
NCLEX-RN Preparation Course
An 8-week, 48-hour NCLEX-RN exam-readiness course built on the official 2026 NCSBN Test Plan: content mastery, clinical judgment, question practice and exam strategy, plus full licensure processing guidance.
Duration
8 Weeks (48 Hours)
Level
NCLEX-RN Exam Readiness Course
Modules
8 Modules
Certification
International
OVERVIEW
EXAM PATTERN
Test Plan
2026 NCLEX-RN Test Plan (NCSBN), effective April 1, 2026 – March 31, 2029
Exam Format
Computerized Adaptive Testing (CAT), including Next Generation NCLEX (NGN) clinical judgment items
Number of Questions
85 to 150 adaptive items
Time Limit
5 hours maximum
Clinical Judgment
18 case-study items in three 6-item case sets, plus around 10% stand-alone clinical judgment items
Question Types
Multiple choice and multiple response, plus NGN formats: extended multiple response, matrix/grid, cloze, drag-and-drop and bow-tie
Test Plan Weighting
Management of Care 15–21% · Safety & Infection Prevention and Control 10–16% · Health Promotion and Maintenance 6–12% · Psychosocial Integrity 6–12% · Basic Care and Comfort 6–12% · Pharmacological and Parenteral Therapies 13–19% · Reduction of Risk Potential 9–15% · Physiological Adaptation 11–17%
Result
Pass or fail against the NCSBN passing standard; no percentage or band score is reported
Test Centre
There is no NCLEX test centre in Nepal. Candidates sit the exam at a Pearson VUE international centre, most commonly in India, and we assist with booking and travel logistics.
Retake Policy
A 45-day wait between attempts, with up to eight attempts permitted in a 12-month period
CURRICULUM
Week 1
Orientation · Management of Care · Safety & Infection Control
Apply the Client Needs framework, the Clinical Judgment Measurement Model and delegation and legal principles to safe practice scenarios.
- MonClass 1
NCLEX Orientation + Clinical Judgment Framework
FoundationalExam structure, Client Needs framework, the six NCJMM steps, nursing process and a sample item walkthrough.
- TueClass 2
Management of Care I
Management of CareDelegation, assignment and supervision (RN–LPN/VN–UAP), rights of delegation, prioritization by acuity and scope of practice.
- WedClass 3
Management of Care II
Management of CareInformed consent, advance directives, client rights, confidentiality and HIPAA, ethical and legal principles, and documentation.
- Clinical Judgment Case
- Four-client prioritization case
- Weekly Assessment
- Baseline diagnostic (20 questions) on Management of Care and Safety
Week 2
Safety & Infection Prevention · Begin Health Promotion
Select the correct precautions and PPE, identify safety risks, and apply lifespan health-promotion principles.
- MonClass 4
Safety and Infection Prevention I
Safety & Infection PreventionStandard and transmission-based precautions, PPE, hand hygiene, sterile technique and isolation, including TB, MRSA, C. diff and sepsis precursors.
- TueClass 5
Safety and Infection Prevention II
Safety & Infection PreventionFall and injury prevention, restraints, equipment safety, error reporting, and disaster and emergency response.
- WedClass 6
Health Promotion and Maintenance I
Health PromotionGrowth and development across the lifespan, developmental milestones, screening and health teaching principles.
- Clinical Judgment Case
- Older adult with pneumonia, confusion and weakness
- Weekly Assessment
- Safety and infection-control focused assessment
Week 3
Health Promotion · Psychosocial Integrity
Apply maternal-newborn care principles and therapeutic communication and psychosocial safety.
- MonClass 7
Health Promotion and Maintenance II
Health PromotionAntepartum, intrapartum, postpartum and newborn care (including APGAR, thermoregulation and jaundice), and care across the pediatric to older-adult lifespan.
- TueClass 8
Psychosocial Integrity I
Psychosocial IntegrityTherapeutic communication, coping mechanisms, crisis intervention, grief and loss, and abuse and neglect assessment.
- WedClass 9
Psychosocial Integrity II
Psychosocial IntegritySubstance use disorders, acute and chronic mental illness (depression, bipolar disorder, schizophrenia, anxiety, eating disorders), and cultural and spiritual care.
- Clinical Judgment Case
- Client expressing hopelessness: suicide risk assessment
- Weekly Assessment
- Maternal-newborn and psychosocial assessment
Week 4
Basic Care and Comfort · Begin Pharmacology
Apply basic-care principles and medication-safety foundations before the drug-class deep dives.
- MonClass 10
Basic Care and Comfort I
Basic Care and ComfortADLs, mobility and immobility complications, skin integrity, pressure injuries and non-pharmacological comfort.
- TueClass 11
Basic Care and Comfort II
Basic Care and ComfortNutrition and hydration, tube feeding, bowel and bladder elimination, rest and sleep, and postmortem care.
