This is a question troubling approximately 9,000 U.
S.
nursing graduates and approximately 20,000 foreign nursing graduates per annum according to the NCSBN® report, 2012.
This is complex question requiring a deep understanding of the test itself. The NCLEX-RN® is presented in a CAT (computer adaptive test) thus it is a test that is designed according to what the test deems are weakness or challenges for that particular candidate.
For this reason, many try passing the test by using question banks and in reality if the candidate does not recognize his or her weakness they could spend several years or months doing questions and they will never pass.
The format of the NCLEX is designed to identify those patterns of errors and continue to test in that area because in essence it is considered that if a person cannot master this area they may not be safe to the general public. So, what is the solution to identify those patterns in errors? This is what the HNS® facilitates with its system of one on one coaching it is the only system nationwide that can help the student identify these problems and overcome the challenge.
What are some of the common problems we come across? By far the most common issue is not applying the nursing process and Maslow throughout the entire exam. In the real world, the student nurse is used to initially assessing a client and then proceeding onto the next step to then develop a plan of care and carry that plan out.
On the exam question number 1 may call for the nurse to evaluate the plan and question 5 may call for the nurse to prioritize and question 8 may ask the nurse what to include in the plan of care. Here most students ignore the whole situation while only focusing on the question.
Another, common issue is the student's lack of understanding in a clinical area..
.
or several so they ignore it hoping that they will never see it on the exam.
The reality is that this exam is meant to test the proficiencies as a first year general nurse therefore areas like cardiology or the respiratory system cannot simply be browsed over in the hopes that you will never receive a question on that area.
Now, another question is why is there such a disparity between U.
S.
graduate pass rates versus international nursing graduates.
Simply, stated the role of the nurse is simply not the same in the U.S.
versus other nations including Europe.
The U.S.
R.
N. is required to analyze results and make clinical observations that are reportable to physicians that are not always present in other countries not only are nurses not required to make decisions as to the level of care required of the patients, but they are not permitted to do so based on their standards. The problem then is that even if nurses are educated theoretically on the same physiological foundation the work is simply not the same and therefore it is more difficult for the foreign R.
N.
to successfully challenge the NCLEX-RN®
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