Ready to practice nursing in the US? Your first hurdle is getting that ATT document before you can even book the NCLEX exam. Here’s exactly what you need to know as a nurse from Nigeria, Ghana, or anywhere in Africa.
Getting your Authorization to Test (ATT) can be confusing—especially when you’re applying from Africa. We’ve broken down the entire process, common challenges faced by African nurses, and solutions to help you secure your ATT faster.
No more conflicting advice. No more unnecessary delays. Just clear steps to get your nursing career in America moving forward.
What is the NCLEX Authorization to Test (ATT)?
The ATT is essentially your “ticket” to schedule the NCLEX exam. Without it, Pearson VUE won’t let you book a test date. Think of it as your official permission slip from the US nursing authorities.
This critical document:
- Contains your authorization number and validity dates
- Usually expires after 90 days
- Cannot be extended once issued
- Must be obtained before you can schedule your NCLEX
Quick Fact: Many African nurses make the mistake of thinking registration with Pearson VUE alone will get them an ATT. It won’t! You need approval from a US State Board of Nursing first.
The Complete ATT Application Process for African Nurses
The Essential 4-Step Sequence
Getting your ATT involves multiple organizations and careful timing. Follow these steps in order:
- Complete an Accredited Nursing Program Ensure your Nigerian, Ghanaian or other African nursing qualification meets US standards.
- Apply to a US State Board of Nursing (BON) Submit required documents, fees, and meet their specific requirements.
- Register with Pearson VUE for the NCLEX Create an account and pay the exam fee (approximately $200 USD).
- Await Eligibility Confirmation Once your BON approves you, Pearson VUE will email your ATT.
Important: You MUST complete BOTH the BON application AND Pearson VUE registration. Many African nurses miss one of these steps and wonder why their ATT never arrives.
Which US State Should You Apply To?
Choosing the right State Board of Nursing is crucial for African nurses. Different states have vastly different requirements, fees, and processing times.
Some states are notoriously difficult for international nurses (looking at you, California!), while others have more straightforward processes.
Tips for choosing your state:
- Some states don’t require a Social Security Number for initial licensure
- Processing times vary dramatically (4 weeks to 6+ months)
- Credential evaluation requirements differ
- Some states have special pathways for internationally-educated nurses
For example, nurses from Nigeria might find states like Texas, Florida, or Vermont more accessible due to clearer international requirements.
Essential Documents Checklist for Your ATT Application
Gather these documents early to avoid delays:
✅ Official nursing transcripts (sealed, sent directly from your school)
✅ Nursing qualification/diploma (with English translation if needed)
✅ Credential evaluation report (often from CGFNS or similar)
✅ Criminal background check (fingerprinting required)
✅ Valid international passport
✅ Proof of English proficiency (may be required; TOEFL/IELTS)
✅ Current nursing license from your home country
✅ Completed BON application forms
✅ Application fees (both BON and Pearson VUE)
Pro Tip: Make multiple copies of everything. Nigerian postal services can be unreliable, so consider using courier services for important documents.
Troubleshooting Your ATT: Overcome Common Challenges
How to Check Your NCLEX ATT Status
Waiting for your ATT can be nerve-wracking. Here’s how to stay informed:
- Check your State BON’s online portal Log in regularly to track your application status.
- Monitor your Pearson VUE account Once your BON approves you, Pearson VUE will update your status.
- Check your email regularly Your ATT will arrive via email from Pearson VUE.
Abeg, no dey panic: Processing times for international nurses can take months. Patience is key, but follow up if things seem stalled.
Common ATT Delays & Solutions for African Nurses
| Problem | Solution |
|---|---|
| Missing documents | Double-check that all required documents were received |
| Name discrepancies | Ensure your name matches exactly on all documents |
| Credential evaluation delays | Follow up with CGFNS or other evaluation services |
| Background check issues | International fingerprints can be tricky—follow instructions precisely |
| Communication gaps | Email both your BON and Pearson VUE if there’s confusion |
Background checks often cause the biggest delays for African nurses. Some states require US-based fingerprinting, which is challenging if you’re still in Nigeria or Ghana.
What Happens If Your ATT Expires?
