NCLEX Nursing Exam in Canada in 2024

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Are you a nursing student in Canada preparing to take the NCLEX Nursing Exam in Canada in 2024? If so, then you have come to the right place! The NCLEX Nursing Exam in Canada is a crucial step towards becoming a registered nurse, and it is essential to be well-prepared. 

Did you know that approximately 3 lakh aspiring nurses in Canada take the NCLEX Nursing Exam in Canada to obtain their licence every year? With such a significant number of participants, it is essential to have a comprehensive guide that can help you master this exam. 

This guide provides all the information about the exam process, registration, eligibility criteria, exam pattern, and recommended study materials. This guide will equip you with the knowledge and strategies needed to excel in the NCLEX Nursing Exam in Canada and advance your nursing career.

NCLEX Exam

The NCLEX (National Council Licensure Examination) is a standardised test for individuals wanting to become licensed nurses in Canada. Here are the main points about the NCLEX exam that will help you understand it better:

1. Purpose:

The primary purpose of the NCLEX Nursing Exam in Canada is to ensure that nurses have the knowledge and skills necessary to practise safely and effectively. It tests your ability to apply the nursing knowledge you have learned in real-life situations.

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NCLEX Nursing Exam in Canada in 2024
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2. Types of NCLEX Exam:

There are two NCLEX exam types – the NCLEX-RN and the NCLEX-PN. The NCLEX-RN is for individuals who want to become registered nurses, while the NCLEX-PN is for practical or vocational nurses.

3. Format:

The NCLEX Nursing Exam in Canada is a computerised adaptive test, meaning the difficulty of the questions adjusts based on your performance. If you answer a question correctly, the next question will be slightly more challenging. If you answer incorrectly, the next question will be more simple.

4. Length:

The NCLEX Nursing Exam in Canada length varies for each individual. It can range from 75 to 265 questions for the NCLEX-RN and 85 to 205 questions for the NCLEX-PN. The exam is designed to determine whether you meet the required level of knowledge and competency, so the number of questions you receive depends on how well you perform.

Eligibility Criteria for NCLEX Nursing Exam in Canada

The criteria to meet to take the NCLEX Nursing Exam in Canada in Canada are given below:

1. Educational Requirements:

To be eligible for the NCLEX Nursing Exam in Canada in Canada, you must have completed a nursing education program from a recognised institution. It typically includes a diploma or degree in nursing.

2. Language Proficiency:

As the nursing profession requires effective communication, you must demonstrate English or French proficiency. If English is not your first language, you may be required to take an English language proficiency test, such as the International English Language Testing System (IELTS).

3. Registration with a Nursing Regulatory Body:

You must be registered or in the process of registering with a nursing regulatory body in Canada. These bodies include organisations like the College of Nurses of Ontario, British Columbia College of Nursing Professionals, etc. They ensure that nurses meet specific standards of practice and ethics.

4. Criminal Background Check: 

You must undergo a criminal background check as part of the eligibility criteria. It is done to ensure the safety of patients and confirms that you do not have any convictions that would prevent you from practising nursing.

Registration Process for NCLEX Nursing Exam in Canada

The NCLEX Nursing Exam in Canada registration process consists of several steps you must follow for the exam. It can be summarised in the following points:

1. Creating an account:

To register for the NCLEX, you must create an account on the National Council of State Boards of Nursing (NCSBN) website. This account will manage your exam application and receive important updates.

2. Completing the application:

Once you have created an account, you can complete the NCLEX Nursing Exam in Canada application. You will be asked to provide personal information, education history, and details about previous licences or exams.

3. Paying the exam fee:

There is a fee for taking the NCLEX Nursing Exam in Canada. The payment process can vary depending on your state and your payment method. Make sure to complete the payment process to finalise your application.

4. Wait for authorisation:

After submitting your application and paying the fee, you must wait for the authorisation to test (ATT). It is a document that permits you to schedule your exam.

5. Scheduling the exam:

Once you receive your ATT, you can schedule your exam. The scheduling process involves selecting a convenient location and date for your exam. You can choose from available slots provided by Pearson VUE, which administers the NCLEX Nursing Exam in Canada.

Why is an ATT important for Nursing Exam in Canada?

The ATT contains your authorisation number, candidate identification number and the expiration date for your ATT. Only after you get an ATT will you be allowed to schedule the NCLEX Nursing Exam in Canada, which is only valid for a limited time. 

On average, an ATT is valid for up to 90 days, but not more than that. So, ensure you are prepared to attend the exam while applying for the ATT.

