10 Best Nursing Schools That Don't Require Entrance Exams | 2025

Navigating the path to nursing school involves many choices, from program specialties to admission requirements. One critical decision for prospective students is whether to apply to schools that require entrance exams like the TEAS or HESI. Recently, many institutions have shifted towards holistic admissions processes, which assess applicants based on a wider range of qualifications.

In light of this evolving landscape, we've compiled a detailed exploration of nursing schools that do not mandate TEAS or HESI entrance exams. This overview delves into their benefits, potential drawbacks, costs, post-graduation salary expectations, and more, helping you make an informed choice about your nursing education journey.

Best Nursing Schools That Don't Require TEAS or HESI Exams

The following schools have been selected based on allnurses' methodology of surveying our readers to understand what they value most, with the addition of graduation rates, student-faculty ratio, price, mode, duration, and admission rates of hundreds of the most prominent nursing schools in the United States.

1. California State University, Fullerton

California State University, Fullerton (CSUF) offers a comprehensive range of nursing programs through its School of Nursing. Catering to students at various stages of their nursing journey, CSUF provides Bachelor, Master, and Doctoral degree programs. Notably, CSUF's School of Nursing does not require the HESI or TEAS entrance exams, making the application process more accessible to a broader range of students.

CSUF's undergraduate offerings include:

• Traditional BSN: Geared towards newcomers to nursing seeking a California RN license, the Traditional BSN program offers a full-time four or five-year path to a Bachelor of Science in Nursing, totaling 120 unit hours for completion.
• Upper Division Transfer BSN: Tailored for transfer students aiming to obtain their BSN, this pathway requires 60 semester or 90 quarter units upon entry and spans approximately 3 years, totaling 62 unit hours for completion.
• Accelerated BSN: Designed for individuals with a bachelor's degree in any field, the Accelerated BSN pathway facilitates earning a Bachelor of Science in Nursing within a two-year timeframe, commencing each Fall semester and totaling 62 unit hours for completion.
• RN-BSN pathway: Specifically crafted for ADN RNs seeking to advance to their BSN, this pathway offers full-time completion in as little as two semesters, with part-time study options available. It provides flexible learning formats, including online or campus-based, and requires 24 unit hours for completion.

Nursing Program Highlights:

• Diverse Pathways: From traditional BSN programs to accelerated options, CSUF caters to both fresh entrants and those looking to advance their nursing careers.
• No Entrance Exam Requirement: CSUF's nursing programs do not mandate the HESI or TEAS for entrance, making the admissions process more inclusive.
• Program Accreditation: All BSN and MSN pathways at CSUF School of Nursing are accredited through the Commission on Collegiate Nursing Education (CCNE). 
• Program Cost: CSUF undergraduate tuition rates for bachelor programs stand at $1,764 for 0-6 units and $3,042 for 7 or more unit hours, with an added $420 per semester unit for residents outside of California.

2. Oregon Health & Science (OHSU) School of Nursing

The OHSU School of Nursing offers comprehensive undergraduate programs that provide students with a robust education in the field of nursing. The school offers three distinct paths to earn a BSN. Students at OHSU benefit from a variety of clinical specialties across Oregon, learning from top educators who are also researchers and care providers. They also have the opportunity to delve into leading-edge research conducted at OHSU.

OHSU offers a variety of undergraduate nursing pathways, including:

• On-campus B.S. in Nursing: This program at OHSU's five regional campuses allows students to earn their Bachelor's degree in nursing. Tailored for those with some college experience, it spans 3 years (9 terms), totaling 180 credit hours for full-time students. Campuses are situated in Ashland, Klamath Falls, La Grande, Monmouth, and Portland.
• Accelerated B.S. in Nursing: Geared towards working professionals or recent college graduates, this fast-paced program equips individuals for a career in nursing within just 15 months. It also provides pathways for continuation into OHSU's D.N.P. or Ph.D. programs, with a total of 72 credit hours.
• Online RN to B.S. in Nursing: Designed for RNs holding an Associate's degree, this program offers both full-time and part-time options, with completion times ranging from 9 months to five years. Totaling 33-39 credit hours, the program is entirely online, catering to the needs of working nurses.

Neither the HESI nor the TEAS entrance exams are required for admission into OHSU's nursing programs, making the application process more accessible to a broader range of students.

Nursing Program Highlights: 

• Faculty Expertise: Distinguished by a faculty comprised of leading nursing educators actively involved in research and clinical practice, ensuring students learn from professionals at the forefront of nursing and healthcare advancements.
• Research and Innovation Focus: OHSU students benefit from exposure to groundbreaking research opportunities, enriching their educational journey and preparing them for the dynamic healthcare environment.
• Career and Educational Advancement: Emphasizing career growth and ongoing educational opportunities, the program supports students in advancing their careers and pursuing further education at OHSU, fostering lifelong learning and professional development in nursing.
• Program Accreditation: The BSN, MSN, and DNP pathways at Oregon Health University's School of Nursing hold accreditation from the Commission on Collegiate Nursing Education (CCNE).
• Program Cost: Tuition at Oregon Health and Science University amounts to approximately $28,000 for in-state students and $44,000 for out-of-state students.

