Re: Is it advisable to take the IELTS first before the NCLEX?
Still do not agree with you based on what you have posted here. The majority do not pass the English exams the first time, and especially with the speaking section.
Having a grasp of the language and being able to speak it well are two very different things. Understanding what someone else is asking is also very important. Does not matter if one is shy or not, that is another issue.
And the majority of the staff at the review centers do not have any US work experience as an RN as well. That just is not the case. Quite a few also have never worked one day as an RN either.
Again, if it is going to be probably 7 years or so for someone to have a chance at a visa for the US, then it is always better to go for the exams that can be used in other countries so that they can actually gain experience. Stating that it is best to take the NCLEX as soon as possible after graduation may be true in the US, but not when one trains in another country. There are so many things that are done differently just as far as procedures, etc., then add into it the different meds and even how they are ordered here. Examples: Ativan is used for seizures here, does come in IV as well as oral forms. Not so in many other countries. Midazolam, or Versed as we call it, is used in the US in IV form; in SE Asia, usually is used orally and for other reasons. Lab values are also with different ranges and categories. If one actually begins to work in another country, then they will find it easier to pass the exam once they begin working and see how things are actually done as well.
I have been teaching foreign nurses for many years, and still stand by what I have stated above. Always better to have a firm grasp of the English first, then the preparation for any other exam will follow. Not the other way around. This is also why the passing rate on the NCLEX is only 44% when one has trained out of the US. And Canadians have trained in English and speak English fluently, but still have issues with passing our exam the first time as well.
You can have your opinion, and I can have mine. I stick by what I am posting.
To go to Canada, Australia, NZ, or any other country is going to require the English exams before they will even be considered. For the US, the majority of states are now requiring at least the CES, and for some, that also will require the English as well if the state has a language requirement. So what are they going to do if they have prepared for the NCLEX but failed to pass the English and therefore cannot even get permission to write the exam in the first place? Guess that you forgot about this.
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