Nursing Program Rankings

Best RN Programs in Tennessee: 2026 Rankings

28Programs analyzed
$8,204–$40,560In-state tuition range
63%Average graduation rate
$97,550Median RN salary (BLS)

The best RN programs in Tennessee span the full spectrum from low-cost public universities to competitive private colleges, and the right choice depends almost entirely on your budget, timeline, and which format fits your life. This ranking analyzed 28 Tennessee institutions offering pre-licensure BSN nursing programs and scored 12 on four measurable factors: graduation rate, selectivity, cost efficiency, and outcomes tied to BLS wage data for registered nurses. Average graduation rate across ranked programs is 63 percent. In-state tuition runs from $8,204 per year at Middle Tennessee State University to $40,560 at Belmont University. If cost is your primary constraint and you want a strong public program, MTSU and UT Knoxville represent the most competitive value in the state at $8,204 and $11,560 respectively.

The Hakia Score is built from IPEDS institutional data, not marketing claims. Graduation rate carries the most weight because it tells you whether students who start a program actually finish it. That matters because nursing school attrition is real, and a program with a 50 percent graduation rate is a different risk calculation than one at 74 percent. Selectivity, cost efficiency, and national RN outcome benchmarks round out the score. Programs are listed with their real numbers so you can see exactly what drives each ranking position.

These RN programs are all BSN tracks, the degree that hospital employers increasingly require and the baseline credential for any advanced practice path. If you are weighing an ADN as a faster, cheaper entry point, the section below on ADN versus BSN walks through the tradeoff honestly. If you already hold an ADN and an RN license, the online and RN-to-BSN section covers completion tracks at several ranked schools. Start with cost, then accreditation, then graduation rate. The ranking does the comparison work; this guide explains what the numbers mean.

Key Takeaways on the Best RN Programs in Tennessee

  • The top-ranked RN program in Tennessee is UT Knoxville, with a 74 percent graduation rate and $11,560 in-state tuition and a Hakia Score of 94.4 out of 100.
  • In-state tuition across the 12 ranked RN programs ranges from $8,204 (MTSU) to $40,560 (Belmont), so where you attend matters as much as whether you attend.
  • The average graduation rate across ranked nursing programs is 63 percent. Seven of the 12 programs fall at or above that mark, with UT Knoxville leading at 74 percent.
  • Registered nurses earn a national median of $97,550 per year according to BLS OEWS data, the same benchmark regardless of which accredited Tennessee program you attend.
  • All competitive RN programs on this list carry CCNE or ACEN accreditation. Without one of those credentials, a BSN may not qualify you for graduate school or certain hospital employer roles.
  • 28 Tennessee nursing institutions were analyzed for this ranking. Only 12 had sufficient IPEDS data across all four scoring factors to receive a Hakia Score.

Each program's Hakia Score is a composite of four factors pulled from IPEDS institutional data and national BLS OEWS wage benchmarks: graduation rate (heaviest weight), admissions selectivity, in-state cost efficiency, and registered nurse labor market outcomes. No school pays for placement. Programs missing data on any factor are excluded rather than estimated. We analyzed 28 Tennessee institutions and scored 12.

The 12 Best RN Programs in Tennessee, Ranked for 2026

The 12 best RN Programs in Tennessee, ranked by outcomes
#ProgramTypeIn-state tuitionGrad rateAdmit rateHakia Score
1The University of Tennessee-KnoxvilleKnoxville, TN · online optionPublic$11,56074%42%94.4
2Lipscomb UniversityNashville, TNnonprofit$37,46072%68%86.4
3Union UniversityJackson, TNnonprofit$36,00566%60%86.2
4Tennessee Technological UniversityCookeville, TN · online optionPublic$9,99058%76%81.8
5Middle Tennessee State UniversityMurfreesboro, TN · online optionPublic$8,20454%69%80.5
6Lee UniversityCleveland, TNnonprofit$23,04063%71%80.0
7Freed-Hardeman UniversityHenderson, TNnonprofit$25,62071%60%79.7
8Belmont UniversityNashville, TNnonprofit$40,56071%95%78.9
9Milligan UniversityMilligan, TNnonprofit$38,80063%72%78.0
10University of MemphisMemphis, TN · online optionPublic$8,85651%72%77.8
11Lincoln Memorial UniversityHarrogate, TN · online optionnonprofit$26,44850%63%77.7
12The University of Tennessee Health Science CenterMemphis, TNPublic$9,79677.5

The Top RN 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 RN Programs in Tennessee

#1

The University of Tennessee-Knoxville

Knoxville, TN · Public · online option

94.4Score
$11,560In-state
$30,704Out-of-state
Grad rate74%
Admit rate42%

Tennessee's flagship public university delivers a Hakia Score of 94.4 at $11,560 in-state tuition, making it the top-ranked RN program in the state.

