Predicting NCLEX-RN success with the HESI Exit Exam: eighth validity study.

Area of Science:

• Nursing Education
• Health Professions Education

Background:

• The HESI Exit Exam (E2) is increasingly utilized to evaluate nursing students' preparedness for the NCLEX-RN.
• Previous validity studies consistently demonstrate the E2's high accuracy in predicting NCLEX-RN success.

Purpose of the Study:

• To assess the predictive accuracy of the HESI Exit Exam (E2) for the National Council Licensure Examination for Registered Nurses (NCLEX-RN).
• To investigate the predictive validity of repeat testing with parallel E2 versions.
• To examine the implementation of E2 benchmark scores for remediation in nursing programs.

Main Methods:

• An eighth validity study was conducted involving multiple nursing programs.
• The study analyzed the predictive accuracy of initial E2 testing and up to two retests.
• Data were collected from nursing program deans and directors regarding E2 benchmark policies and remediation strategies.

Main Results:

• The E2 demonstrated high predictive accuracy (94.93%-98.32%) for NCLEX-RN success across initial testing and retests.
• A significant majority of participating nursing programs (65.15%) implemented policies using E2 scores as a remediation benchmark.
• A benchmark score of 850 was the most common E2 threshold, with remediation strategies varying widely.

Conclusions:

• The HESI Exit Exam (E2) is a highly accurate predictor of NCLEX-RN success, even with repeat testing.
• The widespread adoption of E2 benchmark policies highlights its perceived importance in preparing students for licensure.
• Nursing programs utilize diverse remediation approaches to help students meet E2 benchmarks, indicating a need for effective, evidence-based interventions.