HealthMarch 26, 2024

PassPoint's impact on NCLEX-RN results: BSN program study with 70 students

This analysis covers Lippincott® PassPoint’s role in preparing 70 BSN program students for the NCLEX-RN® with its personalized study plans and quizzes.

This comprehensive analysis covers the pivotal role of Lippincott® PassPoint in preparing this BSN program's students for the NCLEX-RN®.

The research shows how usage of PassPoint correlates with NCLEX-RN pass rates among BSN students. Furthermore, this exploration sheds light on PassPoint's unique features, including personalized study plans and quizzes, which collectively contribute to a deeper understanding and retention of critical nursing concepts, thereby elevating the overall academic achievement and readiness of nursing students for their exams.

BSN: Study 1

Course and students: The study sample students (N = 70) were enrolled in a second semester senior course in a BSN program with 12-month access to Lippincott PassPoint.

Implementation of Lippincott PassPoint: Students had four practice exam assignments with increasing numbers of questions (75, 100, 150, and 265). They received one point for taking the exam, and one point if they achieved a mastery level (ML) of 6 or above. The exam assignments represent 2% of their grade.

As part of the course, students were given regular quiz assignments in Lippincott PassPoint throughout the semester with specific ML goals. They began with a ML goal of 6 and had to complete ML assignments for each of the eight Client Needs categories by a set deadline. Following the deadline for a ML of 6, students left the classroom environment and went to the hospital for the second part of the semester. While there, they had additional ML assignments in which they had to achieve a ML of 7 in all categories (within a month) and then a ML of 8 two months later. This implementation strategy of regular quiz assignments with increasing ML targets tends to result in both high usage (as we would expect) as well as low variance in overall ML. This makes sense as all students are required to achieve set ML targets.

Additional Requirements: As a course requirement, students took the HESI E2 mid-semester. If students scored below 900, they took a second HESI E2 during the last week of the semester. Students were not withheld from graduation if they did not achieve at least 900. Faculty worked with the students to build a solid action plan, and they were allowed to graduate and take the NCLEX-RN. Most students at School B take the NCLEX-RN four to eight weeks after graduation.

Lippincott PassPoint quizzing usage and mastery

Overall Lippincott PassPoint quiz usage and final ML are shown in Table 16. Students answered an average of 1,123.4 practice quiz questions, took an average of 184 quizzes, and achieved an average overall quizzing ML of 7.5. As mentioned above, variance in overall quizzing ML was low (0.6), which we would expect given the ML requirements for the course.

Table 16:  Overall student Lippincott PassPoint usage and mastery (School B Study 1,  N = 70)

Min  Max  M  SD Mdn 
Quizzes 101
 352  184 56.6 172
Questions 555
 2,070 1,123.4 315 1,070
Quiz ML 5.1
 8 7.5 .6 7.8
Students took practice exams in Lippincott PassPoint throughout the program (see Table 17). Four of the practice exams were assigned, and 89% of students took exactly four exams, with an average of 4.1 (SD = .7) and average overall practice exam ML of 7.7 (SD = .3).

Table 17:  Lippincott PassPoint practice exam usage and mastery (School B Study 1,  N = 70)

Min  Max  M  SD
Exams 3 8 4.1 .7
Exam Questions 325 890 591.9 59.9
Practice Exam ML 6.6 8 7.7 .3

Within Lippincott PassPoint correlations

A Pearson’s product-moment correlation was run to explore the relationship between the number of questions answered in Lippincott PassPoint and overall ML. There was a negative correlation between the number of questions a student answered and overall ML, r (70) = -.287, p < .05. This pattern can emerge in an adaptive quizzing system as more highly achieving students may reach a higher ML by answering fewer questions. This pattern tends to differ based on the type of implementation of Lippincott PassPoint, in particular the number of quizzes or questions which are required as part of course participation vs. students quizzing more independently.

NCLEX-RN outcomes

All students took the NCLEX-RN; 69 passed and one failed.


  • 99% of the study cohort passed the NCLEX-RN.
  • Students were assigned 32 ML assignments and four practice exams.
  • Average quizzing ML was 7.5, and average practice exam ML was 7.7.
  • Students took an average of four practice exams (the assigned requirement).
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