3 Stage 3 of 5

Exams & paperwork: NCLEX to VisaScreen

The licensing steps every Kenyan nurse goes through, from NCK verification and TruMerit (CGFNS) credential review to the NCLEX and VisaScreen, in the usual order. Rules differ by US state, so choose your state early.

  • Pick your state first. Each state board sets its own rules. NCSBN has official licensure guidance.
  • Credential review goes through TruMerit (formerly CGFNS). See their Kenya page.
  • You'll usually need an English test (such as IELTS Academic) for the VisaScreen certificate.

Practice a clinical screening exam

Many US staffing agencies give a clinical screening or competency test as part of applying. This practice exam is for study only — it is not the actual exam and is not affiliated with any agency or testing company.

Open the practice exam
The steps, in order
  1. NCK verification. Ask the Nursing Council of Kenya to verify your licence and send it to evaluators or boards.
  2. Credential evaluation. TruMerit compares your Kenyan education and licence with US standards. Check which report your state board wants first.
  3. NCLEX. Register with Pearson VUE, get your Authorization to Test through a state board, then pass the NCLEX-RN.
  4. State licence. Your chosen state board reviews your file and issues your RN licence.
  5. VisaScreen. TruMerit's certificate checks your education, licence and English for immigration.
  6. Job offer and visa. A US employer sponsors you. See Stage 2 and Stage 4.
Official fees
ItemFeePay / check at
TruMerit CES Professional ReportUS$485TruMerit
NCLEX registrationUS$200 (US$350 from 1 Feb 2027)nclex.com
NCLEX international scheduling feeUS$150 + VAT where applicablenclex.com
IELTS Academic (Kenya)KSh 41,580British Council Kenya
VisaScreen certificateUS$740TruMerit
State board applicationVaries by stateFind your board

Last checked 14 Nov 2026. Always confirm on the official site before paying. Add them up in KSh

Official links to bookmark
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