Every year, thousands of licensed registered nurses from Nigeria, Ghana, Kenya, India, the Philippines, Jamaica, and the UK relocate to the United States. Many expect their years of rigorous bedside service and university diplomas to grant immediate eligibility to take the NCLEX. Instead, they are met with opaque deficiency reports from commercial credential evaluation services, demanding hundreds of additional general education credits or suggesting they restart nursing school entirely.
The Root Cause of Foreign Evaluation Roadblocks
Commercial evaluation agencies evaluate foreign curricula against rigid, static checklists that frequently misunderstand Commonwealth and European nursing degrees. For example, extensive clinical midwifery rotations completed in West Africa or the UK are often categorized as 'non-equivalent' to US maternal-child didactics simply due to syllabus formatting differences.
Furthermore, State Boards of Nursing operate under sovereign state statutes. A foreign degree rejected by one state board may be readily recognized or easily bridged in another jurisdiction through proper collegiate credit articulation.
The NursePathway Articulation Solution
Rather than letting foreign-trained nurses remain trapped in low-paying caregiver roles or repaying tens of thousands of dollars for classes they have already passed, NursePathway provides a lawful collegiate bridge.
We partner with regionally accredited US colleges with physical campuses. We evaluate your foreign transcripts course-by-course, articulate your valid hours into an active collegiate degree program, bridge any minor didactic gaps online, and provide the clinical hours required for state board compliance.
Never enroll in an unaccredited online certificate program. State Boards of Nursing strictly require primary-source transcripts issued directly by regionally accredited, degree-granting universities with active NCSBN school codes.
Step-by-Step Pathway to Your ATT (Authorization to Test)
1. Complimentary Transcript Audit: Our credential evaluation team reviews your foreign transcripts and syllabus to calculate exact transferable units.
2. Sister College Matriculation: You are enrolled in an accredited US partner university to satisfy remaining US-specific didactic and clinical competencies.
3. Registrar Sealed Delivery: The university registrar transmits official transcripts directly to your selected State Board of Nursing via the National Student Clearinghouse.
4. Dean's VOG Affidavit: The Dean of Nursing files your state-mandated Verification of Graduation affidavit, clearing you in the NCSBN regulatory portal.
5. Pearson VUE ATT Release: You receive your Authorization to Test and schedule your NCLEX exam.


Student Discussion (3)
Blessing N. (RN, Dallas)
September 29, 2026This guide is 100% accurate. CGFNS sent me a deficiency letter in 2024 and I thought my dream was over. NursePathway bridged my missing hours through their partner university in 4 months. Just got licensed in Texas last week!
Kwame A. (RN, Baltimore)
September 28, 2026Dr. Washington and Emmanuel are incredible advisors. They understood my Ghanaian nursing council curriculum better than local colleges here in Maryland. Very grateful.
Maria Santos (Future RN)
September 29, 2026Quick question: does this pathway also assist with English exam waivers for nurses from the Philippines where our entire BSN was taught in English?