  • Hakia Score 94.4
  • 74% graduation rate
  • $11,560 in-state tuition
  • 42% admit rate

The University of Tennessee-Knoxville's College of Nursing offers a Bachelor of Science in Nursing on a campus of nearly 39,000 students. The college's undergraduate nursing pathway is positioned within a broader academic structure that extends through doctoral work, including a BSN-to-PhD pipeline for students who want to move directly into research and science careers. The scraped program page describes PhD-level coursework in quantitative methods, nursing science theory, and grant writing, which reflects the research infrastructure surrounding the undergraduate program.

UT Knoxville carries a Hakia Score of 94.4, the highest among Tennessee's RN programs. The 42% admit rate signals real selectivity for a public flagship: fewer than half of applicants are accepted. The graduation rate stands at 74%, the strongest among the four programs ranked here. In-state tuition is $11,560 per year. Out-of-state students pay $30,704, making residency a significant financial factor. This program fits academically strong students who want a research-active environment at a public price point, provided they are Tennessee residents or can absorb the out-of-state premium. National context: BLS wage data puts the median annual wage for registered nurses at $97,550 nationwide.

Prospective students should note the program page provided describes PhD-level curriculum in detail, and the undergraduate BSN structure at UTK sits within a college that prioritizes research depth alongside clinical training. Students considering graduate pathways will find the institutional infrastructure already in place at Knoxville.

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#2

Lipscomb University

Nashville, TN · nonprofit

86.4Score
$37,460In-state
$37,460Out-of-state
Grad rate72%
Admit rate68%

Lipscomb's BSN graduates have posted first-time NCLEX pass rates between 91% and 98% every year from 2016 through 2025, with 100% overall pass rate in 2025.

  • 97.1% first-time NCLEX pass rate (2025)
  • 100% job placement every reported year
  • Hakia Score 86.4
  • $37,460 flat tuition (no out-of-state premium)

Lipscomb University's pre-licensure BSN is a 128-credit-hour, in-person program delivered on the Nashville main campus. The program covers medical-surgical nursing, critical care, obstetrics, pediatrics, mental health, and community-based learning. A state-of-the-art high-fidelity simulation lab lets students practice clinical scenarios before entering hospital placements. The program page notes that Nashville, as a major healthcare hub, provides direct access to clinical connections and employment networks. The curriculum closes with a capstone course in the final semester designed specifically to prepare students for the NCLEX-RN.

The program publishes detailed outcome data on its page. First-time NCLEX pass rates have ranged from 91% to 98% across 2016-2024, with 97.1% first-time and 100% overall in 2025. Job placement rates have been reported at 100% for every academic year from 2017-2018 through 2023-2024. On-time program completion (4 semesters) has ranged from 60% to 75% across recent cohorts; the 150% timeframe (6 semesters) runs 80-91%. Lipscomb's Hakia Score is 86.4. The 68% admit rate is the least selective of the four programs ranked here, which makes it a more accessible path for applicants who meet GPA and prerequisite standards. Tuition is $37,460 per year regardless of residency, so the cost calculus here turns on whether Nashville's clinical network and the program's licensure track record justify the private-school price.

The program is grounded in a Christ-centered mission and aligns its student learning outcomes to the 2021 AACN BSN Essentials framework. Students looking for a values-driven program with a strong NCLEX history and guaranteed placement in one of the country's largest healthcare markets will find a concrete case here. BLS data sets the national RN median wage at $97,550.

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#3

Union University

Jackson, TN · nonprofit

86.2Score
$36,005In-state
$36,005Out-of-state
Grad rate66%
Admit rate60%

Union University's traditional BSN requires a 3.0 science GPA and ACT 20 for progression, setting a defined academic bar in an eight-semester liberal arts framework.

