Immigrant nursing students who use English as a Second Language (ESL) are becoming a significant population in nursing education classrooms today. Frequently, nurse educators feel at a loss as they struggle to help students achieve their educational goals. The authors offer an analysis of one of the problems nurse educators and immigrant ESL nursing students face: language development. A case study that has as its theme the problem of language development is presented. Relevant second language acquisition research findings are outlined and appropriate teaching practices are suggested. This research and these practices are used to identify actions that nurse educators and their students can take to enhance and improve the language development of immigrant ESL nursing students.