1. International Testing Catherine R. Davis, PhD, RN Director of Global Research and Test Administration

2. International NCLEX Testing To remove potential barriers to nurse licensure To facilitate global self-determination in nurse employment To establish an international presence To establish strategic international relationships

3. International Test Site Selection Criteria Security Regional Representation Similarity to U.S. Education Proximity to U.S. Military Personnel and Dependents Business Climate Intellectual Property and Copyright Laws Record of Success in High Stakes Testing

4. NCLEX-RN Examination Computer Adaptive Test Made Eligible by State Board of Nursing Minimum 75 Questions – Maximum 265 Two Tiered Fee –International sitting fee - $150.00 –Test fee - $200.00

5. 2005 International NCLEX-RN Test Centers Hong Kong, China Seoul, Korea London, England

6. NCLEX International Test Sites

7. CGFNS International Test Sites

8. January-March 2005 Candidate Volume & Pass Rates (NCLEX) Exams TakenExams PassedPass Rate Test Center1 st TimeAll1 st TimeAll1 st TimeAll Hong Kong31035120722866.8%65.0% Seoul21026415519673.8%74.2% London122165718858.2%53.3% All International Centers 64278043351267.5%65.6% All Domestic Centers 23,63631,46219,59322,63382.9%71.9%

9. NCLEX-RN Jurisdictions JurisdictionNumber of Candidates % of Total Candidates New York (NYVS) California RN (None) New Mexico (CP or CES) Vermont (CP) Northern Mariana Islands Pennsylvania (CP, CES) Illinois (CES) Georgia-RN (CP or CES) Texas (CES) Maryland (CES) 280 197 89 61 28 21 13 12 11 35.9 25.3 11.4 7.8 3.6 2.7 1.7 1.5 1.4

10. Test Center Candidate Volume by Country of Education for International Centers (NCLEX-RN) TEST CENTER Hong KongSeoulLondon RankCountry# # # 1234512345 Philippines India Thailand Taiwan China 293 28 9 8 4 Korea -- 264 -- - -- Philippines UK India Nigeria South Africa 89 26 17 5 All Others9023 Total351264165

11. CGFNS March 2005 Examination Top Five Countries of Education Philippines 4,396 India3,337 Nigeria318 People’s Republic of China126 Kenya94

12. Security – First Quarter International Centers –16 incidents/100 examinations No potential security incidents, such as cheating

13. NCSBN Next Steps Pearson-Vue plans to open 28 international testing centers in 2006 to administer the GMATS examinations. NCSBN plans to open at least two test sites in 2006 –New Delhi, India –Sao Paolo, Brazil

14. Related Issues Minimum Data Set Research on Transition to Practice Additional Time for RN Candidates English Language Proficiency Studies

15. Issues in International Testing Computer versus Pencil and Paper Exam Translation Language Testing –Oral Proficiency Testing –Healthcare Specific Testing