VideshReady
Practise free
The Manhattan skyline and Brooklyn Bridge under a blue sky
Patrick Tomasso, Unsplash

All destinations

United States

Your journey, step by step

Confidence: medium, some details still being confirmed. Check the regulator's page before you pay.

Your route to United States

Your route to United States

Regulator: State boards of nursing; NCSBN (NCLEX)Also involved: NCSBN / NCLEX (Pearson VUE) · TruMerit (formerly CGFNS)
Last checked 29 Oct 2026Confidence: medium, some details still being confirmed. Check the regulator's page before you pay.

Language test · Minimum scores

VisaScreen approved tests: IELTS Academic, TOEFL iBT, OET, PTE Academic, Cambridge (B2/C1/C2), MET

pte academic · overall
55
pte academic · speaking
63
pte academic · other sections
50

(not confirmed today)

USCIS and HRSA updated approved providers and passing scores for exams taken after 12 May 2026; the official score chart was not readable today. The PTE figures are from TruMerit's page and may be superseded. At-home tests not accepted.

SourceChecked 29 Oct 2026

Licensing exam

NCLEX-RN (Next Generation NCLEX)

  • NCSBN via Pearson VUE
  • Computer adaptive licensure exam; international test centres available
SourceChecked 29 Oct 2026
Document verification

TruMerit Credentials Evaluation Service (CES) / VisaScreen

Source

Your steps

  1. Pick a state and check its board's rules for foreign-educated nurses
  2. Get your education evaluated (TruMerit CES or the board's approved agency)
  3. Apply to the state board and register for NCLEX with Pearson VUE
  4. Receive Authorization to Test, book an international centre, pass NCLEX-RN
  5. Pass an approved English test and get the VisaScreen certificate
  6. Employer-sponsored immigrant visa, then state licence and work

Practise now

Try 5 free questions for United StatesNo sign-up needed.
IELTS Academic readingOET readingClinical nursing knowledgeDrug dosage calculationsDestination rules and safety

Official fees

Fees as listed by the regulator on the date shown. Visa, travel and test fees are not included.

  • NCLEX registration fee: USD 200 (Rises to USD 350 from 1 Feb 2027) · Checked 29 October 2026 · Source
  • NCLEX international scheduling fee: USD 150 (Plus VAT where applicable; non-refundable) · Checked 29 October 2026 · Source
  • Change of nursing regulatory body after registration: USD 50 · Checked 29 October 2026 · Source
  • TruMerit English Language Proficiency Report (add-on to CES): USD 85 · Checked 29 October 2026 · Source

Recent changes

  • : USCIS/HRSA updated approved English test providers and passing scores for VisaScreen (exams after this date). · Source
  • : TruMerit began issuing certificates electronically. · Source
  • : PTE Academic speaking minimum for VisaScreen set at 63 (overall 55, others 50). · Source
  • : Announced: NCLEX registration fee rises to USD 350. · Source

VisaScreen and CES base fees were not shown on the pages opened today. CGFNS now trades as TruMerit. NCSBN 2024: Philippines 28,258, India 5,869, Kenya 3,740, Nepal 2,662 internationally educated NCLEX candidates.

General information from official sources, not legal or immigration advice.