3. Drexel University

Drexel University, located in Philadelphia, Pennsylvania, is renowned for its cooperative education program and its commitment to experiential learning. The College of Nursing and Health Professions at Drexel offers BSN programs that combine in-depth coursework with hands-on clinical and externship experiences.

Undergraduate nursing pathways at Drexel include: 

• BSN Co-op: Drexel University's BSN Co-op program integrates academic learning with hands-on nursing education. The 4-year option includes a 6-month cooperative experience in Acute and Chronic Illness, while the 5-year track offers three distinct cooperative experiences spanning 18 months in Contemporary Healthcare, Acute and Chronic Illness, and a Specialty Nursing Concentration. Completion of this program requires a total of 181 quarter credits (1 semster credit equates to 1.5 quarter credit). Tuition stands at $19,431 per term.
• Accelerated Career Entry (ACE) BSN Program: Tailored for individuals with a bachelor's degree in another field, Drexel's intensive 11-month, full-time program prepares students for a career in nursing, covering 84 quarter credits. The tuition is $14,572 per term, with an estimated total program cost of $58,288.
• RN to BSN: Designed for working LPN and ADN nurses, Drexel's RN to BSN program offers flexibility through online courses, enabling students to advance their education while managing work commitments. With the option to transfer in 135 quarter credits, students can complete the program in as little as 12 months. Additionally, the program provides a three-year tuition lock to ensure affordability, with tuition set at $19,431 per term.

Drexel University's nursing programs do not require the HESI or TEAS entrance exams, making the admissions process more streamlined. The university believes in a holistic approach to admissions, considering all aspects of an applicant's background and experience.

Nursing Program Highlights:

• Experiential Learning: Drexel University's RN programs integrate advanced technology and innovative teaching methods, enabling students to apply their knowledge in real-world settings such as health centers, co-op experiences, and research projects.
• Interprofessional Education: Emphasizing interprofessional care, the curriculum equips students with skills for optimal patient outcomes through simulations and diverse real-life experiences across specialties.
• Patient-Centered Innovation: Drexel University provides cutting-edge facilities and clinical environments, fostering a culture of healthcare innovation through high-quality research and patient-centered approaches.
• Exceptional NCLEX Pass Rates: These programs achieve a first-time NCLEX pass rate of 98.73% for the first quarter of 2023, surpassing the national average and reflecting the institution's commitment to excellence in nursing education.
• Program Accreditation: All of Drexel University's nursing programs are accredited by the Commission on Collegiate Nursing Education (CCNE).

Drexel also provides MSN, DNP, and post-graduate certificate pathways for nurses aiming to further their education at the graduate level.

4. The University of North Carolina at Chapel Hill

The undergraduate nursing programs at UNC Chapel Hill are designed to produce nurses who are not only well-versed in the theoretical aspects of nursing but also equipped with practical skills to excel in various healthcare settings. From the very beginning, Carolina nurses are trained to be leaders, effectively advocating for the care, safety, and well-being of their patients. These nurses are team-oriented and patient-centered, making them highly sought-after in the nursing profession.

UNC at Chapel Hill provides multiple undergraduate pathways: 

• Traditional BSN: Designed for students seeking their first undergraduate degree, this program spans five semesters or approximately one year and eight months, requiring 60 semester credit hours.
• Accelerated BSN: Tailored for individuals with a bachelor's degree already in hand, this program condenses coursework into four semesters or approximately one year and four months, totaling 60 semester credit hours.
• BSN Military: Specifically crafted for Armed Forces Veterans and Active Duty service members, including those with previous service in the Reserves or National Guard, the Military Pathway offers personalized course plans based on each student's prior experience.

The University of North Carolina at Chapel Hill School of Nursing does not require prospective students to take the HESI or TEAS as part of their entrance requirements, making the admissions process more accessible to a broader range of applicants. 

Nursing Program Highlights:

• Mission-Driven Excellence: The UNC School of Nursing is unwaveringly dedicated to its mission, which prioritizes the delivery of top-tier nursing education, the advancement of nursing science through robust research endeavors, and the provision of healthcare services to communities in need.
• Visionary Leadership: Guided by a forward-thinking vision, the School aspires to lead in nursing education, foster innovation within the healthcare landscape, and graduate professionals equipped to tackle the dynamic challenges of the nursing profession.
• Core Values: Upholding a set of core values fundamental to its mission, the UNC School of Nursing prioritizes excellence in education and research, a steadfast commitment to patient care, promotion of diversity and inclusion, and a strong focus on improving community health outcomes.
• Accreditation: The School maintains accreditation for all nursing programs, including bachelor's, master's, DNP, and post-graduate APRN certificate programs, ensuring adherence to rigorous standards set forth by the CCNE.

5. West Chester University

Just outside Philadelphia, Pennsylvania, West Chester University offers comprehensive BSN programs that emphasize both the science and art of nursing. The programs are designed to provide the highest-quality undergraduate nursing education to students from diverse populations and do not require HESI or TEAS for entrance.

