Predicting NCLEX-RN Success in a Diverse Student Population

Abstract

Many schools of nursing have implemented standardized testing using platforms such as those developed by Assessment Technologies Institute (ATI) to better prepare students for success on the National Council Licensure Examination for Registered Nurses® (NCLEX-RN). This study extends and replicates the research on standardized testing to predict first-time pass success in a diverse student population and across two prelicensure program types. The final sample consisted of 589 students who graduated between 2003 and 2009. Demographic data, as well as academic performance and scores on the ATI RN Comprehensive Predictor, were analyzed. The findings in this study indicate that scores on the ATI RN Comprehensive Predictor were positively, significantly associated with first-time pass success. Students in jeopardy of failing the NCLEX-RN on their first attempt can be identified prior to graduation and remediation efforts can be strengthened to improve their success.

Academic and Nursing Aptitude and the NCLEX-RN in Baccalaureate Programs

“…The only other significance found was between nursing course grades in medical surgical nursing and nursing pathophysiology (Alameida et al, 2011).…”

“…This would support the ATI testing system which is also a standardized evaluation of NCLEX-RN readiness. Alameida et al (2011) at San Francisco State University looked at predicting NCLEX-RN success using the ATI RN comprehensive predictor test score and the ATI predictor probability of first-time NCLEX-RN pass. These researchers found a significant relationship between NCLEX-RN success on the first try and the ATI variables.…”

The Use of Standardized Exit Examinations in Baccalaureate Nursing Education

“…Studies have repeatedly shown that an exit examination prior to graduation may significantly predict NCLEX-RN success. 4,6,8 However, according to Spurlock 9 and Spurlock and Hunt, 7 these high-stakes examinations are able to identify students who are likely to pass the NCLEX-RN, but are less likely to identify students with a potential failure of the NCLEX-RN. Such research suggests that there may be insufficient evidence to support restricting graduation after the failure of a high-stakes exit examination.…”

“…Preparing for exit examinations and remediating in areas of weakness help students understand key concepts prior to taking the NCLEX-RN. 6 The data collected are helpful for curriculum development and revision. 2 Furthermore, with a standardized format, faculty can compare their students' performances to other students across the nation.…”

“…Students receive immediate feedback with rationale, areas of weaknesses, and remediation material. 6 Educators are able to design student-specific learning goals and remediation activities to better prepare students for the national nursing licensure examination. Preparing for exit examinations and remediating in areas of weakness help students understand key concepts prior to taking the NCLEX-RN.…”