A Third Study on Predicting NCLEX Success With the HESI Exit Exam

摘要

This was the third annual validity study designed to assess the accuracy of the HESI Exit Exam (E~2) in predicting NCLEX success for graduating registered and practical nursing students. As in year I (N = 2,725) and year II (N = 3,752), in year III (N = 6,277), the E~2 was highly predictive of NCLEX success for associate degree nursing, bachelor of science nursing, diploma, and practical nursing students. Unlike previous years, in year III, monitoring was not a significant factor in the predictive accuracy of the E~2. NCLEX success of low-scoring E~2 students, first examined in year II, was also examined in year III. As in year II, low-scoring E~2 students were significantly more (P = .001) likely to fail the licensure examination than high-scoring E~2 students. In year III, unlike year II, there was no significant difference in the pass rate of low-scoring E~2 students who participated in a remediation program and those who did not. The authors recommended that a more definitive definition of remediation be used in future studies and that such studies focus on E~2 implementation strategies and their relationship to NCLEX success.