NCLEX testing

Depending on where they are located, they pick a place. The US won't necessarily grant a visa to take the NCLEX exam, and I wouldn't want to have a negative check against the nurse.

From Africa, most flights make a stop in London, and it is available there. For those in the Philippines, they have the option of Hongk Kong, Seoul, or even Saipan. From Russia, they have a choice of Hong Kong or London. Most are cheaper flights rather than coming to the US.