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Related Experiment Video

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A Cross-Disciplinary and Multi-Modal Experimental Design for Studying Near-Real-Time Authentic Examination Experiences

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Repeat testing with the HESI exit exam-sixth validity study.

Carolyn Adamson¹, Robin Britt

¹College of Nursing, Texas Woman's University, Houston, TX 77030, USA.

Computers, Informatics, Nursing : CIN

|November 11, 2009

Summary

The HESI Exit Exam (E2) accurately predicts NCLEX success. While the first two E2 versions showed high accuracy, the third version was significantly less predictive, suggesting students taking it a third time may face higher NCLEX-RN failure risks.

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Area of Science:

Nursing Education
Health Professions Education
Assessment and Evaluation

Background:

The HESI Exit Exam (E2) has been studied for its accuracy in predicting National Council Licensure Examination Registered Nurse (NCLEX-RN) success since 1996.
Previous research (N=27037) indicated high predictive accuracy (96.36%-98.30%) based on the E2's initial administration.

Purpose of the Study:

To evaluate the predictive accuracy of parallel versions of the HESI Exit Exam (E2) for NCLEX-RN success.
To compare the accuracy of the first, second, and third administrations of the E2 in predicting licensure examination outcomes.

Main Methods:

Analysis of a large dataset (N=10147) examining the predictive accuracy of sequential E2 administrations.
Statistical comparison of the NCLEX-RN success rates predicted by the first, second, and third versions of the E2.

Main Results:

No significant difference in predictive accuracy was found between the first (96.44%) and second (92.94%) E2 administrations.
The third E2 administration (82.50%) demonstrated significantly lower predictive accuracy for NCLEX-RN success compared to the first two versions.

Conclusions:

The HESI Exit Exam remains a valuable tool for predicting NCLEX-RN success, particularly on initial attempts.
Students attempting the E2 for a third time may represent a higher-risk group for NCLEX-RN failure, warranting further investigation and potential intervention.