Are you looking for nursing jobs in the USA with visa sponsorship in 2026?
Registered nurses in medical-surgical units, intensive care, emergency departments, operating rooms, labor and delivery, telemetry, pediatrics, oncology, dialysis and long-term care are among the internationally educated nurses who follow the U.S. market most closely. The U.S. Bureau of Labor Statistics reported a median annual wage of $97,550 for registered nurses in May 2025, and many hospital nurses earn roughly $80,000 to $120,000 a year, with experienced specialty nurses in high-cost states sometimes earning more, depending on experience, specialty, state, shift differentials, union status and the employer. Pay for new arrivals is often at the lower end, and none of these figures is guaranteed.
Demand comes from large health systems such as HCA Healthcare, Kaiser Permanente, CommonSpirit Health, Ascension, Advocate Health, Mayo Clinic, Cleveland Clinic, NYC Health + Hospitals and hundreds of regional hospitals and nursing homes. International recruitment agencies such as AMN Healthcare, Conexus MedStaff, Avant Healthcare Professionals and PassportUSA work with many of these employers. BLS counted about 3.47 million registered nurse jobs in 2025 and projects steady growth over the following decade, driven largely by an aging population.
If you are ready to find out how U.S. nursing jobs may pay, check available positions through official channels, and learn how green card sponsorship for nurses may work, you can start by reviewing each section below.
What “Nursing Jobs in the USA With Visa Sponsorship” Means
“Nursing jobs in the USA with visa sponsorship” is a common search phrase, not the name of an official U.S. government program. No federal agency runs a nurse sponsorship scheme by that name, and no visa category promises a set salary, a sign-on bonus or a particular hospital.
In practice, the phrase links two separate things: a job offer from a U.S. employer, and an immigration route that lets a foreign-educated nurse take that job lawfully. For most nurses, that route is an employment-based green card in the EB-3 category, sometimes EB-2. Anyone researching the topic may find it useful to keep two questions in front of them.
- Does a genuine U.S. hospital, health system or licensed staffing agency have a real nursing position, at a stated wage, that matches my education, license and experience?
- Do I meet the U.S. requirements, including passing the NCLEX-RN, obtaining a state license or eligibility for one, and completing a health care worker certification, and is the employer prepared to file a green card petition?
Every salary figure in this guide is illustrative unless it is attributed to a public source such as BLS. The ranges are examples based on general market patterns and are meant to support research rather than describe a specific offer.
Why the Visa Bulletin Matters More Than the Headline
For foreign nurses, the biggest variable is often not the salary but the waiting time for a green card. Employment-based green cards are subject to annual limits and per-country limits. The U.S. Department of State publishes a monthly Visa Bulletin showing which priority dates can move forward.
In recent years, EB-3 dates for nurses have moved forward and backward several times. Law firm summaries of the October 2026 Visa Bulletin reported that EB-3 Philippines advanced while some Rest of World EB-2 and EB-3 categories saw significant retrogression. Earlier 2026 bulletins had warned that demand might require retrogression in some categories. These changes mean that two nurses with similar qualifications can wait very different lengths of time, depending on their country of birth and when the petition was filed.
Factors that may shape both pay and timing include:
- The applicant’s country of birth, which decides which Visa Bulletin chart applies
- The priority date, set when the petition is filed
- Whether the employer files under EB-3 or EB-2
- The state where the job is located, which affects licensing and pay
- The specialty and shift, since nights and weekends often pay more
- Union contracts, which set pay scales at many hospitals
Nursing Jobs and U.S. Immigration Are Different Decisions
It is easy to assume that a job offer leads naturally to a visa. In reality, several parties make different decisions. The employer decides whether to hire and file a petition. A state board of nursing decides whether to grant a license. A credentialing organization verifies education and English for the health care worker certificate. U.S. Citizenship and Immigration Services (USCIS) decides on the immigrant petition, and either the State Department or USCIS decides on the green card itself.
A hospital may want to hire a foreign nurse and still face a wait of years before the nurse can arrive, because the Visa Bulletin has not reached the nurse’s priority date. A nurse may pass the NCLEX but not find an employer willing to sponsor. Treating these as separate steps helps applicants plan realistically.
How U.S. Health Systems Recruit Internationally
Most U.S. hospitals recruit domestically first, but many also run international programs to fill long-term vacancies, especially in rural areas, in nursing homes and in high-turnover specialties.
