The NCLEX® Exam

To ensure public protection, the United States and its territories require entry into the practice of nursing to be regulated by licensing authorities within each jurisdiction. Each jurisdiction requires all candidates for licensure as entry-level nurses to pass an examination (NCLEX) which assesses the knowledge required to perform safely and effectively.

NCLEX stands for The National Council Licensure Examination which is a standardized exam used by each state board of nursing to determine if RN or LPN/LVN candidates are competent for entry-level nursing practice. There are two NCLEX tests offered by the National Council of State Boards of Nursing (NCSBN): the National Council Licensure Examination for Registered Nurses - NCLEX-RN ® and the National Council Licensure Examination for Practical Nurses - NCLEX-PN ®.

The NCLEX-RN is for registered nurse candidates while the NCLEX-PN is for practical and vocational nurses. The main difference between the two tests is the number and difficulty of correctly answered questions required to pass the exam. The States and territorial boards of nursing use these exams in making licensure decisions. The NCLEX-RN has 265 questions and the minimum number you need to answer is 75. The NCLEX-PN has 205 questions and the minimum number you need to answer is 85. The NCLEX exams are administered using Computerized Adaptive Testing - CAT. There is a six hour limit for NCLEX-RN and a five hour time limit for NCLEX-PN which includes time for the computer tutorial and breaks.

Using this method (CAT) each NCLEX exam is unique and the questions are retrieved from a database as the exam progresses. The computer measures the ability of the candidate using the answers provided previously and changes the difficulty and topic of the new questions accordingly - if you answer correctly the computer will select harder NCLEX questions and if you are answer incorrectly it will choose easier questions. The NCLEX software estimates your ability every time you provide the answer to a question and with each new answer you provide the estimate of your ability gets more precise.

The NCLEX exam software selects questions that it considers you will have a close to 50% chance of answering correctly - not too hard or too easy for the ability it believes you have. This is done so that a well prepared candidate will be asked more difficult questions thus having a good chance of passing the NCLEX exam by answering the minimum number of questions while less prepared candidates are not forced to guess the answers to questions too difficult for them. The expected number of correct answers is half the total number of NCLEX questions you are presented with because of the adaptive nature of the test.

After you answer the minimum number of questions for the NCLEX exam the software will analyze your performance and it may shut-down the computer. This means that you either passed or failed the exam. The computer will shut-down only when the program running the test has determined with 95% certainty that your ability is either above or below the passing standard.

The only way to get additional NCLEX questions is if you are very close to the passing score - either 2.5% above or 2.5% below it. If this is the case you should not worry about failing but instead should concentrate on answering correctly the next set of questions. You must understand that you are very close to passing the exam if you answer most NCLEX questions correctly from this point on. You must answer the maximum number of questions on the exam only if at the end of each set of questions you are within the 2.5% above or below the passing score. The time you spend on each question is not an important factor with regard to passing but you should answer the required number of questions in the allotted time.

If you are required to answer the maximum number of NCLEX questions and the computer still isn't 95% sure you can pass, the 95% confidence requirement is dropped. If at this point you have a score higher than the minimum required you pass the exam otherwise you fail. If you run out of time and did not answer the minimum number of questions required you fail automatically. If you run out of time but you answered the minimum number of questions required and for the last 60 NCLEX questions your score was never below the passing standard you pass otherwise you fail the exam. This does not mean that you have to answer the last 60 questions correctly but only that at any point during the last 60 NCLEX questions your score was above the minimum required to pass the exam. You can think about it this way: for each correct answer add one to your score while for each incorrect answer subtract one. Adding your scores one at a time for each question answered should never result in a negative score in order for you to pass if you run out of time but you have answered the minimum number of questions required.

The NCLEX-RN and NCLEX-PN questions are mostly multiple-choice questions with four answers. In some cases the NCLEX exam uses more difficult question formats such as multiple-choice questions that require you to select one or more correct answers, fill-in-the-blank questions or questions that require you to identify an area on a picture. Both exams cover mostly the same topics but the NCLEX-RN is more difficult. 

You must apply to your state board of nursing in order to take the NCLEX examination. That board of nursing will decide whether or not you are eligible for the NCLEX examination. If you are eligible you must register to take the exam using the Authorization to Take the Test (ATT) provided by the board of nursing in your state. They will also provide you with a list of testing centers and instructions for how to schedule and take the licensure examination. After you take the test you will have to wait for the results. The time you need to wait depends on how the results are reported in your state: mail, online, phone or email. If you fail the test you will receive a summary of your test performance indicating topics where you did well and topics that you need to study further. You will be able to take the test again after a mandatory waiting period - usually 45 days.

NCLEX-RN Exam
Kaplan NCLEX-RN Exam 2006-2007 with CD-ROM
Kaplan MCAT Comprehensive Review with CD-ROM
NCLEX-RN Exam Cram (Exam Cram)
NCLEX-PN Exam Practice Questions Exam Cram (Exam Cram)

