Ohio's first-time NCLEX-RN pass rate came in at 85.3% in calendar year 2025, just under the national mark of 86.7% for U.S.-educated candidates. That statewide average hides a wide spread: some Ohio programs put every first-time taker through, while others sit well below the state line.
So when applicants ask what the best nursing school in Ohio is, the most useful answer starts with licensure results. The ranking here favors programs whose graduates pass, and it includes both associate degree and bachelor's routes, since both end at the same exam.
Where they differ is cost, admission odds, and how quickly you reach a hospital payroll. Those tradeoffs, not prestige, decide most Ohio applications.
Top NCLEX-RN Outcomes: Ohio's 10 Highest-Ranked Nursing Programs for 2027
Passing the NCLEX-RN is the final step between nursing school and an Ohio RN license, and the programs below have the strongest recent outcomes on that exam. They range from associate degree programs at community colleges and career centers to hospital diploma schools and four-year BSN programs at private universities. Together they cover several routes into practice, including options for working LPNs and students who want a direct path from high school into nursing.
How we ranked these
- Institutional graduation and completion rates
- First-time NCLEX-RN pass rates
- Accreditation and state board approval
- Net price after grant aid
- Early-career earnings and debt
- Original research on individual programs
- NCES-IPEDS federal institutional data — nces.ed.gov
- Program-level NCLEX pass rates from the state boards of nursing — ncsbn.org
- College Scorecard post-completion earnings data — collegescorecard.ed.gov
- In-house program catalog data
Buckeye Hills Career Center
#1Rio Grande, OH · ~$17,000/yr (est.) · NCLEX-RN pass rate 100%
Best for: Southern Ohio students starting an ADN
Buckeye Hills Career Center offers an associate degree nursing program in Rio Grande, giving students in that part of southern Ohio a local route to RN licensure. The program is approved by the Ohio Board of Nursing and prepares graduates to sit for the NCLEX-RN. Recent cohorts have posted very high first-time pass rates on that exam, though the small number of candidates who test each year means a single result can shift the percentage.
- Ohio Board of Nursing approved associate degree program
- Prepares graduates to sit for the NCLEX-RN
Knox County Career Center
#2Mount Vernon, OH · NCLEX-RN pass rate 96.8% (3-yr weighted avg)
Best for: Working LPNs advancing to RN licensure
Knox County Career Center, also known as Knox Technical Center, offers an LPN-to-RN transition program for licensed practical nurses who want to move into registered nursing. The hybrid format offers more scheduling flexibility than a traditional campus-only program, with classroom work paired with supervised clinical training. Graduates sit for the NCLEX-RN and can build on the credential later through an RN-to-BSN program.
- Designed for licensed practical nurses moving to RN licensure
- Hybrid format for students who need a flexible schedule
- Ohio Board of Nursing approved LPN-to-RN track
Mid-EastCTC-Adult Education
#3Zanesville, OH · NCLEX-RN pass rate 96.7%
Best for: Adult learners choosing the diploma route
Mid-East Career and Technology Centers delivers its nursing program through the district's adult education division, awarding a hospital diploma in nursing rather than a college degree. Diploma programs are the oldest route to RN licensure in Ohio and put heavy emphasis on supervised bedside practice. The adult education setting is built for students who are returning to school, often after time spent in another field.
- Hospital diploma route to RN licensure
- Ohio Board of Nursing approved program
Trinity Health System School of Nursing
#4Steubenville, OH · $10,000/yr · NCLEX-RN pass rate 100% (2-yr weighted avg)
Trinity Health System School of Nursing is a hospital-operated diploma program in Steubenville, one of a small number of hospital diploma schools still operating in Ohio. Because the school sits inside a working health system, clinical exposure is woven through the curriculum rather than saved for a final semester. The program is approved by the Ohio Board of Nursing, and graduates are eligible to sit for the NCLEX-RN.
- Hospital-based diploma route to RN licensure
- Ohio Board of Nursing approved program
Ohio University-Zanesville
#5Zanesville, OH · $6,000/yr (net price) · NCLEX-RN pass rate 100% (3-yr weighted avg)
Ohio University-Zanesville offers both a Bachelor of Science in Nursing and an Associate of Applied Science in Nursing on one campus, along with an LPN-to-RN advanced placement track for practicing nurses. BSN applicants enter a selective Pre-BSN major first and then apply competitively for a seat in the nursing major, so admission to the university does not guarantee admission to the program. Students learn in nursing labs with manikins and high-fidelity simulation suites, and clinical placements take them to hospitals, clinics, and community agencies around Muskingum County. A locked tuition rate and a dual enrollment path between the associate and bachelor's programs help students plan both their costs and their timeline.
