You don't actually need to be able to speak English to hold an A+P

Foreign applicants who don't speak English can be issued with an A+P which is endorsed with "valid only outside the USA", I'm not sure how they test them though. When I did mine tow guys in the group in front of me failed the oral practical because they spoke very slowly heavily accented English which did not fit in well with the examiners 'machine gun pace' question and answer style. The school simply 'repackaged them' and sent them to a different DME where they passed......