  • Hakia Score 86.2
  • 3.0 science GPA required for progression
  • $36,005 tuition (no out-of-state differential)
  • 60% admit rate

Union University's College of Nursing offers a Traditional BSN delivered in Jackson, Tennessee. The program runs eight semesters across four years. Students complete a 59-credit core curriculum shared with the broader university, then move into 61 hours of nursing coursework. The program page describes the curriculum as an excellence-driven, liberal arts framework with faculty who use state-of-the-art technology and clinical placements. Graduates are prepared for entry-level generalist nursing practice or for graduate-level nursing education. The college also offers a Nursing in Global Languages minor through Languages, Literature, and Writing.

Admission to nursing courses is handled separately from university admission. Students must hold a cumulative and science GPA of 3.0 or higher, score ACT 20 or above, and complete all science prerequisites, including A&P I, A&P II, Microbiology, Chemistry, and Pathophysiology, with grades of C or better before beginning nursing coursework. Prerequisites in A&P and Pathophysiology must be taken within five years of starting nursing courses. The application deadline for progression is April 15 annually, with a Request to Progress form due by March 1. Union's Hakia Score is 86.2. The 60% admit rate and tuition of $36,005 per year, identical for all students, place this program between the accessibility of Tennessee Tech and the cost of Lipscomb. The graduation rate is 66%. This program suits students who want a structured, faith-integrated curriculum with clear academic progression requirements and rural-to-regional clinical access in West Tennessee.

The four-year curriculum map on Union's program page shows clinical nursing coursework beginning in the junior year with Foundations of Nursing, Health Assessment, and Pharmacology, advancing through OB, Pediatrics, Adult Health, and Community Health Nursing in the senior year. BLS data places the national median annual wage for registered nurses at $97,550.

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#4

Tennessee Technological University

Cookeville, TN · Public · online option

81.8Score
$9,990In-state
$14,190Out-of-state
Grad rate58%
Admit rate76%

Tennessee Tech's Whitson-Hester School of Nursing reports first-time NCLEX pass rates above 95% at $9,990 in-state tuition, the lowest sticker price among the four ranked programs.

  • $9,990 in-state tuition
  • First-time NCLEX pass rate above 95% (school-reported)
  • Second-degree BSN track available
  • Hakia Score 81.8

Tennessee Technological University's Whitson-Hester School of Nursing offers a traditional four-year BSN and a second-degree BSN for students who already hold a bachelor's degree in another field. The school also maintains an RN-to-BSN pathway, an MSN, and a DNP, so undergraduate students enter a nursing school with a full graduate ladder. The traditional BSN includes three semesters of prerequisite coursework, which students can complete either at Tennessee Tech or at any Tennessee community college, followed by a competitive admission process into the five-semester clinical Upper Division. Upper Division clinical placements cover Mental Health, Medical/Surgical Nursing, Pediatrics, and additional specialty areas at clinical sites across Middle and East Tennessee.

Tennessee Tech's program page reports first-time NCLEX pass rates above 95% for its graduates. The school flags a professional licensure disclosure noting it cannot guarantee licensure eligibility outside Tennessee, a standard but important caveat for students who plan to practice in another state. In-state tuition is $9,990 per year, the lowest of the four programs here. Out-of-state tuition is $14,190, a modest premium relative to UT Knoxville's out-of-state rate. The Hakia Score is 81.8. The 76% admit rate makes this the most accessible of the four programs by selectivity. The graduation rate of 58% is the lowest in the group, which reflects the competitive Upper Division admission filter and the demands of a clinically intensive five-semester final stretch. This program fits cost-focused Tennessee residents and community college transfer students who are prepared for a selective clinical-year process.

The second-degree BSN track is worth noting for career-changers: students with prior bachelor's degrees can enter a structured path without starting from scratch on general education requirements. BLS data puts the national RN median annual wage at $97,550.

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#5

Middle Tennessee State University

Murfreesboro, TN · Public · online option

80.5Score
$8,204In-state
$29,512Out-of-state
Grad rate54%
Admit rate69%

MTSU BSN students log 500+ supervised clinical hours across Middle Tennessee on just $8,204 in-state tuition, backed by a Hakia Score of 80.5.

