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Whether you're just starting to explore nursing as a career or you're already in school, this guide walks you through every step — from choosing a program to earning your Washington State license.
The pathway
Nursing is one of the most in-demand and rewarding careers in Washington. The path is clear — it takes commitment, but thousands of nurses walk it every year.
Step 01
Washington State accepts two entry paths: an Associate Degree in Nursing (ADN, typically 2 years) or a Bachelor of Science in Nursing (BSN, 4 years). Many employers and hospitals now prefer or require a BSN. Both qualify you to sit for the NCLEX-RN licensing exam.
ADN programs are offered at community colleges statewide. BSN programs are available at UW, WSU, Seattle University, Pacific Lutheran University, and others.
Step 02
The National Council Licensure Examination (NCLEX-RN) is the standardized test every registered nurse must pass before practicing. It tests clinical judgment, patient safety, and care management across all nursing domains.
The exam is computer-adaptive — it adjusts difficulty based on your answers. Most candidates complete it in 85–145 questions. Washington State requires a passing score to apply for licensure.
Step 03
After passing the NCLEX-RN, apply for your Registered Nurse license through the Washington State Department of Health. The application requires proof of education, exam results, a background check, and a licensing fee.
Washington participates in the Nurse Licensure Compact (NLC), meaning your WA license may be recognized in other compact states — and vice versa.
Step 04
Washington nurses work in hospitals, community health clinics, schools, correctional facilities, home health, and rural outreach programs. Specialties range from emergency and critical care to pediatrics, oncology, psychiatric nursing, and public health.
Many nurses pursue additional certifications (CCRN, CEN, OCN) after gaining experience. Graduate programs (MSN, DNP) open doors to nurse practitioner, educator, and leadership roles.
Where to study
This list is not exhaustive. Washington has over 30 accredited nursing programs. Visit the ACEN or CCNE for a full directory of accredited programs.
Helpful links
Already a nurse?
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