Different Nursing Licenses in USA for International Nurses

For Nepali nurses, nursing is a way to serve others while building a fulfilling career. If you’re dreaming of working in the USA, you’ve likely thought about the opportunities: stable income, professional growth, and the chance to work in some of the world’s best healthcare facilities. But with that dream comes an important question, how do you get started on the right path to qualify as a nurse in the USA?

The process might seem a little confusing at first with different types of nursing licenses, exams like the NCLEX, and varying US state rules. But understanding these licenses and steps will clarify where you currently stand and which direction to take next.

Whether you’re just starting as a PCL nurse, pursuing your bachelor’s degree, or aiming for advanced roles, this guide will break down the process and give you the information you need to make confident decisions about your future.

Table of Contents

• What are nursing licenses in the USA?
• Why You Need a Nursing License
• Types of Nursing Licenses in the USA
  1. Certified Nursing Assistant (CNA)
  2. Licensed Practical Nurse (LPN)
  3. Registered Nurse (RN)
  4. Advanced Practice Registered Nurse (APRN)
• Nursing in the USA for PCL Nurses
• State-Specific Nursing Licensing in the USA
• Challenges Nepali Nurses Face in the USA
• How We Can Help You
• FAQs - Different Nursing Licenses in USA for International Nurses

What are nursing licenses in the USA?

In the USA, nursing licenses are essential certifications that confirm your qualifications and ensure you’re meeting the necessary standards for providing safe and effective care. These licenses are required by law for you to practice in your role and are key to protecting public health. 

Why You Need a Nursing License in USA

• Your license confirms that you have the required education, training, and skills to provide quality patient care.
• Licenses keep the health sector regulated to prevent unsafe practices and ensure patients are protected.
• Practising without a nursing license can result in legal consequences for both you and the healthcare facility. Also, you are allowed to carry on responsibilities only based on the license you hold.
• A nursing license acts as a professional credential that shows your qualifications and ability to patient care, which maintains trust with patients and employers alike.

Types of Nursing Licenses in the USA

The USA offers multiple nursing licenses depending on your education, experience, and career goals. Here are the main types of nursing licenses in the USA:
 

1. Certified Nursing Assistant (CNA)

CNAs work under the direction of Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) to assist with daily activities such as bathing, dressing, feeding, and helping patients move around. They also monitor vital signs and provide emotional support to patients, ensuring their comfort and well-being.

Qualification
To become a CNA, you must complete a state-approved training program, which typically lasts between 4-12 weeks, and pass a competency exam. Strong communication and interpersonal skills are key for success in this role, as CNAs interact closely with patients.

Scope of CNA
CNAs are in high demand and can work in a variety of healthcare settings, including hospitals, nursing homes, and home healthcare services. As a CNA, you gain valuable experience in patient care, making it a great stepping stone for those pursuing further nursing education or other healthcare careers.

Certified Nursing Assistant Salary
The average salary for a CNA in the USA is between $30,000 and $40,000 annually, depending on location, experience, and the healthcare facility you work for.

2. Licensed Practical Nurse (LPN)

Licensed Practical Nurses (LPNs) are entry-level professionals who play a vital role in providing basic nursing care. LPNs work under the supervision of Registered Nurses (RNs) and doctors, handling responsibilities such as monitoring vital signs, assisting with patient hygiene, administering medications, and maintaining patient records. They are crucial for ensuring day-to-day patient comfort and care.

Qualification

To become an LPN, you must complete a one-year diploma program in practical nursing and pass the NCLEX-PN exam. Good communication skills and attention to detail are also essential for success in this role. 

Learn About NCLEX Preparation in Nepal

Scope of LPN

LPNs are often the backbone of healthcare teams, working in hospitals, nursing homes, and clinics. With a growing need for healthcare workers, LPNs are in high demand across the USA. For Nepali nurses, gaining an LPN license can be an excellent starting point. Many LPNs use this role as a stepping stone to advance their careers by pursuing higher nursing degrees in future.

LPN Salary

You can expect to earn around $48,000–$55,000 annually with a LPN license in the USA.

3. Registered Nurse (RN)

Registered Nurses (RNs) in the USA take on greater responsibilities and enjoy better career prospects compared to LPNs. RNs are responsible for patient assessments, creating care plans, administering treatments, and supervising LPNs and nursing aides. RNs act as the primary link between patients and the broader healthcare team.

Qualifications 

• To become an RN, you need an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN).
• After completing your education, you must pass the NCLEX-RN exam.
• Nepali PCL nurses aspiring to become an RN in the USA may need to enrol in bridging programs to meet US educational standards.

RN Scope in USA

RNs in the USA can specialize in areas such as paediatrics, emergency care, or geriatrics. These specializations often lead to higher salaries and greater job satisfaction. Given the high demand for RNs, particularly in states like California and Texas, Nepali nurses should consider upgrading their qualifications and gaining experience in diverse clinical settings to stand out in the competitive job market. 

RN Salary in Salary

As a registered nurse in the USA, you can expect to earn $65,000–$100,000 annually, with even higher salaries in states like California and New York.

