Redesigning Student-Focused Success: Strategies for Optimal NCLEX-RN Outcomes

Background: Achieving and maintaining high pass rates for first-time NCLEX-RN testers is a focus of most nursing programs for accreditation purposes. Beginning in 2021, the College of Nursing within a small liberal arts university began to experience a decline in NCLEX-RN pass rates, culminating in an annual pass rate of 43.4% for 2022 to 2023. Method: Significant resources were invested in the redevelopment and implementation of a broad action plan focused on student success interventions. Student-focused interventions included employing and organizing the Nursing Success Program Coordinator duties, implementing test-taking strategy lunch-and-learn sessions, and creating Nursing School Success and postgraduation NCLEX-RN prep courses within the university's learning management system. Results: After implementing these strategies, NCLEX-RN pass rates rebounded to an annual rate of 94.6% for 2023 to 2024. Conclusion: Student-focused interventions have had a positive effect on various outcomes, including NCLEX-RN pass rates.