The location of the taker has no relation to the questions that are pulled from the "question" pool for the NHIE. This is what makes it a national exam and also what allows a person that has passed it to use the same exam to obtain a license in about 30 or so states across the country without retaking the exam. I have obtained a license in 4 states by just filling out the paperwork and paying the license fee. Sure some states have a few additional requirements, but most don't. Some states do have specific "modules" that cover state specific requirements or items that the state wants to test on. Washington and Texas come to mind that have the additional module. Illinois on the other hand did not listen to anyone at EBPHI and did not want a state specific module made by EBPHI, the state takes 25 questions out of the NHIE and then adds in 25 state made specific questions to the exam. This invalidated the exam from being used by other states because technically it is no longer the NHIE.. So folks that live on the boarders need to take both exams if they want a license in both states.