In Texas, you must cease and desist practicing as a GVN/GN upon receiving the failed results. If you continue practicing once you have failed the exam, you are in direct violation of the Nurse Practice Act and this may result in disiplinary action.
In my case, I graduated school and immediately relocated to Texas (from Wyoming) where I began working as an intern in the ICU. I hadn't seen my family and friends for about 3 years, so the spotlight was on me. My F-I-L had been living alone on 87 acres in a huge home needing a TON of work, so my wife and I moved in to assist. NOTE: I'm going on 18 years of marriage and this is the 1st time since I was 17 years old that I didn't have "my own" place, but it was for a good reason. In retrospect - HUGE mistake to relocate post-college.
Welp, I put-off the NCLEX initially to better prepare. Instead of focusing on this task, I found myself preparing for ICU training and 12 hour rotations in SICU, PICU, CCU, and MICU. As time ran-out on my GN permit, I finally scheduled for the test. I've never had trouble with tests in general, so I didn't expect this to be any different.
Welp, 265 questions and my head was about to pop. Still, I felt I'd probably pass as usual and didn't stress much about it. That is until I checked the BNE's online site and noticed my GN permit was gone and there was NO RN license listed. OMG! Could I have failed? I put the old credit card to use and Pearson said my results were not available. Hmmm. OK, perhaps I'm ok? Later that day I was preparing my "stuff" for my 12-hour shift in SICU and decided to call again. FAILED!
Knowing that my license was GONE, I had to "call-in" and I felt like my world had come to an end. I actually stayed the night at my Brother's home and told noone at this point what had happened. Though wrong, I needed some time to think. Telling my wife I had failed was something foreign to me, not to mention my best friend, mother, grandmother, etc. etc.
My wife was shocked for she had hardly considered it a possibility. I've had quite a few tests (military and civilian electronics) in the past, not to mention quite a few in college that she was stressed over and I always did well. Telling her sucked!
My supervisor (Director of ICU) was great and suggested I focus on studying instead of working if I could financially handle it. So the plan was to focus on studying. This was not working well at my F-I-L's due to constant "work" needing to be done, so I moved in with my older Brother. He, his wife and son were all gone from 7am-4pm M-F and this would allow me a lot of time to focus -- WRONG! Simply put, big mistake realized after 16 days. So, my wife and I obtained a rather nice apartment and I moved us in and studied intermittantly until taking the test again. My wife and family had plans to celebrate when I obtained my PASSING results.
Well, 265 questions again! Still, I was better prepared this time and confident that I passed. So much so that I had my wife call for the results from her sister's home just down the road. I was sure she'd call back all happy and excited but instead said, "Babe, you failed. I'm not joking."
This sucked, for I needed my income back. I was started at $20.73/hr as an ADN graduate (~1.50 more for BSN) and $0.00 was not going to be enough. I e-mailed my supervisor and figured he'd have nothing to do with me. I started applying for jobs of all sorts (government, electronics, laborer) and thought I might try the LVN exam while waiting for the next NCLEX-RN. To work as a nurse, I figured I needed a license, so I filed a request to take the CNA test based on nursing school education and to take the PN exam ASAP. In the process, I had the fun of writing the Director of Nursing at the college I graduated where I detailed all of the "success" I've had lately.
A few respected sources suggested NOT taking the PN and instead focusing on the RN exam. I had not paid the BNE or Pearson yet due to needing the affidavit from the college first, so it was not a costly decision to skip on the PN exam. My supervisor offered to have me work in ICU as a nurse tech ($11.50/hr base) until I passed the RN exam -- then I'd be back in the internship immediately as an RN. I didn't need to take a test or pay a fee of any sort to work as a nurse tech. I simply needed to have my ID card changed and had to get some teal colored scrubs
(RN's wear navy blue).
This is working well for me, though being around all the staff that knew me as an intern (GN/RN) was/is tough, but it's the reality that I'm in and it feels great to be in the unit getting experience, having an income, and having a plan to succeed.
Study, study, study!
While you can fail or pass with 75 or 265 questions, I'm hoping to do well enough for that darn machine to cutoff sooner! I'll be ready for the full dose, but the full 265 again would really suck.
I did poor on the 1st attempt with 7 of 8 catagories BELOW the standard and only 1 of 8 NEAR the passing standard.
The 2nd attempt was 7 of 8 NEAR and 1 of 8 (pharmacology) ABOVE the standard.
I still wonder why the machine didn't fail (stop) sooner with the 1st exam, being that I did considerably worse on it. For instance, at 260 questions I shouldn't have had a chance, yet it continued to the end. ????