The university offers three main tracks for the BSN program:

• Traditional Pre-licensure Undergraduate Program: This 4-year BSN program focuses on a wide variety of clinical experiences, including acute care, community health, daycare centers, schools, retirement centers, nursing homes, and veterans hospitals. The program prides itself on offering personalized attention, especially in clinical settings, with a favorable 1:8 faculty/student ratio. The on-campus learning laboratory allows students to hone their skills before actual client interactions.
• Accelerated Pre-licensure Undergraduate Program (Advance-2-BSN): Designed for students with an undergraduate degree in a non-nursing field, this 18-month, full-time program follows a cohort model. Upon completion, graduates are eligible to take the NCLEX-RN exam for licensure as a Registered Nurse.
• RN to BSN: WCU's RN to BSN program offers licensed Registered Nurses an opportunity to further their education and career by earning a Bachelor of Science in Nursing degree. The program emphasizes practical skills and knowledge relevant to contemporary nursing practice, preparing graduates for the challenges of the healthcare industry. Program is 100% online

Nursing Program Highlights: 

• Mission-Driven Education: The West Chester University Department of Nursing is dedicated to providing top-tier undergraduate and graduate nursing education, cultivating leaders ready to deliver evidence-based care and contribute to advancing healthcare systems with expertise and innovation.
• Accreditation: West Chester's nursing programs, including BSN, MSN, and DNP, are accredited by the Commission on Collegiate Nursing Education (CCNE).
• Program Costs: The tuition rates for the BSN programs are $7,716 for 12 credit hours, $5,796 for 9 credit hours, and $3,864 for 6 credit hours.

6. Northern Illinois University

Northern Illinois University offers a BSN program in DeKalb, IL, that provides students with a robust academic foundation encompassing theory, clinical experience, and a focus on personal growth. The program is designed to prepare students for a career as a nursing generalist, emphasizing both the provision and management/coordination of care. Entrance exams such as HESI or TEAS are not required for admission to the programs.

Undergraduate nursing pathways at NIU include: 

• Traditional BSN: Designed to prepare students for a nursing career with a broad skill set, this program emphasizes both direct patient care and broader healthcare practices. It offers a comprehensive academic foundation, blending theory with hands-on clinical experience. Completion of the program requires 60 credit hours.
• RN to BSN: Tailored for nurses with an associate degree, this flexible online program allows students to progress at their own pace, with the option for credit transfers. Encompassing 120 hours of coursework, it's ideal for those seeking career advancement while managing busy schedules. Completion of the program requires 28 credit hours.

Nursing Program Highlights:

• NCLEX First-Time Pass Rate: An impressive rate that surpasses both state and national averages.
• Student Success Program: A comprehensive program designed to support students in meeting the program's demands.
• Scholarship Awards: Over $130,000 in student scholarships awarded to nursing students annually.
• Dedicated Faculty: Faculty members deeply committed to ensuring student success.
• Undergraduate Student Advisor: A dedicated advisor available for undergraduate students.
• Clinical Experiences: Extensive experiences facilitated through partnerships with over 230 regional healthcare providers.
• Program Accreditation: BSN, MSN, and DNP programs accredited through the CCNE.
• Program Cost: Tuition for the program amounts to $12,504 annually, inclusive of general fees, applicable for students enrolled in 12 or more credit hours per semester.

7. The University of South Florida

In Tampa, The University of South Florida offers comprehensive undergraduate nursing programs that cater to a diverse range of students. One of the standout features of USF's nursing program is its commitment to providing multiple pathways to cater to the unique needs and backgrounds of its students, while not requiring the HESI or TEAS exam for entrance.

Pathways for undergraduate nursing students at USF include:

• Accelerated Second Degree: This pathway is tailored for students who already possess a non-nursing bachelor's degree in any field. It offers an accelerated curriculum that spans four consecutive semesters, including summers. Given its fast-paced nature, the program is highly competitive.
•  Upper Division: Often referred to as the "traditional" program, the Upper Division pathway is designed for students aiming for a bachelor's degree in nursing who have completed prerequisite courses but do not have a prior bachelor's degree. This program runs for five consecutive semesters, including summers, and is known for its competitive admission process.
• Veteran to BSN (V-CARE): Recognizing the invaluable medical training and experience of service members, the V-CARE pathway is designed for medics, health services technicians, or corpsmen. It offers them the chance to earn a Bachelor of Science in Nursing. The program typically spans five consecutive semesters, including summers, and is conducted full-time on the Tampa campus.
• Freshman Nursing Pathway: This pathway is an exclusive option for first-time college students aiming to pursue a nursing degree. Those admitted to this pathway must adhere to the progression criteria set by the College of Nursing.

Nursing Program Highlights:

• Excellence and Innovation: USF's College of Nursing is dedicated to fostering excellence and innovation, preparing nurses for the 21st century through research, education, and evidence-based clinical care.
• Inclusive Learning Environment: USF's College of Nursing prioritizes diversity and inclusion, ensuring that students reflect the populations they serve for culturally competent care.
• Supportive Research Environment: USF's nursing program offers a supportive atmosphere for students to excel in a research-intensive setting, equipping them with the skills for effective clinical practice in a dynamic healthcare landscape.
• Program Accreditation: USF's nursing programs, including BSN, MSN, and DNP, are accredited by the Commission on Collegiate Nursing Education (CCNE), ensuring rigorous educational standards.
• Program Cost: Tuition for these BSN programs is an estimated $209-$211 per credit hour. 