  • $8,204 in-state tuition
  • 500+ supervised clinical hours
  • Hakia Score 80.5
  • Competitive rank-ordered admission (GPA + HESI)

Middle Tennessee State University's School of Nursing in Murfreesboro offers a four-year, on-ground Bachelor of Science in Nursing. Admission to the university does not guarantee entry to the upper-division nursing program: all applicants are rank-ordered by a composite score combining GPA and HESI, with a 7.75 composite as the competitive threshold. The program bridges classroom and clinical work through approximately 200 hours in simulation labs with specialty practice manikins and more than 500 hours of supervised rotations at community partners across Middle Tennessee, including Vanderbilt University Medical Center, TriStar StoneCrest Medical Center, and Cookeville Regional Medical Center. Graduates become eligible to sit for the NCLEX-RN upon completion.

MTSU's in-state tuition of $8,204 makes it one of the most cost-accessible BSN paths in Tennessee; out-of-state students face a much steeper $29,512. The university's overall graduation rate is 54% and its admit rate is 69%, reflecting a moderately selective institution. The Hakia Score of 80.5 rewards the combination of affordable public-school pricing and a clinically intensive curriculum. With nearly 20,500 students enrolled, MTSU also supports a dedicated Career Development Center and a broad employer network stretching to Mayo Clinic and UNC Medical Center, giving graduates a wide post-graduation footprint.

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#6

Lee University

Cleveland, TN · nonprofit

80.0Score
$23,040In-state
$23,040Out-of-state
Grad rate63%
Admit rate71%

Lee University's traditional BSN admits freshmen, transfers, and current students in a single unified fall cohort, posting a 63% graduation rate at a flat $23,040 tuition for all students.

  • Flat $23,040 tuition (in- and out-of-state)
  • 63% graduation rate
  • Hakia Score 80.0
  • Fall cohort entry for freshmen and transfers

Lee University's School of Nursing in Cleveland, Tennessee offers a traditional BSN track open to three student groups: first-time freshmen, current Lee students, and transfer students. All nursing majors are admitted once per year for the fall semester, and students begin as pre-nursing majors until the formal School of Nursing application is complete. Admission space is explicitly limited, and the program encourages applicants to apply before the Priority Admission Deadline. For freshmen, prerequisite courses do not need to be finished before admission; for transfers and current students, prerequisites should generally be completed first. Admission is based on space availability and the competitiveness of the applicant pool.

Lee is a small private nonprofit with 3,714 enrolled students and an admit rate of 71%, meaning the broader university is accessible but nursing spots are tighter than that figure suggests. Tuition is flat at $23,040 regardless of residency, a straightforward cost structure that simplifies planning for out-of-state applicants. The university's graduation rate is 63%, and the Hakia Score of 80.0 reflects the program's balance of small-campus engagement and structured nursing preparation. Registered nurses nationally earn a median of $97,550 according to BLS OEWS data, a benchmark Lee graduates pursue across East Tennessee and beyond.

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#7

Freed-Hardeman University

Henderson, TN · nonprofit

79.7Score
$25,620In-state
$25,620Out-of-state
Grad rate71%
Admit rate60%

Freed-Hardeman's CCNE-accredited BSN delivers 650 hours of clinical experience and a 71% graduation rate at a private-school price of $25,620.

  • CCNE-accredited BSN program
  • 650 hours of clinical experience
  • 71% graduation rate
  • 60% admit rate (most selective of this group)

Freed-Hardeman University in Henderson, Tennessee offers a four-year Bachelor of Science in Nursing that the program page explicitly identifies as CCNE-accredited. The curriculum builds toward the NCLEX-RN through laboratory exercises, simulations, lecture courses, and clinical rotations, with 650 total hours of clinical experience spanning specialized labs and real-world healthcare settings. Admission to the nursing program requires a cumulative GPA of at least 2.8, a science GPA of 2.5 or higher, and a TEAS score at the proficient level or above. Students start as pre-nursing majors and must earn a C or better in every nursing course to advance each semester.

FHU is a selective small private school: with an admit rate of 60% and just 2,306 enrolled students, class sizes stay small and the program page emphasizes small student-to-teacher ratios and a faculty of practicing nurses. The graduation rate is 71%, the strongest among this group of four programs. Tuition is $25,620 with no in-state or out-of-state distinction. The Hakia Score of 79.7 reflects the program's CCNE standing, clinical depth, and selectivity. Elective coursework includes options such as Aging and Care for the Older Adult, Nursing Malpractice, and Substance Abuse Education, giving students room to specialize before graduation.