4. Advanced Practice Registered Nurse (APRN)

Advanced Practice Registered Nurses (APRNs) are highly skilled professionals with advanced education and clinical training. APRNs include nurse practitioners, nurse anesthetists, and nurse midwives. They diagnose illnesses, prescribe medications, and provide specialized care. APRNs often work independently or in leadership roles within healthcare settings in the USA.

Qualification

To become an APRN, you must first earn an RN license, followed by a master’s or doctoral degree in a specialized nursing field. Certification in your specialized area of expertise is also required.

APRNs Scope 

APRNs are among the most respected and well-compensated healthcare professionals. They play a critical role in addressing healthcare shortages, especially in underserved communities. 

The demand for APRNs is steadily rising in the USA, which is a great opportunity for Nepali nurses as well. Focusing on advanced education and gaining clinical experience while gaining skills in a specialization that aligns with your interests and career goals must help you acquire this success.

APRN Salaray

APRNs in the USA usually earn around $110,000–$150,000 annually, depending on specialization.

The above chart helps understand the different levels of nurses in the USA. The Chief Nursing Officer (CNO) is the top-most authority, and other nurses hierarchically work under them as shown above.

Nursing in the USA for PCL Nurses

For PCL (Proficiency Certificate Level) nurses looking to advance their careers, one common question is, "Can we do NCLEX after PCL nursing?" The answer is yes! To apply for NCLEX, PCL nurses typically need to enrol in a BSN (Bachelor of Science in Nursing) program.

The specific requirements can vary by state in the USA, but completing a BSN program and passing the NCLEX-RN exam are standard and secured steps.

Many states in the US also offer bridging programs designed to help PCL nurses fill the knowledge and skill gaps required by RN roles.

PCL Nursing Salary in the USA
Once PCL nurses transition to RN roles, they can expect a starting salary of around $65,000. However, this figure can vary depending on factors such as location, experience, and additional certifications. 

State-Specific Nursing Licensing in the USA

Each state in the USA has its own nursing board, which governs licensing requirements. Some states are part of the Nurse Licensure Compact (NLC) so they follow the same standard regulations. This allows nurses to practice in multiple states with one license. Others, like California, have different requirements and licenses so you may need to prepare accordingly.

Challenges Nepali Nurses Face in the USA

Navigating Licensing Requirements
US nursing licensing requirements can vary by state and may seem complex at first. To simplify the process, consider consulting experienced agencies or advisors who can guide you through state-specific regulations and help with the NCLEX exam preparation.

Financial Barriers
The costs of education, exams, and licensing can be significant. To ease this burden, explore scholarships, financial aid options, or employer sponsorships. Many organizations offer financial support specifically for international nurses. Finding a relevant scholarship requires in-depth research, or you can simply consult with anybody you can trust, and know about nursing licenses in USA and NCLEX preparation.

Language Proficiency
You need your IELTS score to become a nurse in the USA. Preparing for both the IELTS exam and NCLEX can be stressful if your English skills aren’t strong. Start working on your language skills early by taking language courses, practising with online tools, or joining study groups that focus on healthcare English.

How We Can Help You

At NclexHub, we’re dedicated to guiding Nepali nurses to secure licensure in the USA, where every piece of advice and training comes from experts. From initial preparations to final steps, here’s how we can support your nursing aspirations:

• NCLEX prep classes to help you succeed.
• IELTS training and registration assistance to make sure you're ready.
• Visa application help to guide you through the paperwork.
• Support with nursing license and university applications to keep things moving.
• Affordable accommodation help to find a place close to your university or workplace.

Take the First Step Today!

Ready to start your nursing career in the USA? Contact us today to schedule a free consultation!

FAQs - Different Nursing Licenses in USA for International Nurses

Is IELTS needed for USA nurses?
Yes, IELTS is typically required for international nurses seeking to work in the USA to demonstrate English proficiency.

Do nurses get green card in USA?
Yes, nurses can obtain a green card through employer sponsorship or immigration pathways like the EB-3 visa.

Can I give NCLEX after PCL nursing?
Yes, you can take the NCLEX exam after completing PCL nursing, but you must meet specific eligibility criteria set by the state board of nursing.

How many types of nursing licenses in the USA?
There are several types, including Registered Nurse (RN), Licensed Practical Nurse (LPN), and Nurse Practitioner (NP), among others.

What are the levels of nursing from lowest to highest?
The levels of nursing range from Certified Nursing Assistant (CNA) to LPN, RN, Nurse Practitioner (NP), and Nurse Anesthetist (CRNA).

What is a senior nurse called?
A senior nurse is often referred to as a Chief Nurse Officer, Charge Nurse, Nurse Manager, or Clinical Nurse Specialist, depending on their role.

What is the lowest rank in nursing?
The lowest rank in nursing is typically a Certified Nursing Assistant (CNA).

What is the highest paid nurse?
The highest-paid nurses are typically Nurse Anesthetists (CRNAs), who specialize in anesthesia care.

Also Read

NCLEX Preparation in Nepal
How to Get a Nurse's License in the USA 
What is NCLEX-RN in Nepal?
NCLEX Exam Cost in Nepal