From setback to success: A phenomenological study of NCLEX-RN repeat test-takers path to success

Passing the National Council Licensure Examination for Registered Nurses (NCLEX-RN) represents a pivotal milestone for nursing graduates, yet a substantial number do not succeed on their first attempt. While existing literature primarily focuses on predicting at-risk students prior to graduation, less is known about the lived experiences of graduates who fail the exam and later pass. This phenomenological study explored the perspectives of nine BSN graduates who were unsuccessful on their first NCLEX-RN attempt but ultimately achieved licensure. Semi-structured interviews were conducted, transcribed, and analyzed using thematic analysis. Six themes emerged: (1) Key Changes in Preparation, (2) Emotional Impact, (3) Consequences of Not Passing, (4) Test-Day Stressors, (5) Mindset and Confidence-Building, and (6) Support Systems. All participants reported substantial adjustments in study strategies, including structured schedules, increased practice question volume, and targeted content review, which they perceived as the primary contributors to later success. Emotional responses to failure were profound, marked by embarrassment, self-doubt, and social withdrawal. More than half experienced tangible consequences such as delayed employment and financial strain, which often served as motivators for reattempting the exam. Test-day factors, including anxiety related to test-site procedures, weather, and fatigue, also influenced performance. Some participants emphasized the value of mindset shifts, positive self-talk, and anxiety-management techniques, while a smaller subset highlighted the importance of family, peer, or employer support. Findings suggest that NCLEX-RN remediation should extend beyond content review to include structured study planning, emotional support, and preparation for the testing environment. Nursing programs may enhance graduate success by providing early outreach, individualized study plans, and psychosocial support for those who do not pass on their first attempt.