Nursing Program Rankings

Best ADN Programs in Tennessee for 2026

17Programs analyzed
$4,440–$26,448In-state tuition range
39%Average graduation rate
$97,550Median RN salary (BLS)

The best ADN programs in Tennessee give you the fastest and cheapest path to becoming a licensed registered nurse. We analyzed 17 programs across the state on graduation rates, in-state tuition, selectivity, and program outcomes to identify which schools deliver the strongest return. In-state tuition ranges from $4,440 at several community colleges to $26,448 at Lincoln Memorial University, and the average graduation rate across these programs is 39 percent.

An ADN graduate sits for the exact same NCLEX-RN exam as a BSN graduate and earns a fully licensed registered nurse credential that is legally identical in every state. The degree level does not appear on your license. What the ADN offers over a four-year BSN is speed and cost: you can be a working RN in roughly two years, often for under $15,000 in total tuition at a Tennessee community college.

The honest tradeoff is employer preference. Magnet-designated hospital systems frequently prefer or require a BSN for staff nurse positions. Most ADN nurses handle this by completing an online RN-to-BSN bridge program while working, often with employer tuition assistance. The community college ADN is not a lesser credential. It is a different entry point, and for many nurses it is the smarter financial one.

Key Takeaways on the Best ADN Programs in Tennessee

  • Tennessee's most affordable ADN programs, at Walters State, Dyersburg State, Motlow State, Northeast State, and Chattanooga State community colleges, charge $4,440 per year in in-state tuition.
  • An ADN qualifies graduates for the NCLEX-RN, the same licensure exam taken by BSN graduates, leading to the same registered nurse credential.
  • The average graduation rate across the 17 Tennessee ADN programs we analyzed is 39 percent, which is consistent with the national pattern for associate nursing programs where clinical demands drive attrition.
  • The top-ranked program, Southern Adventist University, holds a Hakia Score of 86.1 with a 49 percent graduation rate; public community college programs rank on cost efficiency alongside outcomes.
  • The national median annual wage for registered nurses is $97,550 according to the Bureau of Labor Statistics, a figure that applies to ADN-prepared nurses and BSN-prepared nurses alike.
  • Private nonprofit programs in Tennessee run from $26,000 to $26,448 in annual tuition, more than five times the cost of in-state community college tuition, making program selection a significant financial decision.

Hakia Score combines graduation rate, cost efficiency (in-state tuition), selectivity where reported, and program-level outcomes data sourced from IPEDS, the federal Integrated Postsecondary Education Data System. Scores run from 0 to 100. A higher score reflects stronger student outcomes relative to cost. Programs without IPEDS tuition records are noted in individual profiles. NCLEX pass rates, where referenced, come from program-reported data or state board disclosures and are not independently verified by Hakia.

The 12 Best ADN Programs in Tennessee, Ranked for 2026

The 12 best ADN Programs in Tennessee, ranked by outcomes
#ProgramTypeIn-state tuitionGrad rateAdmit rateHakia Score
1Southern Adventist UniversityCollegedale, TNnonprofit$26,00049%65%86.1
2Lincoln Memorial UniversityHarrogate, TN · online optionnonprofit$26,44850%63%85.1
3Fortis Institute-CookevilleCookeville, TNfor-profit$14,91350%75.0
4South CollegeKnoxville, TN · online optionfor-profit$16,45042%74.9
5Walters State Community CollegeMorristown, TNPublic$4,44033%74.3
6Roane State Community CollegeHarriman, TNPublic$4,68036%74.0
7Concorde Career College-MemphisMemphis, TNfor-profit55%95%73.3
8Dyersburg State Community CollegeDyersburg, TNPublic$4,44034%73.2
9Motlow State Community CollegeTullahoma, TNPublic$4,44034%73.0
10Northeast State Community CollegeBlountville, TNPublic$4,44033%71.9
11Columbia State Community CollegeColumbia, TNPublic$4,60030%70.4
12Chattanooga State Community CollegeChattanooga, TNPublic$4,44026%69.4

The Top ADN Programs in Tennessee at a Glance

Each program scores 0 to 100 on the Hakia Score, a composite of graduation rate, cost, selectivity, and outcomes. Longer bars rank higher.

