Related Experiment Video
Updated: Jun 18, 2025

Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
Published on: April 18, 2025
Predictive Validity of the HESI Radiography Exit Exam and Best Practices for ARRT Certification Exam Success.
Christine Gouveia1, Ryan S Baker2, Scott Wimer3
1Christine Gouveia, PhD, worked for Elsevier during the writing of this manuscript and currently works for the University of Pennsylvania.
The Health Education Systems Incorporated (HESI) Exit Exam accurately predicts radiography students' first-time success on the American Registry of Radiologic Technologists (ARRT) certification exam. Implementing minimum HESI scores and required preparation enhances student outcomes.
Area of Science:
- Radiologic Technology Education
- Health Professions Assessment
Background:
- Radiography programs utilize standardized exams to assess student readiness for certification.
- The Health Education Systems Incorporated (HESI) Exit Exam is a commonly used tool to evaluate student preparedness.
- The American Registry of Radiologic Technologists (ARRT) certification exam is the standard for entry-level radiographers.
Purpose of the Study:
- To validate the predictive accuracy of HESI Exit Exam scores for first-time ARRT certification exam success.
- To investigate the association between radiography program policies regarding the HESI Exit Exam and student outcomes.
Main Methods:
- Retrospective data collection from 25 radiography program directors on ARRT outcomes.
- Survey of 24 program directors regarding HESI Exit Exam policies.
- Correlation analysis between HESI scores, ARRT outcomes, and program policies for 1265 graduates (2018-2021).
Main Results:
- Higher HESI Exit Exam scores correlated significantly with increased first-time ARRT pass rates (79.4% to 100%).
- Students scoring 750-799 on HESI had an 86.4% ARRT pass rate; those scoring 800+ achieved 94.5-100%.
- Mandatory minimum HESI scores and required exam preparation were linked to better ARRT success.
Conclusions:
- The HESI Exit Exam demonstrates strong predictive validity for ARRT certification exam success.
- Specific HESI Exit Exam policies, such as minimum score requirements and preparation, are associated with improved student performance.
- Findings can inform radiography program improvements and highlight best practices for enhancing student readiness.
Related Concept Videos
Radiological Investigation I: X-ray and CT
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Radiological Investigation II: MRI and Ventilation Perfusion Scan
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Imaging Studies for Cardiovascular System III: X-Ray
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Reliability and Validity
Positron Emission Tomography
One of the main requirements of a PET scan is a positron-emitting radioisotope, which is produced in a cyclotron and then attached to a substance used by the part of the body...