8. Lee University

Lee University's School of Nursing, located in Cleveland, Tennessee, offers a comprehensive undergraduate nursing education tailored to meet the diverse needs of its students.

There is one undergraduate nursing pathway at Lee University: 

• Traditional Baccalaureate (BSN) Track: This pathway is designed for students aiming for a BSN degree. It offers a structured curriculum that equips students with the essential skills and knowledge required in the nursing profession. Requires 124 credit hours tow complete 

Nursing Program Highlights:

• Academic Support:  Faculty engagement with open door policy, SON student support services, student-led supplemental instruction, NCLEX prep, and the Lee University Center for Student Success.
• Experiential Learning: Clinical partnerships in a variety of local healthcare facilities, hands-on skills labs, state-of-the-art simulation lab, immersion experience in final semester, and a multi-disciplinary Mass Casualty Incident simulation.
• Travel/Global Trips: Lee University Global Perspectives program and FEMA Center for Domestic Preparedness training in senior year.
• Facilities and Research & Innovation: Includes Simulation Central with various labs and simulators, active learning classrooms, a 140-seat lecture hall, computer lab, student lounge, and prayer room. The program also emphasizes evidence-based practice, showcased in the Research & Innovation Expo, student poster presentations, and faculty scholarship.
• Entrance Exam Exemption: No HESI or TEAS entrance exams required for prospective students.
• Program Accreditation: Accredited through the Commission of Collegiate Nursing Education (CCNE).
• Program Cost: 2023-2024 tuition is $915 per credit hour. 

9. The University of Arkansas at Little Rock

The University of Arkansas at Little Rock offers nursing programs designed to mold students into skilled and compassionate nurses. The program is renowned for its comprehensive curriculum, and its graduates are highly esteemed by employers for their exceptional critical thinking, communication skills, and overall preparedness.

The university provides multiple pathways for students aiming to venture into the nursing profession:

• Student to RN (AAS): This pathway enables students to obtain the necessary qualifications to sit for the state RN examination (NCLEX) within a 2-year timeframe. Available through the university application process, it requires approximately 60 credit hours to complete.
• LPN/Paramedic to RN (AAS): Exclusively designed for licensed LPNs or Paramedics seeking to transition to an RN role, this program follows a 2-year timeline and is accessible through the university application. Completion requires 60 credit hours.
• Traditional BSN: Designed for students pursuing a BSN degree alongside their AAS studies, this pathway spans 4 years and allows for the final year to be completed online. Offered through the university application, the program entails an estimated 132 credit hours, though credits may vary based on prior coursework.
• RN to BSN Online Program: Tailored for licensed RNs and recent graduates from associate or diploma RN programs, this online program offers flexibility for working professionals. Excluding AAS coursework, the BSN program typically totals approximately 80 credit hours for completion.

Nursing Program Highlights:

• State-of-the-Art Simulation Lab: A standout feature offering hands-on learning experiences to ensure students are adept and ready for professional challenges.
• No Mandatory Entrance Exams: The School of Nursing does not require HESI or TEAS entrance exams for admissions.
• Program Accreditation: Bachelor's of nursing programs are accredited through the Accreditation Commission for Education in Nursing (ACEN).
• Program Cost: For residents of AR, the average tuition and fees amount to $4,944.30 per semester or $9,888.60 annually. For non-residents, the average tuition and fees stand at $11,101.80 per semester or $22,203.60 annually.

10. George Washington University

Located in the District of Columbia, George Washington University (GWU) is renowned for its commitment to advancing the nursing profession. The university's BSN) programs are designed to open up a plethora of professional opportunities in one of the most trusted professions in health care.

GWU offers multiple undergraduate pathways to cater to nursing students with diverse backgrounds and aspirations:

• Accelerated BSN: Tailored for individuals with a bachelor's degree in a non-nursing field seeking to transition into nursing, this program can be completed in just 17 months for students who have already earned 60 college credits or a bachelor's degree. Achieving a BSN requires 60 credit hours.
• Veterans BSN: Exclusively designed for military veterans, this program acknowledges and values the military training and experience of veterans. It potentially offers credit for specific prerequisite courses based on the veteran's military background. The program also requires 60 credit hours to achieve a BSN.
• Online RN-BSN: Ideal for those with an Associate Degree in Nursing aiming to advance to a BSN, this online program offers flexibility for working professionals. Completion of the program requires 21 credit hours and can be achieved in 16 months over 4 semesters.

Nursing Program Highlights:

• Program Structure: Four consecutive semesters designed to prepare students as leaders in nursing.
• Comprehensive Curriculum: Equips students for high-quality clinical practice post-graduation.
• State-of-the-Art Learning: Advanced facilities and technologies for diverse learning experiences.
• Unique Course Selection: Offers electives in areas like global health and pediatric adversity.
• Accreditation: Accredited through the Commission on Collegiate Nursing Education (CCNE).
• Program Cost: $67,420 per academic year

What Are Nursing School Entrance Exams?

Nursing school entrance exams are standardized tests that prospective students must take and pass to gain admission into a nursing program. These exams assess a student's readiness for nursing school, covering subjects such as math, science, reading comprehension, and critical thinking. The results of these exams help determine if a student has the foundational knowledge required to succeed in a nursing program. Two of the most common nursing school entrance exams are the TEAS and the HESI.

