NCLEX Test Accommodations

Who Qualifies for NCLEX Accommodations?

The Diagnostic and Statistical Manual (DSM) may be used to determine who qualifies for NCLEX testing accommodations. For example, the State of Louisiana refers to the DSM-IV-TR when determining eligibility in some cases. Applicants with a legitimate diagnosis may qualify. Individuals who are deaf or have a hearing impairment, for example, can apply for accommodations.

Who Does Not Qualify for Accommodations?

States such as Louisiana follow Americans with Disabilities Act (ADA) guidelines when determining who does and does not qualify for accommodations.

English as a second language applicants are not considered eligible for accommodations.

Accommodations are also not offered to individuals who have test anxiety.

Other conditions that the state of California identifies that do not qualify for accommodations include substance abuse disorders, gambling addiction and sexual behavior disorders.

If in doubt, it is best to apply for accommodations in case your condition qualifies you. You can also refer to your board of nursing/regulatory body for more information about your state's specific accommodation requirements.

Types of Accommodations Offered

Some of the accommodations an individual may receive when taking the NCLEX include:

Extra Test Time Testing in a Separate Room
Screen Magnifier Use of Appropriate Equipment
Aid Separate Room and Sign Language Interpreter
Separate Room and Recorder Separate Room and Reader

How To Apply For Accommodations

Individuals applying for accommodations must do so through their state's board of nursing/regulatory body (BON/RB) to determine what the requirements for accommodations are. Once you have determined that you may be eligible for accommodations you must submit an application in writing.

Procedures may vary by state, but will usually include submitting supporting documentation from the dean or director of their nursing program to demonstrate that accommodations have been granted to the individual when testing. Candidates might also need to release their medical records and have part of their application completed by a qualified professional who treats their condition.

Your application must include all information required by your BON/RB. Your BON/RB typically has a form available; for example, California uses a Request for Accommodation of Disabilities form while Louisiana has a Request for Special Testing Accommodations form.

Registering for the NCLEX With Accommodations Approval

If you have been approved for testing accommodations, you are required to phone Pearson VUE to register for your exam. You cannot register for the exam online if you have been granted accommodations. The Authorization to Test (ATT) email that all individuals registering to take the test receive contains the contact information for Pearson VUE.

Speak to the NCLEX Accommodations Coordinator to schedule your NCLEX test.

NCLEX Test Resources

There are two main NCLEX tests that are used to qualify registered nurses (RNs) and practical nurses (PNs). Study guide resources provided here can be used to study for both NCLEX tests. Using study guide resource materials is one way of making sure that you have reviewed the appropriate materials for your NCLEX test.

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