A typical chain looks like this. A hospital or staffing agency identifies a need for nurses. It interviews internationally educated nurses who have passed or are preparing for the NCLEX. Once a nurse accepts an offer, the employer files an immigrant petition. Because registered nursing is on the Department of Labor’s Schedule A list of shortage occupations, the employer can usually skip the full PERM labor certification process and file the petition with USCIS along with a pre-certified labor certification form. The nurse then waits for the priority date to become current, completes the visa process and travels to the United States as a permanent resident.
For many nurses, the employer named on the petition is a staffing agency that places the nurse at a partner hospital, rather than the hospital itself.
The Main Steps for a Foreign Nurse
Each stage involves different organizations and documents.
1. Credentials evaluation and NCLEX eligibility
Most state boards require a review of the nurse’s education. Many applicants use a credentials evaluation service. The nurse then registers for the NCLEX-RN, which is offered in the United States and at international test centers.
2. Passing the NCLEX-RN
The NCLEX-RN is the national licensing exam for registered nurses. Passing it is required for a U.S. RN license.
3. English test and health care worker certificate
Foreign nurses usually need a health care worker certificate, such as the CGFNS VisaScreen, which verifies education, licensure and English. English tests such as IELTS Academic or TOEFL iBT are commonly required, with exemptions for some countries.
4. Job offer and petition
The employer offers a job and files the immigrant petition with USCIS, often under Schedule A.
5. Waiting for the priority date
The nurse waits until the Visa Bulletin shows the priority date as current. This can take months or years.
6. Visa interview and arrival
The nurse completes a medical exam and an interview at a U.S. embassy or consulate, then travels to the United States as a permanent resident and completes state licensing if not already done.
Where Nursing Demand Is Strongest in 2026
Shortages are uneven across the United States. Demand in a region does not automatically mean that employers there sponsor foreign nurses.
Large hospital systems in the South and Southwest
Texas, Florida, Georgia, Arizona and North Carolina have fast-growing populations and many hospitals. Several large systems in these states have recruited internationally.
California
California has some of the highest RN pay in the country and mandatory nurse-to-patient ratios, but also high living costs and a separate state licensing process.
New York and the Northeast
New York City, New Jersey and Massachusetts have large academic medical centers and union contracts with strong pay scales.
Rural and critical access hospitals
Rural hospitals often struggle most to recruit and may be more open to international nurses, though pay may be lower.
Long-term care and nursing homes
Skilled nursing facilities have chronic vacancies and have historically sponsored foreign nurses, often at lower pay than hospitals.
Major Employers and Recruiters in the Ecosystem
The organizations below are illustrative examples of health systems and agencies often discussed in connection with international nurse recruitment. The descriptions use general, publicly known information. Appearing here does not mean any organization is currently sponsoring nurses.
HCA Healthcare
HCA Healthcare operates a large network of hospitals, mainly in the South and West. It employs many nurses and has run nurse residency and recruitment programs.
HCA’s size does not guarantee international sponsorship for any particular facility or year.
Kaiser Permanente
Kaiser Permanente runs hospitals and medical offices mainly in California and several other states. Many of its nurses work under union contracts.
Sponsorship policies vary, and openings should be checked on the official careers page.
CommonSpirit Health, Ascension and Advocate Health
These nonprofit systems run hospitals in many states and employ large nursing workforces.
International recruitment, where it happens, often runs through partner agencies.
Mayo Clinic, Cleveland Clinic and academic medical centers
Academic centers hire nurses for complex specialties and often expect strong experience.
They may prefer nurses with U.S. experience or a BSN, and sponsorship is not automatic.
AMN Healthcare, Conexus MedStaff, Avant Healthcare Professionals and PassportUSA
These agencies are among those known for recruiting internationally educated nurses and placing them with U.S. hospitals, usually under a multi-year contract.
Applicants should read agency contracts carefully, especially commitment periods and any repayment terms.
