The term “RN” stands for Registered Nurse, which is a single professional license. However, the levels of RN can refer to differences in education, experience, specialization, and career advancement—not separate license types.
All RNs must pass the NCLEX-RN exam and hold a state license. But their qualifications and roles may vary based on their academic background and professional path.
Educational Levels Among RNs
There are three main educational paths to become an RN:
- Diploma in Nursing – Offered by hospital-based schools (now rare).
- Associate Degree in Nursing (ADN) – Typically a two-year program.
- Bachelor of Science in Nursing (BSN) – A four-year degree increasingly preferred by employers.
While all lead to RN licensure, BSN-prepared nurses often qualify for more advanced roles, leadership positions, or specialty certifications.
Career and Clinical Advancement
Beyond initial licensure, RNs may pursue additional credentials that create practical levels of RN in the workplace. These include:
- Certified RNs in areas like critical care, pediatrics, or oncology.
- Charge nurses or team leaders with supervisory duties.
- Public health or case management RNs with specialized training.
Some RNs advance to graduate education, becoming Advanced Practice Registered Nurses (APRNs)—such as nurse practitioners—but this is a separate licensure category beyond the RN level.
Employer and State Recognition
Hospitals and healthcare systems may classify RNs into pay grades or tiers (e.g., RN I, RN II, RN III) based on years of experience, certifications, or competencies. These are internal levels of RN used for staffing and compensation, not legal distinctions.
In summary, there is only one RN license, but levels of RN exist in practice through education, experience, specialization, and employer structure.
Pursuing higher education and certifications can help RNs advance through these informal levels and expand their career opportunities.