I can’t speak to the certification exams, but for nursing school, there is a high pressure from administration to pass students as long as they can pass the sta

I can’t speak to the certification exams, but for nursing school, there is a high pressure from administration to pass students as long as they can pass the standardized test, even if the teachers don’t think the student is ready or safe for clinical work. So, although they do have practical experience, it is often limited in scope and students can fake their way through it to a surprisingly large extent (they’re always paired with a licensed staff member). This is anecdotal, but consistent across what has been told to me by staff members of several nursing schools.