How to Read Your NCLEX Candidate Performance Report (and Turn It Into a Study Plan)

8 min readguide

By NurseSavvy Editorial Team

Clinically reviewed by David Zimmerman · RN · MSN, University of Arizona · BA in Education, Siena College

If you did not pass, your board of nursing sends a two-page document called the Candidate Performance Report. Most people read it once, feel worse, and put it in a drawer. That is a mistake, because it is the only official information you will ever get about why the exam ended the way it did, and read correctly it decides the next six weeks. Here is what each part means, what it cannot tell you, and a decoder that turns your marked-up report into a study order.

What the report is

The NCLEX is scored as a whole. There is no passing score per section; the computer keeps asking questions until it is confident your overall ability is above or below the passing standard. So the report does not give you percentages. It gives you, for each of the eight Client Needs content areas and each of the six clinical-judgment steps, one of three labels: Below the Passing Standard, Near the Passing Standard, or Above the Passing Standard. If your exam ended before the minimum number of items, you receive an abbreviated version.

The three labels, honestly

  • Above means you performed above the standard in that area. Keep it warm; do not spend your weeks here.
  • Near is the label that misleads people. It does not mean at or slightly above the standard. It means in the neighbourhood, and the neighbourhood includes just under. A report that is all Near is a report of someone who failed by a little in several places at once, which is the most common way to fail.
  • Below means clearly under the standard. NCSBN’s own advice is to start here and work up to the Near areas, and that is the right order.

The eight areas, and how much of the exam each one is

This is the part most guides leave out. The areas are not equal. Management of Care is up to a fifth of your exam; Basic Care and Comfort is as little as six percent. A Below in a small area and a Near in a large one can deserve the same amount of your time. The published ranges from the current NCSBN RN test plan:

Content areaShare of examWhat it actually tests
Management of Care1521%Prioritization, delegation, assignment, advocacy, legal and ethical calls.
Safety and Infection Control1016%Precautions, isolation, restraints, error prevention, emergency response.
Health Promotion and Maintenance612%Lifespan development, prenatal and newborn care, screening, immunizations.
Psychosocial Integrity612%Therapeutic communication, crisis, abuse, substance use, mental-health disorders.
Basic Care and Comfort612%Mobility, nutrition, elimination, rest, hygiene, non-pharmacologic comfort.
Pharmacological and Parenteral Therapies1319%Adverse effects, interactions, dosage calculation, IV therapy, blood products.
Reduction of Risk Potential915%Lab values, diagnostic tests, vital-sign changes, complications of procedures.
Physiological Adaptation1117%Acute and chronic illness, hemodynamics, medical emergencies, pathophysiology.

The six clinical-judgment steps

Since the Next Generation NCLEX, the report also rates you on the six steps of the NCSBN Clinical Judgment Measurement Model: Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Action, Evaluate Outcomes. This half of the report tells you something different from the content areas. A Below in Recognize Cues with Above in most content areas means you know the material and miss the question anyway, because you are not pulling the right finding out of the stem. That is a reasoning gap, and it is fixed by practicing the step, not by rereading the content.

Decode yours

Mark each area and each step the way your report does. The decoder weights every area by its share of the exam (a Below counts three times, a Near one and a half, an Above a half for maintenance), ranks them, splits your study time, and links each area to the Learning Center domains that teach it.

CPR decoder

Mark each area the way your report does

The decoder weights every area by how much of the exam it is, so a Near in a big area can outrank a Below in a small one.

Client Needs content areas

  • Management of Care

    1521% of the exam

  • Safety and Infection Control

    1016% of the exam

  • Health Promotion and Maintenance

    612% of the exam

  • Psychosocial Integrity

    612% of the exam

  • Basic Care and Comfort

    612% of the exam

  • Pharmacological and Parenteral Therapies

    1319% of the exam

  • Reduction of Risk Potential

    915% of the exam

  • Physiological Adaptation

    1117% of the exam

Clinical judgment steps

  • Recognize Cues

  • Analyze Cues

  • Prioritize Hypotheses

  • Generate Solutions

  • Take Action

  • Evaluate Outcomes

Your plan

Then

Near the standard is not passing. Close these after the Below list, and drill them in mixed sets.

  • Management of Care

    1521% of the exam · ~18% of your study time

    Prioritization, delegation, assignment, advocacy, legal and ethical calls.

    Teach it: Leadership & Professional Practice · NCLEX Test Strategy

  • Pharmacological and Parenteral Therapies

    1319% of the exam · ~16% of your study time

    Adverse effects, interactions, dosage calculation, IV therapy, blood products.

    Teach it: Pharmacology · Dosage Calculation

  • Physiological Adaptation

    1117% of the exam · ~14% of your study time

    Acute and chronic illness, hemodynamics, medical emergencies, pathophysiology.

