Registered Nurse vs. Licensed Practical / Vocational Nurse

The short answer

Many LPN/LVNs later become RNs through LPN-to-RN bridge programs. Both are licensed by a board of nursing, and both can be covered by the Nurse Licensure Compact.
RNLPN/LVN
What they do
RNs provide and coordinate patient care, teach patients and the public about health conditions, and support patients and their families.LPNs and LVNs give basic medical care to people who are ill, injured, recovering or living with disabilities. California and Texas use the title LVN.
Typical entry-level education (BLS)
Bachelor's degreePostsecondary nondegree award
Programs
Associate degree in nursing (ADN); Bachelor of science in nursing (BSN)Practical / vocational nursing (LPN/LVN) programs
Licensing
You need a license from the state where you work, which means graduating from an approved program and passing a qualifying exam.After an approved program you must pass an exam to be licensed by your state.
Licensing exam
NCLEX-RNNCLEX-PN
U.S. median pay
$46.90/hr ($97,550/yr)$30.96/hr ($64,400/yr)
Projected growth, 2025–35
+5.6%+3%
Openings per year
180,80051,800
Interstate compact
Nurse Licensure Compact (NCSBN)Nurse Licensure Compact (NCSBN)

Sources

Checked against these sources on Oct 1, 2026.