Nursing Jobs in USA without NCLEX

Detailed Information on CGFNS Exam for Nurses

Don’t let the CGFNS exam for nurses deter you from trying, if you put in the effort and have patience, you can succeed. You must obtain accreditation from the Commission on Graduates of Foreign Nursing Schools if you want to practice as an RN in the US (CGFNS).

All nurses who will work in the US will be required to have obtained their degrees and completed their license exams in the US, not only elsewhere in the world, thanks to this certification.

A designation in government financial management is given to nurses who pass the Certified Government Financial Nurse Specialists (CGFNS) exam, an international credentialing test.

The National Association of Public Administrators and Consultants and the International Association of Public Administrators and Consultants jointly designed the test.

This accreditation serves to distinguish qualified nurses with experience working in public healthcare facilities and understanding of government finances.

The CGFNS Exam for Nurses (Certification Program) is created especially for first-level general nurses who were educated and licensed outside the United States and who wish to evaluate their chances of passing the NCLEX-RN examination and obtaining licensure to practice as registered nurses inside the United States.

Three components make up the program: a review of the nurse’s credentials, including their schooling, registration, and license; the CGFNS Qualifying Exam, a one-day qualifying exam that assesses their nursing expertise; and an English language proficiency test.

A CGFNS Certificate is given to the candidate once all three program components have been successfully completed.

For first-level general registered nurses who received their education outside of the United States and wish to currently practice nursing in the United States, the CGFNS, Commission on Graduates of Foreign Nursing Schools, administers a Certification Program (CP).

The CGFNS qualifying exam, an English language competency test, and a review of credentials make up the Certification Program. Nursing knowledge and comprehension of how nursing is taught and practiced are tested in the qualification exam.

Exam Details

The CGFNS exam for nurses is a written test with multiple-choice questions as part of it. Fill in the blanks, hot spot, drag & drop, and other formats are more alternatives. The CGFNS Qualifying Exam® will last the candidate three hours.

The CGFNS Qualifying Exam scheduling price is $445, and the retake fee is $350.

The applicant can submit an online exam application at the CGFNS Official Website.


In order to be eligible, you must have completed sufficient classroom instruction and clinical practice in

  • Adult health (medical/surgical) nursing
  • Maternal/Infant nursing (obstetrics), excluding gynecology
  • Nursing care of children (pediatrics) and
  • Psychiatric/Mental health nursing, excluding neurology

If you have not completed a sufficient number of hours in each of the above areas, you will not be approved to take the CGFNS Qualifying Exam until you complete them through a government-approved nursing school.

You must also hold an initial license/registration/diploma as a first-level, general nurse in your country of education, and currently hold a license/registration/diploma as a first-level, general nurse.

Course Outline: CGFNS Qualifying Exam

Four sections make up the Physiological Integrity practice test. The following goals and subtopics are part of the CGFNS Qualifying Exam®. The applicant should carefully study and comprehend the course outline.

Basic Care and Comfort

Assistive devices, elimination, mobility/immobility, non-pharmacological comfort interventions, nutritional and oral hydration, personal hygiene, and rest and sleep.

Pharmacological and Parenteral therapies

Adverse effects/ contraindications/interactions, blood and blood products, central venous access devices, chemotherapy, dosage calculation, expected actions and outcomes, intravenous therapy, medication administration, parenteral and intravenous therapies, pharmacological pain management, and total parenteral nutrition.

Reduction of Risk Potential

Changes and abnormalities in vital signs, diagnostic tests, laboratory values, potential alteration in body systems, the potential for complications of diagnostic tests, treatments, and procedures, the potential for complications from surgical procedures and health alterations, system-specific alterations, and therapeutic procedures.

Physiologic Adaptation

Alterations in body systems, fluid and electrolyte imbalances, hemodynamics, illness management, medical emergencies, pathophysiology, and unexpected response to therapies.

Earning the CGFNS certificate

You will obtain your CGFNS certificate once you have successfully finished the credentials review and passed both the English language proficiency test and the CGFNS Qualifying Exam® within two years of one another.

What happens if you fail the exam?

You won’t receive a CGFNS certificate if you fail the English language proficiency exam or the CGFNS Qualifying Exam®. For each test you failed, you will need to apply to retake it.

Keep in mind that you must pass the English language proficiency test and the CGFNS Qualifying Exam® within two years of one another. Retaking the test will cost you $350.

Read also: How to Get Nursing Jobs in USA without NCLEX

Exam Results and Diagnostic Profile

Approximately two weeks after the five-day test window in which you took your exam, you may access your results in the online account of the official portal that you created when you applied for the Certification Program.

Now the most important step is considering the preparation guide. The preparation steps which are essential in order to successfully pass the CGFNS Qualifying Exam are:

CGFNS Official Website

One of the most important steps in preparing for an exam like the CGFNS Qualifying Exam® is to visit the official CGFNS website. The official website provides a wealth of trustworthy materials that are highly beneficial for exam preparation.

Study aids, plans, example papers, pamphlets, white papers, documentation, faqs, and other materials are available. All of these crucial details are available to the candidate on the official portal.

Passing the CGFNS Exam for Nurses

Don’t let the CGFNS exam for nurses deter you from trying; if you put in the effort and have patience, you can succeed. See tips below:

Review All the objectives

With complete exam objectives, the candidate’s exam preparation time is better spent because they already know what to study. Significantly, this is the most important step in the preparation guide. So, let’s take a quick look at the Objectives of the CGFNS Qualifying Exam.

  • Basic care and comfort
  • Pharmacological and parenteral therapies
  • Reduction of risk potential
  • Physiologic Adaptation
  • The Official Study Guide for the CGFNS Qualifying Exam®

CGFNS has developed a study guide to help you identify your strengths and weaknesses in nursing knowledge. This study guide is not a substitute for basic education or an in-depth review of nursing textbooks. Using it does not guarantee a passing result on the CGFNS Qualifying Exam®. The sample questions used in this guide were once actual exam questions, but will not appear on the exam you will be taking.

The Official Study Guide for the CGFNS Qualifying Exam includes:

  • Sample nursing questions with explanations of the answers
  • Complete examples of the CGFNS Qualifying Exam® with sample answers and explanations for correct and incorrect answers
  • A section on how to understand multiple-choice questions
  • A reading list for all areas of nursing in the exam, and
  • A description of the way nursing is practiced in the United States.

The study guide will automatically be sent to you when we receive your application and full payment.

Join a Study Group

The candidate will also benefit from joining a group study. They’ll be inspired to put forth more effort as a result. Additionally, taking classes with others will keep them in touch with those who are traveling similar paths to their own.

The conversation in these study groups will also help the students perform better on their tests.

Try Practice Test

The only thing that can guarantee a candidate’s preparation is a practice test. The practice exam will assist the applicants in identifying their areas of weakness so they can improve them.

These days, the candidate can select from a variety of practice exams that are available online.

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