Become A Nurse In Iowa + Requirements & Licensing

NS

Updated on October 27, 2025

Iowa is a great state to work in as a nurse. Demand is high and set to grow over the coming years. According to the U.S. Bureau of Labor Statistics, the average annual salary for a registered nurse (RN) is $53,520, not as high as in other states, but certainly still interesting, particularly since the cost of living is also lower in this state. So how do you become a nurse in Iowa?

ENTRY LEVEL PRACTICE NURSES

Becoming a nurse in Iowa is a 3-stage process:

  1. CHOOSE THE TYPE OF EDUCATION YOU WANT TO PURSUE

    The least popular, but quickest option is the LPN (licensed practical nurse) diploma, which takes one year to complete. Alternatively, you can become an RN, with options for a 2 year associate degree program, or a 4 year bachelor degree. The longer you study, the more you will learn and the better your job opportunities.

  2. MEET THE PREREQUISITES

    You will always have to have completed your high school or GED. Additionally, if you want to complete an ADN or BSN, you will usually also need to complete a number of undergraduate courses. The school of your choice will tell you which courses they require, with statistics being the most common one. It should take you no more than six months to complete this.

  3. PASS THE NCLEX EXAM

    For the NCLEX examination, LPNs take the NCLEX-PN exam while RNs take the NCLEX-RN examination. This is a national qualification, meaning you can transfer your license to different states.

ADVANCED PRACTICE NURSES

To become an APRN (Advanced Practice Registered Nurse) in Iowa, you must complete the following four stages as set by the Iowa Board of Nursing.

  1. OBTAIN A GRADUATE DEGREE THAT IS AT LEAST AT MASTERS DEGREE (MSN) AND FOCUSES ON A CLINICAL SPECIALTY

    [hen-ui-text variant="b4" data-ek="hen-ui-text:3"]In-state programs are approved by the Board. Out-of-state programs must be accredited by an agency that is recognized by the U.S. Department of Education. The Board has created a list MSN certificate programs, as well as a list of approved MSN and DNP (doctorate) programs.For a course to be approved, the following courses must be included in the curriculum:
  2. Advanced physiology/pathophysiology
  3. Advanced health assessment

  4. Advanced pharmacology

  5. Education/counseling of patient/family

  6. Health promotion and maintenance

  7. BECOME NATIONALLY CERTIFIED BY A RECOGNIZED AGENCY

    This certification must be in your chosen specialization category. The various agencies set requirements for examination and certification. The general categories recognized by the Board are:

  8. NP (Certified Nurse Practitioner)
  9. CNM (Certified Nurse Midwife)

  10. CRNA (Certified Registered Nurse Anesthetist)

  11. CNS (Clinical Nurse Specialist)

  12. Certified Family Nurse Practitioner

  13. Certified Nurse Midwife

  14. Certified Pediatric Nurse Practitioner

  15. Certified Registered Nurse Anesthetist

  16. Certified School Nurse Practitioner

  17. Certified Women Health Care Nurse Practitioner

  18. Certified Psych/Mental Health Nurse Practitioner

  19. Certified Adult Nurse Practitioner

  20. Certified Clinical Nurse Specialist

  21. Certified Gerontological Nurse Practitioner

  22. Certified Neonatal Nurse Practitioner

  23. Acute Care Nurse Practitioner

  24. Perinatal Nurse Practitioner

  25. Clinical Nurse Specialist Adult Health

  26. Clinical Nurse Specialist Perinatal

  27. Clinical Nurse Specialist Medical/Surgical

  28. Clinical Nurse Specialist Adult Psych

  29. Clinical Nurse Specialist Oncology

  30. Clinical Nurse Specialist Gerontology

  31. Clinical Nurse Specialist Orthopedics

  32. Clinical Nurse Specialist Community Health

  33. Clinical Nurse Specialist Home Health

  34. Clinical Nurse Specialist Child/Adolescent Psych

  35. The ANCC (American Nurses Credentialing Center) that recognizes the Adult Nurse Practitioner, Acute Care Nurse Practitioner (ACNP), Gerontological Nurse Practitioner (GNP), Family Nurse Practitioner, Adult Psychiatric Mental Health Nurse Practitioner (PMHNP), Pediatric Nurse Practitioner (PNP) and the Family Psychiatric Mental Health Nurse Practitioner (PMHNP).

  36. The AANP (American Academy of Nurse Practitioners) that recognizes the Adult Nurse Practitioner and the Adult-Gerontology Primary Care NP.

  37. The AACN (American Association of Critical-Care Nurses) that recognizes the Acute Care Nurse Practitioner.

  38. The NCC (National Certification Corporation for the Obstetric, Gynecologic and Neonatal Nursing Specialties) that recognizes the Women's Health Care Nurse Practitioner (WHNP) and the Neonatal Nurse Practitioner (NNP).

  39. The PNCB (Pediatric Nursing Certification Board that recognizes the Pediatric Nurse Practitioner in Acute Care and Primary Care.

  40. The ONCC (Oncology Nursing Certification Corporation) that recognizes the Advanced Oncology Certified Clinical Nurse Specialist (AOCNS).

  41. The AMCB (American Midwifery Certification Board) that recognizes the Certified Nurse Midwife (CNM).

  42. The National Board on Certification and Recertification of Nurse Anesthetists (NBCRNA) that recognizes the Certified Registered Nurse Anesthetist (CRNA).

  43. APPLY TO BE REGISTERED AS AN APRN

    This can be done by completing the Advanced Registered Nurse Practitioner Application. You must also include various items of documentation and the relevant fees with this application. There is no requirement for a criminal history background check, although you will be asked to disclose past criminal convictions if any.

  44. RENEW YOUR LICENSE TOGETHER WITH YOUR RN LICENSE EVERY THREE YEARS

    This cannot be done online. You will receive a renewal form in the post instead. There are no continuous education (CE) requirements as set by the Board. However, your national certification agency is likely to have CE requirements that you must meet in order to maintain your certification.The only requirement is for APRNs who regularly work in examination, treatment or counseling of adults and children. These have to take part in a minimum of two hours of training to identify and report child and/or adult abuse. They must do this every five years through an approved course.

    Iowa Board of Nursing

    RiverPoint Business Park

    400 S.W. 8th Street, Suite B

    Des Moines, IA 50309-4685

    Tel: 515/281-3255

    Fax: 515/281-4825