RN Diploma vs. ADN vs. BSN Degree: What’s the Difference?

If you want to become a registered nurse (RN), the good news is that you can get started with an associate degree in nursing (ADN) or even an RN diploma. While these programs are shorter than a bachelor of science in nursing (BSN), it’s important to note that most employers prefer to hire RNs with a BSN. Also, RN diplomas are becoming less common, with only a few programs still existing today.

Explore the differences between an RN diploma, an ADN, and a BSN program.

Diplomas/certificate programs were the original training options for nurses in the U.S., but are not as common today. These hospital-based programs focus primarily on clinical training rather than classroom coursework. While graduates are eligible to sit for the National Council Licensure Examination (NCLEX-RN), they do not earn a degree upon completion. Further, NCLEX-RN pass rates are generally lower than those of ADN or BSN programs.

RN diploma programs are becoming less common. Research shows better patient outcomes when nurses have degrees, particularly a BSN. The National Academy of Medicine also recommends that nurses have a BSN, prompting many employers to make this a job requirement.

Admission requirements to RN diploma programs often include:

If you’re unsure about pursuing a diploma/certificate, an ADN may work for you. The primary difference between an RN diploma program and an ADN program is the additional general education coursework required to earn a degree. Along with clinical training at a healthcare facility, ADN students complete classroom courses, including psychology, obstetric nursing, and pharmacology, after which they qualify for the NCLEX-RN exam.

ADN programs are generally shorter and more affordable than BSN programs, although this can vary based on school choice and enrollment status. For graduates who desire career advancement and higher earning potential, ADN credits may be applied toward a future BSN or master of science in nursing (MSN) degree.

Admission requirements to ADN programs often include:

While you can obtain an RN license after earning an ADN, a BSN brings more career advancement opportunities after graduation. Like ADN students, BSN students complete classroom courses and clinical hours at healthcare facilities, but they also take advanced courses in leadership, research, and public health courses. Graduates qualify for the NCLEX-RN exam and can apply their BSN credits toward an MSN if desired.

While BSN programs are typically longer and more expensive than ADN programs, BSN nurse salaries are generally higher, and career advancement opportunities and job stability are greater, as many employers prefer to hire BSN-prepared nurses.

Admission requirements to BSN programs often include:

Earning an ADN or BSN is an accomplishment, but affordability, coursework, and program length can make a difference when choosing between the two programs. For example, ADN programs allow you to finish faster, while BSN programs provide a greater knowledge base. Explore the advantages of earning an ADN vs. a BSN.

Registered nurses earn average annual salaries ranging from $74,000 to $98,000, depending on their education level. BSN-prepared RNs make an average of $18,000 more annually than ADN holders. However, various factors can affect salary, including location, specialty, and experience.