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 examThe steps, in order
- NCK verification. Ask the Nursing Council of Kenya to verify your licence and send it to evaluators or boards.
- Credential evaluation. TruMerit compares your Kenyan education and licence with US standards. Check which report your state board wants first.
- NCLEX. Register with Pearson VUE, get your Authorization to Test through a state board, then pass the NCLEX-RN.
- State licence. Your chosen state board reviews your file and issues your RN licence.
- VisaScreen. TruMerit's certificate checks your education, licence and English for immigration.
- Job offer and visa. A US employer sponsors you. See Stage 2 and Stage 4.
Official fees
| Item | Fee | Pay / check at |
|---|---|---|
| TruMerit CES Professional Report | US$485 | TruMerit |
| NCLEX registration | US$200 (US$350 from 1 Feb 2027) | nclex.com |
| NCLEX international scheduling fee | US$150 + VAT where applicable | nclex.com |
| IELTS Academic (Kenya) | KSh 41,580 | British Council Kenya |
| VisaScreen certificate | US$740 | TruMerit |
| State board application | Varies by state | Find your board |
Last checked 14 Nov 2026. Always confirm on the official site before paying. Add them up in KSh
Official links to bookmark
Exam-by-exam study guides Coming soon
Follow the WhatsApp channel to hear when they're ready.