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Standardized Exit Exams and Next Generation NCLEX-RN: Examining Policies and Success Outcomes
Mamta Shah1, Ryan Baker2, Peter Granville2
1Elsevier Inc., Philadelphia, Pennsylvania.
The Journal of Nursing Education
|January 15, 2026
Summary
A high score on the standardized exit exam (E2) predicts success on the Next Generation NCLEX (NGN). Program policies requiring test preparation and remediation for the E2 correlate with higher student achievement.
Area of Science:
- Nursing Education
- Assessment and Evaluation
Background:
- A widely used standardized exit exam (E2) is evaluated for its predictive validity.
- The relationship between E2 policies and Next Generation NCLEX (NGN) success is explored.
Purpose of the Study:
- To assess the validity of the E2 as a predictor of NGN performance.
- To examine how program policies influence student success on the E2 and NGN.
Main Methods:
- Data from 32 nursing programs in the US and Canada were analyzed.
- NGN outcomes for 1,753 students who took the E2 were collected.
- Information on E2 policies from 36 programs was gathered.
Main Results:
- Students scoring 850+ on the E2 achieved a 98% NGN first-time pass rate (FTPR).
- Scores below 850 on the E2 were associated with lower FTPR.
- Policies mandating E2 test preparation and remediation correlated with higher E2 benchmark attainment.
Conclusions:
- The E2 demonstrates validity as a predictor of NGN success.
- Specific program policies can enhance student performance on the E2, potentially improving NGN outcomes.
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