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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

This summary is machine-generated.

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.