Nursing in Iowa

Iowa has 35 nursing schools running 54 board-approved programs, and the median RN program’s first-time NCLEX pass rate was 89.5%. Registered nurses here earn a median of $78,630; nurse practitioners, $130,160. Iowa is a compact state, so a license here can be a multistate license. Every figure below names its source and the period it covers.

35
Nursing schools
39 RN programs · 15 practical nursing
89.5%
Median RN program pass rate
#26 of 51 · 2025, first-time
$78,630
RN median pay
#48 of 51 · BLS May 2025
$130,160
NP median pay
#32 of 51 · BLS May 2025
+$51,530
NP over RN, per year
66% more at the median
Yes
Compact (multistate) license
NCSBN map · checked September 17, 2026

Nursing Schools in Iowa

52 of Iowa’s 54 programs have a published 2025 first-time pass rate. RN programs averaged 86.9% — 0.4 points above the 86.5% national average. Practical nursing programs averaged 94.4%.

Associate vs bachelor’s programs in Iowa
DegreeProgramsMedian pass rate
Associate (ADN)1888.8%
Bachelor’s (BSN)1989.5% (17 rated)

Both degrees lead to the same RN license. ADN vs BSN, compared nationally →

Highest first-time pass rates (2025)

In-state RN programs. Ties go to the program with more nursing graduates. A single year’s rate swings widely for small programs; check the trend before you choose.

  1. 100%
  2. 100%
  3. 100%
  4. 100%
  5. 98.4%

What Nurses Earn in Iowa

Federal wage survey data (BLS OEWS, May 2025) — employer-reported, not job-board estimates. The RN median in Iowa is $18,920 below the $97,550 national median; the NP median is $2,140 below the $132,300 national NP median.

IowaRegistered nurseNurse practitioner
Median pay$78,630$130,160
Median hourly$37.80$62.58
Starting range (10th pct.)$63,840$107,990
Top earners (90th pct.)$100,500$167,590
Employed in state34,4203,240

Licensing in Iowa

Iowa is a Nurse Licensure Compact state (implemented January 19, 2018). A nurse whose primary residence is Iowa can hold one multistate license and practice in every other compact state without applying for another license.

Either way the license starts the same: graduate from a board-approved program and pass the NCLEX. Fees, processing times, and continuing-education rules are set by the Iowa board of nursing and change — confirm them with the board directly. The board documents these pass rates came from: Live page as of July 12, 2026 (IBON 'Iowa Nursing Education Programs' approved list); pass rate CY2025 first-time (IBON RN/LPN Program Data 2025, NCSBN).

Sources

How we source and review

Frequently Asked Questions

How many nursing schools are in Iowa?

Iowa has 35 nursing schools running 54 board-approved programs — 39 RN programs and 15 practical nursing programs (state board of nursing list, 2025 pass-rate year).

What is the NCLEX pass rate in Iowa?

The median Iowa RN program's first-time NCLEX-RN pass rate was 89.5%, and the average across programs was 86.9% — 0.4 points above the 86.5% national average (2025 first-time test takers, from the state board of nursing).

How much do nurses make in Iowa?

Registered nurses in Iowa earn a median of $78,630 a year ($37.80 an hour), $18,920 below the national RN median. Nurse practitioners earn a median of $130,160 (BLS, May 2025).

Is Iowa a compact nursing state?

Iowa is a Nurse Licensure Compact state (implemented January 19, 2018). A nurse whose primary residence is Iowa can hold one multistate license and practice in every other compact state without applying for another license. Source: NCSBN compact map, checked September 17, 2026.

Nursing in other states