A Cross-Sectional Analysis of Reporting NCLEX Pass Rates by Nursing Program in the United States

Area of Science:

• Nursing Education
• Healthcare Policy
• Data Transparency

Background:

• The National Council Licensure Exam (NCLEX) pass rate is a key metric for evaluating U.S. prelicensure nursing programs.
• Consistent and accessible NCLEX pass rate data is crucial for research, public decision-making, and open science principles.

Purpose of the Study:

• To identify the number and specific state boards of nursing (BONs) that publicly report NCLEX pass rates by nursing program.
• To assess the consistency and completeness of publicly reported NCLEX pass rate data.

Main Methods:

• A descriptive, cross-sectional study design was employed.
• Researchers systematically reviewed each state BON website for publicly available NCLEX pass rate data disaggregated by nursing program.

Main Results:

• 47 states and the District of Columbia reported NCLEX pass rate data by nursing program via their BON websites.
• Alaska, Michigan, and Vermont were initially identified as not reporting this data; Michigan later updated its website.
• Significant inconsistencies were observed in the amounts and types of NCLEX pass rate data reported across states.

Conclusions:

• While most states now provide NCLEX pass rate data, standardization is needed for transparency and equitable public information.
• Consistent, standardized reporting of NCLEX pass rates by program is essential to support nursing research and public trust.