{"id":5805,"date":"2022-11-14T19:34:48","date_gmt":"2022-11-14T19:34:48","guid":{"rendered":"https:\/\/www.vivian.com\/community\/?p=5805"},"modified":"2024-09-06T18:53:15","modified_gmt":"2024-09-06T18:53:15","slug":"nclex-tips-to-help-you-pass","status":"publish","type":"post","link":"https:\/\/www.vivian.com\/community\/healthcare-education\/nclex-tips-to-help-you-pass\/","title":{"rendered":"First or Fifth Attempt: NCLEX Tips to Help You Pass"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Whether your career goal is to become a registered nurse (RN) or a licensed practical nurse (LPN), part of the process requires you to pass the National Council Licensure Examination (NCLEX) to get your state nursing license. This prestigious exam determines if a nursing school graduate has the skills and knowledge to practice professional nursing, and the pressure to pass may seem intense. If you\u2019re attempting the nurse licensure exam for the first time or you\u2019ve previously failed and are trying again, this guide provides several helpful NCLEX tips from those who\u2019ve been there and those who now teach others to pass and earn their coveted credentials.<\/span><\/p>\n<h3><b>What Is the NCLEX?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.nclex.com\/\" rel=\"noopener\"><span style=\"font-weight: 400;\">NCLEX<\/span><\/a><span style=\"font-weight: 400;\"> is the premier nurse licensure exam developed by the National Council of State Boards of Nursing (NCSBN) to test the competency of graduate nurses in the United States and Canada. The NCSBN developed the NCLEX-RN for prospective registered nurses and the NCLEX-PN for prospective licensed practical or vocational nurses. It constantly evaluates exam materials to keep up with rapidly evolving healthcare technologies and techniques. The NCLEX utilizes computerized adaptive testing technology to ensure valid and reliable results.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Before taking the NCLEX, you must obtain an Authorization to Test (ATT) by applying to your local nursing regulatory body (NRB). Your NRB is the State Board of Nursing or a similar authority where you <\/span><a href=\"https:\/\/www.vivian.com\/licensing\/\"><span style=\"font-weight: 400;\">apply for nurse licensure in your state<\/span><\/a><span style=\"font-weight: 400;\">. Once you receive your ATT, you must register with Pearson VUE, the testing agency that administers the exam on behalf of the NCSBN. You should start this process way before your target exam date, as it can take quite a bit of time to complete. The NCLEX fee is $200 for every exam attempt.<\/span><\/p>\n<h3><b>NCLEX Tips from Recent Grads<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Nicolas Sanchez is a recent graduate of the <\/span><a href=\"https:\/\/www.unlv.edu\/nursing\" rel=\"noopener\"><span style=\"font-weight: 400;\">University of Nevada, Las Vegas, School of Nursing<\/span><\/a><span style=\"font-weight: 400;\">. He joined <\/span><a href=\"https:\/\/www.vivian.com\/facilities\/hca-healthcare\/\"><span style=\"font-weight: 400;\">HCA Healthcare<\/span><\/a><span style=\"font-weight: 400;\"> as an emergency room nurse in June 2022 after passing the NCLEX and earning his RN licensure in Nevada. His top advice is to practice, practice, practice test questions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cStudying the material doesn\u2019t do you any good if you don\u2019t know how to properly answer NCLEX-style questions. Aim for 50 questions,\u201d Sanchez said. \u201cDon\u2019t cram all your studying the week before. You\u2019ve been studying all through nursing school, so you know much more than you think. As a rule of thumb, start getting really serious a month before you think you want to take the exam and only study a few hours a day.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">McKayla Schulke has been an LPN for about a year and a half though her nursing career began in 2018 when she decided to quit her retail job and accept a <\/span><a href=\"https:\/\/www.vivian.com\/community\/career-resources\/find-the-best-travel-cna-jobs\/\"><span style=\"font-weight: 400;\">certified nursing assistant position<\/span><\/a><span style=\"font-weight: 400;\">. Her original plan was to become a dietician, but that changed when she realized how much she loved being in the nursing field. Her passion led her to start her health and wellness website, <\/span><a href=\"https:\/\/soulsimplebykayla.com\/\" rel=\"noopener\"><span style=\"font-weight: 400;\">Soul Simple By Kayla<\/span><\/a><span style=\"font-weight: 400;\">, which talks about all things related to healthcare and simple living.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Schulke advised first-time test takers to only take the exam when they\u2019re ready and not because they feel obligated to do so by friends, family members or a potential employer. She said if you\u2019re not feeling confident about your abilities, you\u2019re more likely to fail the test and have to repeat it.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cDon\u2019t study the day before your test,\u201d added Sanchez. \u201cTake the day to relax and mentally prepare for the exam. You\u2019ve been working hard to get to this point, so treat yourself.\u201d<\/span><\/p>\n<h3><b>Educator Tips for the First NCLEX Attempt<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Dr. Stephanie Au, MSN, APRN, FNP-C, DNP, is a family nurse practitioner who\u2019s worked in the pediatric ICU but has experience in many specialties, including plastic surgery, cardiothoracic surgery and family medicine. She\u2019s been the Assistant Clinical Professor of Nursing\u00a0at the <\/span><a href=\"https:\/\/nursing.uci.edu\/\" rel=\"noopener\"><span style=\"font-weight: 400;\">University of California, Irvine, Sue and Bill Gross School of Nursing<\/span><\/a><span style=\"font-weight: 400;\"> since July 2018, and before that taught in the nursing BSN and MSN pre-licensure program at UCLA.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cTaking the NCLEX is obviously stressful,\u201d Dr. Au said. \u201cWhile there isn\u2019t anything that will completely remove stress from this experience, having a systematic approach to working through questions allows the student to feel confident in their knowledge and skills and helps control their anxiety so they can think clearly.