How to Become a Registered Nurse (RN) in Virginia

Registered nurses form the backbone of Virginia's health care system, delivering essential patient care while serving as advocates, educators, and skilled clinicians. Their role extends beyond traditional bedside care to include specialized treatments, care coordination, and the implementation of cutting-edge medical technologies.

For those considering a nursing career in Virginia, the path combines rigorous academic preparation with hands-on clinical experience. The Commonwealth's diverse health care landscape—from major urban medical centers to rural community clinics—offers registered nurses opportunities to make meaningful impacts in various settings while building rewarding, stable careers.

Key Points:  

• Virginia employs more than 70,650 registered nurses, according to the Bureau of Labor Statistics.  
• Registered nurses in Virginia must complete an accredited program and fulfill at least 500 clinical hours to qualify for licensure.  
• The NCLEX-RN exam is required to practice as an RN in Virginia.  
• Employment for registered nurses is projected to grow by 6% between 2023 and 2033, according to the Bureau of Labor Statistics.  

What is a Registered Nurse (RN)?

A Registered Nurse (RN) is a licensed health care professional responsible for delivering patient-focused care. RNs work in hospitals, clinics, schools, outpatient care centers, and other settings. Duties include monitoring patient conditions, administering medications, recording medical data, and collaborating with health care teams.  

Specializations are available in fields like pediatrics, geriatrics, critical care, and oncology. Strong communication, adaptability, and attention to detail are crucial for success. Administering medications and monitoring patient responses are primary responsibilities.  

Steps to Become a Registered Nurse (RN) in Virginia

Step 1: Complete a Registered Nurse (RN) Program

Registered nurses must complete an accredited nursing program approved by the Virginia Board of Nursing. Options include:  

Associate Degree in Nursing (ADN)

An Associate Degree in Nursing typically takes two years to complete and is offered at community colleges, including Tidewater Community College and Northern Virginia Community College. The curriculum focuses on core nursing skills required for entry-level positions.  

Bachelor of Science in Nursing (BSN)

A BSN is a four-year degree at institutions such as Virginia Commonwealth University and Old Dominion University. The program includes leadership training and advanced coursework in public health and research. Accelerated BSN options are available for those who already hold a bachelor’s degree in another field, with completion times ranging from 12 to 18 months.  

ADN-to-BSN Bridge Programs

Licensed RNs with an associate degree can enroll in bridge programs to earn a BSN. These programs, often offered online, provide flexibility for working professionals.  

Accelerated Master of Science in Nursing (MSN)

Some universities, including the University of Virginia, offer direct-entry MSN programs for individuals with non-nursing bachelor’s degrees. This pathway combines accelerated BSN coursework with advanced nursing education.  

Step 2: Pass the NCLEX-RN Examination

The National Council Licensure Examination (NCLEX-RN) is required to become licensed as a registered nurse in Virginia. The exam evaluates critical thinking, clinical skills, and decision-making.  

The NCLEX is administered at Pearson VUE testing centers, including locations in Richmond and Virginia Beach. Virginia nursing graduates often achieve strong first-time pass rates. Preparation resources include practice exams, review courses, and study guides.  

Step 3: Apply for RN Licensure in Virginia

The Virginia Board of Nursing oversees the licensure process. Applicants must meet educational and clinical requirements, pass the NCLEX, and complete the following steps:  

• Submit an online application through the Virginia Department of Health Professions.  
• Pay a $190 application fee.  
• Complete a fingerprint-based criminal background check through Fieldprint, with a processing fee of approximately $35.  

Out-of-state applicants must ensure their transcripts specify clinical hour requirements. Virginia is part of the Nurse Licensure Compact, allowing multistate practice for eligible nurses.  

Step 4: Begin Work as a Registered Nurse

Virginia offers numerous opportunities for registered nurses across urban, suburban, and rural areas. Hospitals, outpatient care centers, and long-term care facilities are among the largest employers.  

Major Employers in Virginia

• Inova Health System: Located in Northern Virginia, Inova employs over 18,000 health care professionals.  
• Sentara Health care: Sentara operates 12 hospitals and employs RNs in specialties such as emergency and labor and delivery.  
• Carilion Clinic: Based in Roanoke, Carilion provides opportunities in clinical and administrative nursing roles.  
• VCU Health System: As an academic medical center, VCU offers research and teaching opportunities for RNs.  

RNs in Virginia earn an average annual salary of $88,350, according to the Bureau of Labor Statistics.  

Step 5: Maintain RN Licensure

Registered nurses in Virginia must renew their licenses every two years. Renewal requirements include completing one of the following:  

1. 15 contact hours of continuing education.  
2. 640 hours of active nursing practice.  
3. A nursing-related academic course.  

The Virginia Board of Nursing provides a renewal portal for submitting the required documentation and fees.  

Licensure in Virginia

To obtain a Virginia RN license, applicants must:  

• Graduate from a nursing program approved by the Virginia Board of Nursing.  
• Complete at least 500 hours of direct clinical patient care.  
• Pass the NCLEX-RN.  

The application fee is $190. Additional costs include background checks and NCLEX registration fees. For out-of-state candidates, transcripts must include a breakdown of clinical hours. See the full requirements at HealthJob.org.  

How much do Registered Nurses (RNs) make in Virginia?

Registered nurses in Virginia earn an average hourly wage of $42.48 and an annual mean salary of $88,350, according to the Bureau of Labor Statistics. Salaries vary across metropolitan and non-metropolitan regions, with higher wages reported in areas such as Arlington and Alexandria.  

Frequently Asked Questions

What is a 2-year RN called?  

A 2-year RN is referred to as an Associate Degree in Nursing (ADN) graduate. ADN graduates qualify to take the NCLEX-RN and work in entry-level registered nurse positions.  

What is the fastest you can become an RN?  

The fastest path to RN licensure is through an accelerated ADN or BSN program. Accelerated options often require full-time enrollment and intensive clinical training.  

What is the difference between an RN and a BSN?  

A Registered Nurse (RN) holds a license to practice, while a Bachelor of Science in Nursing (BSN) refers to the degree earned. RNs with a BSN often have access to leadership roles and advanced career opportunities.  

Can you work as an RN while completing your BSN?  

Yes, many ADN graduates work as RNs while pursuing a BSN through bridge programs. Employers in Virginia often provide support for continuing education.

Building Your Future in Virginia Nursing

The path to becoming a registered nurse in Virginia offers meaningful opportunities to make a direct impact on patient care while developing specialized skills. Beyond the clinical aspects, RNs often find fulfillment in building lasting relationships with patients, collaborating across interdisciplinary teams, and contributing to improved health outcomes in their communities.

Whether you're drawn to the fast-paced environment of emergency medicine or the long-term connections formed in primary care, your next step is to research accredited nursing programs that align with your goals and schedule. Contact nursing schools in your area to learn more about admission requirements, clinical partnerships, and financial aid opportunities.