Employer overview
The table below is a simplified, illustrative summary. It is not a list of current vacancies or sponsors.
| Employer group | Typical setting | Roles commonly associated |
|---|---|---|
| HCA Healthcare | Acute care hospitals | Med-surg, ICU, ER nurses |
| Kaiser Permanente | Integrated health system | Hospital and clinic nurses |
| CommonSpirit, Ascension, Advocate | Nonprofit hospital networks | Med-surg, telemetry, OR nurses |
| Academic medical centers | Specialty and teaching hospitals | Critical care, oncology nurses |
| International staffing agencies | Placement at partner hospitals | RNs on multi-year contracts |
| Skilled nursing facilities | Long-term care | Charge nurses, RN supervisors |
Other employer types to research
- Regional and community hospitals
- Rural and critical access hospitals
- Dialysis providers
- Home health agencies
- Rehabilitation hospitals
- Veterans and government hospitals, which often require citizenship
Nursing Roles That May Reach Higher Pay
The roles below are often discussed as higher-paying nursing positions. The ranges are illustrative annual examples for experienced nurses and can vary widely by state, shift and employer. Applicants can compare national figures on the BLS registered nurses page.
Intensive care unit (ICU) nurse
Illustrative range: $85,000 to $130,000 a year.
ICU nurses care for critically ill patients, often on ventilators and multiple medications.
Typical duties
- Monitoring patients continuously
- Managing complex medications and equipment
- Responding to emergencies
What employers may ask for
ICU experience, critical care certification for some roles, and strong assessment skills.
Emergency department nurse
Illustrative range: $80,000 to $125,000 a year.
ER nurses assess and treat patients arriving with urgent and emergency conditions.
Typical duties
- Triage and rapid assessment
- Starting treatments and IV lines
- Coordinating with doctors and specialists
What employers may ask for
Emergency experience and certifications in advanced life support.
Operating room nurse
Illustrative range: $85,000 to $125,000 a year.
OR nurses support surgeons and patients before, during and after surgery.
Typical duties
- Preparing operating rooms and instruments
- Monitoring patients during procedures
- Maintaining sterile technique
What employers may ask for
Perioperative experience and familiarity with surgical procedures.
Labor and delivery nurse
Illustrative range: $80,000 to $120,000 a year.
Labor and delivery nurses care for patients during childbirth.
Typical duties
- Monitoring mothers and babies
- Supporting births and responding to complications
- Educating new parents
What employers may ask for
Obstetric experience and neonatal resuscitation training.
Medical-surgical nurse
Illustrative range: $75,000 to $105,000 a year.
Med-surg nurses care for adults recovering from illness or surgery and are often the entry point for international nurses.
Typical duties
- Assessing and caring for several patients at once
- Giving medicines and treatments
- Coordinating discharge planning
What employers may ask for
Hospital experience and strong time-management skills.
Telemetry nurse
Illustrative range: $78,000 to $110,000 a year.
Telemetry nurses monitor patients with heart conditions.
Typical duties
- Reading cardiac monitors
- Responding to rhythm changes
- Giving cardiac medications
What employers may ask for
Cardiac experience and rhythm interpretation skills.
Charge nurse or nurse manager
Illustrative range: $95,000 to $140,000 a year.
Charge nurses and managers lead teams, staffing and unit operations.
Typical duties
- Assigning patients and staff
- Handling escalations and complaints
- Monitoring quality and safety
What employers may ask for
Several years of experience, leadership skills and often a BSN or higher.
Dialysis nurse
Illustrative range: $78,000 to $110,000 a year.
Dialysis nurses care for patients with kidney failure.
Typical duties
- Running dialysis treatments
- Monitoring patients
- Educating patients about their care
What employers may ask for
Dialysis experience or willingness to complete specialty training.
Other roles in demand
- Pediatric and neonatal intensive care nurses
- Oncology nurses
- Psychiatric nurses
- Home health nurses
- Long-term care RN supervisors
- Nurse educators
A Practical Salary Guide
A salary figure only becomes useful once its details are clear. Before comparing offers, applicants may want to ask:
- Is the figure hourly or annual, and how many hours a week?
- What are the shift differentials for nights, weekends and holidays?
- Is overtime expected or voluntary?
- Is there a sign-on bonus, and does it have repayment conditions?
- Are health insurance and retirement benefits included?
- Is the job covered by a union contract?
- Is relocation, housing or NCLEX cost reimbursement offered?