TEAS Exam

The Test of Essential Academic Skills (TEAS) is a standardized test designed to assess a student's preparedness for entering the health science fields, especially nursing. Developed by the Assessment Technologies Institute (ATI), the TEAS exam covers four main areas: Reading, Mathematics, Science, and English and Language Usage. A student's score on the TEAS can influence their acceptance into a nursing program, and some schools have minimum score requirements.

HESI Exam

The Health Education Systems, Inc. Admission Assessment (HESI A2) is another widely used nursing school entrance exam. It evaluates a student's academic readiness and is often a required part of the admissions process for many nursing schools. The HESI exam covers a range of subjects, including Anatomy and Physiology, Biology, Chemistry, Grammar, Math, Physics, Reading Comprehension, and Vocabulary. In addition to academic subjects, the HESI A2 also assesses a student's learning style and personality traits, which can provide insights into their potential success in a nursing program.

Nursing School Pathways

No entrance exam nursing schools offer diverse coursework and clinical training, catering to nursing beginners (Traditional BSN), degree holders (Accelerated BSN), and registered nurses (RN to BSN). Each program addresses unique student needs and backgrounds.

• Traditional BSN Program: A 4-year program for nursing beginners, covering biology, anatomy, physiology, and general education. Clinical training progresses from basic to complex scenarios in various healthcare settings.
• Accelerated BSN: A 12-18 month program for degree holders in another field. Covers essential nursing curriculum with simulations and hands-on experiences in a shorter timeframe.
• RN to BSN: Tailored for RNs with an associate degree or diploma. Flexible coursework includes leadership, community health, and evidence-based practice. Clinical training emphasizes management skills and community/public health, accommodating working RNs with online or part-time classes.
• LPN to BSN: Curated to nurses with a practical license, LPN to BSN programs are a streamlined path to earning a Bachelor of Science in Nursing (BSN) over 2-3 years. It builds on LPN experience with advanced coursework in pharmacology, pathophysiology, nursing research, leadership, and extensive clinical rotation in various settings. 

Admission Requirements for Nursing Schools Without Entrance Exams

Nursing schools that have shifted away from traditional entrance exams like the TEAS or HESI often adopt holistic admissions criteria. While specific requirements vary among institutions, prospective students can typically expect admissions processes that prioritize a thorough evaluation of their academic achievements, professional experience (if applicable), personal statements, letters of recommendation, and sometimes interviews.

Key Admission Criteria Often Include:

• Academic Background: Most schools require a minimum GPA, typically around 3.0 or higher, in prerequisite courses and previous academic coursework.
• Professional Experience (if applicable): Applicants with prior healthcare or nursing experience may receive favorable consideration based on their relevant work experience.
• Personal Statement: A well-crafted personal statement detailing the applicant's motivation for pursuing nursing, career goals, and relevant experiences is usually required.
• Letters of Recommendation: Schools often request letters from academic instructors or professional supervisors who can provide insight into the applicant's qualifications and potential for success in nursing school.
• Interview (if applicable): Some programs may conduct interviews to further assess an applicant's suitability and commitment to their nursing program.

Additional admission requirements typically include:

• Background Check: Nursing programs typically require students to undergo a background check to ensure they meet institutional and clinical placement requirements.
• Drug Screen: Many nursing schools mandate drug screening tests to maintain patient safety and adhere to clinical facility policies.
• Physical Exam: Applicants may be required to provide proof of a physical examination to ensure they meet health requirements for clinical practice.
• Vaccinations: Immunization records demonstrating compliance with required vaccines, such as measles, mumps, rubella (MMR), hepatitis B, tetanus, diphtheria, pertussis (Tdap), and influenza, are often required to protect patients and healthcare workers.

These criteria collectively aim to select candidates who demonstrate academic readiness, professional commitment, and personal qualities suited for the demanding field of nursing. The admission criteria will vary by program, thus it is prudent to review admission requirements for the programs you plan to apply. 

Nursing School Curriculum

Whether nursing schools require entrance exams or not, students undergo an immersive educational experience characterized by a comprehensive curriculum seamlessly blending nursing theory with hands-on practical training. Aligned with rigorous accreditation standards, all nursing programs are dedicated to upholding a steadfast commitment to excellence in both coursework and clinical training. The overarching goal is to empower students with essential nursing skills and knowledge, establishing a robust foundation for a successful and impactful career in healthcare.

The nature of coursework and clinical training in a no-entrance exam nursing school is contingent upon the chosen path, whether pursuing an Associate Degree in Nursing (ADN RN) or a Bachelor of Science in Nursing (BSN RN). 

