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NCLEX Authorization to Test (ATT): A Guide for Foreign Nurses
The NCLEX (National Council Licensure Examination) is a crucial step for foreign-educated nurses who wish to practice nursing in the United States. To take the NCLEX, foreign nurses need to obtain an Authorization to Test (ATT). This guide provides an overview of the NCLEX ATT process for foreign-educated nurses.
Step 1 – Eligibility Assessment
Before applying for the NCLEX ATT, ensure that you meet the eligibility requirements. These requirements may include:
- Completion of a nursing program that is equivalent to the United States standards.
- Submission of educational transcripts and credentials evaluation (CES Report) from TruMerit (formerly CGFNS).
- English language proficiency test (e.g., IELTS or TOEFL) scores if English is not your first language.
- Application for licensure with the specific State Board of Nursing (BON) where you intend to practice.
Step 2 – Submitting an Application to the State BON
Contact the BON of the state where you plan to practice as a nurse. The BON will provide you with the necessary application forms and instructions for foreign-educated nurses. Submit the required documents and fees to the BON for review.
Step 3 – Receiving the Eligibility Letter
After your Board of Nursing reviews your application and finds you eligible for licensure by examination, it registers your eligibility with Pearson VUE. You then receive confirmation that you have been made eligible to test. This confirmation is what allows your Pearson VUE registration to be matched to an authorization, so keep it for your records.
Step 4 – Registering with Pearson Vue
Pearson Vue is the testing organization responsible for administering the NCLEX. Visit the Pearson Vue website and create an account. You will need to provide your eligibility information, including the details from the eligibility letter.
Step 5 – Paying the NCLEX Exam Fee
Pay the NCLEX exam fee through the Pearson Vue website. The NCLEX registration fee is a flat $200 (USD), paid to Pearson VUE and identical in every state. What varies by state is the separate board application fee. The Pearson VUE fee can be paid online using a credit or debit card. Keep the payment confirmation for your records.
Step 6 – Receiving the NCLEX ATT
Once you are registered with Pearson VUE and your board has made you eligible, Pearson VUE emails your Authorization to Test (ATT). It contains your authorization number and a validity window; you must schedule and sit the exam within that window, which cannot be extended — missing it means re-registering and paying again.
Step 7 – Scheduling the NCLEX
Using your NCLEX ATT number, schedule your exam through the Pearson Vue website or by contacting Pearson Vue’s customer service. Choose a convenient test center and a date within an Authorization to Test (ATT) window set by your state board — commonly around 60–90 days — that cannot be extended.
Step 8 – Preparing for the NCLEX
Prepare thoroughly for the NCLEX by utilizing study materials, practice exams, and review courses. The NCLEX is a comprehensive exam covering various nursing topics.
Step 9 – Taking the NCLEX
On the scheduled exam day, arrive at the test center with valid identification, such as a passport. You will be fingerprinted and photographed for security purposes.
Step 10 – Receiving NCLEX Results
After taking the NCLEX, you will receive your results from the respective State BON. If you pass, you can proceed with the licensure application. If you fail, you can reapply to take the exam again after a specified waiting period
Remember that the specific requirements and processes may vary by state, so it’s essential to follow the guidance provided by the State BON where you plan to practice as a nurse. The NCLEX ATT process for foreign-educated nurses is a crucial milestone on your journey to becoming a licensed nurse in the United States, so be sure to prepare thoroughly and approach the exam with confidence. Good luck!
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