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NCLEX-RN readiness: HESI Exit Exam validity and nursing program policies.

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  • 1Elsevier, 1600 John F. Kennedy Blvd., Suite 1800, Philadelphia, PA 19103, USA.

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The HESI Exit Exam (E2) effectively predicts NCLEX-RN success, with higher scores indicating better readiness. Specific E2 policies also correlate with improved student pass rates on the NCLEX-RN.

Keywords:
HESI Exit ExamNCLEX-RN readinessPredictive validityProgram policies

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Area of Science:

  • Nursing Education
  • Health Professions Education
  • Assessment and Evaluation

Background:

  • The HESI Exit Exam (E2) has been a long-standing tool for evaluating nursing student preparedness for the NCLEX-RN examination.
  • Over two decades of use highlight its established role in academic assessment.

Purpose of the Study:

  • To validate the HESI Exit Exam (E2) as a predictor of first-time NCLEX-RN pass/fail outcomes.
  • To investigate the impact of institutional policies related to E2 usage on NCLEX-RN success.

Main Methods:

  • A multi-program study involving over 40 institutions across the United States.
  • Analysis of NCLEX-RN outcome data for 3686 students who took the E2 between 2018-2019, alongside policy data.

Main Results:

  • Students scoring 850+ on the E2 achieved a 96.33% first-time NCLEX-RN pass rate.
  • Scores of 900+ on the E2 correlated with a 97.29% first-time NCLEX-RN pass rate.
  • Policies mandating E2 preparation and remediation were linked to significantly higher NCLEX-RN pass rates.

Conclusions:

  • This research reinforces the HESI Exit Exam's (E2) validity as a predictor of NCLEX-RN success.
  • Demonstrates that specific E2 policies can positively influence student outcomes on the NCLEX-RN, enhancing preparedness.