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Understanding the U.S. Nursing Qualification Pathway

These official resources explain each step so you can confirm exactly what applies to you:

English Proficiency Requirements for Nurses in the U.S.

English proficiency tests for nurses are required for credential evaluation, NCLEX, and by most state boards of nursing in the U.S. TruMerit and IEE accept the TOEFL iBT. TOEFL requirements vary by state board.

Score Table
 
Nurse type Overall Speaking Reading Listening Writing
Registered Nurse 4.5 4.5 3.5 3.5 3.5
Licensed Practical / Vocational Nurse 4 4.5 3 3 3

One Test. No Extra Speaking Exam.

Many nurses believe they need TOEFL plus a separate speaking test. You don’t. The TOEFL iBT test measures Reading, Listening, Writing and Speaking in a single test.

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Scores in 3 Days. Plans That Keep Moving.

Your timeline matters. TOEFL iBT scores are delivered in just 3 days. Choose from test centers worldwide and flexible dates that fit your schedule. Just remember to book your test at a test center: at-home tests are not accepted for the U.S. nursing pathway.

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A Globally Trusted Path to Your Nursing Career

For over 60 years, the TOEFL iBT test has opened doors for people building careers across borders. TOEFL is accepted by all U.S. State Boards of Nursing that require English language proficiency for licensure and 13,500+ institutions in 160+ countries. It’s also recognized across U.S. healthcare pathways for nurses, physical therapists and more. Explore TOEFL as an English test for healthcare professionals.

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Prepare with Confidence

The best way to feel ready on test day is to know what to expect. Official TOEFL iBT practice tests, sample questions and study resources help you build your skills, plan your study time around your shifts, and walk in with confidence.

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You’ve Come This Far. Take the Next Step with the TOEFL iBT.

One English test for nurses, accepted by all U.S. State Boards of Nursing that require English language proficiency for licensure, with scores in just 3 days.

nurses