Department of Health and Human Services
Regulation and Licensure

Guide to Licensure/Registration for Foreign Educated Nurses

This guide is intended to provide assistance to foreign educated nurses seeking nursing licensure or registration as a medication aide or nurse aide in Nebraska.

Registered Nurse and Licensed Practical Nurse

For assistance contact: Karen Bowen, RN, MS, Executive Director
(402) 471-0317
E-mail: Karen.bowen@nebraska.gov
                                   
Requirements for Licensure as a Registered Nurse (RN) in Nebraska

  1. Submit proof of graduation from a Registered Nursing program with education that is comparable to registered nursing education in the United States. Official transcripts must be submitted directly to the Department by the nursing program or by CGFNS (Commission for Graduates of Foreign Nursing Schools).
  2. Submit proof of having taken the Canadian Licensing Examination or the CGFNS examination. This examination tests for both readiness to take the NCLEX-RN examination and for English Proficiency. CGFNS will conduct an evaluation of the applicant’s education and a review of the applicant’s licensure status in the foreign country prior to granting permission to take the CGFNS examination
  3. Provide evidence of being at least 19 year of age (driver's license, birth certificate, marriage license, school transcripts, etc.)
  4. Provide proof of citizenship, lawful permanent residence, and/or immigration status information (refer to application form for sources to submit as proof).
  5. Complete the licensure application and submit the $123 licensure fee. 
  6. After the Department has determined that the applicant has satisfactorily met requirements 1-5 above complete the NCLEX-RN examination application and submit the $200 examination fee.
  7. Take and pass the NCLEX-RN examination. Applicants who do not pass the NCLEX-RN examination must wait 45 days before retaking the examination. An applicant must repeat steps 5 and 6 prior to repeating the examination.

Requirements for Licensure as a Licensed Practical Nurse (LPN) in Nebraska

  1. Submit proof of graduation from a Registered Nursing or Practical Nursing program with education that is comparable to practical nursing education in the United States. Official transcripts must be submitted directly to the Department by the nursing program or by CGFNS.
  2. Credentials review must be completed by CGFNS, and results submitted to board from CGFNS.
  3. Submit proof of having taken an English Proficiency Exam and obtained a minimum score as listed:
    1. TOEFL paper version—560
    2. TOEFL computer version—220
    3. TOEFL internet version—83
    4. IELTS—academic version—overall score of 6.5 and a minimum of 6.0 on all modules.
    5. TOEIC—780
  4. Provide evidence of being at least 19 year of age (driver's license, birth certificate, marriage license, school transcripts, etc.)
  5. Provide proof of citizenship, lawful permanent residence, and/or immigration status information (refer to application form for sources to submit as proof).
  6. Complete the licensure application and submit the licensure fee of $123.
  7. After the Department has determined that the applicant has satisfactorily met requirements 1-6 above complete the NCLEX-PN examination application and submit the $200 examination fee.
  8. Take and pass the NCLEX-PN examination. Applicants who do not pass the NCLEX-PN examination must wait 45 days before retaking the examination. An applicant must repeat steps 6 and 7 prior to repeating the examination

RN graduates who do not meet the criteria to take the CGFNS examination may choose to apply for licensure as an LPN while making up deficiencies to qualify for the CGFNS examination. They must still have a review of their credentials completed by CGFNS.

RN graduates who have taken and failed the NCLEX-RN examination may choose to take the NCLEX-PN examination rather than retake NCLEX-RN examination.

Foreign nursing graduates may apply for placement on the Medication Aide or Nurse Aide Registry if they:

  1. Are waiting to take an English Proficiency examination and/or the CGFNS examination in preparation for seeking RN or LPN licensure.
  2. Are taking nursing education courses to make up deficiencies because their education has been determined not to be comparable to nursing education in the United States.
  3. Have failed the NCLEX examination and are waiting to retake NCLEX.
  4. Want to work in a health setting to become familiar with the system and expectations prior to taking or retaking a nurse licensure examination

Medication Aide and Nurse Aide

For assistance contact:
 
Connie Wagner, RN, BSN—Nurse Aide and Medication Aide Program Manager                                 402-471-4969
connie.wagner@nebraska.gov

Requirements for Placement on the Medication Aide Registry

  1. Submit proof of graduation from a Registered Nursing or Practical Nursing Program. The transcript must be in or an official translation to English.
  2. Submit a completed application for registration as a medication aide and the application fee of $18.00.
  3. Submit documentation of competency assessment. This is a demonstration of the ten competency standards that are required for practice as a Medication Aide. The competency assessment must be conducted by a licensed health care professional.
  4. Contact testing site and set up testing.
  5. Successfully complete the written examination.

Requirements for Placement on the Nurse Aide Registry

  1. Submit cover letter asking to be placed on Registry based on foreign nursing training.   The cover letter must include your name, address, phone number, social security number or I-94, and date of birth.
  2. Submit proof of graduation from a Registered Nursing or Practical Nursing program. The transcript must be in or an official translation to English.
  3. Submit documentation of abuse in-service. This required one hour in-service covers resident’s rights and abuse/neglect and the reporting requirements for Nebraska.
  4. Contact testing site and set up testing.
  5. Successfully complete the written and clinical examinations.
  6. If an applicant has passed either the CGFNS or the Canadian Nurse Licensing Examination, the state written and clinical nurse aide examinations will be waived.

Application forms and other information is available:

Nursing Index Page

Professions and Occupations Page

Licensure Unit Page