United States checklist for nurses

0 of 6 steps ticked

1. Pick a state and check its board's rules for foreign-educated nurses
2. Get your education evaluated (TruMerit CES or the board's approved agency)
3. Apply to the state board and register for NCLEX with Pearson VUE
4. Receive Authorization to Test, book an international centre, pass NCLEX-RN
5. Pass an approved English test and get the VisaScreen certificate
6. Employer-sponsored immigrant visa, then state licence and work

Language test

• VisaScreen approved tests: IELTS Academic, TOEFL iBT, OET, PTE Academic, Cambridge (B2/C1/C2), MET: Minimum pte academic overall 55, pte academic speaking 63, pte academic other sections 50 (not confirmed today) USCIS and HRSA updated approved providers and passing scores for exams taken after 12 May 2026; the official score chart was not readable today. The PTE figures are from TruMerit's page and may be superseded. At-home tests not accepted.

Licensing exam

• NCLEX-RN (Next Generation NCLEX): Computer adaptive licensure exam; international test centres available