Impact of Testing Delay on First-Attempt NCLEX®-RN Success for Prelicensure Nursing Graduates

This study examined the relationship between the timing from prelicensure Bachelor of Science in Nursing (BSN) program completion to first-attempt test outcomes in the National Council Licensure Examination for Registered Nurses (NCLEX®-RN). A retrospective cohort design was used to analyze data from BSN graduates (2021 to 2024). Test intervals were categorized and compared with NCLEX-RN pass rates. Students who tested within 2 to 4 weeks had higher first-time pass rates. Testing after approximately 10 weeks led to lower pass rates. Findings emphasize the value of timely NCLEX-RN testing after graduation and highlight the proactive role of educators in promoting early exam preparation.