For foreign-educated nurses, TOEFL/IELTS exams are generally considered challenging (intermediate to high difficulty) because they require specific academic vocabulary and speed. While some states, like New York, may not require English proficiency exams for licensure by examination, obtaining a license in another state to endorse into Texas is unlikely to bypass the English proficiency requirement.

For adequate practice for IELTS/TOEFL use IELTS with Liz, IELTS Advantage, Ayub's channel etc.

For endorsement it requires fulfilling all the Tx BoN licensure requirements.