Illustrative salary table
The table below lists illustrative annual ranges for experienced registered nurses. These are examples only, not offers.
| Role | Illustrative annual range |
|---|---|
| Long-term care RN | $70,000 to $95,000 |
| Medical-surgical nurse | $75,000 to $105,000 |
| Home health nurse | $75,000 to $105,000 |
| Telemetry nurse | $78,000 to $110,000 |
| Dialysis nurse | $78,000 to $110,000 |
| Labor and delivery nurse | $80,000 to $120,000 |
| Emergency department nurse | $80,000 to $125,000 |
| Operating room nurse | $85,000 to $125,000 |
| ICU nurse | $85,000 to $130,000 |
| Charge nurse | $95,000 to $130,000 |
| Nurse manager | $105,000 to $140,000 |
| California hospital RN | $120,000 to $160,000 |
International nurses versus experienced U.S. nurses
New arrivals are usually placed on the pay scale according to experience, but some employers or agencies pay international nurses differently during the contract period. Applicants should confirm exactly how their rate compares with the hospital’s scale.
Skills and Qualifications
U.S. employers generally look for:
- A nursing degree or diploma comparable to U.S. RN education
- A passing NCLEX-RN result
- A state RN license or eligibility for one
- Recent clinical experience, often at least one or two years
- Strong English for patient safety and documentation
- Familiarity with electronic health records
Experience
Many employers prefer at least two years of recent acute care experience. Specialty units may require more.
Licensing
Each state board of nursing sets its own rules. Some states participate in the Nurse Licensure Compact, which lets a nurse with a multistate license practise in other compact states.
English
English tests are commonly required for the health care worker certificate unless the nurse was educated in certain English-speaking countries.
Clinical culture
U.S. nursing places strong emphasis on patient advocacy, documentation and teamwork. Many international nurses go through an orientation or residency after arrival.
The Nurse Licensure Compact and State Licensing
Licensing is one of the most confusing parts of the process for foreign nurses.
State boards of nursing
Every RN in the United States must be licensed by at least one state board. Requirements for internationally educated nurses vary, including credential evaluations, English tests and background checks.
The Nurse Licensure Compact
The Nurse Licensure Compact allows nurses whose primary residence is in a compact state to hold one multistate license that covers practice in other member states. A large number of states participate, but some major states, such as California and New York, do not. Nurses who move to a non-compact state usually need a separate license there.
Why it matters
Some employers prefer nurses who can work across several states, particularly in travel nursing. Others only need a single-state license. Applicants may want to choose a state of licensure that matches where they expect to work.
U.S. Visa Routes for Foreign Nurses
There is no single U.S. nursing visa. Most foreign nurses enter as permanent residents through employment-based green cards.
EB-3 skilled workers and professionals (Schedule A)
EB-3 is the most common route for registered nurses. Because nursing is a Schedule A occupation, employers can usually file directly with USCIS without a full PERM labor recruitment process. Waiting times depend on the Visa Bulletin. See the USCIS EB-3 page and the State Department Visa Bulletin.
EB-2 advanced degree
Nurses with a master’s degree, or a bachelor’s degree plus five years of progressive experience, in a role that requires that level may qualify for EB-2. Advanced practice nurses are more likely to fit this category.
H-1B specialty occupation
Most staff RN roles do not qualify as H-1B specialty occupations because they do not require a bachelor’s degree. Some advanced or management roles may qualify. New H-1B petitions for workers outside the United States have also been affected by a $100,000 payment requirement introduced by presidential proclamation in 2025, which has faced legal challenges.
TN for Canadian and Mexican nurses
Registered nurses are a recognized profession under the U.S.-Mexico-Canada Agreement. Canadian and Mexican citizens may qualify for TN status if they meet licensing and certification requirements.
Employer interest is not approval
Before making big decisions, applicants may want to ask:
- Which visa category will be used?
- What is the legal name of the petitioning employer?
- Has the I-140 petition been filed, and what is the receipt number?
- What is my priority date, and what does the current Visa Bulletin show?
- Who pays legal, filing and NCLEX costs?
- Is there a repayment clause if I leave before the end of the contract?
Contracts, Commitments and Breach Fees
Many international nurse contracts include a commitment period, often two to three years, in return for the employer or agency paying legal, travel and licensing costs.
What to look for
- The length of the commitment
- The amount of any repayment or liquidated damages if the nurse leaves early
- Whether the amount reduces over time
- Where and how assignments can be changed
- Whether pay rises are included during the contract
Legal scrutiny
Some contracts with high breach fees have faced lawsuits and regulatory attention, and some states have passed laws limiting certain repayment provisions. Federal agencies have also issued guidance on worker protections. Nurses may want to have any contract reviewed by an independent lawyer before signing.
