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HESI Admission Assessment, HESI Radiography Exit Exam, and ARRT Outcomes.

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  • 1Scott Wimer, MSEd, R.T.(R), is director of the Radiographic Sciences Program and professor of radiographic science for Lewis-Clark State College in Lewiston, Idaho.

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Summary

The Health Education Systems Incorporated Admission Assessment (HESI A2) and HESI Exit Exam effectively predict radiography student success on the American Registry of Radiologic Technologists (ARRT) certification exam. High scores on these exams correlate with higher pass rates for the ARRT exam.

Keywords:
ARRTHESIadmissionscertificationcertification and registrationradiography

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Area of Science:

  • Radiologic technology education
  • Medical education assessment
  • Health professions testing

Background:

  • Radiography programs utilize standardized assessments to evaluate student preparedness.
  • The Health Education Systems Incorporated Admission Assessment (HESI A2) and HESI Exit Exam are commonly used in health professions education.
  • Predicting success on the American Registry of Radiologic Technologists (ARRT) certification exam is crucial for program outcomes.

Purpose of the Study:

  • To analyze the effectiveness of the HESI A2 and HESI Exit Exam in preparing radiography students for the ARRT certification exam.
  • To determine the predictive validity of HESI A2 and HESI Exit Exam scores for ARRT exam success.

Main Methods:

  • Retrospective analysis of 10-year exam score data from 171 radiography program graduates.
  • Correlation analysis between HESI A2, HESI Exit Exam, and ARRT exam scores.
  • Receiver operating characteristic (ROC) curve analysis to assess predictive accuracy.

Main Results:

  • High correlations were found between HESI A2 and HESI Exit Exam scores (0.58), HESI A2 and ARRT exam scores (0.64), and HESI Exit Exam and ARRT exam scores (0.73).
  • Over 94% of students scoring above 750 on the HESI Exit Exam passed the ARRT exam on their first attempt.
  • ROC analysis confirmed the HESI Exit Exam as a strong predictor of ARRT exam pass/fail status.

Conclusions:

  • The HESI A2 and HESI Exit Exam are effective tools for radiography program admissions and for measuring student knowledge.
  • Implementing cogent testing policies, including robust proctoring and appropriate weighting of practice exams, enhances the utility of these assessments.
  • These exams aid radiography educators in selecting students and improving certification outcomes.