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#8

Belmont University

Nashville, TN · nonprofit

78.9Score
$40,560In-state
$40,560Out-of-state
Grad rate71%
Admit rate95%

Belmont's direct-entry BSN places every student in clinical rotations starting sophomore year, inside Nashville's 500-company healthcare hub, with the program citing a 100% NCLEX pass rate.

  • Direct-entry BSN (day-one admission to nursing)
  • 100% clinical placement guaranteed (per program page)
  • NLN Center of Excellence designation (per program page)
  • 71% graduation rate

Belmont University's Gordon E. Inman College of Nursing in Nashville offers a direct-entry Bachelor of Science in Nursing: students are admitted to the College of Nursing before they arrive on campus and begin nursing coursework from their first semester. Clinical placements start as early as sophomore year across a named network of Nashville health systems, including HCA Healthcare, Vanderbilt University Medical Center, Ascension Saint Thomas, TriStar Health, the Tennessee Department of Health, the Tennessee VA, and St. Jude Children's Research Hospital in Memphis. The program guarantees 100% clinical placement, meaning every enrolled student is placed. The program page states that Belmont's nursing program is one of 95 institutions designated as an NLN Center of Excellence, attributing this recognition to the National League of Nursing.

Belmont is the most expensive program in this group at $40,560 in tuition, flat for all students. The university's admit rate is 95%, making university admission straightforward, though nursing program competitiveness operates separately. The graduation rate is 71%, matching Freed-Hardeman's. The Hakia Score of 78.9 reflects the program's strong clinical infrastructure set against its high private-school cost. Students also have access to a 60,000 square-foot Center for Interprofessional Engagement and Simulation. The program's Nashville location gives graduates immediate proximity to one of the most concentrated healthcare job markets in the country, relevant context alongside the national RN median of $97,550 per BLS OEWS.

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#9

Milligan University

Milligan, TN · nonprofit

78.0Score
$38,800In-state
$38,800Out-of-state
Grad rate63%
Admit rate72%

No waitlist entry and CCNE accreditation make Milligan's traditional BSN one of the most accessible private programs in Tennessee at a Hakia Score of 78.

  • Hakia Score 78
  • No waitlist admission
  • CCNE accredited
  • Clinical rotations start sophomore year

Milligan University offers a single-track traditional BSN through its School of Sciences and Allied Health. The program pairs a rigorous nursing curriculum with a liberal arts foundation, and clinical rotations begin in the sophomore year, not junior year, giving students more hands-on time earlier. Placement sites include major medical centers, rural hospitals, community health centers, home health programs, and school health initiatives. The program page notes no waiting list for admission and states NCLEX pass rates that exceed state and national averages, though Milligan does not publish the specific figure on the page. The program holds CCNE accreditation and approval from the Tennessee Board of Nursing.

Milligan is a small private institution with 1,240 enrolled students and a 72% admit rate, so it is selective without being a reach for qualified applicants. The graduation rate is 63%, which is the honest tradeoff of a demanding private program. Tuition is $38,800 per year with no in-state or out-of-state difference, a significant cost relative to Tennessee public options. That price point makes sense primarily for students who value small class sizes, an integrated liberal arts curriculum, and early clinical access. The program earns a Hakia Score of 78, ranking it 9th among Tennessee BSN programs in this analysis. US News has listed Milligan among its Best Value Schools, which the school reports on its program page.

Registered nurses nationally earn a median of $97,550 per year according to the BLS Occupational Employment and Wage Statistics. Milligan's program page states that nearly all nursing graduates are employed by the time of graduation, though it does not publish a specific placement percentage. For students committed to a faith-grounded, small-college environment with immediate clinical immersion and a guaranteed seat upon acceptance, Milligan is a straightforward fit.

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#10

University of Memphis

Memphis, TN · Public · online option

77.8Score
$8,856In-state
$13,512Out-of-state
Grad rate51%
Admit rate72%

Loewenberg College of Nursing reports a 90% six-year graduation rate across 700+ enrolled students, the strongest throughput figure among Tennessee's public BSN programs at this scale.

