The full text is:
"2. **Validation of English Language Proficiency If you have graduated from a nursing program in a country or territory where the principle language is
English, i.e. Australia, United Kingdom, New Zealand, Canada (except Quebec), Ireland, Trinidad,
Tobago, South Africa, Ghana, Jamaica, Barbados, or United States/territory, you are NOT required to
validate your English language proficiency skills to obtain a license in Nevada.
If the principal language of the country where you completed your nursing program is a language other
than English, you are required to take and pass any ONE of the following options. You are required to
complete an English proficiency exam regardless of your country of citizenship or language of
Officially speaking, the Philippines has TWO official languages according to the Philippine government: Tagalog and English.
It can be argued that English is a principle language of the Philippines especially considering the large volume of English education that is incorporated in the basic levels of education.
THE 1987 CONSTITUTION OF THE REPUBLIC OF THE PHILIPPINES
Article XIV, Section 7 reads: "For purposes of communication and instruction, the official languages of the
Philippines are Filipino and, until otherwise provided by law, English."
Therefore, I would encourage discussing this matter with Nevada Nursing Board a bit further.
Regardless; English proficiency is needed for VisaScreen certification, so you're gonna have to do it sooner or later anyway for most visa categories. Though in all honesty the proficiency exam results will expire before you complete the visa process anyway. :/