
International nurses intending to move to the US must pass the NCLEX, or National Council Licensure Examination, to obtain a nursing license and practice entry-level nursing in the US. The exam is offered worldwide, and international students must meet specific requirements to be eligible to take the exam. These requirements include having a nursing degree from an accredited US nursing program or its equivalent, a valid visa, and fulfilling the mandated number of clinical hours. International students must also pass a criminal background check and submit their education transcripts, certifications, and proof of completion.
| Characteristics | Values |
|---|---|
| Exam name | National Council Licensure Examination (NCLEX) |
| Who can take the exam? | Internationally educated nurses |
| Exam type | Standardized exam |
| Exam categories | National Council Licensure Examination for Registered Nurses (NCLEX-RN) and National Council Licensure Examination for Practical Nurses (NCLEX-PN) |
| Exam preparation | Practice tests, mobile apps, study groups |
| Exam registration | Create an account on the National Council of State Boards of Nursing (NCSBN) website, pay the necessary fees, and receive an Authorization to Test (ATT) letter |
| Exam scheduling | Choose a testing center, date, and time through Pearson VUE |
| Exam requirements | Nursing degree, completed clinical hours, criminal background check, proof of identity, English proficiency, visa documentation, education transcripts, certifications, and proof of completion |
| Licensure | Determined by the chosen state's Board of Nursing/Regulatory Body (BON/RB) |
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What You'll Learn

International student visa requirements
International students can take the NCLEX, but they must meet certain requirements and follow specific procedures. Here are the visa requirements and steps to apply for the NCLEX as an international student:
- Visa Documentation: You need to provide documentation of your current visa status, such as a valid work visa or student visa.
- Education Verification: Submit your education transcripts, certifications, and proof of completion to demonstrate that you meet the necessary educational requirements. Contact your former school to transfer your transcripts to the appropriate institution.
- RN License: If you have obtained an RN license in your home country, you must transfer your credentials. The process may vary depending on the state where you intend to work as an RN. Some states use third-party providers like CGFNS to verify credentials, while others, like New York, have their own internal systems.
- English Proficiency: Some states require valid English exam results as part of the application process for international students. This may include providing a CGFNS-CES (Credentials Evaluation Service) report or taking an English competency exam like IELTS.
- Additional Documentation: Other required documents may include proof of completion of the required clinical hours and a passed criminal background check.
Steps to Apply for the NCLEX:
- Choose a State: Select the state where you wish to be licensed or registered. Each state has its own Board of Nursing (BON) or regulatory body (NRB) with specific criteria and requirements for international nurse candidates.
- Submit Application: Complete and submit your application for licensure/registration to the chosen state's BON or NRB. This typically involves paying a fee, which varies by state.
- Wait for Eligibility: After submitting your application, wait for the eligibility or approval letter from the state board. This process can take between 2 to 6 months, depending on the state.
- Register for Exam: Once you receive the eligibility letter, register for the NCLEX exam through Pearson VUE. You can do this online or over the phone, and it requires paying a registration fee.
- Schedule Exam: Choose your preferred testing center, date, and time for the examination. You can schedule your exam at a domestic or international testing center through email or phone.
It is important to note that the requirements and procedures may vary slightly depending on the state and the specific BON or NRB. Therefore, it is advisable to contact the relevant state's board of nursing or regulatory body to ensure you have the most accurate and up-to-date information.
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State-specific licensure
The first step in the state-specific licensure process is to select the state where you wish to be licensed or registered. Each state's BON/RB website outlines the requirements and online forms necessary for application. It is important to note that requirements vary among states, and some states may have additional prerequisites, such as valid English Exam results and a Credentials Evaluation Service (CES) report. Certain states, like New York, use an internal system to verify credentials, while most states use third-party providers like CGFNS.
Once you have determined your chosen state and understood its specific requirements, you can proceed to submit your application for licensure to that state's Board of Nursing. This application serves as a determination of your eligibility to take the NCLEX examination. The application form and associated fees differ across states. After submitting your application, you will need to wait for the eligibility or approval letter from the state board of nursing. This process can take between two and six months, depending on the state's processing time.
Upon receiving the eligibility letter, you can proceed to the next steps, which include registering with Pearson VUE and scheduling your NCLEX examination. It is important to note that your registration with Pearson VUE will remain active for 365 days, allowing time for your application to be approved by the BON. When scheduling your examination, you can choose between domestic and international test centres offered by Pearson VUE. However, it is essential to be aware that the list of available international test centres may be subject to change without prior notice.
In summary, state-specific licensure for the NCLEX examination involves understanding and fulfilling the requirements of your chosen state's Board of Nursing or regulatory body. This process includes submitting an application for licensure, receiving eligibility confirmation, registering with Pearson VUE, and finally, scheduling your examination. By diligently following these steps and staying informed about state-specific requirements, international students can successfully navigate the NCLEX licensure process.
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English proficiency
International students can take the NCLEX, but they must meet certain requirements. The NCLEX is the National Council Licensure Examination for Registered Nurses (NCLEX-RN) and is used as the standardised exam that nursing postgraduates must pass to obtain their nursing licence in many countries, including the United States.
The process of verifying credentials for international students includes submitting education transcripts, certifications, proof of completion, and other documents to certify completion of the necessary education to take the NCLEX and apply for an RN licence. This process can be done through CGFNS, a third-party provider that serves the global healthcare community by verifying credentials, or through an internal system used by certain states, such as New York.
Each State Board of Nursing (BON) has specific criteria for international nurse candidates applying to take the NCLEX examination. Some states require valid English exam results and a Credentials Evaluation Service (CES) report before allowing international students to apply for the NCLEX-RN examination. A CES report means that international students do not need to take an IELTS or other English competency exam prior to taking the NCLEX-RN examination.