ADN Program Coursework

The ADN program centers on key components crucial for entry-level nursing practice, encompassing:

• Foundational Sciences: Providing essential knowledge for understanding healthcare's physiological and biological aspects.
• Nursing Theory: Delving into theoretical underpinnings, fostering critical thinking and decision-making skills.
• Core Nursing Courses: Each nursing specialty -- medical-surgical, acute care, gerontology, pediatrics, mental health, and labor and delivery -- encompasses unique aspects. Core nursing courses are designed to equip students with the necessary skills and knowledge to care for patients in diverse healthcare settings.
• Clinical Skills: Emphasizes hands-on proficiency for effective patient care, diagnostics, and treatment.
• Patient-Centered Care: Cultivating a patient-centric approach, emphasizing empathy and holistic well-being.
• Community and Public Health: Exploring broader healthcare contexts, including community and public health initiatives.
• Ethics: Instilling a strong ethical foundation for navigating healthcare scenarios with integrity.

An ADN RN program's overarching goal is to produce adaptable and competent nursing professionals ready for diverse healthcare scenarios with proficiency and compassion.

BSN Program Coursework

Building upon the ADN foundation, the Bachelor of Science in Nursing (BSN) program extends its coursework to encompass advanced topics that contribute to a broader and more comprehensive understanding of nursing practice. BSN program courses will include courses focused on:

• Leadership: Developing leadership skills is a focal point, preparing BSN students to take on roles that involve decision-making, coordination, and management within healthcare settings.
• Research Methodologies: Equipping students with research skills, this coursework enables BSN graduates to contribute to evidence-based practice, enhancing the quality of care provided.
• Advanced Community and Public Health: Expanding on the foundation laid in the ADN program, this coursework delves deeper into community and public health, preparing BSN graduates for leadership roles in public health initiatives.
• Advanced Nursing Concepts: Students will build upon their ADN RN foundation in advanced nursing courses. While these courses will vary from one nursing school to another, all BSN programs will have some form of them – courses can include Genetics, Health Assessment, and Issues in Aging – to name a few. 

BSN programs are designed to elevate nursing professionals by providing them with a broader skill set and advanced knowledge, preparing them for leadership roles, and enhancing their ability to address the evolving challenges in the healthcare landscape. 

No Entrance Exam Nursing School Clinical Training

Clinical hour requirements in ADN and BSN nursing programs are contingent on school and state regulations, typically ranging from a minimum of 400 to up to 700 hours. Notably, BSN programs, with their emphasis on nursing leadership, may have minimal to no additional clinical requirements for individuals pursuing a BSN after completing an ADN. 

Clinical training remains consistent whether enrolling in an ADN or BSN program. If you directly enter a BSN program, expect your clinical experience to resemble that of an ADN program. Throughout core nursing courses you will engage in clinical rotations covering various specialties, including medical-surgical, acute care, pediatric, labor and delivery, mental health, and community health.

Cost of Nursing Schools That Don't Require Entrance Exams

The costs of nursing schools without entrance exams can vary widely based on several factors. It's important to note that the absence of an entrance exam doesn't necessarily correlate directly with the overall cost of the program.

Generally, prospective students should consider the following factors:

• Type of Institution: Public institutions, especially in-state schools, often have lower tuition rates than private institutions.
• Location: Schools in urban areas or regions with a higher cost of living might have higher tuition and associated costs.
• Program Length and Type: An ADN program is typically less expensive than a BSN program. Accelerated BSN programs or direct-entry Master's programs might have different cost structures as well.
• Additional Fees: Beyond tuition, schools might charge lab fees, technology fees, simulation fees, and other miscellaneous costs.
• Living Expenses: Costs for housing, food, transportation, and other personal expenses can vary based on the school's location and the student's living arrangements.
• Books and Supplies: Nursing programs require textbooks, uniforms, stethoscopes, and other supplies, which can add to the overall cost.

It's important to note that every institution will vary in costs and that students should research each program of interest and consider their specific needs to develop the best understanding of what they need to budget for education. Many schools also offer scholarship opportunities and financial aid that can offset these costs.

2025 RN Salary Expectations

According to the U.S. Bureau of Labor Statistics (BLS), RNs have an average annual salary of approximately $94,480. This encompasses RNs holding a diploma, ADN, or BSN degree. 

For new graduates, starting salaries may vary above or below the average based on specialty, experience, and location. If considering relocation for higher wages, it's essential to account for differences in the cost of living to accurately assess the financial benefits. Below are the states offering the highest salaries for RNs:

• California: $137,690.00
• Hawaii: $119,710.00
• Massachusetts: $113,440.00
• Oregon: $111,030.00
• Alaska: $109,210.00

Differences in nursing salaries can also arise from the type of healthcare facility and specific practice areas. The industries employing the most RNs and their respective average salaries are:

• General Medical & Surgcal Hospitals (1,749,320) $96,830.00
• Offices of Physcians (220,070) $83,110.00
• Home Health Care (179,530) $87,430.00
• Outpatient Care Centers (163,630) $102,640.00

The top three highest-paying industries for registered nurses are:

• Government (97,940) $114,860.00
• Employment Services (130,890) $110,230.00
• Pharmaceutical and Medicine Manufacturing (80) $108,640.00

Generally, RNs with a BSN tend to earn more than those with an ADN, though the Bureau of Labor Statistics (BLS) does not specify salary differences by educational level. By utilizing data from ZipRecruiter, we can observe the salary disparities between ADN and BSN RNs.