    Teach it: Cardiovascular · Respiratory · Endocrine · Neurological

  • Safety and Infection Control

    1016% of the exam · ~13% of your study time

    Precautions, isolation, restraints, error prevention, emergency response.

    Teach it: Communicable & Infectious Disease · Fundamentals

  • Reduction of Risk Potential

    915% of the exam · ~12% of your study time

    Lab values, diagnostic tests, vital-sign changes, complications of procedures.

    Teach it: Fluid, Electrolyte & Acid–Base · Fundamentals

  • Health Promotion and Maintenance

    612% of the exam · ~9% of your study time

    Lifespan development, prenatal and newborn care, screening, immunizations.

    Teach it: Maternal & Newborn · Pediatrics · Community & Public Health

  • Psychosocial Integrity

    612% of the exam · ~9% of your study time

    Therapeutic communication, crisis, abuse, substance use, mental-health disorders.

    Teach it: Mental Health

  • Basic Care and Comfort

    612% of the exam · ~9% of your study time

    Mobility, nutrition, elimination, rest, hygiene, non-pharmacologic comfort.

    Teach it: Fundamentals · Nutrition

Clinical judgment

Weakest steps (Near): Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Action, Evaluate Outcomes. NurseSavvy learning flows practice every fact on the rung that matches: Recognize/Analyze Cues and Take Action and Evaluate Outcomes. Aim your sessions at those rungs in the areas above.

The report stops at the area. The topic inside it is what you actually have to fix, and a free CAT readiness exam names those topics.

What the report cannot tell you

The CPR stops at the area. Pharmacological and Parenteral Therapies is roughly a sixth of the exam and hundreds of topics. Near in that area tells you the neighbourhood; it does not tell you that your actual gap is insulin timing, anticoagulant reversal, and the difference between a therapeutic and a toxic digoxin level. You cannot relearn an area. You can only relearn topics, so the second diagnostic you need is one that reports at the topic level.

That is what NurseSavvy’s free CAT readiness exam is for. It defaults to 85 questions, adapts difficulty, stays weighted to the same eight areas as your report, and when you finish, the results screen scores you by those areas (so you can check the CPR against fresh evidence) and then does the thing the CPR cannot: it ranks the specific topics you missed, across every test you have taken, and puts a Learn and a Practice button beside each one. Two reports side by side, the official one for the areas and this one for the topics inside them, is a complete diagnosis.

Turning the diagnosis into relearning

Once a topic is named, do not review it. Relearn it: be asked, miss, be taught the one missing thing, be asked again. NurseSavvy’s learning flows do exactly that on every topic. Cards climb Recall → Recognize/Analyze Cues → Take Action → Evaluate Outcomes on the same fact, which is the same ladder as the clinical-judgment half of your report, so a weak Take Action step is practiced as a Take Action rung, not as more recall. A miss shows a read card under 50 words and re-asks the card later in the same session, and every card carries its own return schedule so the topic comes back before you forget it. The full retake plan, with a week-by-week planner, is here.

Get the topic-level half of your diagnosis

Free CAT readiness exam, scored by the same eight areas as your report, then ranked by the topics you missed.

Start practicing free

Practical notes

  • The report comes from your board with the official result, usually within a few weeks of the exam; the quick-results service does not include it.
  • Keep it until you pass. Compare it with your practice-test area scores every couple of weeks; the areas should move from Below to Near to Above in that order.
  • You can retest after 45 test-free days under NCSBN policy, and the report is designed to fill those days. The attempt rules, and what varies by state.

Common questions

What is the NCLEX Candidate Performance Report?

A two-page document sent by your board of nursing to candidates who do not pass. For each of the eight Client Needs content areas and each of the six clinical-judgment steps it reports one of three labels: Below, Near, or Above the Passing Standard. It contains no percentages, because the NCLEX is scored on overall ability, not per section.

Does "Near the Passing Standard" mean I almost passed?

It means your performance in that area was close to the standard, which includes just under it. It does not mean at or above. A report that is Near in most areas describes someone who failed by a small margin across several areas at once, which is the most common way to fail. Treat Near areas as work to do after the Below areas.

Which areas of the CPR should I study first?

NCSBN’s advice is to start with the areas marked Below and work up to the Near ones. Weight them by how much of the exam each area is: Management of Care is 15–21% and Pharmacological and Parenteral Therapies 13–19%, while Basic Care and Comfort is 6–12%, so a Near in a large area can deserve as much time as a Below in a small one.

Why is the CPR not enough to plan a retake?

It stops at the content area. An area like Pharmacological and Parenteral Therapies contains hundreds of topics, and your gap is usually a handful of them. A full-length practice test that reports which specific topics you missed, ranked across tests, is the second diagnostic that turns the report into a topic list you can relearn.

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