The National Council Licensure Examination (NCLEX®), is used by all state nursing boards to determine whether or not a nurse is ready to practice at an entry-level. There are two Next Gen NCLEX examinations, the NCLEX-PN®, for practical and vocational nurses, and the NCLEX-RN®, for registered nurses. Although many concepts are overlapping, this post will solely discuss the NCLEX-RN® for the sake of simplicity. The following are eight things you should know prior to taking the NCLEX®.
What does NCLEX® stand for?
“NCLEX” is an acronym for The National Council Licensure Examination (NCLEX®). The NCLEX® determines whether a nurse can obtain licensure to practice.
What is the Next Gen NCLEX® (NGN)?
The Next Generation NCLEX® (NGN) is the latest iteration of the NCLEX® exam for aspiring registered nurses and licensed practical nurses. While its scoring system bears resemblance to its predecessor, the NGN introduces the possibility of earning partial credit through a polytomous scoring approach, rewarding test-takers for a partial grasp of the material. Combining traditional NCLEX® question formats with innovative NGN items, the exam is crafted to assess foundational nursing competencies, clinical judgment, and comprehensive knowledge required for entry-level practice.
Who writes the NCLEX®?
The NCLEX® is developed and owned by the The National Council of State Boards of Nursing (NCSBN). The NCSBN is a not-for-profit organization whose members include the nursing regulatory bodies (NRB) for all 50 states, the District of Columbia, American Samoa, Guam, Northern Mariana Islands, and the U.S. Virgin Islands.
Can you take the NCLEX® without a degree?
No. You must have a degree in nursing to sit for the NCLEX® examination. Each state Nursing Regulatory Body (NRB) is allowed to have different requirements, but all require a nursing degree to take the NCLEX®.
How is the NCLEX® scored?
The NCLEX® is a computerized, multiple choice exam. It includes alternate item format questions such as select-all-that-apply, fill-in-the-blank, and drag-and-drop ordering questions. The NCLEX® uses computerized adaptive testing (CAT) to administer and score the exam. CAT merges computer technology with modern measurement theory to create an algorithm to individualize and increase the efficiency of the exam.
Scoring with CAT technology reduces item exposure and security risks. Next, it calculates the test taker’s ability based on the answer chosen for every question in an effort to provide a following question that matches the test taker’s ability. Therefore, each test taker should receive questions that she or he has a 50% chance of answering correctly. In other words, each question should not be too hard or too easy, individualizing the exam to each person’s ability. The computer will stop giving questions when it is 95% certain (95% Confidence Interval) the test taker is above or below that standard of passing.
How many questions are on the NCLEX®?
The NCLEX® has 85 to 150 questions including 15 pretest items that are not scored. It has a time limit of 6 hours.
As mentioned above, the NCLEX® uses CAT technology to determine the number of questions. The test ending is dependent on how fast the test taker reaches the required zone of competency established by the National Council of State Boards of Nursing (NCSBN). The test ends when the test taker has answered enough questions to stay above the passing line with a 95% confidence interval, or alternatively when the test taker has failed enough questions to fall below the 95% confidence interval. Therefore, someone can pass or fail the test with anywhere between 85 and 150 questions.
How hard is the NCLEX®?
In 2023, 358,998 total people took the NCLEX® with an overall pass rate of 69.66%. Of the total test takers, 186,350 were first-time, U.S. educated test takers, and 88.56% passed. In other words, if the student has a U.S. education, is taking the exam for the first time, and has received a bachelor’s degree, her or his chances of passing are higher. The NCSBN publishes the pass rates and statistics of the NCLEX® annually which can be viewed here.
With all licensure and certification exams, preparation is key. BoardVitals offers comprehensive online NCLEX-RN® question banks and NCLEX-PN® question banks that mirror the CAT technology used for the NCLEX® to help users combat test anxiety. With BoardVitals NGN NCLEX® question banks, study with unlimited customizable practice exams, 3,500+ NCLEX-RN® practice questions which follows the exam content outline recommended by the NCSBN, plus a convenient mobile app.
What should I do if I can’t pass the NCLEX®?
Detailed information regarding what to do if you did not pass the NCLEX® can be found here. However, the short answer is not to lose hope. Most state Boards of Nursing allow students to retest multiple times. Often, the student does not pass solely because she or he did not understand the format of the exam. A quick change in your study strategy can help you pass the next time around. So, most importantly, do not give up!
