Diversity in nursing and challenges with the NCLEX-RN

High-stakes, standardized testing has historically impeded education/career attainment for members of underrepresented minority groups and people needing testing accommodations. This study was to understand how high-stakes, standardized testing, particularly the NCLEX-RN, impacts diversity, equity, and inclusion (DEI) in nursing. This study explored the history, context, perspectives surrounding standardized testing, with a focus on the NCLEX-RN. The authors consider content, form, and delivery of testing, including accommodations. They identify available data and data collection gaps relevant to DEI and the NCLEX-RN. No nursing organization published the national data necessary to evaluate/refine the NCLEX-RN from a DEI perspective. Preliminary nursing studies and data from other professions indicated disparities in testing outcomes. Nursing must determine if prospective nurses are experiencing disparities in testing outcomes. The authors highlight opportunities to advance DEI through improved data collection, reformed licensure processes, and the reframing of standardized testing as one of many tools to determine competency. Cite this article: Muirhead, L., Cimiotti, J.P., Hayes, R., Haynes-Ferere, A., Martyn, K., Owen, M., & McCauley, L. (2022, September/October). Diversity in nursing and challenges with the NCLEX-RN. Nurs Outlook, 70(5), 762-771. https://doi.org/10.1016/j.outlook.2022.06.003.