Journal of Nursing Measurement,Volume 13, Number 2, Fall 2005
© 2005 Springer Publishing Company 147
Re-Evaluating the NCLEX-RN
®
Passing Standard
Thomas R. O’Neill, PhD
Casey M. Marks, PhD
Michelle Reynolds, MS
National Council of State Boards of Nursing
Chicago, IL
Setting passing standards is a critical component of the NCLEX
®
examination process.
This research was conducted to provide sufficient information to the National Council of
State Boards of Nursing’s (NCSBN) Board of Directors to make a decision regarding the
passing standard of the NCLEX-RN. This article illustrates the standard setting process
that NCSBN uses. Surveys of educators and employers, a modified Angoff procedure, the
Beuk compromise, and global assessments by content experts were methods used. The
Rasch model and a presumed ability distribution were used as the framework to integrate
these diverse perspectives regarding minimal competence. The revised passing standard
was -0.28 logits. For many of the minimal competence estimates, the author did not have
authorization to release the information. In those instances, estimates and results were fab-
ricated to be similar to the actual results, yet different enough as to not disclose confiden-
tial information. The fabricated results are clearly marked. In conclusion, a variety of
approaches, sources, and perspectives are necessary for the establishment of fair and
appropriate standards on the NCLEX-RN.
Keywords: NCLEX; standard setting; passing standard; Angoff; NCSBN; licensure;
Rasch Model
T
he National Council of State Boards of Nursing, Inc. (NCSBN) is a not-for-profit
organization that is composed of the jurisdictional boards of nursing in the United
States and U.S. territories. NCSBN’s mission is to provide leadership to advance
regulatory excellence for public protection. One of the many ways that NCSBN fulfills
this mission is by providing its members (boards of nursing) with a defensible method
of assessing a candidate’s competence. Specifically, NCSBN creates and administers two
minimal competency examinations, the National Council Licensure Examination for Reg-
istered Nurses
®
(NCLEX-RN) and the National Council Licensure Examination for Prac-
tical Nurses
®
(NCLEX-PN). All boards of nursing that are members of NCSBN use the
NCLEX as part of their licensing process. This article is intended to illustrate NCSBN’s
standard setting procedures and the conceptual framework behind the procedures using
the April 2004 revision of the NCLEX-RN passing standard.
By virtue of being a licensing examination, the NCLEX-RN is a high-stakes examina-
tion. In a typical year, 120,000 NCLEX-RN examinations are administered. Therefore,
when setting the passing standard, it is important to set it high enough to protect the public
by being a barrier to incompetent nurses, yet also be low enough that competent nurses
are not denied a license. This article discusses issues related to standard setting for a
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