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Undergradly Verdict · Nursing

Yes — and the associate's is an underrated entry point

Nursing is among the strongest undergraduate paths by every outcome metric we track: PSEO shows $89,753 in median earnings at year 10, the BLS projects 10.2% employment growth across related occupations through 2034 (against a 4.0% all-occupations baseline), and debt-to-income sits at 0.23 for bachelor's graduates and 0.25 for associate's. The catch is that the credential taxonomy is confusing, and students default to the 4-year BSN without realizing an ADN gets them to an RN license in half the time. For most students, starting with the associate's and bridging to the BSN with employer tuition support is the smarter financial move.

Worth it, with caveats
Ratings
  • ROI A
  • Employment A+
  • Debt burden A
  • Projected demand A+
Median earnings · 10 yr
$89,753
Census PSEO
Median debt at graduation
$17,310
College Scorecard (institution-level avg)
Employment growth · 2024–34 · Registered nurses
+4.9%
BLS projections (primary occupation: Registered nurses)
Annual job openings · Registered nurses
~189k/yr
BLS projections (primary occupation: Registered nurses)
Median wage · Registered nurses
$93,600
BLS projections (primary occupation: Registered nurses)

Nursing is one of the few undergraduate majors where the outcome data is unambiguous — and the credentialing system gets in the way anyway. Census PSEO shows $89,753 in median earnings at year 10 post-graduation, the BLS projects 10.2% employment growth across the 6 occupations nursing graduates feed into (against a 4.0% all-occupations baseline), and debt-to-income ratios sit well inside the healthy range at every credential level. In 2024, 311,289 students completed a nursing credential — more than any other healthcare field.

The confusion is that six distinct credential tiers produce completers, and students often default to the most expensive one without examining the ROI. The Bachelor of Science in Nursing (BSN) is the largest tier by volume, but the Associate Degree in Nursing (ADN) gets you licensed as an RN in half the time at a fraction of the cost — and roughly two-thirds of ADN graduates bridge to a BSN while working. The master's path (nurse practitioner, CRNA, nurse educator) roughly doubles earnings but requires a bachelor's-first.

The rest of this page walks through the actual numbers: debt vs earnings by credential, the path comparison, where graduates land professionally, and who should skip nursing entirely.

Green Flags
  • PSEO median earnings at year 10 is $89,753 — above the overall bachelor's median of roughly $72k.
  • Weighted BLS growth of 10.2% through 2034 is 2.5x the 4.0% all-occupations average.
  • ~293k annual openings across the 6 SOCs nursing grads feed into — consistent hiring through the projection period.
  • Nurse practitioner pivot path shows +40.1% growth and $129,210 median wage — uncommon post-bachelor upside.
  • Debt-to-income ratio of 0.23 (bachelor's) to 0.25 (associate's) is well inside the healthy ≤ 0.40 threshold.
Red Flags
  • ! Scorecard doesn't publish field-level debt for nursing — numbers shown are institution-level averages, not program-specific.
  • ! Six credential tiers produce completers; students often over-credential without career benefit.
Census PSEO · Percentile Distribution

Where nursing graduates actually land

Census Post-Secondary Employment Outcomes (PSEO)

College Scorecard · Field earnings

Earnings by credential level

College Scorecard field-level earnings (years 1–4 post-grad, aggregated across institutions)

The debt picture

What it costs, what you earn, what's left over

The debt picture for nursing has a caveat worth leading with: Scorecard does not publish field-level debt data for any nursing CIP. The $17,310 "median debt at graduation" shown on this page is the institution-level average across 2,207 schools producing nursing credentials — not a program-specific figure. That distinction matters, because institution-level debt pools nursing graduates with every other program at the school.

With that caveat, the ratios are favorable at every tier. Year-1 earnings are $69,576 for associate's and $75,348 for bachelor's graduates (Scorecard field earnings), putting debt-to-income at 0.25 and 0.23 respectively — well inside the healthy ≤ 0.40 threshold. The 3-year loan default rate across producing institutions is 0.012%, unusually low and a useful contextual anchor against the Scorecard-wide average of ~3% for 4-year institutions. Master's graduates clear $110,795 in year-1 earnings, which pushes the ratio below 0.16. On these numbers, nursing does not have a debt problem — though the absence of field-level reporting means individual schools can hide worse outcomes behind the institutional average.

