This qualification is demonstrated through a process called the Visa Screen. The Untied States requires that immigrating Registered Nurses obtain a certificate know as the Visa Screen issued by the Commission on Graduates of Foreign Nursing Schools ("CGFNS"). The CGFNS conducts an assessment of an applicant's foreign education to ensure that it is comparable to that of a U.S. graduate in the same profession. It also verifies that the applicant's licenses are valid and unencumbered, and determines the applicant's English language proficiency. Finally it verifies that the nurse has either earned a CGFNS Certificate or passed the National Counsel Licensure Examination for Registered Nurses ("NCLEX-RN"). Applicants must successfully complete all three parts of the Certification Program in order to earn the CGFNS Visa Screen.
可以通过签证筛选程序证明以上能力。美国要求移民的注册护士取得由外国护士学校毕业生委员会（CGFNS）签发的签证筛选证书，CGFNS对申请人的国外教育进行审查，以保证其能够胜任在美国的护士工作。该证书还证明申请人的许可证有效，资助没有任何限制，并确定申请人的英语熟练水平。最后，它能够证明申请人已经获得CGFNS证书，或已经通过了国家注册护士委员会认证考试（NCLEX-RN）。申请人必须完整添写证书表格的三部分，以获得CGFNS签证筛选证书。
Nurses who successfully pass the CGFNS's nursing knowledge exam are awarded the CGFNS Certificate. This exam is administered at select locations worldwide and is a prerequisite for sitting for some state licensing exams. The NCLEX-RN exam is given only in the U.S. and its territories which include Guam and American Samoa. Since all states require passing the NCLEX exam, it is the preferred exam to take. Nurses who pass the CGFNS exam will still have to take the NCLEX at some point in order to obtain state licensing. So, nurses who have a choice should take the NCLEX exam. The NCLEX Board is currently considering offering the exam overseas. But, this will probably not occur for at least a few years. Until then, if a nurse has the option of traveling to the U.S or its territories to take the NCLEX exam, the nurse should take this option over sitting for the CGFNS exam.
成功地通过CGFNS护士知识考试的护士将获得CGFNS证书。该考试在全球各地举行，并且是申请某些州认证考试的前提条件。NCLEX-RN考试只在美国和美国领土进行，其中包括关岛和美属萨摩亚群岛。由于所有州都要求通过NCLEX考试，因此注册护士应通过此考试。通过CGFNS考试的护士还需要在某些选定地点通过NCLEX考试，以获得各州的认证。因此，具有选择权的护士可以参加NCLEX考试。NCLEX考试委员会目前正在考虑在美国以外地区举行考试。但是，这很可能几年以后才能实现。在此之前，如果某护士考虑可以前往美国或美国领土参加NCLEX，则应参加此考试，而不参加CGFNS考试。
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