How to Become a Registered Nurse in the USA as a Foreigner in 2025

The USA offers great opportunities for foreign-trained nurses seeking a rewarding career with competitive salaries and benefits. With an increasing demand for healthcare professionals, registered nurses (RNs) are in high demand, making it easier for qualified international applicants to secure employment. This guide will help you understand the necessary steps to become a registered nurse in the USA as a foreigner in 2025, including education, licensing, visa options, and job prospects.

Step 1: Meet Educational Requirements

Before working as a registered nurse in the USA, you must ensure your nursing education meets the country’s standards.

Hold a Nursing Degree: You must have completed a nursing program equivalent to an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN) from an accredited institution in your home country.
Credential Evaluation: Submit your credentials to the Commission on Graduates of Foreign Nursing Schools (CGFNS) or another approved credential evaluation service to verify that your education meets U.S. standards.

Step 2: Pass the English Proficiency Test

Since English is the primary language of communication in U.S. healthcare settings, foreign nurses must demonstrate their proficiency through one of the following tests:

Test of English as a Foreign Language (TOEFL)
International English Language Testing System (IELTS)
Test of English for International Communication (TOEIC)

Step 3: Apply for the NCLEX-RN Exam

The National Council Licensure Examination for Registered Nurses (NCLEX-RN) is a mandatory test that evaluates your nursing knowledge and ability to practice safely in the U.S.

Step 4: Obtain a Nursing License

Once you pass the NCLEX-RN, you can apply for a state nursing license. Each state has different licensing requirements, so check with the state’s Board of Nursing.

Step 5: Secure a Job Offer

To work legally in the USA, you need an employer willing to sponsor your visa.

Search for Jobs: Apply for RN positions in hospitals, nursing homes, and clinics through job portals, hospital websites, and recruitment agencies.
Work with Staffing Agencies: Some agencies specialize in hiring international nurses and can help you with the immigration process.

Step 6: Obtain a Work Visa

Foreign nurses typically need one of the following visas:

H-1B Visa: For specialty occupations, but limited for nurses unless they hold an advanced nursing degree.
TN Visa: For Canadian and Mexican nurses under the USMCA agreement.
EB-3 Visa (Green Card): The most common route, allowing foreign nurses to obtain permanent residency.

Step 7: Adjust to Life in the USA

Once you arrive, you must complete orientation programs, adapt to the U.S. healthcare system, and obtain malpractice insurance for added protection.

Conclusion

Becoming a registered nurse in the USA as a foreigner in 2025 is achievable with the right preparation. By meeting educational requirements, passing the NCLEX-RN, securing a job offer, and obtaining the appropriate visa, you can embark on a rewarding nursing career in the U.S. With high salaries and career growth opportunities, now is a great time to pursue nursing in the USA.

Frequently Asked Questions

1. Can foreign nurses work in the USA without an NCLEX-RN?

No, passing the NCLEX-RN is mandatory for licensure and employment as a registered nurse in the USA.

2. What is the average salary for registered nurses in the USA?

As of 2025, RNs earn an average salary of $75,000-$100,000 per year, depending on experience and location.

3. How long does it take to become a registered nurse in the USA?

The process can take 12-24 months, including credential evaluation, NCLEX-RN preparation, job search, and visa processing.

4. Are there age limits for foreign nurses applying to work in the USA?

No, there are no strict age limits, but younger candidates may have an advantage in visa processing and career longevity.

5. Can I bring my family if I get a nursing job in the USA?

Yes, if you secure an EB-3 visa, your spouse and children may qualify for dependent visas and permanent residency.

By following these steps, you can successfully transition into the U.S. healthcare industry and build a stable career as a registered nurse.

References

Indeed

How to Become a Registered Nurse in the USA as a Foreigner in 2025