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317,710 NCLEX candidates in 2024
Repeat-taker pass rate: 44.07%
NGN launched April 2023 — legacy prep courses scrambling
Internationally educated repeat pass rate: 35.92%
$200 exam fee per attempt — no limit on retakes
NCSBN explicitly does not endorse any prep course — open market
← Back to IECAN Medical Division iecantraining.com
Healthcare Certification
NCLEX-RN & NCLEX-PN Prep — Next Generation Ready

The Exam Changed.
Most Prep Courses
Didn't.

The Next Generation NCLEX launched in April 2023 with entirely new question types, a new clinical judgment model, and partial credit scoring. Legacy prep companies retrofitted their old content. IECAN was built for NGN from day one — the way clinical judgment actually works, the way the exam now actually tests it.

2024 NCLEX-RN Pass Rate by Candidate Type
First-time, US-educated
87%
First-time, Intl-educated
54%
Repeat test-takers (US)
47%
Repeat test-takers (Intl)
36%
↳ Repeat takers pass at less than half the rate of first-timers. That's 52,249 people re-failing in 2024 alone. That's who we're here for.
317K
2024 Total Candidates
52K+
Repeat Failures / Year
$200
Per Retake Fee
$79
IECAN Full Course
Start Free Half-Exam → See Full Course
The Numbers Don't Lie

Why 52,000 Nurses
Failed Again in 2024

The data tells a precise story. The repeat-taker problem isn't effort — it's the wrong kind of preparation for a fundamentally different exam.

📉
The Repeat-Taker Cliff
First-time US candidates pass at 87%. Return for a second attempt and that number collapses to 47%. A nearly 40-point drop that no amount of re-reading notes fixes.
–40pts
🌍
The International Gap
Internationally educated nurses first-time pass rate: 54%. On a repeat attempt, internationally educated candidates drop to just 36% — the single most underserved population in nursing prep.
36%
🔄
NGN Changed Everything
The Next Generation NCLEX launched April 2023 with 6 new question types, a Clinical Judgment Measurement Model, and partial credit scoring. Most prep companies patched their old content. The underlying approach was wrong.
2023
💡
The Untapped Opportunity
NCSBN officially states it does not recommend or endorse any prep course. The market is entirely open. No gatekeeping, no certification required to sell prep, no licensing fees — just trademark disclaimers.
Open
The Exam Nobody Taught You

Next Generation NCLEX:
What Actually Changed

This isn't a refreshed question bank. The NCSBN spent a decade building a new measurement framework. Understanding it is the difference between passing and failing again.

⚠ Legacy Prep Warning
The Clinical Judgment Measurement Model (NCJMM)
Every NGN question is built around a 6-step clinical judgment framework: Recognize Cues → Analyze Cues → Prioritize Hypotheses → Generate Solutions → Take Actions → Evaluate Outcomes. The old NCLEX tested knowledge. The NGN tests how you think.

The scoring also changed. Old NCLEX: all-or-nothing. Get 3 of 4 right on a select-all-that-apply and you score zero. NGN uses polytomous (partial credit) scoring — you're rewarded for what you know, not penalized for partial answers. That changes strategy entirely and most prep courses haven't caught up.

Additionally, every minimum-length exam (85 questions) includes three 6-question evolving case study sets — 18 questions of interconnected clinical scenarios where you navigate multiple data tabs (labs, vitals, history) and make sequential decisions. These are the hardest questions on the exam and the ones legacy prep is worst at teaching.
Evolving Case Studies
6-question sets with multiple patient data tabs. Sequential clinical decisions across the care timeline.
Bow-Tie Items
Standalone: identify condition, actions, and parameters to monitor. Tests complete clinical reasoning loop.
Trend Items
Analyze vital signs, labs, or clinical data over time. Identify deterioration or improvement patterns.
Matrix Grid
Match multiple responses across rows and columns. Partial credit applies — strategy matters.
Drag & Drop Cloze
Fill clinical narrative blanks with correct interventions, medications, or assessments.
Highlight Text/Table
Identify relevant clinical findings within nursing notes, labs, or flow sheets by highlighting.
Why IECAN Was Built for This Moment
Because we launched after NGN, every question, every case study, every flashcard in IECAN's bank was written with the NCJMM framework in mind. We didn't patch an old question bank. We asked: "What does the exam actually measure now?" and built backward from there. That's not a marketing claim — it's a structural advantage that every legacy company has to spend millions to replicate.
Two Audiences. One Platform.

Who IECAN Serves

The data reveals two distinct populations with different pass rates, different failure modes, and different prep needs. IECAN addresses both.

US-Educated Retakers
The Repeat Taker
You passed nursing school. You've been preparing. But something isn't clicking. The content isn't the problem — it's the clinical judgment framework that NGN tests. You're answering questions the way you were taught to study, not the way the exam now scores them.
47%
Repeat Pass Rate
45 days
Minimum Wait to Retest
$200
Per Attempt Fee
★ Primary Market
The International Nurse
Over 98,000 internationally educated nurses took the NCLEX in 2024. The Philippines, India, Kenya, Nepal, and Ghana account for the largest cohorts. Their pass rate on repeat attempts: 36%. The gap isn't clinical knowledge — it's English-language clinical reasoning under adaptive testing conditions.
98K+
Intl Candidates / Year
36%
Intl Repeat Pass Rate
54%
First-Time Pass Rate
Top countries: Philippines (6,879) · India (1,486) · Kenya (744) · Nepal (632) · Ghana (613) — Q1 2024 alone
The Product Architecture

Half Free. Everything Else
Unlocked for $79.