- Selective Pre-BSN entry with competitive progression into the major
- 2.8 GPA minimum plus prerequisite coursework
- Locked tuition rate under the OHIO Guarantee
- 16:1 student-to-faculty ratio
- Three nursing labs with manikins and high-fidelity simulation suites
- Clinical experiences at local hospitals and community agencies
- Pathway to master's or doctoral nursing education
- 99% of first-year students receive financial aid
- Four-semester associate degree program
- Ohio Board of Nursing and ACEN approved
- Entrance exam required (TEAS)
- Simulation suite and skills labs on campus
- Dual enrollment into the RN-to-BSN program
- LPN-to-RN bridge option available
Firelands Regional Medical Center School of Nursing
#6Sandusky, OH · NCLEX-RN pass rate 97.9% (2-yr weighted avg)
Firelands Regional Medical Center School of Nursing is a hospital-based program in Sandusky that keeps cohorts small and clinical placements close to home. The curriculum runs two to three years, and the school offers dual enrollment with Bowling Green State University plus a pathway to a BSN for graduates who want to keep advancing. There is no clinical placement waitlist, so students move through their required hours on schedule.
- Hospital-based clinical training from the start
- No clinical placement waitlist
- Dual enrollment with Bowling Green State University
- Pathway to a BSN degree
- Two- to three-year completion timeline
- Program materials report a 100% first-time NCLEX-RN pass rate
Muskingum University
#7New Concord, OH · $20,000/yr (net price) · NCLEX-RN pass rate 100% (3-yr weighted avg)
Muskingum University's pre-licensure BSN combines nursing theory and technical skills with clinical practicums that include pediatric rotations at Nationwide Children's Hospital. Students train in a modern nursing laboratory, and small class sizes paired with open-door advising keep faculty accessible. The program is CCNE accredited and fully approved by the Ohio Board of Nursing, and the university also maintains an online RN-to-BSN option for working registered nurses.
- CCNE accredited and fully approved by the Ohio Board of Nursing
- Pediatric practicums at Nationwide Children's Hospital
- State-of-the-art nursing laboratory
- Small class sizes with open-door advising
- Coursework tailored to healthcare employer needs
- Program reports 100% job placement for recent graduates
Hiram College
#8Hiram, OH · $21,000/yr (net price) · NCLEX-RN pass rate 100% (3-yr weighted avg)
Hiram College's BSN builds on a liberal arts foundation and begins clinical experience in the sophomore year at sites across Northeast Ohio. It is a direct-entry program for qualified high school students, and a tuition guarantee holds the rate steady for four years. The 128-credit curriculum is CCNE accredited, and students can add an optional minor in biomedical humanities.
- CCNE accredited 128-credit BSN
- Four-year tuition guarantee locks the rate
- Direct entry for high school students with a 3.5 GPA
- Clinical placements across Northeast Ohio
- Clinical experience begins in sophomore year
- Optional minor in biomedical humanities
- Student Nurses' Association membership available
Northwest State Community College
#9Archbold, OH · $14,000/yr · NCLEX-RN pass rate 99.4% (3-yr weighted avg)
Northwest State Community College offers an Associate of Applied Science in Nursing with a hybrid format that mixes online coursework with on-campus learning. As a community college, it keeps costs comparatively low and attracts students who work while earning their degree. Graduates are prepared for the NCLEX-RN, and the associate degree can later be built on through an RN-to-BSN program at a four-year school.
- Hybrid program combining online and on-campus learning
- Associate of Applied Science in Nursing leads to RN licensure eligibility
- Prepares students for the NCLEX-RN
Cedarville University
#10Cedarville, OH · ~$24,000/yr (est.) · NCLEX-RN pass rate 97.8% (3-yr weighted avg)
Cedarville University's four-year residential BSN weaves faith and health care together, with biological and behavioral sciences, humanities, and Bible coursework running through the curriculum. Clinical rotations begin in the freshman year, and simulation labs give students realistic practice before they work with patients. The program is approved by the Ohio Board of Nursing and accredited by the Commission on Collegiate Nursing Education, and graduates have gone on to work at systems such as Cleveland Clinic and Nationwide Children's Hospital.