A Closer Look at the Top ADN Programs in Tennessee

#1

Southern Adventist University

Collegedale, TN · nonprofit

86.1Score
$26,000In-state
$26,000Out-of-state
Grad rate49%
Admit rate65%

LPN-to-RN students enter at the second level of the four-level AS curriculum, cutting their path to NCLEX eligibility to three levels instead of four.

  • $26,000/yr tuition (private nonprofit)
  • ACEN Continuing Accreditation
  • LPN-to-RN advanced placement (level 2 entry)
  • Direct AS-to-BSN bridge, no reapplication

Southern Adventist University's Associate of Science in Nursing is a pre-licensure program at the School of Nursing in Collegedale, Tennessee, accredited by ACEN with a current Continuing Accreditation status. The program runs on a four-level structure that blends hospital clinical rotations, a dedicated simulation center, and a skills lab. Classroom delivery incorporates computer adaptive testing and a formal tutoring program (ASAP) designed to reinforce high-stakes content. A built-in articulation pathway lets AS graduates step directly into the senior year of the on-campus BSN without reapplying, and licensed practical nurses are admitted at the second level, completing only three of the four levels before sitting for the NCLEX-RN.

In-state tuition runs $26,000 per year at this private nonprofit. Hakia ranks the program first in Tennessee with a score of 86.1, reflecting ACEN accreditation, its LPN articulation track, and the structured academic support built into the curriculum. The 49% graduation rate and 65% admit rate suggest a selective but achievable bar; the competitive admit pool means preparation on prerequisite science courses matters. Because SAU sits inside a faith-mission institution, students should expect Christ-centered framing throughout the curriculum, which is a differentiator for some applicants and a consideration for others. The AS credential yields the same fully licensed RN status as a BSN; SAU amplifies that by offering a clear on-campus bridge for those who want the four-year credential later.

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#2

Lincoln Memorial University

Harrogate, TN · nonprofit · online option

85.1Score
$26,448In-state
$26,448Out-of-state
Grad rate50%
Admit rate63%

In a recent graduating class, over 96% of LMU's ASN graduates passed the NCLEX-RN on their first attempt.

  • 96%+ NCLEX-RN pass rate (recent class)
  • LPN-to-ASN: 3-semester accelerated track
  • 4-semester part-time schedule
  • $26,448/yr tuition, rolling admissions

Lincoln Memorial University's Associate of Science in Nursing through the Caylor School of Nursing runs four semesters on a part-time schedule from campuses in Harrogate (TN), Knoxville (TN), Corbin (KY), and Tampa (FL). The program prepares graduates for entry-level RN positions and the NCLEX-RN. LPNs with at least one year of work experience can enter an accelerated LPN-ASN track that completes in three semesters instead of four. Admission is rolling, and LMU recommends applying one to two semesters before your intended start; the Harrogate campus accepts spring starts, while Cedar Bluff (Knoxville) accepts both fall and spring. Important note: LMU is accepting applications for Fall 2026 only and will not admit new ASN students beginning Spring 2027, so the enrollment window is narrowing.

The program's published NCLEX-RN first-attempt pass rate exceeded 96% in a recent graduating class, a figure that anchors LMU's second-place Hakia Score of 85.1 among Tennessee ADN programs. Tuition is $26,448 per year at this private nonprofit. The 50% graduation rate and 63% admit rate put LMU in a similar selectivity band as the top-ranked program. RN graduates earn a median $97,550 annually nationally per BLS wage data; the LPN-ASN track is a direct lever for LPNs already earning less than that. ASN completers are also eligible to pursue an advanced degree, and LMU itself offers post-licensure options.

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#3

Fortis Institute-Cookeville

Cookeville, TN · for-profit

75.0Score
$14,913In-state
$14,913Out-of-state
Grad rate50%

Fortis Cookeville's 24-month ADN is the lowest-tuition option among Tennessee's top-ranked associate nursing programs at $14,913.

  • $14,913/yr tuition
  • 24-month program
  • LPN/LVN credit-for-prior-education track
  • RN-to-BSN pathway via Denver College of Nursing

Fortis Institute in Cookeville offers a 24-month Associate Degree in Nursing designed to bring students to NCLEX-RN eligibility as entry-level registered nurses. The program is structured as a hybrid: the majority of coursework takes place on campus in Cookeville, with a portion (less than 50%) delivered online; clinical and lab components are completed in person, as required for any legitimate pre-licensure nursing program. Fortis provides an LPN/LVN entry track that awards academic credit for completed practical nursing education and an active LPN license, reducing time to completion for working LPNs. Graduates who want to continue education can access an online RN-to-BSN or MSN through Fortis's affiliated Denver College of Nursing, a regionally accredited partner.

