What Class Do Most Students Fail in Nursing School?

Many students struggle with specific courses, but the class most commonly associated with fail in nursing school is pharmacology.

Pharmacology requires memorizing numerous drug names, classes, mechanisms, side effects, and interactions. It also involves math for dosage calculations. The volume and complexity overwhelm even strong students.

Another frequently failed course is medical-surgical nursing (often called “Med-Surg”). This class integrates pathophysiology, assessment, and nursing interventions across dozens of conditions. It demands critical thinking and strong time management.

Why Students Fail in Nursing School

Students may fail due to underestimating the workload. Nursing programs move quickly, with heavy reading and clinical demands.

Poor test-taking skills also contribute. Nursing exams emphasize application—not just recall. Students who rely on rote memorization often struggle.

Lack of preparation in prerequisite science courses (like anatomy or microbiology) can also lead to difficulty later.

How to Avoid Failing

Start with a strong study plan. Use concept maps, practice questions, and peer study groups. Focus on understanding—not just memorizing.

Seek help early if you fall behind. Many schools offer tutoring or academic coaching for at-risk students.

Review dosage calculation skills regularly. Errors in math can lead to failing entire courses.

Pharmacology and Med-Surg are the classes students most often fail. Success requires consistent effort, active learning, and timely support.

If you’re entering nursing school, prepare for these challenging courses in advance. Doing so can help you avoid becoming part of the fail in nursing school statistic.