  • 90% six-year graduation rate (program-reported)
  • $8,856 in-state tuition
  • Hakia Score 77.8
  • Traditional BSN, Accelerated BSN, and RN-to-BSN tracks

The Loewenberg College of Nursing at the University of Memphis offers a traditional four-year BSN, an Accelerated BSN, and an RN-to-BSN completion pathway, making it one of the few Tennessee programs that serves pre-licensure students, career-changers, and working nurses under one roof. The traditional BSN is structured as four semesters of prerequisite and general education coursework followed by four nursing-major semesters covering pathophysiology, pharmacology, health assessment, mental health, maternity, pediatrics, adult nursing, community health, and a senior transition seminar. The curriculum is built on Tennessee Board of Nursing requirements and CCNE standards. Freshmen can be pre-admitted directly from high school, and students who meet ongoing academic criteria are guaranteed a seat in the nursing major, removing the competitive re-application hurdle common at many programs.

The numbers here are notable for a public institution of this size. The program page reports 700+ students enrolled, a 90% six-year graduation rate, and a 94% retention rate. IPEDS data puts the university-wide graduation rate at 51% and the admit rate at 72%, which reflects the broader undergraduate population, not the nursing cohort specifically. For nursing, the program-reported 90% graduation rate is the operative figure for prospective students. In-state tuition is $8,856 per year versus $13,512 out-of-state, the largest cost advantage for Tennessee residents of any program in this ranking set. The program earns a Hakia Score of 77.8, placing it 10th in Tennessee. At this price, it represents strong value for in-state applicants who qualify for the guaranteed-admission pathway.

National median pay for registered nurses is $97,550 annually per the BLS OEWS. Memphis is a major healthcare market, and the Loewenberg program places students in clinical settings across that system. The combination of multiple program tracks, guaranteed freshman admission, a 94% retention rate, and $8,856 in-state tuition makes this the clearest value play in the Tennessee top-10 for residents who can commute to or relocate to Memphis.

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What RN Programs in Tennessee Actually Cost

In-state tuition for the 12 ranked RN programs runs from $8,204 per year at Middle Tennessee State University to $40,560 at Belmont University. That is not a small range. Over four years, the difference between the cheapest public option and the most expensive private school amounts to more than $128,000 in tuition alone before room, board, fees, and clinical supply costs. If you are financing your degree, that gap compounds further.

Public programs cluster between $8,204 and $11,560. UT Knoxville, the top-ranked program in the state, charges $11,560 in-state and posts the highest graduation rate on the list at 74 percent. Tennessee Tech comes in at $9,990 with a 58 percent graduation rate. Middle Tennessee State University at $8,204 is the lowest-cost option among ranked programs, with a 54 percent graduation rate and a Hakia Score of 80.5. For in-state residents who qualify, these three programs offer the strongest cost-adjusted value on the list.

Private nonprofit programs range from Lee University at $23,040 to Belmont at $40,560. Higher tuition does not automatically mean better outcomes in this data set. Lipscomb University charges $37,460 and posts a 72 percent graduation rate, comparable to UT Knoxville. Belmont charges the most of any ranked program and posts a 71 percent graduation rate. Whether the premium is worth it depends on factors the Hakia Score does not capture, such as clinical placement quality, faculty access, and geographic flexibility after graduation. The BLS reports a national median salary of $97,550 per year for registered nurses. That figure is the same regardless of which accredited Tennessee program you attend, which means your return on the degree is shaped heavily by how much debt you take on to get it.

NCLEX-RN Licensure: What Every RN Program Graduate Faces

Every graduate of a pre-licensure nursing program, whether they complete their BSN at a public university or a private college, has to pass the NCLEX-RN before they can work as a registered nurse. The exam is administered by the National Council of State Boards of Nursing (NCSBN) and is the single licensure gateway for RN practice in all 50 states. Tennessee issues RN licenses through the Tennessee Board of Nursing, but the exam itself is the same nationally.

The NCLEX shifted to the Next Generation NCLEX (NGN) format in 2023, with a stronger emphasis on clinical judgment rather than memorized protocols. Pass rates matter when comparing RN programs because a program's cohort pass rate reflects how well the curriculum prepares students for real clinical reasoning, not just whether graduates can recall pharmacology facts. When evaluating any Tennessee nursing program, ask for the program's own first-attempt NCLEX pass rate for the most recent two or three graduating classes. The national average for US-educated first-time candidates has run around 82 to 85 percent in recent cycles.

