How to Become a Registered Nurse (RN) in the USA

The United States has one of the highest demands for Registered Nurses (RNs) across hospitals, long-term care facilities, and specialized healthcare settings. For internationally educated nurses, the process of becoming an RN in the USA involves multiple steps—from credential verification to licensure.
At Eduint4u, we simplify this journey by guiding nurses through every stage, ensuring smooth documentation, applications, and exam preparation.
✅ Step-by-Step Process
1. Foreign Credential Verification
If you studied nursing outside the US or US territories, your academic and professional credentials must be verified. This is done through TruMerit™️ (formerly CGFNS International), which evaluates your qualifications and provides a verified report to the concerned state board.
Eduint4u’s Role:
Application assistance
Attestation service (collecting and arranging forms from institutes/councils)
Following up with CGFNS for clarifications and timely release of reports
2. State Board Application
Each US state has its own Board of Nursing with unique requirements for RN registration. Choosing the right state board depends on your preferences, profile, and long-term career plans.
Eduint4u’s Role:
Assessing client’s profile and preferences
Suggesting the best state board options
Supporting the application process
3. Fingerprinting & Background Check
Most boards require a fingerprint verification using the FD-258 fingerprint card. This is done at authorized centers and is mandatory for background checks.
Eduint4u’s Role:
Guiding on how to fill fingerprint cards
Clarifying common doubts (actual fingerprinting must be done by the client at authorized centers)
4. State-Specific Courses/Exams
Some states require additional online courses or exams before granting eligibility. For example:
Texas Board of Nursing: Nursing Jurisprudence Exam (NJE)
New York State Board of Nursing: NYSED-approved Infection Control Course & Child Abuse Identification and Reporting Course
Eduint4u’s Role:
Guidance on registering and completing these courses/exams
5. Language Proficiency (If Required)
Certain state boards mandate English proficiency scores (IELTS, OET, or TOEFL), while others don’t.
Eduint4u’s Role:
Advising on state-specific language requirements
Helping clients choose the right pathway
Train Nurses for English Test
6. NCLEX-RN Examination
The NCLEX-RN is the final licensing exam for nurses. Once registered with Pearson Vue, eligibility is checked, and an Authorization to Test (ATT) is issued. The exam must be scheduled and completed within the ATT’s validity.
Eduint4u’s Role:
NCLEX coaching
Registration & scheduling assistance
Step-by-step guidance until exam success
7. Licensure Grant
After clearing NCLEX, the nursing board issues your RN license. In some cases, additional paperwork may be required before the license is finalized.
Eduint4u’s Role:
Assisting with final application procedures
Ensuring smooth completion of licensure
Frequently Asked Questions (FAQ)
1. Do I need to pass IELTS or OET for US RN registration?
Not always. Some states require language proficiency scores, while others do not. Eduint4u helps you choose the right state based on your language test results.
2. How long does the RN process in the USA take?
On average, 6–12 months, depending on the state, credential verification, and exam schedules.
3. Is NCLEX-RN difficult?
It’s a challenging exam, but with proper preparation, success is achievable. Eduint4u provides specialized NCLEX coaching to improve your chances of passing on the first attempt.
4. Can I work in the USA immediately after passing NCLEX?
You need to complete visa and immigration procedures after obtaining your license.
5. Which US states are best for foreign-trained nurses?
It depends on your goals, language proficiency, and career plans. Eduint4u helps you analyze your options and choose the most suitable state board.
Why Choose Eduint4u?
- End-to-end guidance from credential verification to licensure
- Hassle-free documentation and attestation service
- Expert NCLEX & Language coaching with proven results
- Personalized advice on state selection & language requirements
Your dream of becoming an RN in the USA starts here!
With Eduint4u, you get a trusted partner to guide you through every step of the journey.
Sign up for free expert consultation
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