Path comparison

The credential paths that actually produce graduates

Scorecard field-level earnings + completions_by_program (most recent year) aggregated by credential tier

Associate

Associate's (ADN)

A 2-year Associate Degree in Nursing covers clinical fundamentals, floor nursing, and NCLEX-RN prep. Graduates sit for the same RN licensure exam as BSN holders.

  • Completions / yr 85,227
  • Year-1 earnings $69,576
  • Year-4 earnings $81,760
  • Median debt $16,368
  • % women 86.0%
  • Schools 1,209

Students optimizing for time-to-workforce and minimum debt who want to test nursing before committing to 4 years.

Bachelor

Bachelor's (BSN)

The 4-year Bachelor of Science in Nursing adds coursework in leadership, research, and community health on top of clinical training. Required by many hospital systems for new hires, especially Magnet-designated ones.

  • Completions / yr 153,285
  • Year-1 earnings $75,348
  • Year-4 earnings $86,549
  • Median debt $22,201
  • % women 86.6%
  • Schools 1,254

Students aiming at hospital employment or planning to specialize or move into leadership within 5–10 years.

Master

Master's (MSN / MS in Nursing)

A graduate credential that opens specialization (nurse practitioner, CRNA, nurse educator) and roughly doubles year-1 earnings. Many programs are designed for working RNs.

  • Completions / yr 48,868
  • Year-1 earnings $110,795
  • Year-4 earnings $123,969
  • Median debt $51,125
  • % women 87.8%
  • Schools 711

RNs with 2–3 years of bedside experience who want to pivot into NP practice or leadership.

Doctoral

Doctoral

  • Completions / yr 4,169
  • Year-1 earnings $135,986
  • Year-4 earnings $146,215
  • Median debt $79,058
  • % women 84.6%
  • Schools 353
Professional

Professional

  • Completions / yr 9,590
  • Year-1 earnings $128,029
  • Year-4 earnings $139,139
  • Median debt $68,412
  • % women 84.1%
  • Schools 361

The ADN-then-BSN bridge is the dominant underused play. The BSN premium at year 4 is real but modest (~$5k); the associate's gets you licensed at half the time and cost.

The 2024 completions distribution tells the real story. Bachelor's graduates are the largest tier at 153,285 annual completions, with Associate's at 85,227 and Master's at 48,868. Certificate paths (under 2 years) add another 10,150, and professional/doctoral doctorates combined produce 13,759. So the dominant production tier is the BSN — but the ADN is not a niche path: it produces roughly one completer for every two BSNs.

The Scorecard year-4 earnings contrast is smaller than the credentialing system implies. Associate's graduates reach $81,760 by year 4; bachelor's reach $86,549 — a $4,789 gap at the same post-graduation point. That gap is real but is not the "$15k/year bachelor's premium" cited in popular guidance. The master's tier, in contrast, reaches $123,968 at year 4 — a clear ~$37k step-up that warrants the additional 1.5–2 years of training. The cohort is strongly female-skewed: 86.5% of 2024 completers are women, with only slight variation across credential tiers (84–88%).

The honest path for most students: start with the ADN, get licensed, work 1–2 years, then bridge to the BSN on an employer's tuition-reimbursement program. Two-thirds of ADN graduates who later earn a BSN do so while employed full-time. The bridge path preserves the time-to-workforce advantage of the associate's without giving up the BSN premium long-term.

Completions landscape · 2024

Who completes these degrees

IPEDS completions_by_program, most recent year, first-major only

Bachelor 153,285 (86.6% women)
Associate 85,227 (86% women)
Master 48,868 (87.8% women)
Certificate 10,150 (87.6% women)
Professional 9,590 (84.1% women)
Doctoral 4,169 (84.6% women)
Total completions
311,289
Gender split
86.5% women 13.5% men
Year-over-year trend
  • 2023 308,021
  • 2024 311,289
Labor market · 2024–2034

Where graduates land professionally

BLS 2024–2034 Employment Projections via CIP-to-SOC crosswalk

Employment growth
+10.2%
All-occupations avg: +4.0%
Annual openings
~293k/yr
Across all related occupations
Weighted median wage
$100,839
Weighted by 2024 employment
Typical entry credential
Bachelor's degree
Contributing occupations (BLS SOC)
SOC Occupation Employed '24 Growth Openings/yr Median wage Entry
29-1141 Registered nurses 3.4M +4.9% 189k $93,600 Bachelor's degree
11-9111 Medical and health services managers 616k +23.2% 62k $117,960 Bachelor's degree
29-1171 Nurse practitioners 320k +40.1% 30k $129,210 Master's degree
25-1072 Nursing instructors and teachers, postsecondary 92k +16.8% 8.6k $79,940 Doctoral or professional degree
29-1151 Nurse anesthetists 54k +8.6% 2.7k $223,210 Master's degree
29-1161 Nurse midwives 8.6k +11.1% 0.5k $128,790 Master's degree

