A young female nurse is helping an elderly male patient walk using a walker in a brightly lit room.  The nurse is supporting the patient from behind, while the patient holds the walker.

The Most Expensive NCLEX Mistake You Can Make (And How to Avoid It!)

July 08, 20253 min read

Passing the NCLEX and finally becoming a US Registered Nurse is a life-changing dream for many nurses worldwide. But before you get that golden RN license, there’s an important — and often tricky — step: applying for the NCLEX correctly.

It’s easy to focus so much on exam prep that you overlook the application process itself. And that’s where nurses make the most expensive mistake of all: choosing the wrong state board of nursing for your application.

Wait, what’s the big deal about choosing a state?

When applying for the NCLEX, you don’t simply apply “to the US.” You apply to a specific state board of nursing, each with its own rules, fees, document requirements, and eligibility criteria.

Some states are considered "friendly" for international nurses, while others have strict or complicated requirements — such as needing a Social Security Number (SSN), requiring specific local exams, or extra credential evaluations.

Why is choosing the wrong state so expensive?

Here’s why picking the wrong state can cost you big time:

Multiple credentialing fees

If a state requires extra evaluation (like a CGFNS certificate or CES report), you’ll pay hundreds — or even over $1,000 — for these services.

Choose the wrong state? You might end up repeating or redoing these costly reports for another state later.

Lost time = lost salary

A complicated state application can delay your eligibility for months or even years.

Every month you’re stuck waiting is a month you’re not working in the US, potentially losing out on $3,500–$6,000 in RN salary.

Extra exam or documentation costs

Some states require additional local exams, English proficiency tests, or extra notarized documents.

Besides fees, you’ll spend money on test preparation, travel, and rescheduling costs if anything goes wrong.

Starting over completely

In the worst cases, nurses discover too late that they cannot proceed in their chosen state (for example, they cannot provide an SSN or meet local clinical requirements).

Result? You must start over in a new state — meaning new fees, new waiting periods, and re-submission of all documents.

A real-world example

Imagine applying to California, known for its strict requirements. Many international nurses only find out later that they require a local SSN to receive the final license — a major barrier for nurses still abroad.

After months (or years) and thousands of dollars in fees, they realize they have no choice but to transfer to another state board and redo most of the process.

This "mistake" can easily cost $3,000–$5,000 or more in total — far more than the original application fee.

How to avoid this expensive pitfall

  • Research state requirements carefully. Every state has its own licensing criteria.

  • Consider your long-term goals. Where do you want to live and work? Some states allow easier license endorsement later.

  • Get expert guidance. Partnering with the #1 licensing expert, global leader in NCLEX and medical licensing like NEAC ensures you pick the best state for your situation from the start — no hidden traps, no wasted money, and no avoidable delays.

 Our advice: Invest wisely in your future

The NCLEX is not just an exam — it’s your gateway to a better life and a global nursing career.

Choosing the wrong state board is the most expensive mistake nurses make — one that can delay your dream and drain your savings.

Be smart. Plan ahead. Seek guidance. And protect your investment in yourself.


Need help choosing the right state and starting your NCLEX journey the smart way?
Visit  www.medexamcenter.com — and turn your international nursing dream into a reality without costly detours.

Back to Blog

© 2025 NCLEXProcessing.com. All rights reserved.
Specializing in NCLEX® application support for international nurses. Reproduction or distribution without permission is prohibited.