Once you pass the exam, you will receive your permit to practise as a licensed nurse in Canada. Additionally, becoming a member of the Canada Nurses Association gives you extra benefits, such as continuing professional development training to enhance your career.

Fees for NCLEX Nursing Exam in Canada

Taking the NCLEX incurs specific fees you must know before registering for the exam. It includes: 

  • The application fee for the NCLEX is the first fee you will encounter. This fee covers processing your application and registering for the exam.
  • Apart from the application fee, there is also an exam fee that you will need to pay. This fee covers the cost of actually taking the NCLEX. The application and exam fees are separate, meaning you must pay each fee individually.
  • Other fees may be associated with the exam, such as rescheduling fees if you need to change your exam date or location.

The table below showcases fees for the NCLEX Nursing Exam in Canada.

Type of FeeFee in INR for Candidates Seeking Canadian Licensure/Registration
Registration Fee~ 20,935
Additional International Scheduling fee (+value added tax)~ 11,047
Change the nursing regulatory body after the registration fee~ 3,682
Change exam language (English/French) after the registration fee~ 2,907
Licensure/Registration FeeContact the nursing regulatory body
Source: NCSBN Official Website

Exam Pattern for NCLEX Nursing Exam in Canada

The exam pattern for the NCLEX Nursing Exam in Canada is as follows:

1. Multiple-choice questions: 

The exam consists of multiple-choice questions where you are given several options and must choose the correct answer. These questions are designed to test your knowledge and understanding of nursing concepts.

2. Integrated Test Plan: 

The exam is based on an integrated test plan covering different nursing practice areas. It includes physiological integrity, a safe and effective care environment, health promotion and maintenance, and psychosocial integrity. Each area is given a specific percentage weightage, and questions are distributed accordingly.

3. Time limit: 

The NCLEX is a timed exam, and you are given a specific amount of time to complete it. The exam duration may vary, generally around 3-6 hours. It is essential to manage your time wisely and pace yourself throughout the exam to ensure you have enough time to answer all the questions.

4. Passing standard: 

The exam is scored based on a passing standard determined by the nursing regulatory body in Canada. This passing standard is the minimum level of competency required to practise as a nurse. Your score will not be based on the number of questions you answer correctly but rather on the difficulty level of the questions you answer correctly.

Syllabus for NCLEX Nursing Exam in Canada

Below is a breakdown of the syllabus for the NCLEX Exam in Canada for both Registered Nurses (RNs) and Practical Nurses (PNs). 

1. Client Needs: 

Both RN and PN exams focus on four categories of client needs:

  • Safe and Effective Care Environment includes infection control, safety measures, and care management.
  • Health Promotion and Maintenance focuses on educating and supporting clients to maintain their health and prevent diseases.
  • Psychosocial Integrity covers emotional and mental health, relationships, and cultural considerations.
  • Physiological Integrity encompasses primary care and comfort, pharmacological therapies, reduction of risk potential, and physiological adaptation.

2. Client Populations: 

RN and PN exams differ in the specific client populations they cover:

   a. RNs: RNs study topics relating to the care of clients across the lifespan, including infants, children, adults, and older adults.

   b. PNs: PNs focus on care specific to clients in different settings, such as adults and older adults in acute care, long-term care, and community-based care. PNs typically do not cover paediatric and maternity care topics.

3. Scope of Practice: 

Although both RNs and PNs are licensed nurses, their roles and responsibilities vary:

   a. RNs: Registered Nurses have a broader scope of practice, encompassing comprehensive nursing care, leadership, and care coordination. They can work in various healthcare settings, including hospitals, clinics, and community health organisations.

   b. PNs: Practical Nurses provide primary nursing care under the supervision of RNs and other healthcare professionals. They typically work in long-term care facilities, assisted living centres, and home health settings.

4. Education and Training: 

The educational requirements for RN and PN differ:

   a. RNs: Registered Nurses complete a Bachelor of Science in Nursing (BSN) degree, which takes approximately four years. They also undergo clinical training in various areas of nursing practice.

   b. PNs: Practical Nurses complete a diploma program, typically lasting for about two years. They receive training focused on practical skills required for entry-level nursing.

Resources for NCLEX Nursing Exam in Canada

Below are some essential resources to help you prepare for NCLEX Nursing Exam in Canada

1. Study Guides: 

Various study guides cover all the essential topics for the NCLEX Nursing Exam in Canada. These guides provide detailed explanations, practice questions, and strategies to help you prepare effectively.

