The Best International Nursing Licensure Exams to Take in 2025

Nursing is one of the most noble professions in the world. It is a reputed and respected career choice. As we enter 2025, it is undeniable that nursing is expanding into bigger horizons. Therefore, there is a huge demand for nurses all over the world.

But, one hurdle you need to cross, no matter where you plan to work, is taking a nursing licensure exam. Different countries in the world have different nursing licensure exams; each of these exams has different requirements and application procedures. Understanding each requirement individually might be a difficult process for you. This is why, in this blog, I want to list out the top nursing licensure exams that you can consider taking in 2025. The list has been made based on the country offering them and the benefits of working in those countries. I will discuss these benefits too so that you can ultimately decide where you want to take the nursing license from.

Why should I consider nursing jobs abroad?

Nursing jobs in developed countries come with a lot of benefits compared to the ones in developing countries and it’s not just about the pay scale and job security. Developed countries like the UAE, Saudi Arabia, the US, the UK, Australia etc have more advanced resources and incorporate more innovative measures in their healthcare sector. This means you get a lot of exposure to cutting-edge technologies and advance better in your career at a faster rate. 

These countries also have a shortage of skilled nursing professionals due to increased healthcare needs and the ageing population. So, there are a lot of opportunities as a nurse if you decide to move abroad.

Top Nursing Licensure Exams in 2025

1. DHA (Dubai Health Authority) Exam

Country: United Arab Emirates (Dubai)

Purpose: Licensing for healthcare professionals in Dubai

Overview: The DHA exam is required for nurses wishing to practice in Dubai. This test evaluates general and specialised nursing knowledge, ensuring that candidates meet the standards necessary to provide quality care in Dubai’s healthcare facilities. Obtaining a DHA license can offer excellent career opportunities in the UAE.

What’s New in 2025? The DHA has recently implemented updates to reflect the latest healthcare trends and technologies. Candidates should be prepared for scenarios incorporating digital health solutions and patient-centered care.

Preparation Tips:

  • Enroll in courses designed specifically for DHA license exam for nurses and use recommended textbooks.
  • Review clinical protocols and be well-versed in the UAE’s cultural nuances of patient care.
  • Focus on time management when answering multiple-choice questions.

2. HAAD (Health Authority – Abu Dhabi) Exam

Country: United Arab Emirates (Abu Dhabi)

Purpose: Licensing for healthcare professionals in Abu Dhabi

Overview: The HAAD exam is similar to DHA but it is required for nurses wishing to practice in Abu Dhabi. The exam covers a range of nursing knowledge, from fundamentals to specific areas of patient care. As Abu Dhabi’s healthcare sector grows, the HAAD license can open doors to various employment opportunities within the UAE’s capital city.

What’s New in 2025? The exam content for HAAD is periodically updated to reflect current best practices in healthcare. In recent years, there has been an emphasis on global healthcare standards, so candidates are advised to stay current with new medical protocols and international healthcare guidelines.

Preparation Tips:

  • Use official HAAD resources and consider enrolling in a specialized HAAD exam preparation course.
  • Review foundational nursing concepts and clinical scenarios, especially those relevant to the Middle East healthcare context.
  • Practice multiple-choice questions, as these are the primary format.

3. NCLEX (National Council Licensure Examination)

Countries: Primarily U.S. and Canada (also accepted in Australia and select international locations)

Purpose: Licensing of registered nurses (NCLEX-RN) and licensed practical/vocational nurses (NCLEX-PN)

Overview: The NCLEX is one of the most recognised nursing licensure exams worldwide, especially for those looking to practice in the U.S., Canada, and other countries that recognise this standard. The exam uses a Computer Adaptive Testing (CAT) format, which adjusts the difficulty level of questions based on your answers.

What’s New in 2025? In 2023, the NCLEX introduced a new Next Generation NCLEX (NGN) model, which emphasises clinical judgment and decision-making through advanced question types. This format will continue in 2025, so candidates must be prepared for case studies, graphic-based questions, and other innovative formats.

Preparation Tips:

  • Focus on practice questions that mirror the NGN’s format.
  • Use reputable resources like the official NCLEX prep materials or Kaplan and UWorld courses.
  • Prioritise understanding the Nursing Process (ADPIE) to handle case-based scenarios efficiently.

4. UK Nursing and Midwifery Council (NMC) Test of Competence (ToC)

Country: United Kingdom

Purpose: Registration of overseas nurses in the UK

Overview: The NMC Test of Competence is essential for nurses trained outside the UK who wish to work in the UK. This test assesses knowledge and skills through a two-part process: the Computer-Based Test (CBT) and the Objective Structured Clinical Examination (OSCE).

What’s New in 2025? In 2024, the NMC updated the ToC exam to better align with UK healthcare needs, emphasising communication skills, safeguarding, and patient-centred care. Candidates can expect similar priorities in 2025.

Preparation Tips:

  • Prepare for the CBT with practice exams and by reviewing the UK’s healthcare system and nursing standards.
  • For the OSCE, practice clinical skills in a simulated environment to build confidence and meet assessment criteria.

5. Australian Health Practitioner Regulation Agency (AHPRA) Exam

Country: Australia

Purpose: Registration of internationally qualified nurses in Australia

Overview: AHPRA’s exam evaluates the skills of overseas-trained nurses to ensure they meet Australia’s rigorous healthcare standards. The exam includes theoretical and practical assessments that mirror the demands of Australian healthcare facilities.