Balanced view
Commitment periods are not automatically unfair, since employers invest significantly in recruitment. The key is transparency and reasonable terms.
How to Find Genuine Nursing Jobs With Visa Sponsorship
1. Search using specific job titles
Searching only for “nurse visa sponsorship USA” often brings up low-quality results. Combining a specialty, state and visa route usually works better. Examples of search phrases include:
- EB-3 nurse sponsorship USA 2026
- International nurse recruitment Texas hospital
- Schedule A registered nurse jobs
- ICU nurse green card sponsorship
- NCLEX passed nurse jobs USA visa
- Long-term care RN sponsorship USA
2. Go to official careers pages
Large health systems list openings on their own sites. Agency offers should name the hospitals where nurses may work.
3. Research agencies thoroughly
Applicants can look for reviews, ask to speak to nurses who have completed the program, and check the agency’s history.
4. Prepare early for the NCLEX
Passing the NCLEX before applying makes a candidate more attractive and speeds up the process.
5. Track the Visa Bulletin
Following the monthly Visa Bulletin helps nurses understand likely waiting times.
6. Never pay for a job offer
Legitimate employers do not sell job offers. Applicants should be very careful about any request for payment to secure a position.
A Realistic Timeline From Application to First Day
The timeline below is illustrative and can vary greatly.
Months 1 to 6: NCLEX and credentials
Nurses complete credentials evaluation, register for and pass the NCLEX, and take an English test if required.
Months 4 to 9: job offer and petition
Nurses interview with employers or agencies, accept an offer and the employer files the I-140 petition.
Months 6 to 36 or more: waiting for the priority date
Depending on the Visa Bulletin, the wait can range from months to several years.
Final months: visa interview and arrival
Nurses complete the medical exam, attend the visa interview, and travel to the United States.
Building in extra time helps nurses avoid resigning from their current job too early.
Documents to Prepare
Common documents
- A valid passport
- Nursing diploma or degree and transcripts
- Nursing license from the home country
- NCLEX results
- Health care worker certificate (such as VisaScreen)
- English test results
- Employment verification letters
- Police clearance certificates
- Birth and marriage certificates
Keep information consistent
Names, dates and employers should match across all documents.
Protect personal information
Documents should only be shared with verified employers, agencies and official authorities.
What to Check in a Job Offer
- Employer: Legal name of the hospital or agency.
- Work location: The hospital or facility and city.
- Specialty and unit: The unit where the nurse will work.
- Pay: Hourly rate, shift differentials and overtime.
- Hours: Full-time hours and scheduling.
- Visa category: EB-3, EB-2 or another route.
- Costs: Who pays legal, filing, NCLEX and travel costs.
- Commitment: Contract length and breach fees.
- Relocation: Housing support and travel.
- Benefits: Health insurance, retirement and leave.
Misleading claims to watch for
Phrases that may signal a problem include “guaranteed green card in six months”, “pay $10,000 to get matched with a hospital”, “no NCLEX needed”, “sign now before the Visa Bulletin closes” and “work as a nurse with any license”. No agency can guarantee a decision by USCIS or the State Department.
Rights and Protections for Foreign Nurses
Nurses who arrive on green cards are lawful permanent residents and are protected by the same employment laws as other workers in the United States.
Pay and hours
Federal and state wage laws apply, including overtime rules for eligible employees. Some states also limit mandatory overtime for nurses.
Safe staffing
California sets mandatory nurse-to-patient ratios, and other states have staffing committees or disclosure rules. Nurses can raise concerns about unsafe assignments through internal processes and, where relevant, their union.
Discrimination and retaliation
Federal law prohibits discrimination based on national origin, and the Equal Employment Opportunity Commission handles complaints. Retaliating against workers for raising safety concerns is also restricted by law.
Unions
Many hospitals have nurse unions that negotiate pay, staffing and conditions. Union membership can affect pay scales and job protections.
Where to get help
State boards of nursing, state labor departments, the Department of Labor and independent employment lawyers can provide information. Professional associations also offer resources for internationally educated nurses.