- Four-year residential BSN with faith-integrated coursework
- Clinical rotations begin in the freshman year
- State-of-the-art simulation labs
- Ohio Board of Nursing approved
- CCNE accredited
- Short-term medical missions trips available
- Dual enrollment pathway available
- Graduates hired at systems such as Cleveland Clinic
Inside Our Scoring: Why NCLEX-RN Results Carry Three-Quarters of the Weight
Applicants comparing Ohio nursing schools have more public outcome data than ever, which makes it worth knowing exactly what a ranking counts and what it ignores.
How the Composite Works
About 75% of each program's score comes from its first-time NCLEX-RN pass rate, averaged over three years and adjusted for cohort size. The remaining quarter is based on nursing school accreditation requirements, plus a small share for completion and retention.
Why the Exam Gets the Most Weight
The NCLEX-RN is the single gate to practicing as an RN. Every graduate must pass it, so a program's first-time pass rate is the most direct sign of how well it prepares students for licensure and for the job that follows.
A three-year, taker-weighted average is more reliable than a single year. Small cohorts can swing a percentage sharply when just a few students miss the mark, and one rough year should not define a program that has performed well for a decade. Weighting by takers gives larger classes proportionally more influence, because they offer more evidence.
What the Ranking Does Not Measure
Net price, debt, and earnings appear for context but do not drive rank. Graduation rates are school-wide rather than nursing-specific, which is one reason completion and retention carry only a small share of the score.
Treat the rank as one lens, not a verdict on fit. If affordability or getting in matters more to you than exam outcomes, head to the cost and admissions sections below and weigh those first. A program with an excellent pass rate does little for you if you cannot afford it or cannot gain a seat.
Ohio Nursing School NCLEX-RN Pass Rates Side by Side: ADN, Diploma, and BSN
These figures come from the Ohio Board of Nursing's Calendar Year 2025 NCLEX pass-rate report, the most recent year published, and include Ohio's statewide first-time pass rate of 85.3% and the 2025 national rate of 86.7% for U.S.-educated candidates, as reported by the National Council of State Boards of Nursing, as benchmarks. Statewide, Ohio's ADN graduates (85.5%) stayed close to BSN graduates (88.6%), while diploma graduates trailed at 73.8%, but individual schools can land well above or below their program-type average. Small cohorts can swing sharply from year to year, so weigh each pass rate against the number of test takers, and note that N/A means the school's 2025 pass rate was not available to us.
| School | Program Type | First-Time NCLEX-RN Pass Rate | Number of Test Takers | Reporting Year |
|---|---|---|---|---|
| Aultman College of Nursing and Health Sciences | BSN | 82.35% | 17 | 2025 |
| Aultman College of Nursing and Health Sciences | ADN | 74.07% | 27 | 2025 |
| Fortis College, Cincinnati (Associate Degree in Nursing) | ADN | 76.31% | 38 | 2025 |
| Northwest State Community College Associate Degree Nursing Program | ADN | N/A | 37 | 2025 |
| Terra State Community College Associate Degree in Nursing Program | ADN | N/A | 11 | 2025 |
| Mount Vernon Nazarene University Nursing Program | BSN | N/A | 15 | 2025 |
| Muskingum University Bachelor of Science in Nursing Program | BSN | N/A | 18 | 2025 |
| The University of Findlay, Department of Nursing | BSN | N/A | 17 | 2025 |
| Firelands Regional Medical Center School of Nursing | Diploma | N/A | 28 | 2025 |
| Buckeye Hills Career Center LPN to RN Diploma Program | Diploma | N/A | 20 | 2025 |
| Ohio statewide average, baccalaureate programs | BSN | 88.6% | 500 | 2025 |
| Ohio statewide average, associate degree programs | ADN | 85.5% | 1,223 | 2025 |
| Ohio statewide average, diploma programs | Diploma | 73.8% | 160 | 2025 |
| Ohio statewide average, all programs | All program types | 85.3% | 1,883 | 2025 |
| National average, U.S.-educated candidates | All program types | 86.7% | N/A | 2025 |
ADN, BSN, or Diploma? Choosing Your Route to an Ohio RN License
A two-year associate degree gets you into practice sooner, while a four-year bachelor's costs more up front but qualifies you for more roles later. Both lead to the same place: the NCLEX-RN, the exam every Ohio registered nurse must pass no matter which route they took.
The Main Routes to an Ohio RN License
- Diploma: Hospital-based programs built around intensive clinical training. They are far less common than they once were.
- LPN-to-RN: A bridge for licensed practical nurses that builds on prior training.
- ADN: An associate degree designed for about two years of nursing coursework, usually at a community college.