2. Review Courses: 

Many organisations offer review courses designed for the NCLEX Nursing Exam in Canada. These courses provide comprehensive content review, practice exams, and interactive learning experiences to enhance your understanding and test-taking skills.

3. Online Practice Questions: 

Numerous websites offer online practice questions that simulate the format and difficulty level of the actual NCLEX Nursing Exam in Canada. These practice questions help you familiarise yourself with the exam pattern and assess your knowledge.

4. Mobile Applications: 

You can also find mobile applications that offer NCLEX practice questions and study materials. These apps allow you to study anytime, anywhere, and track your progress through interactive quizzes and self-assessments.

5. Nursing Forums and Communities: 

Joining nursing forums and online communities can be beneficial as they provide a platform for students and professionals to share their experiences, study strategies, and resources for the NCLEX Nursing Exam in Canada. Engaging in discussions can help you gain valuable insights and tips.

Best Books for NCLEX Nursing Exam in Canada

Here are the top five books to help you prepare for NCLEX Nursing Exam in Canada.

1. “Saunders Comprehensive Review for the NCLEX-RN Examination” by Linda Anne Silvestri: 

This book provides a comprehensive and easy-to-understand review of the topics covered in the NCLEX Exam. It includes practice questions and detailed explanations to help you prepare effectively.

2. “Prioritization, Delegation, and Assignment” by Linda A. LaCharity et al.: 

This book focuses on helping you develop critical thinking and decision-making skills required for nursing practice. It presents scenarios and guides you on prioritising and delegating tasks efficiently.

3. “NCLEX-RN Drug Guide: 

300 Medications You Need to Know for the Exam” by Kaplan Nursing: This essential resource offers a concise overview of commonly used medications, their actions, side effects, and nursing considerations. It can assist you in mastering the pharmacology aspect of the exam.

4. “Davis’s Q&A Review for NCLEX-RN” by Kathleen Ohman: 

This book features a vast collection of NCLEX-style questions and explanations in an easy-to-follow format. It helps you practise answering different questions and enhances your test-taking skills.

5. “Lippincott Q&A Review for NCLEX-RN” by Desiree Hensel: 

This comprehensive question-and-answer book provides detailed rationales for correct and incorrect answers. It covers many nursing topics to help you reinforce your understanding of key concepts.

Test Centres in India for NCLEX Nursing Exam in Canada

There are a few test centres in India where you can take the NCLEX Exam. These centres are authorised by the National Council of State Boards of Nursing (NCSBN) to conduct the test. Some of the test centres in India include:

1. Ahmedabad

2. Bengaluru

3. Chandigarh

4. Chennai

5. Delhi

6. Hyderabad

7. Kolkata

8. Mumbai

These test centres provide a comfortable and secure environment for the exam. They have all the necessary facilities and equipment to conduct the test smoothly.

Wrapping Up

The NCLEX Exam is a challenging yet crucial step in becoming a registered nurse. By successfully passing this exam, you will demonstrate your competence and readiness to provide safe and effective care to patients. 

It is essential to approach this exam with thorough preparation and a positive mindset, understanding that it may require extensive studying and practice. Use study resources such as textbooks, online practice exams, and review courses to enhance your knowledge and test-taking skills. 

Additionally, engaging in active learning strategies, such as creating flashcards or participating in study groups, can be beneficial in retaining and applying the information. Ultimately, remember that each individual’s experience with the NCLEX Exam may differ, and it is essential to remain focused, determined, and confident throughout the process. 

Lastly, always believe in yourself and your capabilities, as success is often realised through persistence and dedication. A famous nurse once said, “The most important thing for a nurse is feeling compassion for others.” So, put your heart into your studies and strive to make a difference in your future nursing career.

Frequently Asked Questions

  • Q. How long does preparing for the NCLEX Exam in Canada take?

    A. The NCLEX Exam preparation duration varies depending on individual learning abilities. On average, it takes around 2-3 months to prepare for the exam adequately. However, giving yourself enough time to thoroughly study all the required topics is essential. Set a schedule, create a study plan, and allocate sufficient time each day to cover the material. Consistency and discipline will play a significant role in your preparation.

  • Q. Are there any age restrictions for taking the NCLEX Exam in Canada?

    A. No, there are no age restrictions for Canada’s NCLEX Exam. You can take the exam regardless of age if you meet the educational requirements and have completed the necessary nursing program. Keep in mind that some provinces may have specific criteria related to age for licensing after passing the exam, so it is advisable to research the regulations of your intended region.

