Nursing in North Carolina

North Carolina has 102 nursing schools running 155 board-approved programs, and the median RN program’s first-time NCLEX pass rate was 90.5%. Registered nurses here earn a median of $84,350; nurse practitioners, $128,990. North Carolina is a compact state, so a license here can be a multistate license. Every figure below names its source and the period it covers.

102
Nursing schools
103 RN programs · 52 practical nursing
90.5%
Median RN program pass rate
#21 of 51 · 2025, first-time
$84,350
RN median pay
#33 of 51 · BLS May 2025
$128,990
NP median pay
#38 of 51 · BLS May 2025
+$44,640
NP over RN, per year
53% more at the median
Yes
Compact (multistate) license
NCSBN map · checked September 17, 2026

Nursing Schools in North Carolina

145 of North Carolina’s 155 programs have a published 2025 first-time pass rate. RN programs averaged 89.4% — 2.9 points above the 86.5% national average. Practical nursing programs averaged 96.8%.

Associate vs bachelor’s programs in North Carolina
DegreeProgramsMedian pass rate
Associate (ADN)6292% (61 rated)
Bachelor’s (BSN)3890% (35 rated)

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

Highest first-time pass rates (2025)

In-state RN programs. 10 programs tied at 100% — the five with the most nursing graduates are shown. A single year’s rate swings widely for small programs; check the trend before you choose.

  1. 100%
  2. Barton College
    Wilson · BSN
    100%
  3. Wayne Community College
    Goldsboro · ADN
    100%
  4. 100%
  5. Catawba College
    Salisbury · BSN
    100%

What Nurses Earn in North Carolina

Federal wage survey data (BLS OEWS, May 2025) — employer-reported, not job-board estimates. The RN median in North Carolina is $13,200 below the $97,550 national median; the NP median is $3,310 below the $132,300 national NP median.

North CarolinaRegistered nurseNurse practitioner
Median pay$84,350$128,990
Median hourly$40.56$62.01
Starting range (10th pct.)$67,660$103,530
Top earners (90th pct.)$110,220$164,320
Employed in state111,1209,800

Licensing in North Carolina

North Carolina is a Nurse Licensure Compact state (implemented January 19, 2018). A nurse whose primary residence is North Carolina 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 North Carolina board of nursing and change — confirm them with the board directly. The board documents these pass rates came from: Approved-programs list revised 6/22/26; pass rate CY2025 first-time (2025 single-year reports, posted Feb 2026).

Sources

How we source and review

Frequently Asked Questions

How many nursing schools are in North Carolina?

North Carolina has 102 nursing schools running 155 board-approved programs — 103 RN programs and 52 practical nursing programs (state board of nursing list, 2025 pass-rate year).

What is the NCLEX pass rate in North Carolina?

The median North Carolina RN program's first-time NCLEX-RN pass rate was 90.5%, and the average across programs was 89.4% — 2.9 points above the 86.5% national average (2025 first-time test takers, from the state board of nursing).

How much do nurses make in North Carolina?

Registered nurses in North Carolina earn a median of $84,350 a year ($40.56 an hour), $13,200 below the national RN median. Nurse practitioners earn a median of $128,990 (BLS, May 2025).

Is North Carolina a compact nursing state?

North Carolina is a Nurse Licensure Compact state (implemented January 19, 2018). A nurse whose primary residence is North Carolina 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