when to give up trying to pass

[avidhunter3]

So. My husband and I are both LVNs here in texas. My husband did the transition program and passed gaining an associates degree in may 2014. He has yet to pass his NCLEX despite repeated attempts. I dont even know how many times its been but I think like 6 or so. Please dont judge! He has SEVERE test anxiety and for whatever reason this is just conquering him. We have tried numerous testing strategies and books and classes. Every time he gets all 265 questions and his score report reads ABOVE PASSING AND NEAR PASSING in every area. I feel its the select all that apply. Here in Texas you have unlimited attempts at nclex for 3 years after graduation. We have spent so much money trying anything to help him pass.

I am just so over it. Its so frustrating and humiliating for him. I haye seeing him so dissapointed after studying so hard. I know a lot of people say "its just not meant to be". Maybe thats true. But why pass nursing school for RN then? And hes a nurse on a busy med surg tele floor so its not like hes never had experience. I myself went thru excelsior so he could go to the traditional program. I am scheduled to take my CPNE in December but I just feel so terrible about him not passing that I cant even study. If it were you, what would you do? Would you keep trying to pass the NCLEX until the 3 yr mark hits or just move on? I am truly asking opinions. Its just so disheartening.

[TheCommuter, BSN, RN]

I speak as someone who took both the NCLEX-PN and NCLEX-RN. If your husband was able to pass the NCLEX-PN to become an LVN, he is capable of passing NCLEX-RN. Yes, both exams are similar, in my opinion.

Here is the blunt reality: a person only needs to answer about 50 percent of the higher level questions correctly to achieve a passing score on the NCLEX. It is not that difficult of a test.

Insanity is doing the same thing repeatedly and expecting a different result. Your husband needs to stop doing the same things repeatedly if he wants a different result.

Perhaps some sessions with a psychotherapist could be useful to manage the test anxiety? Good luck to both of you!

[BostonFNP, APRN]

Every person is different and statistics don't make the individual, I just wanted to say that and wish your husband luck. Here is the statistics of the issue:

Pass rates for 1st time takers is about 85%.

Pass rates for 2nd time takers is about 73%.

Pass rates for 3rd time takers is about 60%.

Pass rates drop below 50% for the 4th time and onwards.

By the 12th time, the pass rate is 14%.

After the 4th attempt more takers fail than pass.

[avidhunter3]

Is there a reason for the drop in percentage of passers? Is it just forgetting things or does the test get harder each attempt?

[BostonFNP, APRN]

Is there a reason for the drop in percentage of passers? Is it just forgetting things or does the test get harder each attempt?

The test does not get any harder with multiple attempts.

I would suspect the reason the pass rates drop with successive attempts is multifactorial; I wouldn't venture to guess on the reasons.

[meanmaryjean, DNP, RN]

I am NOT advocating this strategy, just telling a friend's experience.

She failed three times due to test anxiety. She's bright, good student, just froze at the testing center. Always got the max number of questions. She did every review and even hired a private tutor. Same old same old.

Night before fourth attempt, some buddies took her out on the town. she got fairly intoxicated, and woke up completely hung over. passed in 75 questions.

[JustBeachyNurse, LPN]

Is there a reason for the drop in percentage of passers? Is it just forgetting things or does the test get harder each attempt?

From research I read the main factor in continuing to fail is not doing remediation in deficient areas and just preparing the same way or worse cramming.

Compare the CPR, is it always the same areas near passing or does it vary? If always the same, create a targeted plan on the deficient areas. If test taking strategies look at Kaplan. For alternate format, prioritization and delegation ---PDA by L LaCharity. For pharmacology NCSBN free nclex pharmacology app. For content--Hurst. None of these strategies will work if you don't analyze and remediate deficient areas. If the passing/near passing areas vary with each test consider a mental health consultation to help with anxiety, coping and test taking strategies

[avidhunter3]

Based on what I have seen when helping him study, its the select all that apply. Hes been using the true false strategy but doesnt seem to get them all.

[avidhunter3]

He tried xanax one time that our hospitalist prescribed him to help.

[JustBeachyNurse, LPN]

He tried xanax one time that our hospitalist prescribed him to help.

He needs to consider seeing a mental health professional not a hospitalist with a bandaid benzo Rx. Can be a psychologist, LCSW, LPC, psychiatrist, PMHNP or otherwise but it's best to see a specialist for a chronic issue. Medication may or may not be the best choice. I wouldn't ask an orthopedist to treat a blood pressure issue or a GP to help treat cervical or breast cancer.

[JustBeachyNurse, LPN]

Based on what I have seen when helping him study, its the select all that apply. Hes been using the true false strategy but doesnt seem to get them all.

There are books and programs dedicated to alternate format questions and rationales. Looking at true/false does only so much good if you don't understand the rationale

[avidhunter3]

Being that he only has test anxiety and not anxiety in general, the Dr felt a low dose might help him relax and not stress. He said it just made him sleepy. I will mention therapy to him. Certainly cant hurt!!