Becoming a Registered Nurse (RN) requires meeting educational, legal, and ethical standards. Several factors can disqualify someone from obtaining or maintaining an RN license in the United States. These fall into three main categories:
1. Criminal History
- Felony convictions, especially those involving:
- Violence, abuse, or sexual offenses
- Drug diversion or illegal substance use
- Fraud, theft, or dishonesty (e.g., falsifying records)
- Misdemeanors related to patient safety, drugs, or moral turpitude may also be disqualifying.
- Each state’s Board of Nursing (BON) reviews criminal records on a case-by-case basis. Some offenses may be eligible for a waiver or rehabilitation review, but others result in automatic denial.
Note: Even expunged or sealed records may need to be disclosed during licensure.
2. Failure to Meet Educational or Exam Requirements
- Not graduating from an accredited nursing program (approved by the state BON).
- Failing to pass the NCLEX-RN exam (most states allow multiple attempts, but excessive failures may trigger review).
- Incomplete clinical hours or academic probation/dismissal from nursing school.
3. Professional Misconduct or License Issues
- Substance abuse or addiction that impairs judgment (unless enrolled in a state-approved recovery program).
- Mental or physical conditions that prevent safe practice (unless managed and documented as stable).
- Previous license revocation, suspension, or disciplinary action in any state.
- Academic dishonesty (e.g., cheating in nursing school or on the NCLEX).
Additional Considerations:
- Citizenship/Work Authorization: You don’t need to be a U.S. citizen, but you must have legal authorization to work in the U.S.
- English Proficiency: International graduates may need to pass exams like TOEFL or IELTS.
- Background Checks: Required by all states—often including fingerprinting.
Can You Appeal or Overcome Disqualifications?
Yes—in many cases. State Boards of Nursing often consider:
- Evidence of rehabilitation
- Time elapsed since the offense
- Letters of recommendation
- Participation in treatment or monitoring programs
Always disclose all information honestly on your application. Omitting details is often grounds for denial—even if the original issue might have been waivable.
Bottom Line:
While certain serious offenses may permanently disqualify someone, many barriers can be addressed with transparency, time, and documentation. If you have concerns, contact your state Board of Nursing early for guidance—they can clarify eligibility before you invest in education or exams.