- WedClass 12
Pharmacology Foundations
PharmacologyRights of medication administration, pharmacokinetics basics, dosage calculation and high-alert medications.
- Clinical Judgment Case
- High-alert medication error-prevention case
- Weekly Assessment
- Basic care and medication-safety foundations assessment
Week 5
Pharmacology, Continued
Apply pharmacologic reasoning across cardiovascular, endocrine, CNS and infection-control medications.
- MonClass 13
Cardiovascular & Hematologic Medications
PharmacologyAntihypertensives (ACE inhibitors, ARBs, beta blockers, calcium channel blockers), diuretics, digoxin, anticoagulants and antiplatelets, thrombolytics and statins.
- TueClass 14
Endocrine & CNS Medications
PharmacologyInsulin and oral antidiabetics, corticosteroids, thyroid medications, antidepressants and antipsychotics, benzodiazepines, opioids and anticonvulsants.
- WedClass 15
Antimicrobials, IV/Parenteral Therapy, Blood Products
PharmacologyAntibiotic, antiviral, antifungal and TB drug classes, IV therapy and site care, central line care, blood products and TPN.
- Clinical Judgment Case
- Insulin-related hypoglycemia case
- Weekly Assessment
- Pharmacology assessment and dosage calculation check
Week 6
Reduction of Risk Potential
Interpret labs and diagnostics, and apply risk-reduction principles in pre- and post-procedure care.
- MonClass 16
Reduction of Risk Potential I
Reduction of Risk PotentialVital sign trends, diagnostic test preparation and follow-up, lab value interpretation and focused assessment.
- TueClass 17
Reduction of Risk Potential II
Reduction of Risk PotentialPre- and post-procedure care, NG, urinary and IV line insertion and maintenance, and moderate sedation monitoring.
- WedClass 18
Reduction of Risk Potential III
Reduction of Risk PotentialRecognizing post-operative and post-procedure complications, devices that promote venous return, and specimen collection.
- Clinical Judgment Case
- Complex lab and diagnostic-trend interpretation case
- Weekly Assessment
- 40-question mixed risk-reduction and lab-interpretation assessment
Week 7
Physiological Adaptation
Recognize and prioritize deterioration across cardiac, neurological, endocrine, renal and multisystem emergencies.
- MonClass 19
Physiological Adaptation I: Cardiac & Respiratory
Physiological AdaptationMI/ACS, heart failure, dysrhythmias and cardiogenic shock; asthma, COPD, pneumonia, PE, ARDS, and ventilator and oxygen therapy.
- TueClass 20
Physiological Adaptation II: Neuro, Endocrine, Renal
Physiological AdaptationStroke and TIA, increased ICP and seizures; DKA/HHS and thyroid and adrenal emergencies; AKI/CKD, dialysis/CRRT, and fluid and electrolyte imbalances.
- WedClass 21
Physiological Adaptation III: GI, Emergency & Multisystem
Physiological AdaptationGI bleed, bowel obstruction, pancreatitis and hepatitis, and ostomy care; sepsis, burns and wounds, oncologic emergencies, and pediatric emergencies.
- Clinical Judgment Case
- Unfolding deterioration case with changing vitals and labs
- Weekly Assessment
- 50-question comprehensive physiological-adaptation assessment
Week 8
Clinical Judgment Integration and Final Review
Integrate every Client Needs category and demonstrate readiness under timed, mixed-format conditions.
- MonClass 22
NGN Case Study Practice
IntegrationThe official NGN item types (extended multiple response, matrix/grid, cloze, drag-and-drop and bow-tie) in full 6-item clinical judgment case sets.
- TueClass 23
Cross-Category Integrated Cases
IntegrationMulti-client prioritization, and scenarios that combine delegation, safety and pharmacology, deliberately mixed across body systems as the real exam is.
- WedClass 24
Final Simulation + Test-Taking Strategy
IntegrationA full mixed-category practice set, adaptive-testing strategy and a readiness debrief.
- Clinical Judgment Case
- Full NGN case-study simulation under timed conditions
- Weekly Assessment
- Final readiness assessment and individualized remediation plan
WHY STUDY WITH US
International faculty, rigorous assessment and career support that continues after you pass.
Australian & International Faculty
NCLEX classes delivered and supervised by Australian and international nursing experts with more than 15 years of experience.
Frequent Tests & Assessments
Regular tests and assessments handled by internationally recognised specialists from Australia, so you always know exactly where you stand.
Advanced Smart Classrooms
Smart-class technology designed for effective teaching and measurable learning outcomes.
Australian Standard Aged Care Training
Aged care training aligned to Australian standards, included with your NCLEX course at no extra cost.
1-Day Intensive Interview Preparation
An international-level, full-day intensive interview preparation class led by one of Australia's top experts, included at no extra cost.
