Factors Associated With First-Time NCLEX-RN Success at a Predominantly Black Institution.

Background: Students from underrepresented groups, including those attending predominantly Black institutions, encounter challenges that hinder first-time success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN).

Method: This retrospective, descriptive study included a convenience sample ( = 122) of nursing students. Data for students who attempted the NCLEX-RN at three different time periods were used to identify factors associated with passing the NCLEX-RN on the first attempt.

Results: Students who scored 80 or higher in a medical-surgical course were more likely to pass the NCLEX-RN than those who scored below 80.

Conclusion: Students' performance in predictor courses at predominantly Black institutions may determine success on the NCLEX-RN. Students who did not demonstrate success in identified program predictor courses may benefit from additional preparation and support prior to taking the NCLEX-RN. .