At $14,913 in annual tuition, Fortis Cookeville is the most affordable program in this ranking, a meaningful difference for students weighing debt load against time-to-RN. Hakia scores the program at 75.0, third among Tennessee ADN programs, reflecting the lower tuition and graduation rate (50%) alongside a for-profit institutional structure. No admit rate is reported, and Fortis does not publish a specific NCLEX pass rate on the program page; prospective students should request that figure directly from admissions before enrolling. The program suits career changers and LPNs seeking RN licensure on a tighter budget, with the understanding that the for-profit context warrants due diligence on job placement outcomes. All ADN graduates sit for the same NCLEX-RN and hold an identical RN license to BSN graduates.

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#4

South College

Knoxville, TN · for-profit · online option

74.9Score
$16,450In-state
$16,450Out-of-state
Grad rate42%

South College Knoxville's 21-month ASN runs on four start dates per year, giving applicants more entry points than any other program in this ranking.

  • 21-month program length
  • 4 start dates per year
  • ACEN accredited
  • $16,450/yr tuition

South College's Associate of Science in Nursing in Knoxville is a fully on-campus, ACEN-accredited program that completes in 21 months full-time. Start dates fall in January, April, June, and October, which is the most flexible entry schedule in this ranking and practical for students finishing prerequisites on a rolling basis. The curriculum covers mental health, pediatric, adult health, and maternal-infant nursing care, with approximately 20 hours of in-class time per week in the major nursing courses plus clinical rotations and lab work. Admission requires TEAS test scores, a holistic academic review, and general South College admission as a prerequisite; acceptance to the college does not guarantee entry into the nursing program.

Tuition is $16,450 per year at this private for-profit institution. Hakia scores the program at 74.9, fourth in Tennessee, reflecting the competitive tuition level and a 42% graduation rate, which is the lowest in this group and a factor worth discussing with current students before committing. No specific NCLEX pass rate is stated on the program page; ask the admissions office for the most recent cohort figure. The program explicitly frames the ASN as a foundation for post-licensure education, and South College has relationships with four-year programs for RN-to-BSN advancement. Graduates are eligible to sit for the NCLEX-RN and earn the same RN license as BSN graduates; BLS data puts the national median RN wage at $97,550 per year.

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#5

Walters State Community College

Morristown, TN · Public

74.3Score
$4,440In-state
$17,424Out-of-state
Grad rate33%

92% NCLEX-RN first-time pass rate in 2025, with a 100% job placement rate the same year — at $4,440/yr in-state tuition.

  • $4,440/yr in-state tuition
  • 92% NCLEX pass rate (2025)
  • LPN-to-RN Career Mobility track
  • ACEN accredited, 3 campuses

Walters State Community College's Associate of Applied Science in Nursing is a 66-credit-hour program delivered across three campuses: Morristown (main), Greeneville (Niswonger), and Sevierville. The traditional track runs four academic terms of clinical nursing; an LPN-to-RN Career Mobility option compresses the clinical sequence to three terms for licensed practical nurses already in the field. Admission to the clinical nursing phase is a separate, competitive step — students apply by January 31 for fall entry or October 1 for spring — and completing pre-clinical requirements does not guarantee a seat. All clinical rotations are in-person at regional hospitals, long-term care facilities, and clinics.

NCLEX-RN first-time pass rates have been consistently strong: 92% in 2025, 96% in 2024, and 93% in 2023, all above the program's own 85% benchmark target. The 2024 job placement rate was 98%. ACEN-accredited, the program carries a Hakia Score of 74.3, the highest among this group, reflecting that combination of outcomes and low cost. In-state tuition runs $4,440/yr; the graduation rate is 33%, which reflects the competitive clinical admission filter more than program quality. This program fits working adults in East Tennessee who want a clear, affordable path to an RN license and value a school that has been twice named Tennessee Community College of the Year.

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#6

Roane State Community College

Harriman, TN · Public

74.0Score
$4,680In-state
$18,312Out-of-state
Grad rate36%

Two entry tracks — Traditional and RN Bridge — with 94% job placement for graduates, at $4,680/yr in-state tuition.