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cI teach my students something I call the \u2018Strategic Questions Approach.\u2019 This is a strategy for answering test questions, regardless of whether they\u2019re multiple-choice, select all that apply, matching or otherwise. The method consists of four steps:\u00a0<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Step 1:<\/strong> Rephrase the question in your own words. There are really only two reasons a question will be answered incorrectly. Either there\u2019s a knowledge gap or the question was misread. Rephrasing the question in your own words helps you analyze the question correctly and identify what the question is really asking.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Step 2:<\/strong> Identify whether each answer option provided is either correct or incorrect individually.\u00a0<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Step 3:<\/strong> Provide an in-depth rationale as to\u00a0<\/span><i><span style=\"font-weight: 400;\">why\u00a0<\/span><\/i><span style=\"font-weight: 400;\">each option is incorrect or correct using your knowledge from pathophysiology, clinical courses, pharmacology and the nursing process.\u00a0<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Step 4:<\/strong> Choose the answer for which you have a rationale. Rather than getting caught in an endless blackhole of self-doubt, trust your gut, trust your instincts and trust your education.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Catherine Prato-Lefkowitz, Ph.D., MBA, MSN, RN, CNE<\/span><span style=\"font-weight: 400;\">,\u00a0began her career as a psychiatric nurse in the mental and correctional healthcare systems. While she continues to work at the bedside a few days each month to keep her skills current, she has expanded her nursing career to the classroom. She has taught nursing students on-site and online at Walden University, National University, Touro University and the University of Nevada, Las Vegas.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Until recently, Dr. Prato-Lefkowitz was the Director of Nursing Education for the Nevada State Board of Nursing. <\/span><span style=\"font-weight: 400;\">She\u2019s\u00a0spent\u00a0the past\u00a0three years\u00a0developing<\/span><b>\u00a0<\/b>NurseMuse<span style=\"font-weight: 400;\">, a study tool\u00a0designed to provide a new way of learning and creating care plans for nursing students\u00a0during\u00a0clinicals<\/span><i><span style=\"font-weight: 400;\">.<\/span><\/i><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">Dr. Prato-Lefkowitz is\u00a0also\u00a0releasing\u00a0a series of books providing insights into what it means to enter the nursing workforce and related fields.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The following list features Dr. Prato-Lefkowitz\u2019s tips for first-time test-takers, with some pointers matching Dr. Au\u2019s:<\/span><\/p>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Read the question and read the answers<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Ask yourself: What is TRUE and what is FALSE<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Individually go over each option, instead of all together<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Don\u2019t analyze the question, always go with the first response and Do Not Change Answers<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Watch out for the words \u201calways\u201d and \u201cnever,\u201d and don\u2019t choose these<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Make sure the option focuses on what\u2019s Being Asked<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 60px;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The question might be asking about COPD and corticosteroids but might tell you the other health problems the patient has. Focus on COPD and corticosteroids, and don\u2019t focus on the other information. Think about the pathophysiology of COPD and think about what you would teach a patient about corticosteroids.<\/span><\/li>\n<\/ul>\n<ul style=\"padding-left: 30px;\">\n<li><span style=\"font-weight: 400;\">If you have trouble with SATA (select all that apply), practice these questions every day<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Watch out for key terms in the option: lab values, measurable nursing intervention, etc.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Remember, there\u2019s an option that includes all options together<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Look for keywords (initiating, activating)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Look for measurable changes in patient status<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Prioritize the nursing process, ABCs, Maslow\u2019s Hierarchy<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Assessment is always first <\/span><\/li>\n<li><span style=\"font-weight: 400;\">Remember, therapeutic responses: tell me more, can you elaborate on feelings, thoughts, perceptions<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Eliminate non-therapeutic responses: changing the subject, asking them \u201cwhy,\u201d giving them false hope, telling them what to do, talking about yourself<\/span><\/li>\n<\/ul>\n<h3><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-5808 size-full\" src=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2022\/11\/Nurse-Studying8-Resized-scaled.jpg\" alt=\"NCLEX study tips\" width=\"2560\" height=\"1344\" \/><\/h3>\n<h3><b>NCLEX Tips for Subsequent Attempts<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">General tips for passing the NCLEX also apply to subsequent attempts. However, nurses who\u2019ve previously failed the exam may benefit from additional suggestions that wouldn\u2019t necessarily be relevant to first-time test takers. Our experts weighed in on how to approach taking the nurse licensure exam multiple times.