BACKGROUND: First-time NCLEX pass rate (FTPR) was a measure of workforce entry developed in the 1970s and is now used in accreditation standards to assess program effectiveness. Faculty may change admission and progression policies based on FTPR, which may affect enrollment, student diversity, or costs. This study describes testing patterns of RN graduates on the NCLEX-RN in Oregon to identify other academic metrics related to licensure. METHOD: Testing patterns of graduates in Oregon (N = 4,045) during 2013-2015 were analyzed to determine the number of testing attempts and length of time until success. RESULTS: The FTPR for testers was 88.6%. By the second attempt, 96.1% passed; by the third attempt, 98% passed. Within 90 days of eligibility, 87.6% of testers passed; within 180 days, 95.3% passed. CONCLUSION: It is recommended that second- and third-time pass rates or pass rates within 6 months be considered as academic metrics for accreditation purposes. [J Nurs Educ. 2018;57(11):655-661.].
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