  • $4,680/yr in-state tuition
  • Traditional and RN Bridge tracks
  • 94% job placement rate
  • ACEN accredited

Roane State Community College's Associate of Applied Science in Nursing is a two-year program structured across six sequential terms of classroom, lab, and clinical coursework. The program offers two tracks: the Traditional option runs daytime classes with possible evening clinical rotations depending on facility availability; the RN Bridge option (for credentialed nurses) runs evenings and weekends, making it accessible to working LPNs or others transitioning into RN practice. Clinical experiences rotate across multiple healthcare settings, with small group sizes that give students individualized instruction. The HESI exam is built into the first fall term as a program checkpoint. Graduates are eligible to sit for the NCLEX-RN upon completion.

Job placement averaged 94% across 2019-2021 graduates per the program's own reporting. In-state tuition is $4,680/yr — among the lowest in Tennessee. The graduation rate of 36% reflects a selective, structured clinical admission process rather than poor throughput; the program's Hakia Score of 74.0 reflects strong outcomes relative to cost. ACEN-accredited. This program fits students in the greater Knoxville-Oak Ridge corridor who want flexible scheduling options, particularly working adults who can use the evening/weekend RN Bridge path to avoid stopping work entirely during school.

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#7

Concorde Career College-Memphis

Memphis, TN · for-profit

73.3Score
In-state
Out-of-state
Grad rate55%
Admit rate95%

Completable in as few as 20 months, with 670 required clinical hours and a 95% admit rate — the most accessible entry point in this group.

  • 20-month completion path
  • 670 required clinical hours
  • 95% admit rate, rolling starts
  • 55% graduation rate

Concorde Career College's Associate of Applied Science in Nursing Practice in Memphis is a 77-credit-hour program designed for completion in as few as 20 months. It runs on a blended delivery model: some coursework is online, but all nursing students must complete 165 in-person lab hours on campus and 670 clinical hours at healthcare site rotations — both are graduation requirements, not electives. That clinical volume mirrors accredited community college programs. Concorde's admissions rate of 95% makes it the most open-access program in this group, with rolling start dates (the next cohort starts July 6). Graduates are eligible to apply for the NCLEX-RN and Tennessee RN licensure upon completion.

Concorde Memphis is a private for-profit institution, so tuition runs higher than Tennessee's public community colleges; prospective students should verify current program cost directly with the campus and compare net cost after aid. The graduation rate is 55%, highest among this set of four programs. The Hakia Score of 73.3 accounts for the cost differential relative to public options. This program fits Memphis-area career changers who need a faster, more flexible on-ramp into nursing and cannot wait for community college cohort cycles. IPEDS enrollment data shows a focused campus of 517 students, which keeps clinical cohorts small.

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#8

Dyersburg State Community College

Dyersburg, TN · Public

73.2Score
$4,440In-state
$17,742Out-of-state
Grad rate34%

Three campus locations, an evening track, and an LPN/Paramedic-to-RN pathway — all at $4,440/yr in-state tuition.

  • $4,440/yr in-state tuition
  • LPN/Paramedic-to-RN pathway
  • Evening track available
  • 3 West Tennessee campuses

Dyersburg State Community College's Associate of Applied Science in Nursing operates from three West Tennessee locations: the main campus in Dyersburg, the Jimmy Naifeh Center at Tipton County in Covington, and the Henry County Center in Paris. The program offers three distinct tracks to reach the same RN credential. The Traditional track admits students each August (Dyersburg) or January (JNC), with a March 1 or September 1 application deadline depending on campus. A Traditional Evening track runs two nights per week with Friday or Saturday clinicals — it admits 24 students every other year and is designed for working adults who cannot attend daytime classes. The LPN/Paramedic-to-RN Pathway, available at all three locations on alternating-year cycles, gives licensed practical nurses and paramedics an accelerated route into the RN role. All tracks require in-person clinical rotations; graduates sit for the NCLEX-RN for licensure.

In-state tuition is $4,440/yr, matching Walters State for the lowest in this group. The graduation rate of 34% reflects the competitive application process across limited cohort seats. The Hakia Score of 73.2 captures the program's value proposition: broad geographic coverage across rural West Tennessee, multiple scheduling formats, and a pathway specifically for LPNs and paramedics who already hold clinical credentials. Accredited by ACEN and approved by the Tennessee Board of Nursing. IPEDS enrollment of 3,296 reflects a mid-size community college with meaningful health program infrastructure.

