Post-Predictive Exam Failure Remediation and NCLEX-RN Success of Baccalaureate Nursing Graduates

Tuesday, 13 July 2010: 9:10 AM

P. Gale Allen, EdD, RN
Center for Excellence in Education, Arkansas State University, West Memphis, AR

Learning Objective 1: Describe remediation strategies used in baccalaureate nursing education for students who have not met school benchmark score on the predictive NCLEX exam.

Learning Objective 2: Apply usefulness of different strategies and combination of strategies for remediation to my population of students.

Purpose: An ex post facto study was conducted to determine the relationship between remediation post-predictive test failure Reach Exit Exam and NCLEX-RN success of graduates of baccalaureate nursing programs.

Methods: The dataset was drawn from Elsevier’s 7th Validity Study (V7S) dataset, which was a stratified randomized control study of 72 schools and represented 4,383 registered nursing students who tested between 1, 2006 and August 31, 2007. For this analysis, responses from 28 baccalaureate nursing programs were included for a 51% response rate.  Fifty-nine testing session groups composed of 26 taking Version 1, 18 Version 2, and 15 Version 3 were analyzed. 

Results: As expected, those students only taking version one had the highest average NCLEX-RN pass rate at 92%. Version 2 and 3 pass rates were 87% and 82% respectively. For the students not meeting the schools benchmarks and requiring re-testing by Version 2 and/or Version 3, remediation strategies implemented by the nursing programs were: 1) online exam remediation, 2) remedial course, 3) computer-based tutoring, 4) NCLEX-RN Review Manual, 5) NCLEX-RN preparation book, 6) tutoring, 7) re-test with a different vendor, 8) use of on-line case studies, and 9) repeat the course. Multiple combinations of strategies were also employed.  All strategy and combination usage rates will be reported.  Analysis was completed to determine if there was a difference in the NCLEX-RN pass rates of the groups that required remediation after failure on the E2 and those groups not requiring remediation after failure on the E2.  In this sample, the remediation group had an average pass rate of 86% whereas the non-remediation group’s had a lower average pass rate of 77%.

Conclusion: At risk students for NCLEX-RN failure can increase their subsequent parallel predictive exam scores with remediation. Teaching/learning strategies often used were: online exam remediation, remedial course, and computer-based tutoring.