If you're considering a career in nursing, becoming a Licensed Vocational Nurse (LVN) could be your first step into the field. It's a great option for individuals who want to start working sooner while laying the foundation for long-term growth—especially if your goal is to eventually become a Registered Nurse (RN).
But before you can start practicing as an LVN, there's a crucial exam you'll need to pass: the NCLEX-PN.
What Is an LVN?
An LVN, Licensed Vocational Nurse, is a licensed healthcare professional who provides basic nursing care under the supervision of doctors and Registered Nurses. The title "LVN" is primarily used in California and Texas, while other states use the term Licensed Practical Nurse (LPN). While the title differs by state, LVNs and LPNs perform the same role with equivalent training and responsibilities.
In California, licensure and regulation for LVNs fall under the Board of Vocational Nursing and Psychiatric Technicians (BVNPT), which ensures that all practicing LVNs meet state standards for safe and effective care.
If you're ready to take that first step toward nursing, enrolling in an LVN program can help prepare you with the hands-on training and clinical experience needed to pursue licensure.
Do LVNs Take the NCLEX?
Yes. To practice as an LVN, you must pass the NCLEX-PN, a requirement enforced in every U.S. state. For students in California, this includes meeting the requirements set forth by the BVNPT before being eligible to take the exam.
The NCLEX-PN verifies that you possess the knowledge and clinical judgment needed to provide safe and effective care as a vocational nurse.
NCLEX-PN vs. NCLEX-RN: What's the Difference?
|
Feature |
NCLEX-PN (LVN/LPN) |
NCLEX-RN (RN) |
|
Target Audience |
Practical/Vocational Nurses |
Registered Nurses |
|
Education Required |
Certificate/Diploma in Vocational Nursing |
ADN or BSN Degree |
|
Exam Focus |
Basic nursing care, coordination, data collection |
Advanced care, assessment, management |
|
Number of Questions |
85–150 (adaptive) |
85–150 (adaptive) |
|
Time Limit |
5 hours |
5 hours |
While both exams assess nursing readiness, the NCLEX-RN dives deeper into critical thinking, complex assessments, and management-level responsibilities.
Eligibility Requirements for LVNs to Take the NCLEX-PN
To sit for the NCLEX-PN, you must:
- Graduate from a state-approved LVN program
- Apply for licensure through your state's board of nursing (in California, that's the BVNPT)
- Submit required documentation such as transcripts, photo ID, and proof of program completion
- Complete fingerprinting and a background check (varies by state)
- Pay any necessary application and testing fees
Once approved, your eligibility is confirmed, and you'll receive an Authorization to Test (ATT).
Application and Registration Process
Here's how to register:
- Apply to the state board of nursing (e.g., BVNPT in California) for licensure eligibility.
- Register with Pearson VUE, the official NCLEX testing provider, and pay the exam fee.
- Receive your Authorization to Test (ATT).
- Schedule your exam at a designated testing center.
- Sit for the NCLEX-PN within your ATT's validity period.
To track your licensure status or verify credentials, most boards—including BVNPT—participate in Nursys, the national online database for nurse licensure and disciplinary action. It's a helpful tool for employers and nurses alike to manage multi-state applications or transfers.
What to Expect on the Exam
The NCLEX-PN is a computer-adaptive test (CAT), meaning the difficulty of questions adapts based on your answers. You'll answer between 85 and 150 questions, with up to five hours to complete the test.
The exam covers four main areas:
- Safe and Effective Care Environment
- Coordinated Care
- Safety and Infection Control
- Health Promotion and Maintenance
- Psychosocial Integrity
- Physiological Integrity
- Basic Care and Comfort
- Pharmacological Therapies
- Reduction of Risk Potential
- Physiological Adaptation
You'll encounter a mix of question types including multiple choice, fill-in-the-blank, drag-and-drop, and ordered response formats.
Preparation Tips for the NCLEX-PN
- Complete your LVN program coursework and clinical hours
- Study using official NCLEX-PN review guides and practice tests
- Review the NCSBN test plan, which outlines the content areas and structure of the exam
- Take part in structured review courses and utilize online study tools
- Practice time management and test-taking strategies
At American Career College, our LVN program is designed to help you build the knowledge and confidence you need to prepare for success on the NCLEX-PN.
What Happens After You Pass?
If you pass the NCLEX-PN:
- Your official results will be sent by your state board of nursing—not Pearson VUE
- You'll receive your LVN license, often viewable via Nursys in participating states
- You'll be eligible to begin work as a licensed vocational nurse
Check with your state board, like the BVNPT, for details on license renewal, continuing education, and maintaining your active status.
Special Considerations
- Out-of-state nurses: If you're an LPN relocating to California or Texas, you'll need to go through an endorsement process with the appropriate state board (e.g., BVNPT).
- International graduates: Additional requirements may include credential evaluation, proof of English proficiency, and education equivalency
- Nurse Licensure Compact (NLC): While this compact allows RNs to practice across multiple states, LVNs/LPNs are not eligible in all states. Check with Nursys or your board of nursing to see if your state participates and what that means for your license.
Frequently Asked Questions
Can I take the NCLEX-PN without completing a nursing program?
No. All candidates must graduate from an approved practical/vocational nursing program.
How many times can I take the NCLEX-PN?
This varies by state. Most allow multiple attempts, often requiring a waiting period or remediation.
What is the passing score for the NCLEX-PN?
There is no set numerical score. The computer-adaptive model determines if you've demonstrated enough ability to meet the passing standard.
What if I don't pass?
You can retake the exam. You would need to re-apply, pay and wait 45 days to re-take. ACC pays for first attempt not subsequent attempts.
Final Thoughts
The journey to becoming an LVN starts with the right education—and passing the NCLEX-PN is a major milestone. Whether you're just starting out or exploring your options, American Career College offers an LVN program that can help you develop the skills, experience, and support to succeed in today's healthcare environment.
At American Career College, we understand that students have different schedules and commitments. That's why our LVN program offers flexible scheduling options including evening and weekend classes to fit your lifestyle. With our efficient program length and three convenient campus locations, you can pursue your nursing career without putting your life on hold. Our experienced faculty and comprehensive curriculum are designed to prepare you not just for the NCLEX-PN, but for a successful career in healthcare.
Take the first step toward a rewarding nursing career—start your journey today.