The same freemium half-exam model proven with our CPC product. 50 questions free, full clinical case studies and mock exams behind the paywall. A nurse who scores 52% on the free half is not closing that tab.

Product Layer
Questions
Access
What It Delivers
📚 Flashcard Review
30 cards
Free
Pharmacology, SATA rules, safety priorities, lab values
📋 Half Exam — Q1–50 HOOK
50 Qs
Free
NGN-style scenarios, live score, domain breakdown, NCJMM framework
🔒 Complete Exam — Q51–100
50 Qs
3 full evolving case study sets (18 Qs), bow-tie items, trend analysis
🔒 Mock Exam 2
100 Qs
Fresh question bank, 5-hour timer, full NCJMM scoring breakdown
🔒 Mock Exam 3
100 Qs
Final confidence exam, adaptive difficulty weighting, weak-area report
🔒 IMG Clinical Reasoning Module
40 Qs
English-language clinical vignette practice specifically for international nurses
Question Bank
300+
Total practice questions
NGN Item Types
All 6
Case studies, bow-tie, trend, matrix, cloze, highlight
Content Areas
8
All NCSBN client needs categories covered
Market Position

What Everyone Else
Gets Wrong

The NCLEX prep market has several established players. None of them were purpose-built for NGN, and none of them price for the repeat taker.

Provider NGN-Native Build Partial Credit Training IMG-Specific Module Repeat-Taker Pricing Price
IECAN NEW ✓ Built after 2023 ✓ NCJMM framework ✓ Dedicated module ✓ $79 flat $79
Kaplan NCLEX △ Retrofitted △ Partial coverage ✗ None ✗ $250–$500 $250–$500
UWorld NCLEX △ Updated 2023 ✓ Yes ✗ None ✗ $299+ $299+
Blueprint Nursing △ Retrofitted △ Partial ✗ None ✗ $200+ $200+
Simple Nursing △ Updated content ✗ No ✗ None △ Subscription $35/mo
ATI NCLEX △ Retrofitted △ Partial ✗ None ✗ School-licensed School only
△ = capability present but not a core design principle. ✓ = core design principle. ✗ = not present.
Pricing

One Price. One Exam.
Pass This Time.

The NCLEX costs $200 to retake. Our full course costs $79 — less than half a single exam fee. We designed the pricing to remove the excuse not to prepare properly.

Free Tier
$0
always free
Start here. No credit card. No account required.
  • 30 NGN flashcards
  • 50-question half exam (Q1–50)
  • Live score + domain breakdown
  • NCJMM framework rationale on every answer
  • Soft paywall at Q51 with weak-area diagnosis
Start Free →
Full Course
$79
one-time · lifetime access
Everything. No subscription. No upsell. Pass or study free next time.
  • Everything in Free tier
  • Q51–100 unlocked immediately
  • 3 full evolving NGN case study sets
  • Mock Exam 2 (fresh question bank)
  • Mock Exam 3 (adaptive difficulty)
  • IMG Clinical Reasoning Module
  • Weak-area personalized study plan
  • All 6 NGN question type formats
Unlock Full Course — $79
Institutional
$15K+
per nursing school / cohort
White-label or co-branded for nursing schools, hospitals, and staffing agencies with high international nursing pipelines.
  • Unlimited seat licensing
  • Program director dashboard
  • Cohort pass rate analytics
  • Custom question bank additions
  • Priority support + content updates
Contact IECAN →
⚖️
Regulatory Status — Fully Open Market
NCSBN explicitly states it does not recommend or endorse any review courses or study materials. No government approval is required to sell NCLEX prep. No clinical licensing is required to build prep content. The only requirement is proper trademark disclaimers — which we include on every page. This is the same regulatory structure as our CPC and Bar Exam products.
NCLEX®, NCLEX-RN®, NCLEX-PN®, and NGN® are registered trademarks of the National Council of State Boards of Nursing, Inc. (NCSBN). IECAN Training is an independent test preparation company and is not affiliated with, endorsed by, or sponsored by NCSBN, Pearson VUE, or any state Board of Nursing. IECAN's practice questions are independently developed based on publicly available NCSBN test plans and are not actual NCLEX exam questions. Passing IECAN's practice exams does not guarantee passing the NCLEX. Results vary by individual preparation. The NCLEX is administered by Pearson VUE on behalf of each state's Board of Nursing.

The Exam Changed in 2023.
Your Prep Should Too.

50 questions free. No account. No credit card. See exactly where you stand against the NGN before you schedule your next attempt.

Take the Free Half-Exam → See Full Course Details
NCLEX® · NCSBN  |  IECAN Training is independent and not affiliated with or endorsed by NCSBN