The purpose of the study was to examine the relationship between senior community health nursing students’ ATI test scores and their clinical community health nursing experiences, either in-country or out-of-country. The ATI test results are a reliable predictor of whether the student will pass their nursing board exams (NCLEX-RN). The study also examined whether the two groups of students reported any similarities and differences in their sense of confidence or transcultural self-efficacy and conceptual knowledge and their clinical experiences. ATI test scores were reviewed for the two groups. Focus groups were held to discuss any similarities or differences in the students’ community health nursing experiences. Cultural competency was evaluated using Jeffreys’ (2016) Transcultural Self- Efficacy Tool
