN or RN-to-BSN. These programs expand education and career advancement opportunities.

Accreditation

The Texas Board of Nursing (BON) requires programs to be accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). Accreditation ensures programs meet standards for licensure readiness.

Step 2: Pass the NCLEX-RN Exam

Graduates must pass the NCLEX-RN to earn licensure. This exam assesses readiness for entry-level nursing practice and is required nationwide.

Application Steps with the Texas Board of Nursing

1. Submit an Application: Apply through the Texas Nurse Portal and pay the $100 fee.  
2. Complete Fingerprinting: Provide fingerprints for a criminal background check through the Texas Department of Public Safety.  
3. Pass the Texas Nursing Jurisprudence Exam: Complete the exam to demonstrate knowledge of nursing laws in Texas.  

NCLEX-RN Registration

• Register with Pearson VUE and pay the $200 exam fee.  
• Schedule the exam at a Pearson Professional Center. NCLEX testing centers are available in major Texas cities, including Houston, Austin, and Dallas.

Step 3: Obtain Texas RN Licensure

After passing the NCLEX-RN and meeting application requirements, the Texas Board of Nursing will issue a license, allowing graduates to practice as registered nurses in the state.

Multi-State Licensure

Texas participates in the Nurse Licensure Compact (NLC). This agreement enables RNs to practice in other compact states without additional licensure, which is advantageous for nurses near state borders.

Step 4: Launch a Nursing Career in Texas

Employment Opportunities

Texas offers diverse job opportunities for RNs. Hospitals and outpatient care centers employ the largest number of nurses, but opportunities exist in schools, long-term care facilities, and home health care.  

Major employers in Texas include:  

• Texas Health Resources  
• Baylor Scott & White Health  
• HCA Health care  

Projected Growth

The demand for nurses continues to grow in Texas. The aging population and expanding access to medical services contribute to the need for qualified RNs. Nursing shortages, particularly in rural areas, create opportunities for new graduates.

Step 5: Maintain Licensure

Texas requires RNs to renew their licenses every two years. Renewal includes completing continuing education hours and paying renewal fees.

1. Complete 20 contact hours of continuing education, including nursing ethics and jurisprudence topics.  
2. Submit renewal applications and fees through the Texas Nurse Portal.  

Employers often provide resources for continuing education at no cost to the nurse.

Licensure in Texas

To become licensed in Texas, applicants must graduate from a board-approved nursing program, pass the NCLEX-RN, complete fingerprinting for a background check, and pass the Texas Nursing Jurisprudence Exam. Licensure requirements are detailed here: Registered Nurse (RN) Licensing Requirements by State.  

Frequently Asked Questions

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

The time frame depends on the program. An ADN typically takes two years, while a BSN requires four years. Accelerated BSN programs for students with a prior degree may take 12-18 months.  

What is a 2-year RN degree called?  

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

What is required to be an RN in Texas?  

Requirements include graduating from an accredited nursing program, passing the NCLEX-RN, completing a fingerprint-based background check, and passing the Texas Nursing Jurisprudence Exam.  

What are common nursing specialties in Texas?  

Nursing specialties include critical care, pediatrics, oncology, and labor and delivery. Specialty certifications are available for career advancement.

Starting Your Nursing Career in Texas

Working as a registered nurse offers unique opportunities to make meaningful connections with patients while contributing to improved health outcomes in diverse clinical settings. The role combines technical expertise with compassionate care, allowing nurses to develop lasting professional relationships with colleagues and directly impact patient recovery.

Whether you're drawn to the fast-paced environment of emergency medicine or the specialized care of pediatrics, your journey begins with selecting an accredited nursing program. Contact nursing schools in your area to learn more about admission requirements, clinical rotations, and financial aid opportunities to launch your nursing career in Texas.