NCSBN Makes Modifications to NCLEX-RN From Oct. 1, 2020, Abolishes R.O.O.T Rules

In response to the COVID-19 pandemic, NCSBN introduced several carefully evaluated and tested
modifications to the NCLEX examinations.

To ensure the reliability and legal defensibility of the exam, NCSBN conducted numerous simulations
and comparisons against historical NCLEX results along with continuous evaluation of the modifications to the exam put into place during the COVID-19 pandemic. All modifications and live exam results confirmed the consistency of measurement properties and did not identify any negative impact on candidate results or testing experiences.

These modifications are set to expire on Sept. 30, 2020. Based on the continued statistical and
psychometric strength of the modifications, NCLEX exams will retain some of the characteristics of the modified exam while reinstating some of the essential aspects of the exam that were put on hold because of the pandemic. The exam will continue to utilize the computer adaptive testing (CAT) methodology for administration and scoring. The NCLEX Test Plans will remain the same and the passing standard will not change.

Beginning Oct. 1, 2020, the following modifications will be made to both the NCLEX-RN and NCLEX-PN examinations:

• Pretest items will be reintroduced. Each candidate will get 15 pretest items in their exam.

• The minimum number of scored items will be 60, and the maximum number of scored items
will be 130.

• Due to the addition of the 15 pretest items, the minimum length exam will be 75 items and the
maximum length exam will be 145 items.

• Examination time will be five hours.

• Given the changes to the maximum exam length and the testing time, the current Run Out of Time (R.O.O.T) scoring rule is no longer applicable.

§ The final ability estimate will be computed from the responses to all completed items. Those scoring above the passing standard will have a passing exam, otherwise the exam will be scored as a fail.

• The voluntary NGN Special Research Section will be reintroduced. § We encourage all candidates to participate in this important research effort for the nursing profession. Additional information about this important research can be viewed at NGN FAQs.

• The NCLEX Tutorial will be replaced with a general guide and test taking tips.

§ All candidates are strongly encouraged to take the online tutorial to practice with the item types prior to sitting for the exam.

If you have any specific questions about the examination changes, please contact NCLEX
information at

USA Nurse Registration Guide and Cost for Foreign Nurses

Thinking about moving to USA as a Registered Nurse under the USA Green Card program for Nurses? Here is how you can go about it yourself without using any agent. Below is the financial cost and step by step guide for foreign educated Nurses to work in USA

Licensure Services Payment Time Frame Medium Cost in Dollar and Naira
CGFNS Credential Evaluation Service Report (Note that you can use other services such as ERES but CGFNS is highly recommended After Completion of the online application. You can only access transcript request forms and Nursing Council Verification after payment Online payment on CGFNS Website through your ATM debit/credit card $350 (N127,750)
Nursing School/University Transcript Immediately after CGNS payment and printing of the forms You may pay by hand or online depending on your School Transcript N5,000 –N30,000 (Depends on what your School Charges) Courier of Transcript to CGFNS N17,000
Verification of Nursing License from Nursing Board Immediately  after CGFNS payment and after printing license verification form Pay online through or through bank (Nigeria) N53, 500
Secondary School Certificate (WAEC/NECO/GCE) Immediately after completing CGFNS form and after payment Upload it through the “Contact Us” page on your CGFNS homepage. Alternatively, you can fax it to CGFNS using free online Fax services N500 (for WAEC/GCE/NECO) Scratch Card.
CGFNS Expedite Service(Optional) This is an optional service but payment of it will allow your report to be reviewed within 2 weeks. It is paid after CGFNS received all your documents Paid online using your ATM credit/debit card $250 (N91,250)
Texas Board of Nursing Registration Paid 1-2 Months after starting your CGFNS application Paid through drafts drawn from USA Board Application $100 (N37,000) Courier: N2,000-N17,000 depending on the courier service used
Criminal Background Check Paid after your application form arrived at Texas Board of Nursing   Fingerprint Card can be obtained from those that sells. I would recommend you buy from Peculiar +2348066640382 , he sells at the rate of N2,000 ($6) per card which is the cheapest I have seen so far Can be paid Online with your ATM card Registration with IDENTOGO $37 (N13,505) Purchase of 2 Fingerprint cards: N4,000 Capturing of fingerprint Free-N3,000
NCLEX-RN Exam Registration After your CGFNS report is out and you are fully prepared to sit for the exam within the next 3 months Paid online on PearsonVue Website   $200 (N73,000)
NCLEX-RN Exam Schedule Paid after receiving your ATT Paid online via ATM cards USA – Free UK-   $180 (N65,700) Philippines $150 (N54,750)
Police Certificate Paid when you are about to apply for Visa By Cash N5,000
Philippine Visa Application Paid when you apply for VISA Paid by Cash at the Embassy in Abuja N15,600 Courier to pick Visa below N10,000
Flight (To and Fro) Paid before or after visa Paid online through WAKANOW.COM Between N400,000-N500,000
Hotel Booking Paid before or after Visa Paid online via N30,000-N50,000 depending on length of stay and hotel type
Pocket Money to Philippines     N50,000-N150,000 depending on length of stay

The above fees are based on personal experience of someone who took NCLEX-RN Exam this month in 2019 and passed. I will be  creating additional pages on step-by-step guide to becoming a USA Registered Nurse by yourself without the use of any agency.

If you need any mre information or have questions please drop it in the comment box below. Don’t forget to share this post with your friends