The relation between standardized test scores and NCLEX-RN failure

Abstract

First time pass rates on the National Council Licensure Examination – Registered Nurses (NCLEX-RN) are the desired outcome of Schools of Nursing across the United States. The purpose of this study was to determine if there was a relation between standardized testing scores and NCLEX-RN failure among students in a baccalaureate nursing program. This study utilized a retrospective correlational design to identify relations between the dependent variables NCLEX-RN failure and the independent variables. The 16 Independent Variables were: Fundamentals of Nursing Practice and Repeat, Adult Health Nursing and Repeat, Mental Health Nursing and Repeat, Pediatric Nursing and repeat, Obstetrical Nursing and Repeat, Community Health Nursing and Repeat, RN Exit Exam and Repeat, and Pharmacology and Pharmacology Repeat. The statistical tests utilized for data analysis were: logistic regression, multiple logistic regression model, and Pearson’s χ² cross-tabulations. Significant findings identified students “at risk” for NCLEX-RN failure. Faculty intervention early on and throughout the students’ nursing program will help improve student outcomes, NCLEX-RN success, and ultimately helping to alleviate the nursing shortage.