Worldwide Recruiter Connections
Connections with multiple recruiters around the world, offered free of charge to successful graduates.
Complete Migration Guidance
End-to-end migration guidelines for every country your NCLEX opens up — the USA, Canada, Australia and beyond.
WHO THIS COURSE IS FOR
Internationally educated nurses (IENs)
Built for nurses educated outside the United States, with orientation to US-style NCLEX terminology, scope-of-practice and delegation language, documentation norms, medication naming and safety culture.
BSN-qualified nurses ready for exam readiness
The course assumes a nursing degree and focuses on converting what you already know into NCLEX performance, not on reteaching nursing school.
Nurses targeting the USA, Canada or Australia
The NCLEX-RN administered through Ahpra for Australia is the same NCSBN exam, with the same content, as in the US and Canada, so one course prepares you for all three pathways.
US RN LICENSURE PATHWAY
- 0101
Counselling & Eligibility Check
Week 1We review your nursing qualification, Nepal Nursing Council licence and academic records, confirm you meet the requirements, and help you choose the State Board of Nursing best suited to your profile.
- 0202
Document Collection & Verification
Weeks 1–4Gather and verify your passport, nursing licence, transcripts and character certificates from your nursing college, SEE and +2 institutions. Accuracy here prevents months of delay later.
- 0303
Credential Evaluation (CGFNS / TruMerit)
3–6 monthsApply for the credential evaluation your chosen state requires — typically a Credentials Evaluation Service report or the CGFNS Certification Program. Your nursing school and the Nepal Nursing Council verify your records directly with CGFNS.
- 0404
State Board of Nursing Application
1–2 monthsApply for licensure by examination to your chosen State Board. Requirements and fees differ by state, and some states ask for an English test at this stage rather than later.
- 0505
Pearson VUE Registration & ATT
2–6 weeksRegister with Pearson VUE and pay the NCSBN examination fee. Once the board confirms your eligibility, you receive your Authorization to Test (ATT) — the document that lets you book a seat.
- 0606
Sit the NCLEX-RN
Within your ATT validityBook and sit the exam at an international Pearson VUE test centre. There is no centre in Nepal, so candidates normally travel to India. We help with scheduling, travel documents and pre-exam preparation.
- 0707
English Proficiency Test
Alongside or after NCLEXTake IELTS, OET, TOEFL or PTE. For a US occupational visa the usual benchmark is IELTS Academic overall 6.5 with 7.0 in Speaking. Opal runs dedicated IELTS and OET courses for nurses alongside this one.
- 0808
VisaScreen, Employer Sponsorship & Relocation
Varies by visa bulletinWith your RN licence and English score, apply for the CGFNS VisaScreen certificate, interview with sponsoring US healthcare employers, and proceed to the EB-3 immigrant visa. Priority-date retrogression makes this the longest stage — which is exactly why starting early matters.
Timelines are indicative. Licensure, examination and visa decisions rest with the relevant authorities, and their requirements and processing times change — our counsellors keep you updated at every stage.
CAREER OPPORTUNITIES
Australia
79,000+
Nurses needed to close Australia's projected shortfall by 2035
Canada
117,600
Projected shortage of nurses in Canada by 2030
United States
180,800
Registered nurse job openings in the USA every year to 2035
Sources: Australian Government Department of Health and Aged Care, Nursing Supply and Demand Study 2023–2035 · Scheffler & Arnold, Human Resources for Health (2018) · U.S. Bureau of Labor Statistics, Occupational Outlook Handbook (2025–2035)
In the United States
Registered Nurse in acute-care hospitals — Medical-Surgical, Telemetry, ICU, ER and speciality units
Skilled nursing facilities, long-term care and rehabilitation centres
Home health and community health agencies
Sponsored EB-3 placements with relocation and licensing support from US employers
Other NCLEX-Recognised Destinations
Canada — NCLEX-RN is the RN entry-to-practice exam across all provinces and territories
Australia — NCLEX-RN satisfies the cognitive component of the NMBA Outcomes-Based Assessment, followed by an OSCE (Bachelor-qualified nurses)
A US RN licence is widely recognised by employers across the Gulf and Southeast Asia
CERTIFICATION
NCLEX-RN Preparation Course completion certificate from Opal Global Skills Academy
Registered Nurse (RN) licence issued by your chosen US State Board of Nursing on passing the NCLEX-RN
DOCUMENTS REQUIRED
Valid Nepali passport (begin the application immediately if you do not hold one)
Nepal Nursing Council registration certificate and licence, with exam and issue dates
Nursing transcript, mark sheets and character certificate (PCL / BSc / BN / MN)
SEE (SLC) and +2 transcripts and character certificates
Recent passport-size photographs
Marriage certificate, if your name differs across documents
Employment verification or experience letter from your hospital, if applicable
You do not need any of these to start classes — our counsellors guide you through collecting and verifying each document once you enrol.

