Can Foreign Nurses Take the NCLEX? Everything You Need to Know in 2026

Why This Question Matters for Foreign Nurses

Foreign nurses play a critical role in healthcare systems across the world. With the ongoing demand for qualified nurses in the United States, many foreign-educated nurses are now exploring opportunities to work and practice in the U.S. A common question arises: Can foreign nurses take the NCLEX? The short answer is yes—but there are essential steps and requirements to be aware of before registering for the exam.

Can Foreign Nurses Take the NCLEX in 2026?

Yes, foreign nurses are eligible to take the NCLEX-RN or NCLEX-PN as long as they meet the specific criteria set by the nursing regulatory body (NRB) in the U.S. state where they wish to be licensed. The National Council of State Boards of Nursing (NCSBN) does not restrict eligibility based on citizenship or location, but each state has its own board that enforces individual requirements.

General NCLEX Requirements for All Candidates

Before diving into the special procedures for foreign-trained nurses, it’s important to understand what’s generally required to take the NCLEX in the U.S.:

① Completion of a state-approved nursing education program
② Submission of an application to a State Board of Nursing (BON)
③ Successful registration with Pearson VUE
④ Payment of required fees (typically around $200 for the NCLEX-RN)
⑤ Authorization to Test (ATT) from the BON

These steps apply to both U.S. and foreign-educated nurses, though foreign applicants often require additional documentation and evaluations.

NCLEX Eligibility Criteria for Foreign-Educated Nurses

To qualify, foreign nurses must:

① Have completed a nursing education program equivalent to U.S. standards
② Be licensed as a Registered Nurse (RN) in their home country
③ Undergo a credentials evaluation by an approved agency (e.g., CGFNS, Josef Silny & Associates)
④ Prove English language proficiency if educated in a non-English-speaking country (via TOEFL, IELTS, etc.)
⑤ Meet the specific state requirements for the BON where they apply

Each state in the U.S. has its own policy. For example, New York accepts CGFNS reports, while Texas may require CES (Credentials Evaluation Service) reports.

Credential Evaluation: What You Need and Why It Matters

One of the most crucial steps for foreign nurses is a credential evaluation. This process ensures that your education, clinical hours, and coursework align with U.S. standards. The most commonly used service is:

CGFNS (Commission on Graduates of Foreign Nursing Schools)
They assess transcripts, verify licensure, and provide a report directly to the BON. Some states may also require the CGFNS Qualifying Exam, though it is not a substitute for the NCLEX.

Proper documentation is essential. Missing or incorrect records can delay the application for months.

Top Agencies That Assist Foreign Nurses With the NCLEX Process

Several international agencies offer comprehensive assistance to foreign nurses pursuing U.S. licensure:

O'Grady Peyton International

Avant Healthcare Professionals

PassportUSA

Westways Staffing Services

These organizations guide nurses through documentation, credentialing, and visa sponsorship, often in exchange for work contracts in U.S. healthcare facilities.

Visa and Immigration Considerations for NCLEX Test Takers

Being eligible for the NCLEX doesn’t automatically grant you a work visa. Many foreign nurses apply for:

🗸 H-1B visas (for specialized occupations)
🗸 EB-3 immigrant visas (employment-based green cards for skilled workers)

To qualify for a work visa, nurses must have passed the NCLEX and often have a job offer from a U.S.-based employer. Some states also allow NCLEX testing abroad, such as in the Philippines, India, or the UK, making it easier to start the licensure process before entering the U.S.

Tips to Boost Success: Studying for the NCLEX as a Foreign Nurse

Many foreign nurses struggle with the NCLEX due to language barriers and unfamiliar testing styles. Here are some tips to improve your chances of passing:

✅Use NCLEX-specific prep materials - we recommend using ncleks nursing

✅Focus on critical thinking, not just memorization

✅Take practice exams in a timed format

✅Understand U.S. nursing priorities (e.g., safety, patient-centered care)

✅Join online study groups or enroll in review classes

Final Thoughts: Is It Worth It for Foreign Nurses to Pursue the NCLEX?

Absolutely—the NCLEX opens doors to well-paying, rewarding nursing careers in the United States. While the process may seem lengthy and complex, many foreign nurses have successfully passed the exam and built fulfilling lives in the U.S. healthcare system. With the right preparation, documentation, and support, you too can take the NCLEX and achieve your goal of practicing in the U.S.