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#9

Motlow State Community College

Tullahoma, TN · Public

73.0Score
$4,440In-state
$17,424Out-of-state
Grad rate34%

Three entry tracks, traditional two-year, LPN-to-RN, and Paramedic-to-RN, with a reported 95-100% job placement rate for graduates.

  • $4,440/yr in-state tuition
  • Three entry tracks (traditional, LPN-to-RN, Paramedic-to-RN)
  • 95-100% reported job placement rate
  • 11-county clinical network

Motlow State Community College's Associate of Applied Science in Nursing runs four semesters of nursing coursework after prerequisites and places clinical hours across campus labs, area hospitals, extended care facilities, and community agencies throughout an 11-county service region in middle Tennessee. The program does not stop at one entry point: working LPNs can compress the path to three semesters via the LPN-to-RN bridge, and licensed paramedics have a dedicated Paramedic-to-RN track with its own application window (May 1 through July 31). Admission to all tracks is competitive, scored on a point system with a maximum of 600 base points plus up to 100 quality points; acceptance is decided in April for fall starts. All applicants must pass the HESI entrance exam, the A2 for traditional and paramedic applicants, and the HESI Fundamentals of Nursing for LPNs. The AAS degree supports articulation into a baccalaureate program, making the ADN-then-RN-to-BSN sequence straightforward for students who want to work sooner and degree-advance later.

At $4,440 per year in-state, Motlow fits the community-college cost profile that makes the ADN route financially rational. The program reports a 34% graduation rate and carries a Hakia Score of 73, which reflects both its affordability and the competitive nature of health-sciences programs at open-access colleges. No NCLEX-RN first-attempt pass rate is published on the program page, so that figure cannot be cited here. Motlow does publish a 95-100% job placement rate for nursing graduates, a signal of regional employer demand in the Tullahoma and Lynchburg corridor. The program fits applicants who have a healthcare license already (LPN or paramedic) and want the fastest credentialed path to RN status, as well as traditional students willing to compete on the point-based rubric for a low-cost degree. All ADN graduates, regardless of the track used, sit for the same NCLEX-RN and earn the identical RN license as a four-year BSN graduate.

Prerequisite sciences (Anatomy and Physiology I and II, Microbiology) must have been completed within the last five years, so plan coursework timing accordingly. Students who complete the AAS and want to move into a BSN later will find Motlow's articulation agreements with baccalaureate programs a practical bridge, especially given that Magnet-designated hospital systems increasingly use BSN as a hiring preference for career advancement roles. Starting as an RN at the BLS national median of $97,550 per year while completing an online RN-to-BSN part-time is the standard playbook Motlow's structure supports.

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#10

Northeast State Community College

Blountville, TN · Public

71.9Score
$4,440In-state
$17,424Out-of-state
Grad rate33%

Admits two cohorts per year, fall and spring starts, and requires a minimum 3.0 GPA for entry, raising the competitive bar at a $4,440/yr tuition price.

  • $4,440/yr in-state tuition
  • Two admission cycles per year (fall and spring starts)
  • 3.0 GPA minimum signals academic rigor
  • LPN-to-RN bridge (3 semesters)

Northeast State Community College's Associate of Applied Science in Nursing prepares graduates to sit for the NCLEX-RN and enter the workforce as generalist registered nurses. The traditional track runs four consecutive semesters of nursing coursework and is unusual among Tennessee community colleges in admitting two cohorts per year: a summer application period feeds a fall start, and a fall application period feeds a spring start, giving qualified applicants two bites at entry without waiting a full year. An LPN-to-RN option condenses the path to three semesters (summer, fall, spring) for licensed practical nurses who hold a current, active LPN license. Clinical training is in-person and site-based; a fully online ADN path does not exist for prelicensure nursing, and Northeast State does not claim otherwise. The first required step for any prospective student is completing the program's online Nursing Information Session before an advisement appointment is scheduled.

