title: An investigation of predictors of NCLEX-RN outcomes among nursing content standardized tests.
abstract: In order to meet increased demands for qualified registered nurses and prevent negative effects from graduates' failure on the National Council Licensure Examination-Registered Nurse, it is important to promote students' success in the exam. The purpose of this study was to investigate effective predictors of NCLEX-RN outcomes on the first attempt among nursing content standardized tests (adult medical-surgical, fundamentals for nursing, pharmacology, maternal-newborn, nursing care of children, mental health, community health, and leadership and management) conducted throughout the nursing program. NCLEX-RN outcomes and individual adjusted scores on the standardized tests of 151 graduates from the traditional baccalaureate nursing program of a public university located in the Midwest from May 2010 to December 2011 were analyzed by a t-test and logistic regression. The participants included 118 graduates who passed and 33 graduates who failed the NCLEX-RN on the first attempt. Significant statistical differences were found between the two groups with NCLEX-RN success and failure in the individual adjusted scores on all of the standardized tests except the fundamental for nursing (p=.62) and nursing care of children (p=.759) standardized tests. In addition, logistic regression indicated that the overall regression models were significant in predicting both NCLEX-RN success and failure. Adult medical-surgical, pharmacology, and community health standardized tests were central to the prediction of both NCLEX-RN success and failure; however, a much lower percentage of NCLEX-RN failure than success was classified. It can be concluded that the adult medical-surgical, pharmacology, and community health standardized tests were effective in predicting NCLEX-RN success and not effective in predicting NCLEX-RN failure on the first attempt. The NCLEX-RN success predictors can be utilized to identify students at risk and provide early remediation. After early remediation is implemented, the comprehensive standardized tests may be used as a mid-point indicator of the remediation's effectiveness before taking the NCLEX-RN.
authors.affiliation: Department of Baccalaureate Nursing, Indiana State University, NU 328, 749 Chestnut Street, Terre Haute, IN 47809, United States. Electronic address: yyeom@sycamores.indstate.edu.
authors.forename: Yei-Jin
authors.initials: YJ
authors.lastname: Yeom
mesh_terms: D000328:Adult; D004508:Education, Nursing, Baccalaureate / Q000706:statistics & numerical data*; D004521:Educational Measurement / Q000592:standards*; D005260:Female; D006801:Humans; D008008:Licensure, Nursing; D008297:Male; D013338:Students, Nursing / Q000706:statistics & numerical data*; D014481:United States
keywords: Failure; NCLEX-RN; Outcome; Predictors; Standardized tests; Success