Generally you only have to be Open Water certified to take Nitrox. As for what it consists of, it depends on the training agency & to some extent, the instructor. Basically goes into what Nitrox is, maybe a little history, how it affects the diver, changes decompression needs (computer &/or tables), the advantages & disadvantages, how to properly analyze a cylider's contents, applicable rules & laws for marking cylinders & such topics. Some agencies may require dives, some may not. I teach SSI & you can do just the classroom & use Nitrox, or you can do the classroom portion & Open Water dives using Nitrox for it to count towards Adv. OW or Master Diver levels. Other agencies may have some differences.
Nitrox has 2 basic uses. 1. To increase bottom time & shorten Surface interval times by using Nitrox computers &/ or Nitrox tables & 2. To increase safety by diving it using air tables &/or computer. Basically, the body has less Nitrogen than is reported thus decreasing the risk of DCS. However, Maximum Operating Depths (MOD's), based on the concetration of Oxygen & Partial Pressures of the Oxygen at depth, must not be exceded.