- Traditional BSN: A four-year bachelor's degree that adds leadership, research, and public health content to core nursing courses.
- RN-to-BSN: A completion program for licensed RNs, often online and built around a working schedule.
- Accelerated BSN: A compressed BSN for career changers who already have a non-nursing bachelor's degree.
Is an ADN or BSN Better in Ohio?
It depends on where you want to end up. An ADN is the faster, cheaper start, and it qualifies you for the same RN license. A BSN, however, is increasingly preferred by magnet hospitals and is the standard expectation for leadership roles and graduate study, including Ohio nurse practitioner programs. That is why many Ohio nurses take a two-step path: earn an ADN, start working, then finish an accredited online RN-to-BSN program. registerednursing.org has dedicated guides to Ohio ADN, BSN, LPN-to-RN, RN-to-BSN, and accelerated BSN programs if you want to compare each route in detail.
Well-Regarded Community College ADN Programs by Region
- Cuyahoga Community College (Cleveland/Parma): Tri-C's ADN holds ACEN Continuing Accreditation, with its next evaluation scheduled for spring 2030, and is fully approved by the Ohio Board of Nursing. It is designed as a four-semester program with day or evening/weekend options, though Tri-C notes most students take three to four years because of outside commitments. Finishing the first year earns a practical nursing certificate and NCLEX-PN eligibility.
- Columbus State Community College (Columbus): This ACEN-accredited, state-approved ADN runs five semesters after admission to the nursing sequence. Lectures are online, while labs are in person and clinicals take place at local medical facilities.
- Cincinnati State (Cincinnati): The Bethesda ADN is fully approved by the Ohio Board of Nursing and can be completed in as few as five semesters after prerequisites, with day and evening options. The school describes its nursing program as ACEN-accredited, so confirm the ADN's specific accreditation status directly before applying.
Whichever route you choose, verify both state approval and accreditation. Approval determines your NCLEX eligibility, and accreditation makes a later move into a BSN or graduate program much smoother.
Explore other Ohio related topics
Ohio Nursing School Costs: Net Price, Debt, and Early-Career Pay
The price on a school's website and the amount you actually pay are rarely the same, and in Ohio that gap shapes which nursing route makes financial sense. Net price, the average yearly cost after grants and scholarships, is the fairer comparison. Keep in mind that these figures describe each institution overall, not the nursing program alone.
Public vs. Private Net Price
Public community colleges set the floor. North Central State College in Mansfield has the lowest average net price among the schools here at $4,687 a year, followed by Ohio University-Zanesville at $5,746. Washington State Community College in Marietta comes in at $7,714, and Columbus State Community College at $8,400.
In a private vs public nursing schools comparison, private schools look very different on paper but narrower after aid. Mount St. Joseph University lists tuition and fees of $38,150, yet its average net price is $16,530. Mercy College of Ohio averages $17,989, and Trinity Health System School of Nursing, a hospital diploma program, averages $9,825. Ohio State sits near the private range at $17,339 for public in-state students, which shows that a flagship name carries a premium too.
What the Borrowing Picture Means
The lower your annual net price and the shorter your time in school, the less you borrow, and every dollar borrowed becomes a monthly payment for years after graduation. A two-year associate degree in nursing at a community college keeps that total small. Four years at a private university multiplies even a moderate yearly net price.
The ADN-First Route and ROI
For many nurses, the strongest return comes from sequencing. Earn an ADN at a low-cost public college, pass the NCLEX-RN, start working, then finish an affordable RN to BSN online program while your employer helps pay for it. Many Ohio hospital systems offer tuition assistance, though policies vary, so confirm yours before you enroll. That path often leaves you with less debt than a four-year private BSN, and you collect an RN paycheck while you complete the bachelor's. North Central State even offers an online BSN completion track, which fits this plan.
A traditional BSN still has real advantages, including direct entry to bachelor's-level roles and a smoother path to graduate study. Some schools soften the cost too. Mercy College of Ohio, for example, lists paid clinical work in the final semester and a debt-free option through Mercy Health, both worth asking admissions about.
Costs Beyond the Bill
Tuition is only part of the total. Uniforms, clinical fees, background checks, and licensing charges add up across a program, and the visual below breaks them out.