Average ADN RN Salary:

• Hourly Wage: $39.00
• Annual Wage: $80,321.00

Average BSN RN Salary:

• Hourly Wage: $46.00
• Annual Wage: $96,546.00

Knowing the factors that influence nursing salaries helps you make strategic decisions about your education and career to enhance your earning potential. For a detailed comparison of nursing salaries, consult the allnurses Nursing Salary Guide.

Are No Entrance Exam Nursing Schools Worth It?

The value of nursing school extends far beyond the realm of entrance exams. Your success is rooted in your capacity to not just pass a pre-admission test but to fully grasp and excel in the multifaceted aspects of nursing education. 

It's about embracing and mastering the coursework, theory, critical thinking, and clinical skills imparted throughout your journey in nursing programs. Choosing an institution that prioritizes these core components, rather than solely relying on entrance exams, ensures a holistic and meaningful foundation for your nursing career.

Moreover, when considering nursing schools, it's prudent to recognize that success doesn't end with graduation but extends to the NCLEX exam. Schools that prioritize a robust educational foundation contribute significantly to your readiness for the NCLEX, ensuring you not only enter the profession but thrive as a competent and confident nurse.

Choosing an institution that values these core elements over entrance exams paves the way for a fulfilling and successful nursing career, which can certainly be worth it if that aligns with your goals.

Pros & Cons of Nursing Schools Without Entrance Exams

While nursing schools without entrance exams offer certain advantages, they also come with potential drawbacks. Prospective students should carefully consider the following factors when deciding where to apply.

Pros of No Entrance Exam Nursing Schools

1. Accessibility: Without the barrier of an entrance exam, more students might find it easier to apply, making nursing education more accessible to a diverse group of applicants.
2. Reduced Stress: Preparing for and taking standardized tests can be stressful. Eliminating this step can reduce anxiety for prospective students.
3. Holistic Admissions: Schools that don't rely on entrance exams might use a more holistic approach to admissions, considering factors like interviews, essays, and letters of recommendation, which can provide a broader view of an applicant's potential.
4. Cost Savings: Students won't have to bear the costs associated with preparing for and taking an entrance exam, such as study materials, prep courses, and exam fees.
5. Faster Application Process: Without the need to schedule, prepare for, and take an exam, the application process might be quicker for some students.

Cons of No Entrance Exam Nursing Schools

1. Less Standardization: Entrance exams provide a standardized measure that can help schools compare applicants. Without this measure, it might be harder to gauge the academic readiness of applicants.
2. Potential for Lower Quality: There's a risk that without the filtering mechanism of an entrance exam, schools might admit students who aren't adequately prepared for the rigors of a nursing program.
3. Over-reliance on GPA: Without entrance exams, schools might place more weight on GPA, which doesn't always provide a full picture of a student's abilities or potential.
4. Competitiveness: If many students apply because there's no entrance exam, the admissions process might become more competitive in other areas, such as GPA or interview performance.
5. Perception Issues: Some might perceive schools without entrance exams as less rigorous or prestigious, which could impact the perceived value of a degree from such institutions.

Are Nursing Schools That Don't Require Entrance Exams Respected?

Nursing schools without entrance exams can earn respect if they are accredited, maintain a high-quality curriculum, and produce successful graduates. Critical considerations for employer perception include:

• Accreditation: Employers value graduates from accredited programs, ensuring the school meets quality standards.
• Program Quality: A robust curriculum and comprehensive clinical training enhance the program's reputation.
• Graduate Success: High licensure exam pass rates and employment outcomes enhance a school's standing.
• Reputation: Strong clinical partnerships, alumni success, and adaptability to industry changes positively influence employer perception.

In essence, the respect a nursing school without entrance exams receives is tied to accreditation, program quality, and the success of its graduates in the healthcare industry.

Tips to Choose the Best Nursing School

Reasons for choosing a nursing school will vary per student and their specific needs. Some students value the cost of education, while others may place greater emphasis on NCLEX pass rates, academic reputation, or other factors.

Although it will vary by individual, a survey by allnurses revealed the top 11 reasons nursing students chose their programs:

1. Cost
2. High NCLEX Pass Rate
3. Location
4. Academic Reputation
5. Availability of Financial Aid and Scholarships
6. Length of Time to Obtain Degree
7. Flexibility of Schedule
8. Curriculum
9. Campus and Surroundings
10. Nursing Clinicals Location
11. Availability of Online Courses

Ultimately, prospective students should assess their needs and pick schools that are the best fit for them.

Importance of Choosing an Accredited Nursing Program

Accreditation holds far more importance than HESI or TEAS exams when selecting an RN program and should be one of the primary factors in your decision. Choosing an accredited program is essential for several reasons:

• Education Assurance: Accredited programs consistently uphold high standards in curriculum, faculty qualifications, resources, and clinical training through regular evaluations.
• Licensing Prerequisite: In most states, graduation from an accredited program is a prerequisite for state licensure, essential for practicing as a registered nurse.
• Enhanced Career Prospects: Employers prioritize graduates from accredited programs, ensuring a high-quality education aligned with national standards. It not only broadens career opportunities but also provides flexibility for roles such as travel nursing or relocation to states requiring nursing school accreditation.
• Credit Transfer: Credits earned in an accredited ADN or BSN RN program are more likely to be accepted by other nursing institutions, facilitating seamless transitions for transfer students or those pursuing higher degrees.
• Professional Credibility: Completing an accredited nursing program enhances professional credibility, demonstrating education and training aligned with national standards for advancing nursing practice.
• Access to Financial Aid: Accreditation is often a requirement for eligibility for federal financial aid, a crucial factor for students seeking financial assistance for RN education.

