U.S. states that don’t require CGFNS for NCLEX

The high standards set in U.S. healthcare mean that nurses who wish to practise in the United States must meet specific requirements before they can move and work there. While some U.S. states do not require the Commission on Graduates of Foreign Nursing Schools (CGFNS) exam prior to the National Council Licensure Examination (NCLEX), others do. Navigating these requirements can be challenging, but with the right support, the process is easier to navigate.

In this blog, we’ll cover the U.S. states that don’t and do require the CGFNS exam prior to the NCLEX exam. Plus, we explain how Espirita can help you achieve your dream of working as an international nurse in the U.S.

What is the CGFNS exam?

The CGFNS Qualifying Exam® is part of the CGFNS certification programme and is required by some states before nurses take their NCLEX exam to obtain a nursing license. It’s a computer-based exam that consists of 165 multiple choice questions to ensure that nurses are ready to take the NCLEX.

All nurses who apply for licensure in the U.S. must pass the NCLEX exam, so it’s crucial that they’re prepared to take it by completing NCLEX practice questions and familiarising themselves with the exam format. If you’re still unsure about the differences between these two exams, you can read our guide on the difference between the NCLEX and CGFNS exams.

States that do and don’t require nurses to take the CGFNS exam

View all U.S. states that don’t require international nurses to take the CGFNS exam and all the states that do here:

What are other state requirements for licensure?

Even though most states don’t require nurses to take the CGFNS exam, they still have other requirements that nurses must meet. Some of the most common steps that nurses applying for state licensure need to take are:

• Submit a Credential Evaluation Service (CES) complete education report (either issued by CGFNS or another approved service provider)
• Pass an English proficiency exam (unless educated in English)
• Pass the NCLEX exam

Not all states will have the same requirements, so it’s best that you check the criteria of the state board you want to apply to. Our relocation team and immigration lawyers are here to help you through each stage of getting your licence.

CGFNS Credential Evaluation Service (CES)

The CGFNS CES report proves international nurses’ educational background is to the same standard as U.S. nursing qualifications. Most states require nurses to obtain their CES through CGFNS, however, there are other evaluation services available that some states accept.

In this report, CGFNS verifies and confirms the authenticity of all licences, registrations and diplomas acquired by the nurse. Additionally, it provides an evaluation of the nurse’s education, comparing it to U.S. nursing standards.

NCLEX

The NCLEX is a standardised exam that nurses must pass to obtain a nursing licence in the United States. It’s designed to test the knowledge, skills and abilities essential for safe and effective nursing practice.

The exam uses a computer-adaptive format adjusting the difficulty of questions based on the test-taker’s performance. All nurses must take their exam at an NCLEX testing centre run by Pearson Vue. Questions in the exam are designed to offer real-life scenarios through case studies or other question formats. Passing the NCLEX is a crucial step for international nurses who wish to practise in the US. Once successful, we recommend following our next steps after passing the NCLEX.

English language proficiency test

All nurses educated outside of the United States in a language other than English must prove they meet a minimum level of English language ability. Check with your chosen state board of nursing which language tests are accepted.

Common English language proficiency tests are:

• International English Language Testing System (IELTS): Assesses listening, reading, writing, and speaking skills. Nurses usually take the Academic version of the IELTS.
• Test of English as a Foreign Language (TOEFL): The TOEFL iBT (internet-based test) evaluates reading, listening, speaking and writing skills.
• Pearson Test of English (PTE): Assesses non-native speakers’ abilities in speaking, writing, reading, and listening.
• Test of English for International Communication (TOEIC): Measures the everyday English skills of non-native speakers working in an international environment.

How Espirita can help you with your nursing licence

Navigating the licensure application process can be daunting, but Espirita is here to simplify it for you. Our relocation team offers comprehensive support throughout your licensure journey. From gathering necessary documentation to providing expert guidance on licensure requirements and exam preparation, our dedicated team ensures a smooth and efficient process.

We support you throughout entire the relocation process — this even includes helping with the cost of moving to the U.S. When you put your trust in Espirita, your U.S. nursing dream becomes a reality.

Hear from our international nurses

“The all-inclusive support — from licensing exams to relocation and family assistance — demonstrates Espirita’s commitment to the success of nurses in the USA. Thank you for making this journey smooth and stress-free.”

Fouzia Haneef, Registered Nurse

Pakistan

Explore nursing roles in the United States with Espirita

Espirita works with reputable healthcare facilities across the U.S. to place skilled international nurses like you in the right role. Regardless of your current location or specialism, our relocation experts have the industry knowledge and specialist insight to help you move to the United States. Browse live vacancies or register with us to receive exclusive job openings for international nurses.