Switching to nursing at 40: the routes that fit (2026)
Nursing is a realistic switch at 40. Registered nurses earned a median of $97,550 in May 2025, and the Bureau of Labor Statistics (BLS) projects about 180,800 openings a year from 2025 to 2035. Source · BLS Employment Projections
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See when a nursing degree pays back
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Start the aid checkThere’s no fully online way in. Every nursing program includes supervised clinical experience, and you need a state license. Source · BLS, Registered nurses What changes at 40 is which route fits the degree, job and family you already have.
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Four routes into nursing
BLS, Bureau of Labor Statistics. The U.S. Department of Labor agency that publishes pay and job outlook figures for each occupation. lists three education paths to a registered nurse (RN) license: a bachelor of science in nursing (BSN), an associate degree in nursing, or a diploma from an approved program. It also notes accelerated programs for people who already hold a bachelor’s in another field, and RN-to-BSN programs for nurses who start with an associate degree. Source · BLS
Associate degree in nursing
Then an RN license
- You need first
- Prerequisite courses
- Where it leads
- RN license, then an optional BSN
- Online part
- Some classes; clinicals in person
- Best fit at 40
- No bachelor's degree yet
Accelerated BSN
For a second bachelor's
- You need first
- A bachelor's in another field, plus prerequisites
- Where it leads
- BSN and an RN license
- Online part
- Some classes; clinicals in person
- Best fit at 40
- Already hold a degree
RN-to-BSN
For licensed nurses
- You need first
- An RN license
- Where it leads
- A bachelor's degree
- Online part
- Most coursework
- Best fit at 40
- Licensed through an associate degree
Practical nursing (LPN)
About 1 year
- You need first
- A state-approved program
- Where it leads
- LPN license ($64,400 median pay)
- Online part
- Limited; clinicals in person
- Best fit at 40
- Need to start earning sooner
Practical nursing programs typically take about a year and also include supervised clinical experience. Source · BLS, LPNs To become an RN, Registered nurse. A nurse licensed by a state board after passing the NCLEX-RN exam., every route ends the same way: graduate from an approved program and pass a licensing exam. Source · BLS
Old science credits can hold you up
Some nursing programs set an age limit on prerequisite science courses. Texas State University requires Anatomy and Physiology I and II completed within the past five years. Source · Texas State University
The University of Rochester’s accelerated BSN, Bachelor of Science in Nursing. A bachelor’s degree in nursing. Registered nurses can earn it in an RN-to-BSN program. prefers anatomy, physiology and microbiology completed within five years. Source · University of Rochester
If your science classes are from your twenties, plan to retake them. Ask each program for its rule before you apply, since the limits differ.
Which nursing route fits you?
Do you already have an RN license?
Nursing graduates’ pay four years out, by school
Here’s what graduates of four nursing bachelor’s programs earned four years after finishing, from the College Scorecard.
| School | Program | Scorecard field | Median earnings, 4 yrs after | Median federal debt | Graduates, 2022-23 |
|---|---|---|---|---|---|
| Southern New Hampshire University | Nursing (BSN) | Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing (bachelor's) | $98,032 | $16,539 | 623 |
| Western Governors University | Nursing (BSN) | Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing (bachelor's) | $97,114 | $9,470 | 7,786 |
| Chamberlain University | Nursing (BSN) | Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing (bachelor's) | $96,132 | $22,213 | 5,665 |
| University of South Florida | Nursing (BSN) | Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing (bachelor's) | $84,694 | $15,250 | 479 |
Source: U.S. Department of Education College Scorecard, field-of-study data updated June 10, 2026. Earnings and debt cover every graduate of that field and credential at the school, online and on campus together, so they describe the school's graduates, not what any one student will earn. Earnings are the median for graduates working and not enrolled four years after finishing (2017-18 and 2018-19 graduates, in 2024 dollars); debt is the median federal loan debt of graduates (2018-19 and 2019-20); "Not published" means Scorecard suppresses the figure for a small cohort. Scorecard pages: Southern New Hampshire University, Western Governors University, Chamberlain University, University of South Florida.
For a sense of cost, Western Governors University (WGU) charges $5,325 in tuition per six-month term for its RN-to-BSN, for terms starting on or after October 1, 2026. Source · WGU 2026-27 tuition Tuition varies widely by school and route, so compare total program cost, not one term.
Our online nursing programs guide compares six accredited programs and what their graduates earned.
Frequently asked questions
Is 40 too old to start nursing?
There’s no age limit to become a nurse. The real limits are the time for prerequisites and clinicals, and whether recent science courses are required.
Can I keep working while I train?
Online coursework helps, but clinical hours are scheduled in person. Ask each program how clinicals are scheduled before you commit.
How do I pay for it?
File the FAFSA, Free Application for Federal Student Aid. The free federal form for grants, federal student loans and work-study. Most states and schools use it for their own aid too.. At 40 you file as an independent student, so your parents’ income is left out. Our guide to Pell Grants for adults covers the rules.
Your next step is the payback math
A nursing switch costs time and tuition. The ROI calculator shows how long it takes to pay back for you, using BLS pay for registered nurses.
Run the numbers on a nursing switch
BLS May 2025 nurse pay, your current pay and the program's cost, in about a minute.
Run the ROI calculatorWant your finish-line plan by email? Go to the quick check
Sources
Every figure in this guide comes from one of these pages. How we check sources
- BLS Occupational Outlook Handbook: Registered nurses (education, clinical experience, licensing)
- BLS: Occupational Employment and Wage Statistics, May 2025, and Employment Projections 2025-35
- BLS Occupational Outlook Handbook: Licensed practical and licensed vocational nurses
- Texas State University School of Nursing, BSN prerequisites (fall 2027)
- University of Rochester School of Nursing, ABSN prerequisite requirements
- Western Governors University, 2026-27 tuition per six-month term
- U.S. Department of Education: College Scorecard field-of-study data (June 10, 2026 release)
Related Resources
Best Online Nursing Programs 2026: RN-to-BSN and MSN
Six accredited online RN-to-BSN and MSN programs, from WGU to Duke, compared on Scorecard outcomes. RNs earned a $97,550 median in May 2025 (BLS).
Health care careers you can start online in 2026
Health administration, medical records, RN-to-BSN and nurse practitioner programs offer online classes. Pay, growth and what must be in person.
Pell Grants for adults over 30: no age limit in 2026-27
Pell sets no age limit. For 2026-27 it pays up to $7,395, and a single parent of two with 2024 AGI up to $58,095 meets the maximum-award income test.