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Registered Nurse salary

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What a registered nurse does

Registered nurses assess patients, deliver treatment and coordinate care across hospitals, clinics and community settings. It requires a nursing degree and state licensure.

Day-to-day duties

  • Assess and monitor patient condition
  • Administer medication and treatments
  • Coordinate with physicians and specialists
  • Educate patients and families
  • Maintain clinical records

Skills employers look for

  • Clinical judgement under pressure
  • Clear communication with patients and colleagues
  • Attention to detail with medication and dosage
  • Emotional resilience

Requirements Licence required

  • ADN or BSN nursing degree
  • Passing the NCLEX-RN examination
  • State RN licence
  • BLS certification; specialty certifications for some units

How to get started

  1. 1 Complete an ADN (2 years) or BSN (4 years)
  2. 2 Pass the NCLEX-RN
  3. 3 Obtain your state licence
  4. 4 Gain experience on a general unit
  5. 5 Specialise — ICU, ER, theatre — for higher pay

Job outlook: Nursing demand is strong and broad-based, with shortages in most regions. Shift differentials and specialty premiums often matter more to earnings than base rate.

Common questions about registered nurses

What does a registered nurse do?

Registered nurses assess patients, deliver treatment and coordinate care across hospitals, clinics and community settings. It requires a nursing degree and state licensure. Day to day, that means assess and monitor patient condition, administer medication and treatments, coordinate with physicians and specialists and educate patients and families.

How do you become a registered nurse?

The usual route is: (1) complete an ADN (2 years) or BSN (4 years), (2) pass the NCLEX-RN, (3) obtain your state licence, (4) gain experience on a general unit. Employers typically look for ADN or BSN nursing degree, passing the NCLEX-RN examination and state RN licence.

Do you need a certification to work as a registered nurse?

Yes. Working as a registered nurse requires formal certification or licensing — specifically state RN licence and BLS certification; specialty certifications for some units. Requirements are set at state level in most cases, so check your own state's rules before committing to a programme.

Are registered nurses in demand?

Nursing demand is strong and broad-based, with shortages in most regions. Shift differentials and specialty premiums often matter more to earnings than base rate.

How long does it take to become a registered nurse?

Two years for an associate degree (ADN) or four for a bachelor's (BSN), then the NCLEX-RN exam and state licensure. Many employers now prefer or require a BSN, and some fund ADN-to-BSN bridge programmes for staff.

Do night-shift nurses earn more?

Usually. Night, weekend and holiday differentials are standard in hospital nursing and can add meaningfully to annual pay. Advertised base rates often exclude them, so total earnings can exceed the posted figure.

Where are registered nurses most in demand?

See the metro and rural areas with the highest concentration of this work, ranked from Bureau of Labor Statistics employment data.

View demand map

Pay figures are estimates for guidance only, not an offer or guarantee. Advertised ranges come from job postings on LocalWork; government figures come from the U.S. Bureau of Labor Statistics. Actual pay depends on experience, certifications, shift and employer.