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">No matter how much you studied and how prepared you believed yourself to be, you may still fail the NCLEX on the first attempt. Thus, Schulke warned graduate nurses not to think of themselves as failures just because they didn\u2019t pass.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThis test doesn\u2019t define your worth as a human being or a nurse. All it does is let a few people sitting behind a desk know you&#8217;re a good test taker,\u201d she said.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, Dr. Au added that it\u2019s difficult not to fall victim to self-doubt.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIf the first time taking the NCLEX is stressful, having to take it again adds another layer of insecurity and self-doubt,\u201d said Dr. Au. \u201cMy tip for students taking the NCLEX a second time is don\u2019t read into the question, meaning<\/span><span style=\"font-weight: 400;\">\u00a0don\u2019t put additional context in the question that isn\u2019t there. If the question doesn\u2019t state the patient is having pain, don\u2019t assume they\u2019re having pain.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cMany students reflect on their own patients throughout their clinical rotations,\u201d she explained. \u201cHowever, this can lead to the student adding specific context from their patient that isn\u2019t relevant to the question being asked. Keep it simple, keep it at face value and refrain from making it more complicated than it needs to be.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Prato-Lefkowitz advised those attempting the NCLEX on subsequent attempts to refer back to the tips provided for first-timers but also sign-up for a live review. She suggested practicing 50 questions each day to become desensitized to them, especially those that require you to select all that apply.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWrite out the rationale for the correct and incorrect answers,\u201d she said. \u201cExplain the disease process out loud and discuss what nursing interventions you would do for that disease process as well as the rationale. Talking out loud, even to yourself, will help you be able to articulate what you\u2019re saying. Even better, try to describe it to a non-medical person in your family or friend circle.\u201d<\/span><\/p>\n<h3><b>Tips for the First or Fifth Attempt<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Dr. Au offered some parting advice for test takers that she feels is helpful, whether it\u2019s your first attempt at tackling the NCLEX or you\u2019ve tried several times but haven\u2019t found success yet.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cAfter identifying your answer to a question but before moving on to the next, stop for 2 to 3 seconds and take a slow deep breath,\u201d advised Dr. Au. \u201cReflect on the question one more time in a calm state and then submit your answer and let that be final. Trust your instincts. Try to limit your self-doubt and insecurities and don\u2019t give them a place in analyzing a patient care problem. Several studies have shown that oftentimes when students change their answers on an exam, they change it to an incorrect answer.&#8221;<\/span><\/p>\n<h3><b>Prepare for the Next Generation NCLEX<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The NCSBN announced in August 2019 that the NCLEX would undergo an update that included format changes. Dubbed the Next Generation NCLEX (NGN), the NCSBN confirmed that the new version would begin on April 1, 2023. Starting on that date, prospective RNs and LPNs\/LVNs who began nursing school in or after Fall 2021 must pass the NGN to pursue nurse licensure.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The NGN combines current types of NCLEX items and new NGN items, including different question formats. It still utilizes computer adaptive testing and a mix of questions requiring candidates to demonstrate their nursing knowledge and skills, but now test-takers must apply their knowledge using clinical judgment and critical thinking skills.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The NGN uses case studies like what\u2019s seen in the real world to reflect the critical decisions nurses must regularly make in various healthcare settings. Altogether, it features five types of exam questions. Two question types previously seen on the NCLEX include SATA or extended multiple responses and drag-and-drop questions. The three new test items include drop-down (Cloze questions), enhanced hot spot (highlighting questions) and matrix\/grid questions.<\/span><\/p>\n<p><strong>Related:\u00a0<a href=\"https:\/\/www.vivian.com\/community\/career-resources\/next-generation-nclex-tips\/\">What Nurses Should Know about the Next Generation NCLEX<\/a><\/strong><\/p>\n<p><span style=\"font-weight: 400;\">If you have some tips for passing the NCLEX you\u2019d like to share with prospective nurses, please share them below in the comments section.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Recent grads tell you what worked for them, and professors share secrets they teach their students.<\/p>\n","protected":false},"author":17,"featured_media":5810,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[109,3],"tags":[290,294,360,362,361,303,75,90],"class_list":["post-5805","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare-education","category-career-resources","tag-discipline","tag-employment","tag-lpn","tag-lpn-lvn","tag-lvn","tag-permanent","tag-rn","tag-travel"],"acf":[],"jetpack_featured_media_url":"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2022\/11\/Nurse-studying9-Resized-scaled-e1668532482381.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/posts\/5805","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/comments?post=5805"}],"version-history":[{"count":0,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/posts\/5805\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/media\/5810"}],"wp:attachment":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/media?parent=5805"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/categories?post=5805"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/tags?post=5805"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}