I am not sure. Health care can be a passive aggressive environment, so it might be best to keep your long term career goals just to your friends and family. Competitive? It is competitive, depending upon the school, to be admitted to a nursing program. I would not pursue a nursing program that is not competitive. A good idea is to find a hospital or facility you would like to work for and ask human resources where they hire from the most. As far as being in nursing school, groups will (probably) form, often around ethnicity or national origin. But unless your school has a graduation cap (only a certain number can graduate in a year), there is enough room for everyone at the finish line. What made me different from some other students when I was in school is that I saw my class as one big team that should work together to help everyone be successful. My class was, unfortunately, not always this way, but I was always striving to make it so and not dissuaded by others who did not share the vision. Hopefully your class will be a real team.