Aspiring nurses should ensure their chosen programs hold accreditation from reputable bodies such as the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN).  

Frequently Asked Questions (FAQ)

Q: Are there advantages to choosing a nursing school without entrance exams?

Opting for nursing schools without entrance exams like TEAS or HESI offers several advantages. It removes the stress of standardized tests and can increase accessibility for students who may not excel in such environments. These schools often focus on holistic admissions, considering factors such as academic history, personal essays, and interviews. This approach gives students more opportunities to showcase their strengths beyond test scores, creating a well-rounded admissions process.

Q: Do nursing schools without entrance exams have a different approach to admissions?

Yes, nursing schools without entrance exams like HESI or TEAS often take a holistic approach to admissions. Instead of relying solely on exam scores, they consider factors such as interviews, personal essays, recommendation letters, and overall academic performance. This approach allows schools to assess a candidate's potential in a more well-rounded way, making it ideal for students who excel outside of standardized testing.

Q: How do nursing schools assess clinical readiness without entrance exams?

In nursing schools that don't require TEAS or HESI, clinical readiness is typically evaluated through academic performance, interviews, and letters of recommendation. Schools may also assess problem-solving and critical thinking skills through written essays or scenarios during interviews. These methods ensure that candidates possess the foundational knowledge and readiness to succeed in clinical training without needing standardized test scores.

Q: Can I transfer credits from a nursing program without entrance exams to another institution?

The transferability of credits depends on the specific policies of the receiving institution. Accredited programs generally have better credit transfer acceptance.

Q: Are there scholarships or financial aid available for students in nursing programs without entrance exams?

 Yes, many nursing schools offer scholarships and financial aid. Prospective students should explore these options to support their education.

Q: How can I prepare for a nursing program without entrance exams?

To prepare for nursing programs without entrance exams like TEAS or HESI, focus on maintaining a strong academic record, gaining relevant healthcare experience, and participating in extracurricular activities that demonstrate leadership or commitment to healthcare. Preparing for interviews and writing strong personal essays will also help showcase your readiness. These aspects are key when applying to nursing schools that don't require entrance exams, as they look for well-rounded candidates.

Q: Do employers have preferences for graduates from nursing programs without entrance exams?

No, employers generally don't prioritize whether a graduate took entrance exams like TEAS or HESI. These exams are designed to assess students' readiness for nursing school and gauge their likelihood of passing the NCLEX-RN, which is the primary exam for licensure. Once you've earned your RN license, employers focus on your clinical experience, healthcare background, and GPA, rather than whether you took entrance exams.

Q: Do nursing schools with or without entrance exams have different coursework?

No, coursework in nursing schools primarily focuses on providing students with the knowledge and skills necessary to become competent and effective nurses, regardless of whether the school requires an entrance exam. The core curriculum for nursing programs is typically standardized to meet accreditation standards and prepare students for the NCLEX-RN exam.

Q: Does a no entrance exam nursing program have good NCLEX-RN pass rates?

The NCLEX-RN pass rates are primarily determined by the quality of the program, not the presence of entrance exams like TEAS or HESI.

For example, Drexel University has a 100% NCLEX-RN pass rate despite not requiring entry exams. Instead, students take HESI practice exams throughout specific clinical courses, have an entire course focused on HESI practice exams, and must pass a HESI exit exam before graduation, ensuring they are fully prepared for the NCLEX. This approach proves that entry exams aren't necessary for success.

Q: How does the cost of ADN programs compare to baccalaureate programs in terms of credit hour?

The cost per credit hour for ADN vs. BSN programs can vary. Some institutions charge the same rate for all nursing degrees, while others have different tuition rates for each level—associate, bachelor's, master's, and doctorate.

Generally, ADN programs are more affordable due to fewer credit hours required, but tuition differences across schools and regions, program pace, and extra fees can impact overall cost. Despite the higher price, a BSN program often brings long-term benefits, including better job prospects and higher quality care delivery.

Q: With the competitive admission landscape in states like California, New York, Georgia, Alabama, South Carolina, North Carolina, and Florida, how crucial is it to have a strong GPA and relevant courses like anatomy, biology, and psychology?

In states with a competitive nursing school admission landscape, having a strong GPA is often vital. 

Q: What are the typical admission requirements for a nursing career, and are there prerequisites like Microbiology or other nursing courses?

Admission criteria vary among programs, but a high school diploma or GED is universally required. Additionally, nursing schools often consider a specific high school GPA, and some may mandate entrance exams like HESI or TEAS.

Most nursing programs commonly mandate prerequisite courses, including chemistry, Microbiology, biology, anatomy, English, psychology, and statistics. These foundational courses are integral to a comprehensive nursing education.

It's worth noting that certain programs, such as Drexel University, may integrate these prerequisites within their 4-5 year BSN program, exempting students from fulfilling them prior to acceptance.

Edited Oct 19 by Erin Lee