What’s New in 2025? Australia has recently increased its focus on rural healthcare accessibility; therefore, the exam content may include scenarios relevant to rural health issues and telemedicine.

Preparation Tips:

  • Review AHPRA guidelines and focus on Australian health policies, patient safety, and rural health considerations.
  • Use comprehensive study guides and practice exams.
  • Gain familiarity with standard medical equipment used in Australian healthcare settings.

Which country should I choose for the highest-paying nursing jobs?

Moving to a new country and working there is a huge step in a person’s life. So, it must be done after making a well-informed decision. When you are looking at a challenging career like nursing, financial benefits, as well as other factors, should be considered before making a move. To help you, I have put forward a list of the pros and cons of the countries mentioned in the section above. Reading through this can give you a fair idea about the advantages and disadvantages of each country and choose what suits you best.

United Arab Emirates

Pros

High tax-free income: Nurses in the UAE enjoy competitive tax-free salaries, allowing for greater take-home income.

Modern Facilities: Hospitals in the UAE are equipped with advanced technology and facilities.

Employee Benefits: Many employers offer accommodation, transportation, health insurance, and other benefits, making it financially attractive.

Lifestyle & Safety: The UAE offers a high standard of living, with a secure and safe environment for expatriates.

Multicultural Environment: Working in the UAE exposes nurses to a diverse patient population and colleagues from around the world.

Strategic Location: The ideal location of the UAE in the Middle East makes it easier to travel to the country from Asian countries. A flight from Kathmandu to Dubai takes only 5 hours.

Cons

Extreme climate: The UAE is infamous for its extremely hot weather conditions, especially in the summer months of May to September. The infrastructure in UAE is designed to handle this climate, but it can be difficult for people who like to spend time outdoors.

Cultural Adjustments: Nurses may need to adapt to cultural sensitivities and understand the importance of following cultural norms.

United States of America

Pros

High Salary & Benefits:  The US is among the top countries providing the highest-paying nurse jobs. Most positions include comprehensive benefits like health insurance and retirement plans.

Career Development Opportunities: Nurses have numerous opportunities for career advancement, continuing education, and specialisation.

Advanced Healthcare System: Nurses benefit from working in an advanced healthcare system with cutting-edge technology and evidence-based practices.

Pathways to Residency and Citizenship: Skilled nurses have pathways to permanent residency and eventual citizenship, which makes long-term relocation feasible.

Cons

High Cost of Living in Some Areas: The cost of living can be very high in urban areas in the US, impacting savings.

Healthcare Costs and System Challenges: While the U.S. healthcare system is advanced, it can be expensive and complex.

United Kingdom

Pros

Competitive Salary & Benefits: Nurses in the UK receive a decent salary with additional benefits like the NHS pension, annual leave, and sick pay.

Opportunities for Career Advancement: The UK offers structured pathways for professional development, specialisation, and leadership roles within the NHS.

Access to Free Health Care: Nurses benefit from the NHS system, which provides free healthcare access.

Cultural Diversity: The NHS employs a culturally diverse workforce, which can be a welcoming environment for international nurses.

Cons

Understaffing and High Workload: The NHS often experiences staffing shortages, leading to high patient loads, long shifts, and occasional burnout.

Moderate Pay Scale Compared to Other Countries: While the UK’s salary is competitive, it’s generally lower than in countries like the U.S. and UAE, especially for similar roles.

Australia

Pros

High Salary & Benefits: Nurses in Australia are well-compensated, with additional benefits like superannuation, paid annual leave, and holiday loading.

Strong Demand for Nurses: With a high demand for healthcare professionals, Australia offers a stable career outlook and opportunities for permanent residency.

Pathway to Permanent Residency: Australia’s immigration system favours skilled workers, providing pathways to permanent residency and, eventually, citizenship.

Quality of Life: Australia offers a high quality of life, with an excellent work-life balance, outdoor activities, and a relaxed social environment.

Well-Regarded Healthcare System: Australia has a highly developed healthcare system, providing opportunities to work in both public and private sectors.

Cons

Complex Licensing Process: The AHPRA registration process can be time-consuming and rigorous, especially for international nurses.

High Cost of Living in Certain Areas: Cities like Sydney and Melbourne have high living costs, which can impact financial savings.

Each country presents unique opportunities and challenges for nurses. Ultimately, the best choice depends on your priorities, including potential earnings, lifestyle, career advancement, and comfort with cultural adjustments. With careful planning and understanding each country’s requirements, you can make a well-informed decision that aligns with your career goals and personal needs

Conclusion

In conclusion, pursuing a nursing licensure exam in 2025 is important for nurses aiming to advance their careers internationally. It opens doors to unique opportunities and offers a pathway to work in diverse healthcare environments worldwide.

To support your journey, JPR Nursing Education Center in Nepal stands as a trusted education consultancy. Specializing in DHA, HAAD, NCLEX license exams, JPR offers expert coaching, document verification and DataFlow services to help you succeed. With a proven track record of helping nursing professionals achieve their dreams of working abroad, JPR Nursing Education Center is committed to providing the support you need at every step..

Start your journey with JPR Nursing Education Center and take the first step toward a rewarding nursing career across borders.

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