The Hidden Costs Beyond Tuition: Uniforms, Clinical Fees, and Licensing
Before your first clinical shift and after your last exam, expect to pay a few hundred dollars that tuition does not cover. The documented minimum runs about $641-$741: two sets of scrubs (about $150 at Ohio State), a stethoscope and equipment ($150-$250 depending on the stethoscope), a background check (about $62), the $200 NCLEX-RN registration, and Ohio's $78.50 RN application, which is the $75 fee plus a $3.50 transaction fee when filed electronically. Drug screening, immunizations, fingerprinting, clinical and lab fees, and travel to clinical sites vary by program and come on top of that, so budget for them separately and remember that an NCLEX retake requires a new $200 registration.

Getting Into an Ohio Nursing Program: Prerequisites, TEAS Scores, and Direct-Admit Options
Direct admission means a school places you in the nursing major, or on a defined path to it, when you enroll as a first-year student. Secondary admission means you start as a pre-nursing student, finish nursing school prerequisites, and then compete for a limited number of seats, usually in your sophomore year. The difference matters because direct admission can spare you a competitive mid-degree cutoff, though most schools attach conditions you must keep meeting.
Direct-Admit Pathways in Ohio
Policies vary, and some "direct" pathways are not guarantees.
- Ohio State: Freshmen enter as pre-nursing, not as confirmed nursing majors. The published minimum is a top 10% high school class rank plus an ACT Math score of 26 or an SAT Math score of 610. To advance, students need at least 30 credits (AP and dual-enrollment count), a 3.2 Ohio State GPA, and a C+ or better in seven prerequisites.
- Bowling Green State University: Direct admission calls for a 3.75 high school GPA and an ACT of 23 or equivalent. Test-optional applicants need a 3.95 GPA. Keeping the seat requires a 3.5 BGSU GPA.
- Ohio University: Freshmen need a 3.0 high school GPA to enter the Pre-BSN track, then apply for the major in spring. That is closer to secondary admission.
- Hiram College: Its program materials list direct entry for students with a 3.5 high school GPA.
Cincinnati, Kent State, and Xavier are also often mentioned for freshman nursing pathways, but we could not verify their 2026 GPA or test thresholds. Confirm those directly with each admissions office.
GPA and TEAS Expectations
TEAS exam requirements show up mostly at associate degree programs. Ohio University's associate degree nursing program asks direct-from-high-school applicants for a 3.0 GPA and an ATI TEAS adjusted total at the "basic" level or higher, with scores accepted if taken within one calendar year. That standard is not confirmed for the school's traditional BSN. Ohio State's and Ohio University's traditional BSN pages do not publish a TEAS score minimum, and transfer applicants to Ohio University's BSN need at least a 2.75 college GPA. Because thresholds shift year to year, treat these figures as a baseline, not a guarantee.
Selectivity in Context
Institution-wide admission rates give a rough sense of difficulty. Cedarville admits about 65% of applicants, Muskingum about 82%, and Hiram about 94%. Nursing-specific acceptance is often lower than those campus-wide numbers, since clinical placements cap how many students a program can seat. Aim to exceed the published minimums, and ask each school how many pre-nursing students advanced in recent years.
What Ohio RNs Earn
A nursing degree from an Ohio school leads into a solid wage market, though published estimates vary somewhat by source.
Ohio Board of Nursing Licensure at a Glance
Other Accredited Ohio Nursing Programs to Compare
Not every solid Ohio nursing program lands in a ranked list, and accredited options exist in every corner of the state, from large public universities to community colleges and hospital-based diploma programs. The schools below are presented as a directory rather than a ranking, grouped by region, with campus location, delivery format, and institution-wide figures offered for context. Use it to widen your search beyond the programs highlighted earlier.
Northwest Ohio
- Bachelor of Science in Nursing
- BSN
- Bachelor of Science in Nursing
- Bachelor of Science in Nursing (Maternal Nursing)
- Nursing, BSN
- BSN Nursing Prelicensure
- Associate of Applied Science Degree in Nursing
Northeast Ohio
- Bachelor of Science in Nursing
- Accelerated Bachelor of Science in Nursing
- Traditional Nursing (BSN)
Central Ohio
- Bachelor of Science in Nursing
- Hospital Diploma in Nursing
- Bachelor of Science in Nursing
- Associate of Applied Science in Nursing Degree (A.D.N.)
- Bachelor's Degree Completion in Nursing
Southwest Ohio
- Nursing, B.S.N.
- Bachelor of Science in Nursing
- Associate Degree in Nursing
- 3-Year Bachelor of Science in Nursing
Southeast Ohio
- Associate Degree Nursing
- Bachelor of Science in Nursing
- Associate of Applied Science-Nursing (AAS-N)