Relocation, Cost of Living and Take-Home Pay
A U.S. nursing salary looks different once taxes and living costs are counted. Federal income tax, Social Security and Medicare reduce gross pay, and many states also charge income tax. Texas and Florida do not have a state income tax.
Housing costs vary greatly. Rents near major hospitals in California, New York and Boston can be very high, while many Southern and Midwestern cities are more affordable.
Compare the total package
- Net pay after federal, state and payroll taxes
- Rent and deposits
- Health insurance premiums and deductibles
- Car and fuel costs
- Childcare costs
- Licensing renewals and continuing education
- Costs of bringing family members
Common Mistakes to Avoid
Common mistakes include:
- Signing agency contracts without reading breach terms
- Paying for job offers or “guaranteed” sponsorship
- Ignoring the Visa Bulletin and expecting a quick arrival
- Choosing a state license that does not match the job location
- Resigning from a current job before the visa interview
- Underestimating living costs in high-cost cities
- Sharing documents with unverified recruiters
Settling In: The First Months in a U.S. Hospital
The first months after arrival are often the most demanding part of the move.
Orientation and residency
Many hospitals run orientation programs that cover policies, electronic health records and U.S. clinical practice. Some offer nurse residency programs for nurses new to U.S. hospitals.
Practical setup
Newcomers usually need a Social Security number, a bank account, a mobile phone plan, health insurance enrollment and, in many areas, a driver’s license and a car.
Building a credit history
A U.S. credit history affects renting, car loans and phone contracts. Secured credit cards and regular bill payments can help build one.
Support networks
Professional associations for nurses from particular countries, faith communities and online groups can help with advice and support during the adjustment period.
Building a Nursing Career After Arrival
Nurses who arrive on green cards are permanent residents and can usually change employers after any contract obligations end. Many go on to specialize, earn a BSN or MSN, become nurse practitioners or move into leadership.
Skills that may support progression
- Earning specialty certifications
- Completing a BSN or MSN
- Developing leadership and precepting skills
- Building U.S. clinical experience
- Joining professional associations
Frequently Asked Questions
Is “Nursing Jobs in the USA With Visa Sponsorship” an official program?
No. It is a search phrase. Most foreign nurses use employment-based green cards, usually EB-3.
How much do registered nurses earn in the USA?
BLS reported a median annual wage of $97,550 for registered nurses in May 2025. Pay varies by state, specialty and experience.
Do foreign nurses need to pass the NCLEX?
Yes. Passing the NCLEX-RN is required for a U.S. RN license.
What is Schedule A?
A Department of Labor list of shortage occupations, including registered nurses, that allows employers to skip the full PERM recruitment process.
How long does the EB-3 process take for nurses?
It depends on the Visa Bulletin and country of birth. Waits can range from months to years.
Can nurses get H-1B visas?
Most staff RN roles do not qualify, but some advanced or management roles may.
What is VisaScreen?
A health care worker certificate from CGFNS International that verifies education, licensure and English.
Do I need an English test?
Usually yes, unless educated in certain English-speaking countries.
Can I bring my family?
Spouses and unmarried children under 21 can usually be included in the green card process.
Are agency contracts fair?
Some are, some are not. Nurses should check commitment periods and breach fees carefully.
What is the Nurse Licensure Compact?
An agreement allowing nurses with a multistate license to practise in member states.
Which states pay nurses the most?
California is often reported as the highest-paying state, followed by states such as Hawaii, Oregon, Massachusetts and Washington, but living costs are also high.
Can I work as a nurse while waiting for my green card?
Not in the United States unless the nurse already holds valid work authorization.
Is it safe to pay a recruiter?
Applicants should be very careful. Legitimate employers do not sell jobs.
The road to nursing jobs in the USA with visa sponsorship usually runs through a chain of separate decisions. A nurse passes the NCLEX and completes credentials checks, an employer offers a job and files a petition, the Visa Bulletin decides when a green card becomes available, and immigration authorities make the final decision. Each step has its own rules, and a strong salary or famous hospital at one stage does not guarantee the next.
Start with the clinical experience you can prove, pass the NCLEX as early as you can, and focus on employers and states where your specialty is genuinely needed. Read every contract carefully, check employers and agencies through official channels, follow the Visa Bulletin, and treat any guarantee or upfront fee as a reason to stop and verify. A careful approach may take longer, but it is far more likely to lead to a real nursing career in the United States.