Northeast State sets a minimum 3.0 GPA, measured after at least 12 earned credit hours, as a baseline admission requirement, which is a higher academic bar than many open-admission community colleges impose at the application stage. Biological sciences coursework must be dated within ten years of the first nursing semester, a longer window than Motlow's five-year rule. In-state tuition runs $4,440 per year, matching the Tennessee community college rate. The program's graduation rate is 33% and its Hakia Score is 71.9, consistent with competitive health-sciences programs where clinical seat capacity limits throughput regardless of applicant volume. No NCLEX-RN first-attempt pass rate is published on the program's web page, so that figure is not cited here. Northeast State's location in Blountville serves the Tri-Cities region of northeast Tennessee, where hospital and long-term care employers provide clinical placement sites. The BLS national median wage for registered nurses is $97,550 per year; the ADN and BSN credential yield the same RN license and the same starting eligibility for that rate.

Students who earn the AAS and want to move into a BSN can do so through an RN-to-BSN bridge, a path Northeast State explicitly supports. That sequence, two-year ADN, enter the workforce, complete an online BSN while employed, addresses the reality that Magnet hospital systems increasingly treat BSN as a preference for advancement. For a student in the Tri-Cities area who meets the 3.0 GPA threshold and can commit to four uninterrupted semesters, Northeast State's twice-annual admission cycle shortens the waiting game compared to programs that only fill seats once a year.

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What an ADN Costs in Tennessee (And Why It Beats the BSN on ROI)

Tennessee's public community college system makes the ADN one of the most affordable paths to an RN license in the country. Five programs in this ranking, Walters State, Dyersburg State, Motlow State, Northeast State, and Chattanooga State, all charge $4,440 per year in in-state tuition. Roane State runs $4,680 and Columbia State $4,600. A two-year associate degree in nursing at one of these schools costs roughly $9,000 to $10,000 in tuition before financial aid, Pell Grants, and scholarships.

Compare that to the four-year BSN track at a Tennessee university, where tuition often runs $25,000 to $40,000 total for in-state students and considerably more for private institutions. The ADN cuts your pre-licensure tuition cost by more than half and gets you into the workforce two years sooner. That two-year head start means two years of RN salary, which at the national median of $97,550 is not a small number.

Private programs in this ranking cost more. Fortis Institute-Cookeville charges $14,913 and South College $16,450 in annual tuition. Southern Adventist University and Lincoln Memorial University, both private nonprofits at the top of our rankings on outcomes, run $26,000 and $26,448 respectively. Higher outcomes scores at private schools reflect graduation rates and program quality, but the tuition gap is real and worth weighing carefully against the community college options.

Financial aid changes the picture at every school. The FAFSA applies to all accredited programs, and Tennessee residents may qualify for the Tennessee Promise scholarship for community college attendance. If cost is a primary constraint, start with the public community colleges and apply for every grant available before considering private programs.

The NCLEX-RN: ADN Graduates Take the Same Exam, Earn the Same License

Every nursing student, whether they hold an ADN or a BSN, must pass the NCLEX-RN administered by the National Council of State Boards of Nursing to become a licensed registered nurse. The exam does not have an associate degree version and a bachelor's degree version. There is one exam. Pass it and you are a licensed RN.

The RN license issued after passing the NCLEX-RN does not specify the degree level of the holder. A nurse who completed an ADN at Walters State Community College holds the same credential as one who completed a four-year BSN at Vanderbilt. They are both registered nurses. They can apply for the same jobs, work in the same clinical settings, and advance to the same specialties.

NCLEX pass rates vary by program and matter when you are choosing where to apply. Programs with first-time pass rates consistently above 85 percent demonstrate that their curriculum prepares students effectively for the licensure exam. Ask any program you are considering to provide its most recent NCLEX first-time pass rate. Accredited programs are required to track and disclose this data, and programs with ACEN accreditation must meet minimum performance thresholds.

ACEN vs CCNE: Why Accreditation Matters for Your ADN

Associate degree nursing programs are accredited by the Accreditation Commission for Education in Nursing (ACEN), not CCNE. The Commission on Collegiate Nursing Education (CCNE) accredits baccalaureate and graduate nursing programs. If you see a community college ADN program claiming CCNE accreditation, verify that carefully. For associate programs, ACEN is the relevant body.

Accreditation is not optional if you want a viable career. Many RN-to-BSN bridge programs will only accept applicants who graduated from an ACEN or CCNE-accredited nursing program. Some graduate nursing programs have the same requirement. Employers, particularly hospital systems, verify accreditation status. A degree from an unaccredited nursing program can block you from advancement opportunities and leave you ineligible for certain positions even after passing the NCLEX.

