Failed exit exams, on chemotherapy for brain cancer, what are options?

Dear Nurse Beth Advice Column - The following letter submitted anonymously in search for answers. Join the conversation!

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Hello Nurse Beth,

I started my LPN program in an accredited school in 2022. Passed all my courses with a grade A and B (passing grade is 80). Unfortunately for me, I failed the exit Exams (HESI, Evolve and Saunders comprehensive).

My school forced me to enroll in another class to take that exam again an paid $1200...which I did but failed again. I spend another year for that 1 exam...when I was diagnosed with brain cancer. I received and email from the school that they failed me from the whole program.

So what are my options with my transcripts please. I live in Maryland. Right now, I am in my chemotherapy treatment for the next 6months.

I still want to be a nurse.

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Specializes in Tele, ICU, Staff Development.

I'm sorry to learn about your diagnosis, and I genuinely respect your commitment to keep pursuing nursing despite all that you've faced. It's essential to prioritize your health, but I completely get your wish to keep striving for your goals.

Regarding your transcripts and the program, since you're in Maryland, there are a few options you might want to consider:

  • Speak to the school directly. It might be worth contacting the program director or academic advisor to explain your situation in detail, especially since you've had health challenges during this time. They may offer some flexibility or options, such as a leave of absence or the ability to retake the exam under different circumstances, particularly if they can make a case for your health situation affecting your performance. It does not hurt to ask.
  • Explore alternative LPN programs: Many accredited schools offer LPN programs, and some may be more flexible regarding previous failures. You might want to start fresh and see if you can transfer any coursework you've completed to another school. While many schools do not accept transfer credits, again, asking does not hurt.
  • Take advantage of the Maryland Board of Nursing resources: The state board of nursing can provide information on moving forward with your career. They may also advise whether you can petition for a program extension or whether there are pathways to make up for the failed courses or exams.

Consider testing accommodations. Given your ongoing medical treatments, you may be eligible for accommodations for any future exams. Many boards of nursing and schools will allow extended testing time or other accommodations for health reasons, especially if you have medical documentation.

Look into online and alternative LPN options. If starting fresh with a new program is too much, consider accelerated or online programs, especially those more flexible with individual circumstances.

While it's understandably a setback, it's clear that you're resilient, and there are many pathways to becoming a nurse. Once you're through your treatment, the options should be wide open.

Very best wishes,

Nurse Beth

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