Re: Is TSE or IELTS a requirement?
If you wish to work in a state that has an Englihs requirement, then you will be required to pass the appropriate exam for that state.
Licensure requirements are different from immigration requirements. You will not need the Englihs exams for the purpose of getting a visa, but that does not take away the fact the state where you will work will require it.
Example: Maryland requires the English speaking test even if you hold an American passport, but if you trained overseas, you need to take the exam.
And just because a nurse passes the NCLEX exam and has a visa to work in the US, their English skills must be up to par of the facility will not even hire them in the first place and there are hospitals that are now requiring documented proof of passing the English exams before they will hire you and that is something that they can easily do.
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