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Related Experiment Videos

Assisting at-risk students in preparing for NCLEX-RN.

L L Siktberg1, N L Dillard

  • 1Ball State University, School of Nursing, Muncie, Indiana, USA. lsiktber@bsu.edu

Nurse Educator
|July 30, 2002
PubMed
Summary

Failing the registered nurse licensure exam (NCLEX-RN) devastates graduates psychologically and financially. The 91-day waiting period to retake the exam hinders skill reinforcement, increasing subsequent failure risk.

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Area of Science:

  • Nursing Education
  • Professional Licensure

Background:

  • First-time failure of the National Council Licensure Examination for Registered Nurses (NCLEX-RN) results in significant psychological, social, and financial distress for nursing graduates.
  • The delay in retaking the NCLEX-RN, a computer-adapted test (CAT), is set at 91 days post-failure.

Purpose of the Study:

  • To analyze the impact of first-time NCLEX-RN failure on graduates.
  • To examine the consequences of the 91-day waiting period for NCLEX-RN retakes.
  • To understand how graduate NCLEX-RN performance affects nursing school pass rates.

Main Methods:

  • This study is a qualitative analysis of the NCLEX-RN examination process and its outcomes.
  • The research reviews the psychological and professional ramifications for nursing graduates who fail the NCLEX-RN.

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Main Results:

  • Graduates experience profound humiliation and distress after failing the NCLEX-RN.
  • The extended 91-day gap between testing opportunities limits clinical practice and knowledge reinforcement.
  • This delay potentially increases the likelihood of subsequent NCLEX-RN failure.
  • Graduate pass rates on the NCLEX-RN directly influence the annual performance metrics of nursing schools.

Conclusions:

  • The NCLEX-RN examination is a critical determinant of a nursing graduate's professional entry.
  • The current NCLEX-RN retake policy may inadvertently create barriers to licensure and practice.
  • Interventions to support graduates during the waiting period and potentially shorten the retake interval warrant consideration.