The Commission on Graduates of Foreign Nursing Schools (CGFNS) is a globally recognized organization that provides services for international nursing professionals who seek to work in the United States. One of its core programs is the CGFNS Certification Program, which plays an essential role in verifying the qualifications of foreign-educated nurses. The CGFNS exam, known as the CGFNS Qualifying Exam, is a critical step in this process and ensures that nurses who wish to practice in the U.S. have the necessary educational background, nursing knowledge, and English language skills to provide safe and effective patient care.
This certification program, which includes the CGFNS Qualifying Exam, is designed to assess an individual’s preparedness to work within the U.S. healthcare system, whether or not they are initially qualified or licensed outside of the U.S. CGFNS is recognized by regulatory bodies in the U.S. as an authoritative entity for evaluating the credentials of foreign-trained nurses. It is often one of the first steps for internationally educated nurses who are aiming to secure licensure and employment in the U.S.
The CGFNS Certification Program consists of three main components:
Credentials Evaluation: This is the first step in the CGFNS Certification Program. It involves the verification of an individual’s educational background, nursing licensure, and the completion of the required nursing program. This evaluation checks that the nursing education and training the nurse received abroad meet the U.S. standards required for nursing practice. The CGFNS credential evaluation is often considered a crucial step in verifying the authenticity of an international nurse's qualifications.
CGFNS Qualifying Exam: This exam evaluates the candidate's nursing knowledge and ability to apply clinical knowledge. The CGFNS Qualifying Exam is a computer-based multiple-choice test with a focus on nursing practices and concepts that are critical for safe patient care in the U.S. It assesses areas such as health assessment, pharmacology, and patient management. The exam is not only a test of factual knowledge but also evaluates the candidate’s problem-solving and clinical decision-making abilities. It is one of the most comprehensive steps in the certification process.
English Language Proficiency: As English is the primary language of healthcare communication in the U.S., all applicants must demonstrate proficiency in English. Nurses must either pass an English language proficiency test approved by CGFNS, such as the TOEFL (Test of English as a Foreign Language), IELTS (International English Language Testing System), or Pearson Test of English Academic, or show that they completed their nursing education in English. The English proficiency requirement ensures that nurses can effectively communicate with patients and the healthcare team, which is essential for providing quality care.
The CGFNS Qualifying Exam is the key component of the certification process. This exam is administered in four one-week windows annually, typically in March, July, September, and November. These testing windows allow candidates to choose a time that best fits their schedule. Each window provides flexibility for those who may need time to prepare or require adjustments due to personal circumstances.
The CGFNS Qualifying Exam is designed to be a challenging test that assesses a broad range of nursing knowledge. It consists of 165 multiple-choice questions, including 15 unscored pretest questions. The pretest questions are used to gather statistical data and do not count toward the candidate’s score. The remaining 150 scored questions cover a wide variety of topics relevant to the nursing practice in the United States.
The exam is designed to be completed within three hours, and the questions are aimed at assessing a candidate’s ability to apply nursing principles in real-world healthcare scenarios. While the exact content of the exam is not made public, it is known that the CGFNS Qualifying Exam assesses several key areas of nursing practice, including:
Each of these sections is designed to ensure that candidates are fully prepared to address the complexities of patient care in a diverse and fast-paced healthcare environment.
Before taking the CGFNS Qualifying Exam, candidates must first apply for the CGFNS Certification Program and submit the required documentation. This documentation includes proof of nursing education, verification of licensure, and other essential academic records. Once the CGFNS reviews and approves the documentation, candidates will receive an Authorization to Test (ATT) notification. The ATT is a key step in the process, as it authorizes candidates to schedule and take the exam. It is important to note that the ATT is only valid for the specific testing window for which it was issued, so candidates must ensure that they schedule their exam within that period.
Upon receiving the ATT, candidates can schedule their exam at a location near them, typically through Pearson VUE, which administers the CGFNS Qualifying Exam at various test centers around the world. Scheduling can be done online or by phone, and candidates must follow all instructions provided in the ATT.
The CGFNS Qualifying Exam is considered a rigorous test of nursing knowledge, and preparation is key to passing. There are several resources available for those wishing to prepare for the exam. While CGFNS does not endorse specific study materials, candidates often rely on review books, practice tests, and online resources to ensure they are well-prepared for the exam.
Many candidates find it helpful to familiarize themselves with the types of questions and the test format by practicing with sample questions or taking full-length practice exams. Additionally, there are nursing review courses available online that focus specifically on preparing for the CGFNS Qualifying Exam. These resources can provide a comprehensive review of the major topics covered in the exam and offer guidance on how to approach the questions.
After completing the CGFNS Qualifying Exam, candidates typically receive their results within a few weeks. If they pass the exam, they will be awarded the CGFNS Certification, which is a key credential for those seeking to practice as registered nurses in the U.S. The certification also serves as proof that the candidate has met the required educational and professional standards necessary to pursue further licensure or employment opportunities.
For those who do not pass the exam, CGFNS offers the opportunity to retake the exam, though candidates must meet specific requirements and follow the application process for retaking the exam.
The CGFNS Certification Program and the CGFNS Qualifying Exam are crucial components of the path for internationally educated nurses seeking to work in the United States. The certification process ensures that nurses meet U.S. educational and professional standards, possess the required clinical knowledge, and are proficient in English. Through careful preparation and completion of the necessary requirements, foreign-trained nurses can gain the credentials needed to succeed in the U.S. healthcare system, ultimately enhancing the quality of care provided to patients across the nation.