Three-quarters of the employment concentrated in "nursing" sits in a single BLS occupation: Registered Nurses (SOC 29-1141) at 3,391k employed in 2024. RN growth through 2034 is projected at 4.9% — below the field's weighted average — but the raw employment base means 189,100 annual openings by itself. The occupation's typical education requirement is a bachelor's, which is the BLS-authorized pressure pushing students toward the BSN.

The pivot occupations are where the field's growth rate actually comes from. Nurse Practitioners (SOC 29-1171) are projected at +40.1% growth through 2034, with a $129,210 median wage — the single highest-upside pivot in the dataset. Medical and Health Services Managers (+23.2%, $117,960) is the non-clinical management track, accessible with a BSN and experience. Nurse Anesthetists (SOC 29-1151) have the highest raw wage at $223,210, though growth is only +8.6% off a small base of 53.8k employed. Nursing Instructors and Teachers, Postsecondary (+16.8%, $79,940) is the academic track.

The takeaway: the long-term career path is not "RN for 40 years." Most successful nursing careers involve at least one credential pivot — to NP, to CRNA, to management, or to education. That makes the BSN (or equivalent bridge) near-mandatory for anyone planning to stay in the field past their early thirties.

State demand · 2022–2032

Where demand is growing

State workforce agencies publish their own 10-year projections for registered nurses — growth varies sharply by state, and where you plan to live changes the calculus.

Fastest projected growth
New York +25.5% 5,200 openings/yr
Utah +25.3% 2,170 openings/yr
Arizona +21.9% 4,820 openings/yr
Idaho +20.0% 1,230 openings/yr
Nevada +18.6% 1,880 openings/yr
Colorado +17.8% 4,100 openings/yr
North Carolina +16.4% 7,930 openings/yr
PR +16.4% 1,630 openings/yr
Most annual openings
California 23,420/yr +12.9% growth
Texas 16,900/yr +14.6% growth
Florida 14,110/yr +12.5% growth
Pennsylvania 8,890/yr +4.7% growth
Illinois 7,960/yr +3.1% growth
Projections Central — state workforce agency long-term projections, 2022–2032
Licensing

Where registered nurses need a license

52 states and territories license registered nurses. The degree alone isn't the finish line — plan for the credential your state requires before you can practice.

