Predictors and students’ perceptions of NCLEX-RN success in a BS program

Abstract

Background: First time National Council Licensure Examination-Registered Nurses (NCLEX-RN) pass rates and successful student progression in a program are considered key indicators of quality of nursing programs. The purpose of this study was to investigate the predictors of first-attempt NCLEX-RN success among multiple factors, and to explore the students’ perception for NCLEX-RN.

Methods: A retrospective descriptive design was used including a total of 671 students who were admitted as a junior to the program between spring 2012 and fall 2015. Descriptive statistics and multiple logistic regression models were conducted to find significant predictors of first time NCLEX-RN success.

Results: Course grades for adult health, family health, critical care health, and the repeated course history, and HESI scores for adult health, family health, and the EXIT exam were significant predictors of NCLEX-RN success. Students perceived that the review course and practice test were helpful in passing NCLEX-RN.

Conclusions: Findings of this study would be beneficial for nursing programs to strategize effectively for students who are at risk of failing and support them in their NCLEX-RN preparation.