Programs that consistently keep pass rates above 85 percent are doing something right in clinical preparation. Programs with rates well below 80 percent warrant a harder look at curriculum structure and academic support. No program on this ranking list publishes NCLEX pass rates in our data set, so this is a question you need to ask directly during the admissions process for any of the RN programs you are considering.

CCNE vs. ACEN: Why Accreditation Defines the Floor for Nursing Programs

Accreditation is not optional if you want your BSN to open doors. Two bodies accredit pre-licensure BSN nursing programs in the US: CCNE (Commission on Collegiate Nursing Education), the accrediting arm of the American Association of Colleges of Nursing, and ACEN (Accreditation Commission for Education in Nursing). Both are recognized by the US Department of Education. You can verify a program's accreditation status directly through AACN's CCNE directory or ACEN's accredited program search.

Why it matters: many hospital employers, particularly Magnet-designated health systems, require that new hires hold degrees from CCNE- or ACEN-accredited programs. If you pursue an advanced practice degree after your BSN, graduate nursing programs require it as a condition of admission. An unaccredited BSN creates problems you will not discover until you try to move forward. Every program on this ranking list that we reviewed carries at least one of these credentials, but you should verify current accreditation status independently before enrolling because accreditation can be placed on probation or lapse.

The practical difference between CCNE and ACEN accreditation is minimal for most graduates. CCNE tends to be more common at four-year universities with BSN-to-graduate pathways. ACEN is more common at associate and baccalaureate programs with a community college or technical focus. Both are legitimate and recognized. What matters is that one of those two designations is present, current, and in good standing.

ADN vs. BSN: The Honest Tradeoff for RN Programs in Tennessee

An ADN qualifies you to sit for the NCLEX-RN and work as a registered nurse. So does a BSN. The credential difference used to matter less than it does now. Over the past decade, hospital employers, particularly large health systems and Magnet-designated facilities, have shifted strongly toward requiring a BSN for new hires, and some require BSN completion within a set timeframe after hire even for ADN-licensed nurses. That shift is the main reason this ranking focuses on BSN RN programs rather than ADN programs.

The ADN's advantages are real and worth naming directly. ADN programs typically run two years versus four for a traditional BSN. Community college ADN programs in Tennessee often cost significantly less in total than even the most affordable BSN on this list. If your goal is to get into the workforce fast and complete an RN-to-BSN while employed, the ADN-first path is financially rational for some students. The tradeoff is that you will need to return for the BSN eventually, and some employers will not wait.

The BSN's advantages compound over time. It is the minimum credential for nurse management, education, and most advanced practice entry programs. NP, CRNA, and CNM programs all require a BSN at minimum. For students who know they want to specialize or move into leadership, starting with a BSN is the cleaner path even if it costs more upfront. The 12 RN programs ranked here are all BSN tracks for that reason. If you are ADN-to-BSN, the online section below covers several completion options available at Tennessee schools.

Online RN Programs and Accelerated Paths in Tennessee

The two most common non-traditional formats for RN programs in Tennessee are ABSN (Accelerated Bachelor of Science in Nursing) programs and RN-to-BSN completion tracks. Both serve different audiences with different starting points. Knowing which one fits your situation saves you from applying to programs you do not qualify for.

ABSN programs are built for people who already hold a bachelor's degree in another field and want to become a registered nurse. They compress the nursing curriculum into 12 to 18 months of intensive coursework and clinicals. Several of the private institutions on this ranking list, including Lipscomb and Belmont, offer or have offered ABSN tracks. The accelerated format is rigorous and the attrition risk is higher than a traditional BSN track, but it gets career-changers to the NCLEX faster than starting over with a four-year degree. Tuition for ABSN programs often runs at the full private university rate, so cost-compare carefully against the public options.

RN-to-BSN programs serve working nurses who already hold an ADN and an active RN license and want to complete their BSN. Several Tennessee public universities, including MTSU and University of Memphis, offer these completion tracks in online or hybrid formats. Coursework covers leadership, community health, and research competencies not typically covered in ADN programs. Clinical requirements are usually met through supervised practice at the student's current employer. If you are already employed as an RN, this is the most practical route to BSN completion, and some employers will partially fund it.