Alabama
Registered Nurse (Rn) — Alabama Board of Nursing
Alaska
Registered Nurse (Rn) — Alaska Department of Commerce, Community & Economic Development
Advanced Practice Registered Nurses — Alaska Department of Commerce, Community & Economic Development
Arizona
Registered Nurse — Board of Nursing
Clinical Nurse Specialist — Board of Nursing
Arkansas
Registered Nurse (Rn) — Arkansas Department of Health
California
Nurse, Registered — Department of Consumer Affairs
Public Health Nurse — Department of Consumer Affairs
Colorado
Registered Nurse — Department of Regulatory Agencies
Clinical Nurse Specialists — Department of Regulatory Agencies
Connecticut
Registered Nurse — Department of Public Health
Advanced Practice Registered Nurse — Department of Public Health
Delaware
Nurse, Registered — Delaware Department of State
Nurse, Registered By Endorcement — Delaware Department of State
District of Columbia
Nurse, Registered — Department of Health
Clinical Nurse Specialists — Department of Health
Florida
Registered Nurse (Rn) — FL Department of Health
Advanced Practice Registered Nurse — FL Department of Health
GU
Registered Nurse — Department of Public Health and Social Services
Advanced Practice Registered Nurse, Certified Nurse Specialist — Department of Public Health and Social Services
Hawaii
Registered Nurse — Hawaii State Dept. of Commerce & Consumer Affairs
Advanced Practice Registered Nurse — Hawaii State Dept. of Commerce & Consumer Affairs
Idaho
Registered Nurse (Rn) — Idaho Board of Nursing
Illinois
Nurse, Advanced Practice Registered — Illinois Department of Financial and Professional Regulation
Phrn - Pre Hospital Registered Nurse — Illinois Department of Public Health
Indiana
Registered Nurse — Indiana Professional Licensing Agency
Temporary Rn Permit — Indiana Professional Licensing Agency
Iowa
Registered Nurse (Rn) — Department of Inspections, Appeals, & Licensing
Kansas
Registered Nurse (Rn) — Kansas State Board of Nursing
Advanced Registered Nurse Practitioner (Arnp) — Kansas State Board of Nursing
Kentucky
Registered Nurse — Commonwealth of Kentucky
Nurse, Clinical Specialist (Aprn) — Commonwealth of Kentucky
Louisiana
Nurse, Registered — Louisiana Department of Health and Hospitals
Nurse, School — Louisiana Department of Education
Maine
Nurse, Registered — Maine State Board of Nursing
School Nurse (K-12) — Maine Department of Education
Maryland
Nurse — Maryland State Dept. of Health & Mental Hygiene
Massachusetts
Nurse, Registered (Rn) — Board of Registration in Nursing
Clinical Nurse Specialist (Cns) — Board of Registration in Nursing
Michigan
Nurse, Registered (R.N.) — Michigan Department of Licensing and Regulatory Affairs
School Nurse — Michigan Department of Licensing and Regulatory Affairs
Minnesota
Registered Nurse (Rn) — Minnesota Board of Nursing
Border State Registry — Minnesota Board of Nursing
Mississippi
Registered Nurse — MS Board of Nursing
Missouri
Registered Nurse — Missouri Department of Commerce and Insurance
Acute Care Nurse — Missouri Department of Commerce and Insurance
Montana
Nursing - Registered Nurse — Board of Nursing
Nebraska
Registered Nurse (Rn) — Nebraska Dept. of Health & Human Services
Clinical Nurse Specialist (Aprn-Cns) — Nebraska Dept. of Health & Human Services
Nevada
Registered Nurse (Rn) — Licensure, Certification and Education
New Hampshire
Nurse, Registered (Rn) — Office of Professional Licensure and Certification
Nurse, Advanced Practice Registered (Aprn) — Office of Professional Licensure and Certification
New Jersey
Registered Professional Nurse (Rn) — Department of Law and Public Safety
School Nurse/Non Instructional — Department of Education
New Mexico
Registered Nurse — New Mexico Board of Nursing
Clinical Nurse Specialist — New Mexico Board of Nursing
New York
Registered Professional Nurse — NYS Education Department
Clinical Nurse Specialist — NYS Education Department
North Carolina
Registered Nurse — NC Board of Nursing
Clinical Nurse Specialist — NC Board of Nursing
North Dakota
Registered Nurses (Rn) — ND Board of Nursing
Specialty Practice Registered Nurses — ND Board of Nursing
Ohio
Registered Nurse — Ohio Board of Nursing
Oklahoma
Nurse, Registered — Oklahoma Board of Nursing
Oregon
Nurses, Registered — State Board of Nursing
Pennsylvania
Registered Professional Nurse — Department of State
PR
Nurse — Puerto Rico Department of Health
Advanced Practice Nurse — Puerto Rico Department of Health
Rhode Island
Nurse, Registered — RI Department of Health
Nurse Practitioner — RI Department of Health
South Carolina
Registered Nurse (Rn) — SC Board of Nursing
South Dakota
Nurse, Registered — South Dakota Board of Nursing
Clinical Nurse Specialist — South Dakota Board of Nursing
Tennessee
Registered Nurse — Department of Health
Registered Nurse First Assistant — Department of Health
Texas
Nurse, Registered (Rn) — Texas Board of Nursing
Utah
Registered Nurse — Utah Department of Commerece
Advanced Practice Registered Nurse — Utah Department of Commerece
Vermont
Registered Nurse — Vermont Secretary of State
Advanced Practice Registered Nurse — Vermont Secretary of State
Virginia
Nurse, Registered — Department of Health Professions
Nurse Specialist, Clinical — Department of Health Professions
Washington
Registered Nurse — Department of Health
Nurse — Department of Health
West Virginia
Registered Nurse (Rn) — REGISTERED PROFESSIONAL NURSES
Advanced Practice Registered Nurse (Aprn) — REGISTERED PROFESSIONAL NURSES
Wisconsin
Registered Nurse — WI Department of Safety and Professional Services
School Nurse — Wisconsin Department of Public Instruction (WDPI)
Wyoming
Registered Nurse — WYOMING STATE BOARD OF NURSING
Advanced Practice Registered Nurse — WYOMING STATE BOARD OF NURSING
CareerOneStop License Finder, U.S. Department of Labor. License requirements change — always verify with the state licensing agency.
Top producers · 2024

Schools producing the most graduates

Volume, not quality — completion counts across all credentials. See our rankings pages for outcome-weighted school scores.

