Actually, some programs do confer your BSN degree when you've met requirements. (I did an ADN-MSN program and got a BSN diploma and MSN diploma). I think if you have a clear idea of what you want to do, then an ADN-MSN is for you. I knew I wanted to be an ACNP, so I went right through. If you're undecided, what's the rush? Don't make a decision you'll regret half-way through the MSN curriculum! Finish your BSN, work a little while, get some experience and decide what you're passionate about. Look into distance MSN programs if your local schools only offer BSN level degrees. A lot of schools are offering distance education for advanced degrees, so that's an option for you too. The MSN (and PhD, by the way) are huge commitments and a ton of work. Let it be for something that makes you want to get up in the morning. If you're not sure, take the time to think about it!