NCLEX Eligibility Requirements

To be eligible for the NCLEX-RN or NCLEX-PN exam, you must meet specific educational and administrative requirements set by your state Board of Nursing:

Educational Requirements

• NCLEX-RN: Graduate from an approved nursing program — Associate Degree in Nursing (ADN), Bachelor of Science in Nursing (BSN), or diploma program
• NCLEX-PN: Graduate from an approved practical/vocational nursing program (LPN/LVN)
• Your nursing program must be approved by the state Board of Nursing where you're applying

Additional Requirements

• Background check: Most states require a criminal background check as part of the application
• Social Security Number: Required for NCLEX registration in the United States
• Valid identification: Government-issued photo ID required on exam day
• Good moral character: Some states require disclosure of any criminal history or disciplinary actions

How Many Times Can You Take the NCLEX?

This is one of the most common questions from nursing students. The answer depends on your state:

Federal Policy

The NCSBN (National Council of State Boards of Nursing) does not limit the number of times you can take the NCLEX. However, there is a mandatory 45-day waiting period between attempts.

State-Specific Limits

While most states allow unlimited retakes, some impose restrictions:

• Most states: Unlimited attempts with 45-day wait between each
• Some states: Limit of 8 attempts total (e.g., some jurisdictions require additional education after a certain number of failures)
• Remediation requirements: Some boards require evidence of additional study or coursework after multiple failures
• Time limits: A few states require you to complete the exam within a certain number of years after graduation

Key point: Each retake requires a new registration with Pearson VUE ($200) and a new Authorization to Test from your state board.

Many readers pair this guide with the mark k lectures to check their readiness before exam day.

Many readers pair this guide with the nclex rn practice test to check their readiness before exam day.

Many readers pair this guide with the printable nclex questions pdf to check their readiness before exam day.

NCLEX Retake Policies and Tips

If you don't pass the NCLEX on your first attempt, don't panic. Here's your action plan:

Step 1: Review Your Candidate Performance Report (CPR)

After a failed attempt, you'll receive a CPR that shows your performance in each content area as either 'Above Passing Standard,' 'Near Passing Standard,' or 'Below Passing Standard.' Focus your study on the 'Below' areas.

Step 2: Create a Targeted Study Plan

• Use a question bank (UWorld, Archer) focused on your weak content areas
• Study for 4-6 weeks before your next attempt
• Complete 100+ questions daily in your weak areas
• Consider a structured review course (Hurst, Kaplan) if self-study wasn't effective

Step 3: Re-Register and Schedule

After the 45-day waiting period, re-register with Pearson VUE, receive a new ATT, and schedule your exam. Many candidates pass on their second attempt with focused preparation.

NCLEX Registration Process

The NCLEX registration involves two separate applications:

1. Apply to your state Board of Nursing — Submit your application, transcripts, and background check. Wait for eligibility determination.
2. Register with Pearson VUE — Create an account at pearsonvue.com/nclex, pay the $200 fee, and wait for your ATT.
3. Receive ATT — Your Authorization to Test arrives via email once both your state board and Pearson VUE confirm eligibility.
4. Schedule your exam — Book your preferred date and location through your Pearson VUE account within your ATT validity period (60-90 days).

Pros and Cons at a Glance

Sample NCLEX Practice Questions

Try these questions from our free NCLEX practice tests. The correct answer and an explanation follow each question.

1. A 23-year-old patient in the 27th week of pregnancy has been hospitalized on complete bed rest for 6 days. She experiences sudden shortness of breath, accompanied by chest pain. Which of the following conditions is the most likely cause of her symptoms?

   • A. Myocardial infarction due to a history of atherosclerosis.
   • B. Pulmonary embolism due to deep vein thrombosis (DVT).
   • C. Anxiety attack due to worries about her baby’s health.
   • D. Congestive heart failure due to fluid overload.

   Answer: B. Pulmonary embolism due to deep vein thrombosis (DVT).

   A pregnant patient on complete bed rest for an extended period is at a significantly increased risk for developing deep vein thrombosis (DVT) due to venous stasis and the hypercoagulable state of pregnancy. Sudden shortness of breath and chest pain are classic symptoms of a pulmonary embolism (PE), which often arises when a DVT dislodges and travels to the lungs. This is a life-threatening emergency.

2. A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client’s cervix is 5 cm dilated with 75% effacement. Based on the nurse’s assessment the client is in which phase of labor?

   • A. Active
   • B. Latent
   • C. Transition
   • D. Early

   Answer: A. Active

   The active phase of labor is characterized by more rapid cervical dilation and effacement. A cervix dilated to 5 cm with 75% effacement falls within the typical parameters of the active phase, which generally begins around 4-6 cm dilation and progresses more quickly than the latent phase.

3. A practical nurse is caring for a client who is short of breath and anxious. Which action should the nurse take first?

   • A. Elevate the head of the bed.
   • B. Call the client's family to the bedside.
   • C. Encourage the client to drink fluids.
   • D. Ask the client to rate their anxiety.

   Answer: A. Elevate the head of the bed.

   Elevating the head of the bed (Fowler's position) helps to improve lung expansion and reduce the effort of breathing by allowing gravity to pull the diaphragm down. This immediate physical intervention can significantly alleviate shortness of breath and, consequently, reduce the client's anxiety related to difficulty breathing. It is a priority action for respiratory distress.

4. A nurse enters a client’s room to discover that the client has no pulse or respirations. After calling for help, the first action the nurse should take is

   • A. Start a peripheral IV
   • B. Initiate high-quality chest compressions
   • C. Establish an airway
   • D. Obtain the crash cart

   Answer: B. Initiate high-quality chest compressions

   In a client with no pulse or respirations, the immediate priority after calling for help is to initiate high-quality chest compressions. Early and effective chest compressions are vital for maintaining blood flow to the brain and other vital organs, significantly improving the chances of survival during cardiac arrest.

Take the full NCLEX practice test