  • Q. Can I retake the NCLEX Exam if I fail in Canada?

    A. you can retake the NCLEX Exam if you fail in Canada. However, steps must be taken before you can retake it. Firstly, you must review your performance report to identify areas of weakness. Then, dedicate more time to studying those specific topics. After a mandatory waiting period, usually 45-90 days, you can reapply for the exam and schedule a new test date. It’s important not to get discouraged by failure, as many candidates retake the exam and pass with improved preparation.

  • Q. Can I work as a nurse in Canada without passing the NCLEX Exam?

    A. In Canada, passing the NCLEX Exam is mandatory for becoming a registered nurse and obtaining a licence to practise. You cannot legally work as a nurse in the country without passing the exam. The NCLEX Exam evaluates your competency and knowledge in nursing, ensuring that you meet the required standards to provide safe and effective patient care. Therefore, it is crucial to dedicate sufficient time and effort to prepare for and pass the exam.

  • Q. Do I need to graduate from a Canadian nursing program to take the NCLEX Exam in Canada?

    A. No, you do not need to graduate from a Canadian nursing program to take the NCLEX Exam in Canada. The National Council of State Boards of Nursing (NCSBN) administers the NCLEX Exam and is recognised internationally. If you have completed a nursing education program that meets the NCSBN’s eligibility requirements, you can take the exam in Canada. It is essential to ensure that your nursing program is approved by the nursing regulatory body of the province where you plan to work.

  • Q. What are the passing scores for the NCLEX exam in Canada?

    A. The NCLEX exam does not have a specific passing score. Instead, it uses a computer-adaptive test (CAT) format that adjusts the difficulty level of questions based on your performance. The exam determines whether you can consistently answer questions correctly at or above the passing standard. Therefore, it’s essential to focus on understanding the content thoroughly rather than a particular passing score. The number of questions you answer correctly within the allotted time affects your final result.

  • Q. Can I transfer my NCLEX results from another country to Canada?

    A. Yes, you may be able to transfer your NCLEX results from another country to Canada, depending on the requirements of the nursing regulatory body in the province where you plan to practise. Each region has its specific process and criteria for accepting NCLEX results from international candidates. You need to contact the regulatory body of your intended province and inquire about their policies regarding transferring NCLEX results.

  • Q. Are there any age-related accommodations available for the NCLEX exam in Canada?

    A. Yes, accommodations can be provided for candidates with documented disabilities or medical conditions, regardless of age. The regulatory body responsible for the NCLEX exam in your province will have specific guidelines and procedures to request accommodations. You must submit relevant documents, such as medical reports, to support your request. Communicating and applying for accommodations well before your desired exam date is essential.

  • Q. Do I need to be bilingual to take the NCLEX exam in Canada?

    A. No, being bilingual is not required for Canada’s NCLEX exam. The exam is offered in English and French, and you can choose the language in which you are most comfortable. However, understanding medical terminology and nursing concepts in your desired language is crucial. Proficiency in both languages may provide you with better job opportunities or the ability to work in bilingual regions.

  • Q. Can I use a calculator during the NCLEX exam in Canada?

    A. No, you are not allowed to use a calculator during the NCLEX exam in Canada. The exam assesses your critical thinking skills and ability to make patient care decisions without relying on external aids. You must perform calculations manually or use estimation techniques if mathematical calculations are required. Practising mental measures and becoming comfortable with basic arithmetic is advisable to ensure you can answer questions accurately and efficiently.

  • Q. Is there a limit to how many times I can take the NCLEX exam in Canada?

    A. There is no specific limit on how many times you can take the NCLEX exam in Canada. However, it is crucial to note that the nursing regulatory body may set certain limitations in your province. Some provinces may impose additional requirements or waiting periods for candidates who have failed the exam multiple times. It’s essential to check the policies of your intended region to understand any potential restrictions or additional steps you may need to take.

  • Q. Are any specific study materials recommended for the NCLEX exam in Canada?

    A. Various study materials are available to prepare for the NCLEX exam in Canada. Some popular options include review books, online resources, practice questions, and review courses. Choosing study materials that align with your learning style and preferences is beneficial. Many candidates find it helpful to use a combination of different resources for comprehensive preparation. Additionally, it can be helpful to participate in study groups or seek guidance from experienced nurses or mentors who have successfully passed the exam.


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Saket Kohli

An International Higher Ed professional with 7+ years of experience studying, working, and living across three geographies, currently on a mission to share his journey as an International Student.

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