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National Council Licensure Examination for Practical Nurses (NCLEX-PN)

The NCLEX-PN is the variable-length, computer-adaptive licensure examination developed by NCSBN that U.S. practical nurse and vocational nurse candidates must pass for licensure, measuring entry-level nursing competence across Client Needs content areas and clinical judgment case studies.

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QuestionsVariable length: 85-150 items; the minimum-length exam is 52 content-area items plus 18 clinical judgment case-study items (3 case studies of 6 items each) plus 15 unscored pretest items
Testing timeUp to 5 hours; the five-hour limit includes the introductory screen and all (optional) breaks
ScoringPass/fail by CAT against the NCSBN passing standard (reevaluated by the NCSBN Board of Directors every three years; 95% confidence interval decision rules); no fixed pass percentage
Exam feeUSD 200 NCLEX registration fee for U.S. licensure (fees are set by jurisdiction, not exam type); effective February 1, 2027 the fee rises to USD 350 in the U.S. and Australia (CAD 570 in Canada)

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Exam overview

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Who runs it
NCSBN
Category
Nursing Licensure
Current version
2026 NCLEX-PN Test Plan, effective April 1, 2026 through March 31, 2029
Where it applies
United States — national
Exam languages
English
Score scale
Pass/fail only; no numeric score is reported, and candidates who do not pass receive a Candidate Performance Report (CPR)
Testing provider
Pearson VUE
Format
Variable-length computerized adaptive test (CAT) delivered on computer with multiple item formats and partial-credit scoring (plus/minus, zero/one, rationale); not offered in paper-and-pencil or oral formats
Availability
Year-round by appointment at test centers across the United States and select international sites; first-time candidates are offered an appointment within 30 days of the scheduling request, repeat candidates 45 days after the last attempt
Results
Official results only through the candidate's nursing regulatory body, within six weeks after the exam; unofficial Quick Results available two business days after the exam for U.S. licensure candidates whose NRB participates
Remote testing
Not available

Exam structure

Content distributed across eight Client Needs areas with percentage bands: Coordinated Care 18-24%, Safety and Infection Prevention and Control 10-16%, Health Promotion and Maintenance 6-12%, Psychosocial Integrity 9-15%, Basic Care and Comfort 7-13%, Pharmacological Therapies 10-16%, Reduction of Risk Potential 9-15%, Physiological Adaptation 7-13%; clinical judgment measured by case studies spanning the six NCSBN Clinical Judgment Measurement Model steps

Where rules vary

The NCLEX-PN is used for U.S. licensure only (unlike the NCLEX-RN, which NCSBN also provides for Canadian and Australian licensure); the examination is administered uniformly across U.S. jurisdictions against a single NCSBN passing standard.

Eligibility

Apply for licensure/registration with a nursing regulatory body (NRB) and meet its eligibility requirements, register and pay the fee with Pearson, then schedule only after receiving the Authorization to Test (ATT; average validity 90 days, set by the NRB)

Retake policy

NCSBN policy: retake 45 days after the last administration, up to 8 attempts per year; some jurisdictions apply stricter limits