NCLEX-RN Pass Rate of First Time Candidates Educated in Pennsylvania
Nusing School
Pass %
02 - 03
Pass %
03 - 04
Pass %
04 - 05
Abington Memorial Hospital DPL
80.5
95.2
95.65
Alvernia College BSN
n/a
85.7
80.95
Bloomsburg University BSN
91.2
87.8
89.74
Brandywine Hospital DPL
79.3
75.8
66.67
Bucks County Community College ADN
75.3
83
84.07
Butler County Community College ADN
83.7
79.6
85.71
Carlow College BSN
81
79
93.33
Cedar Crest College BSN
76.5
87.5
98.00
Citizens School of Nursing DPL
90
100
82.00
Clarion University of PA ADN
79.2
89.7
91.04
College Misercordia BSN
62.5
60
74.42
Community College of Allegheny County ADN
74.4
72.8
78.55
Community College of Beaver County ADN
90
85.3
85.92
Community College of Philadelphia ADN
76.8
80.4
88.33
Conemaugh Valley Memorial Hospital DPL
90.6
89.7
96.36
DeSales University BSN
73.3
68.4
77.78
Delaware County Community College ADN
81.1
85.4
82.64
Drexel University BSN
91.7
98.2
98.84
Duquesne University BSN
86.1
72.7
89.02
East Stroudsburg University BSN
80.8
62.2
78.05
Edinboro University BSN
73.7
67.9
80.95
Frankford Hospital DPL
91.8
85.7
94.29
Gannon University BSN
76.2
93.8
100.00
Gwynedd-Mercy College ADN
62
79.6
81.88
Harcum College ADN
n/a
n/a
78.57
Harrisburg Area Community College ADN
99
94.2
96.48
Holy Family University BSN
70
72
81.63
Indiana University of Pennsylvania BSN
83.3
85.4
81.82
Jameson Memorial Hospital DPL
88.9
92.2
82.98
Lancaster Institute for Health Education DPL
96.9
98.7
98.06
LaRoche College ADN
n/a
n/a
100.00
Villanova University BSN
76.8
85.71
80.92
Washington Hospital DPL
82.4
91.3
83.78
Waynesburg College BSN
84.2
79.4
96.43
West Chester University BSN
83.7
86.2
86.76
Western Pennsylvania Hospital DPL
93.8
76.9
85.37
Westmoreland Co Community College ADN
93.4
81.8
85.98
Widener University BSN
81.3
75.7
88.89
Wilkes University BSN
75
77.8
84.00
York College of PA BSN
87.8
90.5
85.87
Pennsylvania Total
83.7
84.1
86.01
US Total
87.1
85.4
87.18

 

NCLEX-RN Pass Rate of First Time Candidates Educated in Pennsylvania
Nusing School
Pass %
02 - 03
Pass %
03 - 04
Pass %
04 - 05
Bucks County Community College
n/a
78.1
100
Career Tech Ctr of Lackawanna Co
98.1
92.6
89.47
Ctr for Arts & Tech-Brandywine
100
96.6
93.75
Central PA Institute of Sci &Tech
93.3
91.2
84.85
Central Susquehanna LPN Career Ctr
86.5
97.1
96.23
Clarion County Career Center
94.4
97.4
90.32
Clearfield County Career Tech
87
95
100
Comm College of Allegheny County
100
100
100
Comm College of Beaver County
72.7
100
100
Crawford County AVTS
85.7
94.6
95.45
Delaware County Technical School
98.2
94.4
96.55
District 1199C TRN UPGR Fund
78.4
80.0
79.25
Eastern Center for Arts & Tech
81.5
90.9
94.37
Erie 2 BOCES
n/a
n/a
100
Fayette County AVTS
87.8
88.0
81.82
Franklin County Career & Tech Ctr
94.4
93.8
98.28
Greater Altoona Career & Tech Ctr
95.1
92.7
90.24
Greater Johnstown AVTS
93.4
94.9
91.55
Greene County AVTS
100
84.0
81.82
Hanover Public School District
97.8
100
95.56
Harrisburg Area Comm College
94.4
94.6
98.15
Harrison Career Institute
n/a
63.2
52.17
Hazleton Area Career Center
91.7
n/a
80.49
Huntingdon County Career Tech Ctr
100
100
87.50
Jefferson Co-Dubois AVTS
92.3
96.4
88.64
Keystone Job Corps
n/a
66.7
100
Lancaster County Career & Tech Ctr
92.2
96.8
96.81
Lawrence County Career & Tech Ctr
92.6
78.8
82.98
Lebanon County AVTS
93.5
86.4
90.16
Lehigh Carbon Community College
91.3
100
89.19
Lenape AVTS
90.0
86.7
85.48
Mercer County Career Ctr
95.0
81.6
85.48
Mercyhurst College NE
76.2
95.8
96.83
Mifflin-Juniata Co AVTS
84.4
97.0
83.72
Northampton Comm College
94.1
96.8
90.24
Northern Tier Career Ctr
92.0
84.0
85.71
PA College of Technology
82.4
91.7
98.04
PA College of Technology
n/a
n/a
90.00
Reading Area Comm College
92.7
96.9
93.94
Schuylkill Training & Tech Ctr
92.3
89.6
87.04
TUHS Episcopal Hospital
78.9
94.1
100
Tri-State Business Institute
n/a
n/a
76.92
UPHS-Presbyterian Med Center
69.2
71.4
63.64
UPMC St. Margaret
n/a
100
100
Venango Co AVTS
100
100
96.55
Western Area Career & Tech Ctr
93.8
74.4
80.00
Westmoreland Co Comm College
100
100
100
Wilkes Barre AVTS
83.6
79.3
90.59
York Co AVTS
98.1
100
97.73
Pennsylvania Total
89.7
89.7
90.54
US Total
88.3
88.9
89.59


Nursing Resources

Information about employment opportunities may be obtained from local hospitals, nursing care facilities, home health care agencies, psychiatric facilities, the Pennsylvania State Board of Nursing, and local offices of the State employment service. For information on nursing schools and lists of accredited programs in other states visit one of the following websites: New Mexico Nursing Degrees, Rhode Island Nursing Schools, Tennessee Nursing Programs, Michigan Nursing Degrees and Missouri Nursing Schools.

The information on Pennsylvania-Nursing-Schools.com is for general informational and educational purposes only. Pennsylvania-Nursing-Schools.com makes no representation that the information is accurate, reliable, complete or timely.