Prior to starting the program I had approx. 16 years of healthcare experience and am quite confident of my knowledge and abilities, I went through all the modules quickly and then I was failed ( I do not believe "I" failed so much as I "was failed" ) by examiners all three times, each time for reasons that were excelsiors liability in delivering the exam inconsistantly and not in compliance with the exam parameters. Did I protest/appeal, you bet. Did it matter, no.And for the record, every time I took the CPNE, MOST of the others students testing during the same time were failed as well. I encourage everyone considering EXCELSIOR to seriously reconsider a traditional school program. Because as I can attest, you can go through the entire program without difficulty and have all your time and monotary envestment thrown away at the end, without any recoorifice.