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Switching to nursing at 40: the routes that fit (2026)

Degree Sources Editorial Updated 7 min read
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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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There’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.

$97,550
Registered nurse median pay
BLS, May 2025
180,800
RN openings a year
BLS, 2025 to 2035
5 years
Age limit on science prerequisites
Example: Texas State BSN
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What you're working toward

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

Routes into nursing for a career changer (BLS Occupational Outlook Handbook)

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.

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Which nursing route fits you?

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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.

Nursing bachelor's graduates' earnings 4 years out (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
School Southern New Hampshire University
Program Nursing (BSN)
Scorecard field Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing (bachelor's)
Median earnings, 4 yrs after $98,032
Median federal debt $16,539
Graduates, 2022-23 623
School Western Governors University
Program Nursing (BSN)
Scorecard field Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing (bachelor's)
Median earnings, 4 yrs after $97,114
Median federal debt $9,470
Graduates, 2022-23 7,786
School Chamberlain University
Program Nursing (BSN)
Scorecard field Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing (bachelor's)
Median earnings, 4 yrs after $96,132
Median federal debt $22,213
Graduates, 2022-23 5,665
School University of South Florida
Program Nursing (BSN)
Scorecard field Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing (bachelor's)
Median earnings, 4 yrs after $84,694
Median federal debt $15,250
Graduates, 2022-23 479

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.

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