ACEN accreditation requires programs to demonstrate student outcomes above minimum thresholds, including NCLEX pass rates. Programs that fall below those thresholds face review and can lose accreditation. That accountability structure is exactly why accreditation matters: it gives you a baseline guarantee that the program is performing at a standard level. Every program in this ranking is reviewed for accreditation status, and you should verify current status directly with ACEN before enrolling, since accreditation can change.

ADN vs BSN: Making the Honest Choice

The ADN-versus-BSN question comes down to your timeline, your budget, and the specific job market you are entering. The ADN gets you licensed faster and cheaper. The BSN opens more doors at the outset, especially at large hospital systems that have adopted Magnet designation or BSN-preference hiring policies.

The data on hospital preference is real. The American Association of Colleges of Nursing has reported that a majority of hospitals prefer BSN graduates for new hires, and Magnet-designated facilities often require a BSN for staff nurses. In Tennessee, large health systems in Nashville, Memphis, and Knoxville increasingly lean toward BSN candidates. If you are targeting a specific employer, look at their job postings and hiring policies before committing to a degree path.

But the ADN is not a dead end. The common strategy is to complete the associate degree in nursing, pass the NCLEX-RN, get your first RN job, and then bridge to a BSN online while working. RN-to-BSN programs are widely available, fully online, and designed around the schedule of a working nurse. Many employers offer tuition reimbursement that makes the bridge program affordable or free. You end up in the same place, often with less total debt, because you earned an RN salary during the two years you would have spent in a BSN program. See our RN-to-BSN program guide for programs that accept ADN-prepared nurses.

The ADN-first path is not right for everyone. If you already have a bachelor's degree in another field, an accelerated BSN or direct-entry MSN might be more efficient. If you are targeting a hospital system that requires a BSN at hire, starting with a four-year program may save you the hassle of bridging later. Know your target employer before you choose.

Can You Complete an ADN Online? What Hybrid Really Means

A fully online ADN program for initial RN licensure does not exist in any accredited form. Prelicensure nursing programs require clinical hours, and those hours are hands-on, in-person placements at hospitals, long-term care facilities, and community health settings. No state board of nursing accepts simulated or remote-only clinical hours as a substitute for actual patient care in a licensed clinical environment.

What some ADN programs offer is a hybrid format. In a hybrid program, the classroom and theory coursework happens online or via recorded lectures, while the clinical rotations happen in person at assigned sites. This can give working students more flexibility in how they manage their schedules, but it does not eliminate the in-person clinical requirement. If you live in rural Tennessee and a hybrid program places its clinicals at a facility two hours from your home, the flexibility may not be as real as the marketing implies.

When evaluating hybrid programs, ask specifically where clinical placements are located, how many clinical hours are required, and whether you have any input into which facility you are assigned. Programs in urban areas like Nashville, Memphis, or Knoxville generally have more clinical site options and more scheduling flexibility than those in smaller markets. Be skeptical of any program that cannot clearly answer where your clinicals will take place.

RN Salary and Career Outlook for ADN-Prepared Nurses

The Bureau of Labor Statistics projects 6 percent employment growth for registered nurses through 2033, which is faster than the average for all occupations. That growth is driven by an aging population, expanded care settings, and ongoing nursing workforce shortages in many parts of the country including rural Tennessee. The national median annual wage for registered nurses is $97,550 according to BLS wage data.

That $97,550 median applies to registered nurses regardless of whether they hold an associate degree or a bachelor's degree. Entry-level wages are driven more by employer type, geographic market, and specialty than by the degree on your wall. Hospital staff nurses in high-cost-of-living markets earn more than nurses in rural community college catchment areas. Specialty certifications in critical care, emergency, or perioperative nursing can add meaningful earning potential over time.

ADN graduates entering the Tennessee job market should be aware that the Nashville and Memphis metro areas have competitive nursing markets with large health systems. The ADN is a viable entry credential in those markets, particularly in long-term care, home health, and smaller acute care facilities that are less selective on degree level. Starting in one of those settings, building experience, completing an RN-to-BSN bridge, and then targeting larger systems is a realistic and common career trajectory. The associate degree in nursing is not a ceiling. It is a starting point, and for most nurses who take this path, it is an efficient one.

