Nursing School Prerequisites: Courses, Requirements, and More
Before you ever step into a nursing classroom, you’ll need to complete certain prerequisite courses. These classes, especially the core sciences, build the foundation you’ll rely on throughout nursing school and your career. They also strengthen your application, help you perform better on entrance exams, and make the transition into nursing coursework smoother.
While each nursing program has its own requirements, the sections below outline the most common prerequisites, why they matter, and how to plan your path toward meeting them.
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Science Prerequisites
Science prerequisites help you understand how the human body works, how diseases develop, and why certain treatments are necessary. Without meeting these requirements, your application likely won’t move past initial review.
Anatomy and Physiology
What it Covers: A&P introduces the body’s structure and function — how organs, muscles, bones, and systems are built and how they work together. These courses almost always include lab work, such as dissections or virtual simulations.
Why it Matters: A&P is essential to clinical decision-making. It helps you interpret symptoms, understand patient conditions, and recognize when something isn’t functioning as it should.
Typical Requirements:
- Some schools require completion within the last 5-7 years
- 2 semesters (A&P I and II)), 3-4 credits each
- Minimum of a C required; many programs prefer a B or higher
Biology/Microbiology
What it Covers: Biology provides a broad overview of living systems, while microbiology focuses on microorganisms (bacteria, viruses, fungi) and how they affect human health. Most include lab components.
Why it Matters: These courses help you understand infection control, immune responses, lab results, and the science behind disease transmission.
Typical Requirements:
- Minimum grade of C, though a B may be preferred
- 1 semester of microbiology (3-4 credits)
Chemistry (General or Organic)
What it Covers: Chemistry covers atoms, reactions, acids and bases, and molecular interactions. Some schools require organic chemistry, which focuses on carbon-based compounds.
Why it Matters: Chemistry explains electrolyte imbalances, blood pH, and how medications work in the body, all of which are central to safe patient care.
Typical Requirements:
- Organic chemistry may be required by certain BSN programs
- One semester of chemistry (3–4 credits)
- Minimum grade of C; some programs expect a B or higher
Math Prerequisites
Nurses use math daily, from calculating dosages to checking lab values. Most programs require at least one math prerequisite.
Statistics
What it Covers: Probability, variables, distributions, sampling, hypothesis testing, and how to analyze data.
Why it Matters: Statistics helps you interpret research, evaluate patient outcomes, and make informed decisions based on evidence.
Typical Requirements:
- 1 semester (3 credits)
- Minimum grade of C
- Often accepted in an online format
College-Level Algebra
What it Covers: Math fundamentals, formulas, unit conversions, and problem-solving.
Why it Matters: Algebra supports accurate medication calculation, IV rate adjustments, and interpreting measurements — skills required in nearly every nursing role.
Typical Requirements:
- 1 semester (3 credits), or meeting placement test benchmarks
- Minimum grade of C
General Education Prerequisites
Nursing is both a science and an art. General education courses build essential skills for patient-centered care: communication, cultural awareness, and critical-thinking.
English Composition
What it Covers: Reading comprehension, academic writing, research skills, and developing clear arguments.
Why it Matters: Nurses must document accurately and clearly. Strong writing reduces miscommunication and improves patient safety.
Typical Requirements:
- 1 or 2 semesters (3-6 credits)
- Minimum grade of C
- Some schools accept dual-enrollment or AP credit
Humanities and Fine Arts
What it Covers: Ethics, literature, art, philosophy, and other courses that explore human experiences and values.
Why it Matters: These classes strengthen core components of holistic care: empathy, ethical reasoning, and cultural competence.
Typical Requirements:
- 3-6 credits
- Flexible course selections
Psychology and Sociology
What it Covers: Human behavior, mental health, development, social systems, cultural interactions, and group dynamics.
Why it Matters: These courses help nurses understand patient emotions, family dynamics, and the social factors that affect health outcomes.
Typical Requirements:
- Intro to Psychology required by most programs
- Sociology or lifespan development may also be required
- Minimum grade of C
Prerequisite Requirements by Nursing Pathway
Prerequisites differ depending on whether you’re pursuing an ADN, BSN, or accelerated BSN. Here’s how requirements usually break down.
ADN Programs
ADN programs generally have fewer prerequisites, making them ideal for students wanting a quicker path to nursing school. Most require:
- A&P I and II
- Microbiology
- Chemistry
ADN programs usually do not require statistics or as many humanities courses, meaning you can often complete prerequisites within a year.
BSN Programs
BSN programs typically require a broader set of prerequisites, including:
- Full science sequence (A&P, microbiology, chemistry)
- Statistics
- English composition
- Psychology and sociology
Some BSN programs also require nutrition, organic chemistry, or additional humanities to support leadership and research coursework.
Accelerated BSN Programs
ABSN programs require all prerequisites completed before enrollment since the curriculum is compressed and intensive. Requirements often include:
- Any school-specific courses (e.g., nutrition or developmental psychology)
- All core sciences
- Math prerequisites
- General education courses
How to Complete Prerequisites
Once you know which classes you need, choose the option that best fits your schedule and budget. Always confirm transfer policies with your target nursing school before enrolling.
| Enroll at a Community College | Most affordable optionWidely transferable creditsFlexible schedulesGreat for science prerequisites with lab components |
| Take Online Courses | Ideal for general education requirementsIncreasingly accepted for some science courses with virtual labsCheck your nursing school’s acceptance policy before enrolling |
| Complete University Coursework | Strong advising supportSeamless transfer if applying into that university’s nursing programHigher cost but more integrated experience |
Answers to Common Prerequisite Questions
What are nursing school requirements?
Nursing school requirements generally include completing prerequisite courses, meeting GPA thresholds, and passing an entrance exam.
Schools may also require immunizations, background checks, CPR certification, and proof of English proficiency. Requirements vary by program, so always check directly with your chosen school.
What is the hardest nursing school prerequisite?
Most students find chemistry or anatomy and physiology to be the hardest prerequisites.
These subjects involve memorization, lab work, and complex concepts. However, the “hardest” course depends on your background, study habits, and comfort with science.
What percent of PA schools require the GRE?
About 43% of PA programs required the GRE as of a recent PA Education Association report. That number continues to decline as more programs move toward holistic admissions models.
How long are prerequisites for nursing?
Prerequisites for nursing are completed by most students within 1-2 years. Your timeline depends on:
- Whether you attend full- or part-time
- Whether you already have prior college credit
- How many science courses must be taken in sequence
Can you take prerequisites online?
Yes, many prerequisites are available online, especially general education courses.
Some programs accept online science classes with virtual labs, but this varies widely so always confirm your school’s policy first.
Is there math in nursing?
Yes, nurses use math regularly, but it typically doesn’t go beyond algebra and statistics.
You’ll use math to calculate medication dosages, convert units, understand lab values, and interpret patient data.
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