Abstract
Current turbulent times in health care are exacerbated by a shortage of registered nurses (RNs), challenging nurse leaders to explore opportunities for improving RN retention. National Council Licensure Examination (NCLEX) pass rates are declining, and an upcoming change in the NCLEX-RN exam is likely to intensify that decline. On average, 18% of graduate nurses (GNs) fail on their first NCLEX-RN attempt, and less than 43% are successful on retest attempts. Therefore, the GN who fails on the first attempt is likely to not be retained for the RN position for which they were hired. A consideration in supporting the GN who fails to retest success is that the most prevalent demographic among GNs is Generation Z. Individuals in this generation display characteristics that impact their ability to negotiate the high-stakes NCLEX-RN exam. Based on experience coaching Generation Z GNs to NCLEX-RN success, the author provides recommendations for coaching to support NCLEX retest success. Nurse leaders in hospital settings are encouraged to consider adopting these recommendations to improve RN retention among GNs who experience NCLEX failure.
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