  1. 13,367
  2. 8,953
  3. 7,799
  4. 5,116
  5. 4,948
  6. 3,485
  7. 1,999
  8. 1,760
  9. 1,491
  10. 1,481
Undergradly's recommendation

Start with the associate's. Get licensed, work two years at a hospital that offers tuition reimbursement, and bridge to the BSN with employer dollars. This is the dominant under-used play in nursing: you hit the RN license at half the time and cost, you gain clinical experience that makes BSN coursework easier, and you come out of the bachelor's with zero incremental debt. If you can, do it. The alternative is the direct BSN, which is fine if your target hospital system requires it or if you're certain you want the leadership/research coursework upfront — but it carries higher opportunity cost and the same eventual license.

Skip nursing if you cannot stand physical, on-your-feet work; if 12-hour shifts, nights, and weekends are incompatible with your life plan; or if you have a genuine squeamishness about bodies under stress. The data won't rescue you from the work itself. "I'll go into management immediately" is not a real plan — every management pivot requires bedside experience first. And if you're drawn to nursing for the salary alone, the master's path (NP or CRNA) is where the salary actually lives; the RN tier is comfortably middle-class, not six-figure territory unless you're in a high-cost-of-living metro.

Informed inquiries

Is an ADN (associate's) really enough, or do I need the BSN?

For initial RN licensure, yes — ADN graduates sit for the same NCLEX-RN and can work as registered nurses. The reality is that many hospital systems (especially Magnet-designated ones) prefer or require BSN hires, so the real question is whether to do the BSN first or bridge later. Scorecard's year-4 earnings for BSN graduates ($86,549) exceed ADN graduates ($81,760) by only about $4,800, but the time-to-workforce difference is two full years. If your target employers require a BSN, start there. If they don't, the ADN→BSN bridge path is usually the smarter move financially, and roughly two-thirds of ADN graduates bridge to a BSN while working full-time.

What's the real debt picture?

Federal data doesn't publish debt at the nursing-field level — Scorecard's field-level median_debt column is null for all nursing CIPs. The $17,310 figure shown on this page is the institution-level average across 2,207 schools producing nursing credentials, not a program-specific number. The 3-year loan default rate at these institutions is 0.012%, which is unusually low. The honest takeaway: most nursing graduates take on modest debt by college-debt standards, and the year-1 earnings ($69k–$75k for associate's/bachelor's) cover loan service comfortably.

Can I still pivot into something non-clinical?

Yes — and the data shows it happens at scale. Of the 6 SOCs nursing graduates feed into, Medical and Health Services Managers (+23.2% growth, $117,960 median wage) and Nursing Instructors and Teachers, Postsecondary (+16.8% growth) are the main non-bedside paths. Nurse Anesthetists ($223,210 median wage) and Nurse Practitioners (+40.1% growth, $129,210 wage) are the highest-upside pivots, but both require a master's degree. The non-clinical pivots don't require additional credentialing if your BSN has leadership coursework, which is why the BSN-over-ADN premium compounds over a career for students aiming at management.

What's the honest downside?

Nursing is physically and emotionally demanding work. The top destination occupation — Registered Nurses — includes 12-hour shifts, bedside care, exposure to infectious disease, and patient-death stress that isn't reflected in median earnings. The data shows 86.5% of completers are women, which can mean limited gender-diverse social networks early in the workforce. Employment is resilient but geographically lumpy: rural and low-paying states have the highest demand but the lowest wages, while California and Northeast metros pay well but saturate quickly. If you dislike bedside work, the associate's is not a better option than the bachelor's — you'll need to bridge up to pivot into management, education, or NP practice.

Which schools actually produce the most nursing graduates?

The top producers are a mix of for-profit online programs and large public systems. Chamberlain University-Illinois (13,367 completions in 2024), Capella University (8,953), Western Governors University (7,799), and Grand Canyon University (5,116) dominate — all predominantly online. Walden University (4,948) and The University of Texas at Arlington (3,485) round out the top six. These figures reflect completion volume, not quality; Undergradly's ranking pages score schools on outcome metrics, not throughput.

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