Section 1.2

Prerequisite Courses

What courses you need before nursing school, why they matter, how to sequence them, and where to take them.

Requirements by program type

These are the most common requirements. Always confirm with your specific program — requirements vary.

ADN

  • Anatomy & Physiology I
  • Anatomy & Physiology II
  • Microbiology
  • English Composition
  • Math (Statistics or College Algebra)
  • Psychology
  • Sociology
  • Nutrition (some programs)

BSN

  • Anatomy & Physiology I
  • Anatomy & Physiology II
  • Microbiology
  • Chemistry (General)
  • Statistics
  • English Composition
  • Psychology
  • Sociology
  • Developmental Psychology
  • Nutrition
  • Pathophysiology (some programs)

ABSN

  • Same as BSN
  • Must already hold a non-nursing bachelor's degree
  • Higher GPA typically required (3.2–3.5+)

Key courses explained

Why nursing programs require each course and what to know before taking it.

Anatomy & Physiology

2 semesters (I & II)

Why it matters: The foundation of nursing. You'll use A&P every single day — understanding how the body works under normal and abnormal conditions is essential for clinical reasoning. Every nursing diagnosis and intervention connects back to physiology.

Tip: Take A&P I before A&P II. The lab component is important — many programs require both lecture and lab. Don't take A&P online if you can avoid it; the lab experience matters.

Microbiology

1 semester

Why it matters: Infection control, immune response, and pathogen identification are central to nursing practice. Understanding how bacteria, viruses, and fungi cause disease shapes how you care for infected patients.

Tip: Most programs require Microbiology after A&P I. The lab teaches culture and sensitivity concepts you'll see in clinical settings. This is often where students first encounter true scientific reasoning.

Statistics

1 semester

Why it matters: Evidence-based practice — the foundation of modern nursing — requires you to read and interpret research. Statistics teaches you to evaluate whether a study's findings actually support its conclusions.

Tip: College Algebra or Pre-Calculus may satisfy the math requirement at some ADN programs instead of Statistics. Confirm with your program. Statistics is generally more relevant to nursing practice.

General Chemistry

1 semester (primarily BSN)

Why it matters: Pharmacology and physiology build heavily on chemistry — acid-base balance, solubility, chemical reactions, IV tonicity. Understanding chemistry at a basic level makes pharmacology make sense.

Tip: Some BSN programs accept a lower-level chemistry course. Confirm with the specific program before enrolling. If chemistry is genuinely difficult for you, give it the time it needs early.

Psychology

1 semester

Why it matters: Foundational for psychiatric nursing, therapeutic communication, and understanding patient behavior. The principles of motivation, stress response, and mental health underlie much of holistic nursing care.

Tip: General/Introductory Psychology satisfies most programs. Developmental Psychology is a separate course required by some BSN programs — confirm what's needed.

English Composition

1 semester

Why it matters: Clear, accurate writing is a professional nursing skill. Clinical documentation, care plans, SBAR communication, and eventually nursing research all require strong writing ability.

Tip: Don't skip or take this lightly. Many nursing students underestimate how much writing the BSN program requires.

Recommended course sequence

Order matters. Some courses have prerequisites of their own, and stacking hard sciences in one semester is a common mistake.

1
First
English Composition, Introductory Psychology

Build foundational academic skills. These have no prerequisites and are low-stakes entry points.

2
First or Second
General Chemistry (if required)

Get chemistry done early — it's a prereq for some A&P programs and requires focused attention.

3
Second
Anatomy & Physiology I

The cornerstone course. Do not rush this. A strong A&P I grade sets the tone for your science GPA.

4
Third
Anatomy & Physiology II, Statistics

A&P II builds directly on A&P I. Take Statistics simultaneously to stay on schedule.

5
Third or Fourth
Microbiology, Developmental Psychology (if required)

Microbiology is more meaningful after A&P. Check if your program requires it before or alongside the nursing application.

As needed
Sociology, Nutrition

These flexible courses can fill schedule gaps and are lower difficulty — useful for balancing a heavy science semester.

Where to take prerequisites

Most nursing programs accept prerequisites from any accredited institution. Community college is the most common and cost-effective path.

Community College

$3,000–$8,000 total
Advantages
+Most affordable option
+In-person labs (important for A&P and Micro)
+Transferable credit accepted widely
+Evening/weekend scheduling options
Drawbacks
Limited seat availability in popular science courses
May require early enrollment for fall/spring sections
Best for: Most students — especially those working while completing prerequisites

4-Year University

$8,000–$20,000+ total
Advantages
+May transfer more seamlessly to BSN programs at the same school
+Access to university resources and advising
+Direct enrollment path if applying to the same school's BSN
Drawbacks
Significantly more expensive per credit
Often lecture-heavy without as much lab flexibility
Best for: Students who plan to apply to BSN programs at universities that prefer their own prereqs

Online (Hybrid with In-Person Lab)

$2,000–$10,000 total
Advantages
+Maximum scheduling flexibility
+Lower cost at some institutions
+Self-paced for lecture components
Drawbacks
Programs vary in whether they accept online prereqs
Online A&P labs are not equivalent to in-person
Self-discipline required
Best for: Working students who need flexibility — but confirm acceptance with each nursing program first

If your GPA is lower than you'd like

A low GPA from years ago is not an automatic disqualifier — especially for ADN programs. Here's how to address it:

1.Retake prerequisite courses where you underperformed — most programs allow retakes and use the most recent grade, though some average both.
2.A strong science GPA (A&P, Microbiology, Chemistry) can offset a weaker overall GPA — highlight this in your personal statement.
3.An exceptional TEAS or HESI score can compensate for a borderline GPA at many programs.
4.Apply to ADN programs first — they tend to weigh GPA and entrance exam scores differently than BSN programs.
5.Explain unusual circumstances in your personal statement — illness, family obligations, or a major — if they genuinely explain a GPA dip.