The study identifies the communicative needs of Pakistani nursing students and their priorities of needs of Pakistani nursing students? 2. Does speaking skills have high priority for the nursing students in clinical setting? Quantitative research method was used.120 nursing students have been randomly selected as the sample of the study from six nursing colleges of Lahore. The sample was further classified as undergraduate (diploma) nursing students (n = 60), and graduate (Post RN) students (n = 60).20 respondents have been selected from each nursing college. Closed ended questionnaire was used as research instrument and developed on a five-point Likert-scale. Its reliability was calculated by Cronbach’s Alpha. ANOVA and t-test were used to find out the mean difference of the score of the respondents. The study concludes that speaking skills have priority over others language skills. Diploma and B.Sc. nursing students face similar language difficulties in clinical setting. They face the problem in communication during ward rounds of other health care professionals. Their communicative needs vary from age, class, and clinical experience.