Performance of at-risk students of a baccalaureate degree nursing program in selected nursing courses and on the national council licensure examination for registered nurses

A retrospective study was conducted to investigate the relationship between achievement in specific nursing courses and subsequent performance on the NCLEX-RN of students identified as at-risk. A sample of 236 graduates from a baccalaureate degree nursing program in a large midwestern university were divided into two groups, students at-risk and students not-at-risk. Answers to six research questions were sought. Multivariate and univariate analyses of variance and two-tailed t tests at the .05 level of significance were utilized to test the data.Findings indicated that: (1) There was a significant difference in the performance in the first two major nursing courses between not-at-risk students and at-risk students with not-at-risk students scoring higher. (2) There was no significant difference between the grades received by at-risk students with transfer credit and at-risk students without transfer credit in the first two major nursing courses. (3) There was a significant difference in the performance in the first two major nursing courses with not-at-risk students with transfer credit achieving higher grades than not-at-risk students without transfer credit. (4) There was a significant difference in the NCLEX-RN scores between the two groups, with not-at-risk students scoring higher than at-risk students. (5) There was no significant difference in the scores on the NCLEX-RN between the two groups, at-risk students without transfer credit and at-risk students with transfer credit. (6) Not-at-risk students with transfer credit scored significantly higher on the NCLEX-RN than not-at-risk students without transfer credit.