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Study plans and groups
Preparing for the NCLEX can be a challenging and daunting process, but with the right study plan and support group, you can increase your chances of success. Here are some tips to help you get started:
Study Plans:
- Start early: The NCLEX is a challenging exam, so it's important to begin studying early. This will give you ample time to cover the extensive material and identify your strengths and weaknesses.
- Create a schedule: Develop a study schedule that works for you. You can break down the material into sections and spend dedicated time on each, followed by review sessions. Remember to include breaks in your schedule to stay focused and avoid burnout.
- Practice exams: Utilize practice exams and workbooks to simulate the actual test environment. This will help you become familiar with the question types and format, allowing you to identify areas that need improvement.
- Time management: Effective time management is crucial. The NCLEX is a lengthy exam, with a minimum of 75 questions and a maximum of 145 questions, giving you up to 5 hours to complete it. Practice exams can help you improve your time management skills.
- Mobile apps: Take advantage of mobile applications like Nursing.com and NCLEX Mastery, which offer thousands of practice questions. These apps provide flexibility, allowing you to study from anywhere, even during short breaks.
- SimpleNursing: Consider enrolling in comprehensive review courses like SimpleNursing, which offers practice questions, detailed answer explanations, and realistic NCLEX exam simulations.
Study Groups:
- Find a study group: Studying with others can be highly beneficial. Look for a group of students who are also preparing for the NCLEX and meet regularly. This will provide motivation, support, and the opportunity to learn from your peers.
- Connect with international students: If you are an international student, connect with other international nursing students preparing for the NCLEX. This will help you navigate the specific requirements and challenges you may face.
- Quiz each other: Within your study group, organize sessions where you can quiz each other on different topics. This interactive approach enhances learning and helps reinforce your understanding.
- Seek expert guidance: Consider seeking guidance from tutors or mentors who have expertise in NCLEX preparation. They can provide valuable insights and strategies to improve your study techniques.
- NCLEX prep courses: Invest in reputable NCLEX prep courses, which can offer structured guidance and comprehensive preparation for the exam. These courses often include practice tests, study materials, and expert instruction.
Remember, the key to effective preparation is starting early, maintaining a consistent study schedule, and utilizing a combination of resources, including practice exams, study groups, and mobile apps. By following a well-structured study plan and engaging with a supportive study group, you can boost your confidence and increase your chances of passing the NCLEX.
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Application and registration process
International students can take the NCLEX, but they must first meet certain requirements and complete a multi-step registration process. The NCLEX, or National Council Licensure Examination, is a necessary step for international nurses who want to work in the US. The exam is offered in countries all over the world, including Australia, Canada, England, Germany, Hong Kong, India, Japan, Mexico, the Philippines, and Taiwan.
The first step in the application and registration process is to ensure that you meet the requirements of the state's nursing body where you want to work. Each state in the US has its own rules and requirements for international nurses, which may include differences in documents, fees, English language proficiency, and education requirements. Some states, for example, require valid English exam results and a Credentials Evaluation Service (CES) report before you can apply for the NCLEX-RN examination. It is important to gather the necessary documents, such as transcripts and certificates, and send them to the right institution. This process can take several months, so it is advisable to start as soon as possible.
Once you have obtained your CES report, you must submit an application for licensure or registration to the nursing regulatory body (NRB) or Board of Nursing (BON) where you want to be registered. This step includes paying a fee, which varies from state to state. After submitting your application, you will need to wait for the NRB or BON to process it and determine your eligibility to take the exam. This can take anywhere from 2 to 6 months, or even up to 8 months in some cases.
Once your application has been approved and your eligibility confirmed, you can proceed to the next step, which is registering with Pearson VUE. Pearson VUE is the company that administers the NCLEX exams and coordinates payment and scheduling. You can register with Pearson VUE by visiting their website or calling their NCLEX candidate services. The registration fee is typically $200, which can be paid by credit card. It is important to note that there may be additional fees for international scheduling and other circumstances. As part of the registration process, you will need to provide your fingerprints for a background check.
After registering with Pearson VUE, you will receive an Authorization to Test (ATT), which includes your authorization number, candidate number, and an expiration date. Using the ATT, you can schedule your exam date and choose your testing center. It is important to check that the name on your ATT matches your identification exactly. The ATT is typically valid for 90 days, and you must take the exam within this time frame.
In summary, the application and registration process for international students taking the NCLEX involves gathering the necessary documents, submitting an application to the NRB or BON, waiting for eligibility confirmation, registering with Pearson VUE, receiving the ATT, and scheduling the exam. This process can take several months, so it is important to start early and be patient throughout the various steps.
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Frequently asked questions
International students must meet certain requirements to take the NCLEX, including having a nursing degree equivalent to an ADN or BSN from an accredited U.S. nursing program, a valid visa, and completing the required number of clinical hours. Some states may also require valid English Exam results and a CGFNS-CES or Credentials Evaluation Service report.
International students can apply for the NCLEX by first choosing the state where they wish to be licensed and checking the specific requirements on the state's Board of Nursing (BON) website. After submitting an application for licensure and receiving an eligibility letter, students can then register with Pearson VUE, the international testing company that administers the NCLEX exams.
After receiving approval to take the exam, international students can schedule their exam appointment by visiting the Pearson VUE website or calling their NCLEX Candidate Services. They will need to choose a testing center and select a date and time for their examination. A confirmation email will be sent with specific instructions on how to get to the chosen testing center.




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