Your ATT is typically valid for just 90 days. If it expires before you take the NCLEX:
- You cannot take the exam
- You must re-register with Pearson VUE
- You must pay the exam fee again ($200 USD)
- Your BON may require additional steps
Wahala dey o! ATT extensions are almost never granted, so schedule your exam as soon as you receive your ATT.
ATT Costs for African Nurses
Budget carefully for these expenses (all approximate):
- Pearson VUE NCLEX Registration: $200 USD
- State BON Application Fee: $100-$300 USD
- Credential Evaluation (CGFNS/ERES): $350-$500 USD
- Background Check/Fingerprinting: $50-$100 USD
- Document Shipping/Processing: $50-$150 USD
- English Proficiency Tests: $150-$250 USD (if required)
Total cost: $800-$1,300 USD or ₦600,000-₦1,000,000 (Nigerian Naira)
This is a significant investment. Consider saving up before beginning the process.
State-Specific ATT Requirements for Popular States
Let’s look at requirements for states that many African nurses apply to:
Texas Board of Nursing
- Processing Time: 4-8 weeks
- Credential Evaluation: CGFNS CES Report
- SSN Requirement: Not required initially
- Key Advantage: Clearer pathway for international nurses
New York Board of Nursing
- Processing Time: 8-12+ weeks
- Credential Evaluation: CGFNS CES or NY-specific reports
- SSN Requirement: Not required initially
- Key Challenge: Very specific documentation requirements
Illinois Board of Nursing
- Processing Time: 6-10 weeks
- Credential Evaluation: CGFNS CES Report
- SSN Requirement: Not required initially
- Key Advantage: Generally responsive to international applicants
Heads up! Requirements change frequently. Always check your specific BON’s website for the most current information.
Expert FAQs: Your ATT Questions Answered
How long does it take to get an NCLEX ATT?
The timeline varies significantly. For African nurses, expect:
- Credential evaluation: 3-6 months
- BON processing: 1-3 months
- Total process: 4-9+ months
Can I extend my NCLEX ATT?
No. ATTs cannot be extended. If yours expires, you must re-register with Pearson VUE and pay the exam fee again.
Do I need a background check for NCLEX ATT?
Yes. Almost all US State Boards of Nursing require criminal background checks, typically including fingerprinting. International nurses must follow specific procedures.
How much does the NCLEX ATT cost?
The Pearson VUE registration fee is $200 USD. However, when you include BON fees, credential evaluation, background checks, and document processing, the total cost can reach $800-$1,300 USD.
Can I apply to multiple State Boards at once?
Yes, but it’s not usually recommended. Each application requires separate fees and often duplicate documentation. Choose one state to focus on initially.
What happens if my documents are in a language other than English?
All documents must be translated into English by certified translators. The original document and certified translation must both be submitted.
How do I handle fingerprinting requirements from Africa?
This varies by state. Some accept fingerprints taken by local police departments, while others require using specific FBI-approved channelers. Follow your BON’s instructions precisely.
Which credential evaluation service should I use?
Most BONs accept reports from:
- Commission on Graduates of Foreign Nursing Schools (CGFNS)
- Educational Records Evaluation Service (ERES)
- International Education Research Foundation (IERF)
Check your specific BON’s requirements, but CGFNS is most widely accepted.
Next Steps: Taking Action
Ready to move forward with your NCLEX ATT application? Here’s what to do next:
- Choose your target US state based on requirements and processing times
- Gather all required documents using our checklist above
- Apply to your chosen BON and submit all materials
- Register with Pearson VUE for the NCLEX exam
- Follow up regularly on your application status
Remember that patience is essential. The ATT process isn’t quick, especially for international nurses, but proper preparation can help avoid unnecessary delays.
Your US Nursing Journey Begins Here
Securing your NCLEX Authorization to Test is a significant milestone on your path to becoming a US-registered nurse. As a nurse from Nigeria, Ghana, or elsewhere in Africa, you’ll face unique challenges—but with proper guidance and preparation, you can overcome them.
Stay organized, follow the process carefully, and don’t hesitate to reach out to your BON with questions. The journey may be complex, but the opportunity to advance your nursing career in the United States makes it worthwhile.
Keep this guide handy as you navigate the ATT process, and remember that thousands of African nurses have successfully completed this journey before you. You can too!