List of Different Nurse Levels in Order | 2024

List of Different Nurse Levels in Order | 2024
List of Different Nurse Levels in Order | 2024

Certified Nursing Assistant (CNA)

A certified nursing assistant, or CNA, helps patients with activities of daily living and other healthcare needs under the direct supervision of a Registered Nurse (RN) or Licensed Practical Nurse (LPN).

CNA Education

Certified nursing assistants must complete a state-approved training program. These programs are generally found at local community colleges, high schools, vocational or technical schools, or local hospitals.

  • 4-12 week program
  • CNA certification exam
  • Earn a state license
  • CNA Salary
  • $35,760 per year, $17.19 per hour per BLS
  • Job Outlook
  • 4% growth per BLS

2. Licensed Practical Nurse (LPN) / Licensed Vocational Nurse (LVN)

LVNs and LPNs are interchangeable titles depending on where you work in the US. California and Texas use the title LVN, and the rest of the US uses LPN.

LPNs and LVNs work in hospitals, nursing homes, and other medical facilities and are typically responsible for more basic kinds of patient care and comfort measures. Usually, they work under the guidance of an RN or MD.

LPN Education

To become an LVN/LPN, you need a high school diploma or GED and to graduate from an accredited LVN/LPN program and pass the National Council Licensure Exam. LPN programs typically include one year of coursework and training at a hospital, community college, or technical school. There are also LPN to RN programs where LPNs can go back to school to become either an ADN RN or a BSN RN through accelerated programs.

  • 1-year program
  • NCLEX-PN licensing exam
  • Earn a state license
  • LPN Salary
  • $54,620 per year, $26.26 per hour per BLS
  • Job Outlook
  • 5% growth per BLS

3. Registered Nurse (RN)

A registered nurse administers hands-on patient care in a variety of settings, including hospitals, medical offices, nursing homes, and other facilities.

RNs work with physicians and other members of the health care team to provide the best course of treatment possible. They also help to educate patients and their families about health issues.

RN Education

To become an RN, you’ll need to complete either an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN) degree, followed by your NCLEX-RN.

  • Associate Degree in Nursing (ADN)
  • 2-3 year program
  • Bachelor of Science in Nursing (BSN)
  • 4-year program
  • RN Salary
  • $81,220 per year, $39.05 per hour per BLS
  • Job Outlook
  • 6% growth per BLS

4. Advanced Practice Registered Nurse (APRN)

An APRN is a master’s degree-prepared RN with a post-masters certificate or a DNP in one of the following four roles:

  • Nurse Practitioner
  • Clinical Nurse Specialist
  • Certified Registered Nurse Anesthetist
  • Nurse-Midwife

APRNs are licensed through the state board of nursing in which they practice. In many states, APRNs can prescribe medication and practice independently, while in other states, they do so under the oversight of a Medical Doctor (MD).

Many nurses who are APRNs also have a DNP, but you can have one without the other. An APRN with a DNP is considered a practicing doctorate.

  • APRN Education
  • Master of Science in Nursing (MSN)
  • 2-3 year post-graduate program

APRN roles must also complete in-person clinical hours and pass a certification exam in the area of specialization


  • Doctor of Nursing Practice (DNP)
  • 3-4 year post-graduate program
  • Requires capstone DNP project
  • APRN Salaries
  • Nurse Practitioner (NP)- $121,6101
  • Clinical Nurse Leader (CNL) – $95,959 (
  • Clinical Nurse Specialist (CNS) – $140,849 (Indeed)
  • Certified Registered Nurse Anesthetist (CRNA) – $203,0901
  • Certified Nurse Midwife (CNM) – $120,8801
  • 1Source: U.S. Bureau of Labor Statistics

5. Non-Clinical Advanced Nursing Specialties

Nurses can increase their earning potential and advance their careers away from the bedside by pursuing a non-clinical advanced nursing career.

  • Education
  • MSN
  • DNP
  • PhD
  • Salaries
  • Nursing Director – 103,724
  • Nursing Educator – $96,036
  • Nurse Administrator – $101,512
  • Nurse Manager – $105,906
  • Healthcare Administrator – 77,849
  • Nursing Informatics – $83,901
  • Research Nurse – $92,932

Levels of Nursing Degrees (Ranked from Lowest to Highest)

1. RN Diploma

An RN diploma is another route to becoming a registered nurse. Like the ADN, these programs typically take around two years to complete, and they both prepare students to take the NCLEX-RN. The main difference is that the ADN is a college degree while the diploma is not. Diploma programs are typically offered at hospitals but may also be available at technical or vocational schools.

2. Associate Degree in Nursing (ADN)

An ADN is a 2-year degree and is the minimum amount of education required to obtain a license to work as an RN, other than an RN diploma (See next section).

Most RNs begin their careers working at the bedside performing direct patient care. This experience is usually preferred for nurses who wish to advance their careers and eventually earn a BSN, MSN, APRN, or DNP. However, there are also many career paths that an RN can take outside of the hospital setting, including case management or aesthetic nursing.

3. Bachelor of Science in Nursing (BSN)

A BSN is a 4-year nursing degree for students who want to be registered nurses (RN) or for RNs who currently only have an associate degree in nursing (ADN). Many nurses who start their careers with an ADN eventually advance their careers by achieving a BSN.

Bachelor’s trained nurses work in nursing specialties throughout the hospital setting. For example, cardiac, neuro, pediatrics, labor & delivery, emergency room, and ICU, to name a few.

Nurses are encouraged to become certified within their chosen specialty after they have gained at least one or more years of direct nursing experience. For example, a nurse in an ICU neuro/trauma can study and sit for the Certified Neuroscience Registered Nurses Certification (CNRN). Achieving certification within your chosen specialty shows that you are an expert nurse in a particular nursing field. In addition, many institutions will pay nurses more when they are certified within their specialty.

Both ADN and BSN graduates must pass the NCLEX-RN examination to become licensed to work as an RN.

4. Master of Science in Nursing (MSN)

There are several types of master’s degrees in nursing. Advanced practice registered nurse degrees prepare a registered nurse for an advanced clinical role. Other types of MSN degrees focus on preparing nurses for non-clinical roles such as public health or nursing informatics.

It takes about 2-3 years to earn a master’s in nursing, but online options are available.

5. Doctor Of Nursing Practice (DNP)

A Doctorate Of Nursing Practice (DNP) is the highest level of nursing education and expertise within the nursing profession. DNPs work in nursing administration or direct patient care as advanced practice registered nurses (APRN). As thought leaders, DNPs also implement health policy and influence healthcare outcomes.

  • In the healthcare setting, DNPs work in:
  • Organizational leadership
  • Nurse management
  • State and national health policy
  • Health informatics


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