RN Salary and Career Outlook After Tennessee Nursing Programs

Registered nurses nationally earn a median annual wage of $97,550, according to BLS Occupational Outlook Handbook data. That figure is a national median across all settings and experience levels. It is the same baseline for graduates of every accredited program on this list. Where individual graduates land within or above that range depends on specialty, setting, years of experience, and geographic location, none of which a school controls directly.

The BLS projects 6 percent employment growth for registered nurses through 2033, faster than the average for all occupations. Tennessee's healthcare sector is one of the largest in the Southeast, anchored by HCA Healthcare's Nashville headquarters, Vanderbilt University Medical Center, Ballad Health across the Tri-Cities region, and Methodist Le Bonheur Healthcare in Memphis. Hospital-based RN positions tend to pay higher than home health or outpatient settings, and ICU, ER, and OR specialties carry wage premiums in most markets.

For graduates of these nursing programs, the BSN credential matters most at the front end of a career, where it determines which employer doors open and which do not. As experience accumulates, specialty certification and leadership track selection matter more than the undergraduate program name. The salary ceiling for BSN-prepared RNs who pursue graduate credentials is substantially higher: BLS OEWS data shows nurse practitioners earning a national median over $124,000 annually. That path starts with the BSN degree these RN programs deliver.

RN Programs in Tennessee: Your Questions, Answered

How long do RN programs in Tennessee take to complete?
A traditional BSN takes four years. Accelerated BSN programs (ABSN) compress the nursing coursework into 12 to 18 months, but you need a prior bachelor's degree to qualify. RN-to-BSN programs for working ADN holders typically run 12 to 24 months part-time. If you already hold an RN license, the fastest path to a BSN is the RN-to-BSN track offered at several Tennessee public schools.
What is a good NCLEX pass rate for RN programs?
The national first-time NCLEX-RN pass rate for US-educated candidates sits around 82 to 85 percent in recent testing cycles, according to NCSBN data. Programs consistently above 85 percent on first attempts are outperforming average. When comparing RN programs, ask for the program's own first-attempt pass rate, not just overall cumulative pass rates, which can mask recent declines.
Is an online BSN respected by employers?
Yes, if it carries CCNE or ACEN accreditation. Hospital employers and advanced practice programs look at accreditation status first. A regionally accredited, CCNE-approved online BSN from an established Tennessee school carries the same weight as an on-campus degree for RN licensure and most graduate admissions. Avoid programs that are not CCNE or ACEN accredited regardless of format.
How much do RN programs in Tennessee cost?
Among the 12 RN programs we ranked, in-state tuition ranges from $8,204 per year at Middle Tennessee State University to $40,560 at Belmont University. Public programs cluster between $8,204 and $11,560. Private nonprofit programs range from $23,040 to $40,560. Four-year total program costs vary widely, so compare total cost of attendance, not just per-year tuition, before committing.
What is the difference between ADN and BSN for registered nurses?
An ADN (Associate Degree in Nursing) takes about two years and qualifies you to sit the NCLEX-RN. A BSN takes four years and is increasingly required by hospital employers, especially Magnet-designated facilities. The BSN is the minimum credential for most leadership tracks and for entry into graduate nursing programs. Many nurses start with an ADN and complete an RN-to-BSN program while working.
What accreditation should I look for in nursing programs?
CCNE (Commission on Collegiate Nursing Education) and ACEN (Accreditation Commission for Education in Nursing) are the two recognized accreditors for BSN programs. Both are recognized by the US Department of Education. Graduating from an accredited program protects your degree's transferability to graduate school and is required or strongly preferred by many employers. Check AACN's directory at www.aacnnursing.org/ccne-accreditation or ACEN's site at www.acenursing.org before enrolling.
Can I become an RN in Tennessee with an online degree?
Yes. Several Tennessee universities offer online or hybrid BSN tracks, including RN-to-BSN completion programs that let working nurses finish their degree while employed. ABSN programs blend intensive online coursework with required clinical hours at approved local sites. You still need to pass the NCLEX-RN through the Tennessee State Board of Nursing to receive your license, regardless of program format.
What is the job outlook for registered nurses in Tennessee?
The Bureau of Labor Statistics projects 6 percent employment growth for registered nurses nationally through 2033, which is faster than average for all occupations. The national median annual wage for registered nurses is $97,550, per BLS OEWS data. Tennessee has a high concentration of health system employment, with major employers including Vanderbilt University Medical Center, HCA Healthcare, and Ballad Health across the state.

How the RN 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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