Ruth, Registry, certification and licensure exams do pose a challenge when it comes to assisting graduates with placement. Oftentimes the graduate is reluctant to take the exam, waits for a long period of time or may not prepare properly. You have mentioned some very sound strategies. One of the best practices to impact the rate of test takers and the pass rate is for the institution to develop a process and culture where it is part of the program and expected for the students to study for the exams and to take them as soon as it becomes available for them to do so. Review classes are one of the best ways to help push your students towards success. If those classes are done during class in a group, even better. If possible, have your location certified as an approved testing site. students feel comfortable in their own environment, and the rate of test takers and passers will improve. Sheri Leach