ADN Programs in Tennessee: Your Questions, Answered

How long does an ADN program take to complete?
Most ADN programs run four semesters, which works out to about two years of full-time study. Some accelerated tracks or LPN-to-RN bridge programs can shave a semester off that timeline. You'll also need prerequisites in anatomy, physiology, microbiology, and English before you start the nursing core, so build those into your planning if you haven't taken them.
Is an ADN enough to become a registered nurse?
Yes. An ADN qualifies you to sit for the NCLEX-RN, and passing that exam makes you a fully licensed registered nurse. The license itself is identical to the one a BSN graduate holds. Where the difference shows up is in employer preference: many hospitals, particularly Magnet-designated systems, prefer or require a BSN for staff nurses. But an ADN is a complete path to RN licensure. See NCSBN's NCLEX page for current exam details.
What is the difference between an ADN and a BSN?
An ADN takes roughly two years at a community college and costs significantly less. A BSN takes four years at a university and costs more. Both degrees lead to the same NCLEX-RN exam and the same RN license. The practical difference is hiring: Magnet hospitals often require or prefer a BSN. The common strategy is to earn the ADN, get licensed, start working as an RN, then complete an online RN-to-BSN bridge program while employed and partially employer-funded.
How much does an ADN program cost in Tennessee?
Public community college programs in Tennessee run $4,440 to $4,680 per year in in-state tuition, which is among the lowest ADN costs in the country. Private programs in the state range considerably higher, from around $14,913 to over $26,000. Most students in Tennessee's best ADN programs attend public community colleges and finish with total program costs well under $15,000 before financial aid.
Can I complete an ADN program fully online?
No accredited prelicensure ADN program can be completed entirely online. Clinical rotations are hands-on, in-person requirements and cannot be delivered remotely. What some programs offer is a hybrid format where general education and theory courses are online, but all clinical hours happen at hospital or healthcare facility sites in person. Be skeptical of any program advertising a "fully online" ADN for RN licensure.
Do ADN-prepared nurses earn less than BSN nurses?
Not necessarily at the point of hire. According to the Bureau of Labor Statistics, the national median annual wage for registered nurses is $97,550, regardless of whether they hold an ADN or a BSN. Some employers pay a small differential for a BSN, and certain positions (charge nurse, management tracks) may require one. But the base RN salary is driven by setting, experience, and specialty, not degree level alone.
Can I bridge from an ADN to a BSN later?
Yes, and this is one of the most common paths in nursing. RN-to-BSN programs are widely available online and are specifically designed for working registered nurses. Many employers offer tuition reimbursement that makes the bridge far cheaper than a four-year BSN would have been upfront. The full pathway is: complete an ADN, pass the NCLEX-RN, work as a licensed RN, then complete an online RN-to-BSN. See our RN-to-BSN program guide for details.
What NCLEX pass rate is considered good for an ADN program?
The national first-time NCLEX-RN pass rate for all candidates sits around 80 to 85 percent in most recent reporting years. A program with a first-time pass rate consistently above 85 percent is performing well. Rates below 80 percent are worth scrutinizing. ACEN-accredited programs are required to report pass rates and must meet minimum thresholds to maintain accreditation, so choosing an accredited program provides a baseline of accountability.

How the ADN Programs in Tennessee Are Scored

Every program earns a Hakia Score from 0 to 100, built only from federal data (IPEDS, the U.S. Department of Education, and BLS) and scored against its true peers: programs in the same field at the same degree level. No reputation surveys, no pay-to-play. Here is how the score is weighted:

  • Outcomes44%

    Graduation rate (26%) and real per-school graduate earnings (18%). Does the program get students to the finish line, and where do they land?

  • Selectivity & academics38%

    Admissions selectivity (24%) and the academic profile of admitted students (14%).

  • Scale & value18%

    Enrollment (7%), cost-to-earnings value (6%), and the number of graduates a program produces (5%).

Weights renormalize over the data each program actually reports, so a school missing a metric (many community colleges do not publish entrance scores or earnings) is never penalized for it. Scores are percentiles within the peer group, curved to a 0-to-100 scale. What the score does not measure: clinical placement quality, NCLEX pass rates, or campus culture. Verify those directly with the program.

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Data sources