Hesi Exit Test

Nursing Students HESI

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Hello fellow educators....I am dealing with a dilema which I have no control over as I am a staff member, not administration, but it is just eating away at my concious. My community college uses the HESI exit exam for the ADN and LVN programs. Regardless of how good your GPA is, clinical performance and so on....along April or so, you have to pass a "exit exam" with a score of 850 or better in order to "Walk with your diploma". If you fail to pass the test you are allowed to take it again. If you fail again, you are out. Don't pass go, don't collect you monopoly money!!!! The problem I have with it, and I am not alone in this, IS>>> a couple of students each year per program, fails the HESI, despite being quality nursing students and according to the census of most instructors would pass the NCLEX with no problems. Other schools in our area use the HESi,but as a tool to help the students focus on their areas of weakness. I feel we should not leave it up to a third party vendor to make or break these kids, who have put their lives on hold, pawned everything they own, just to be one of us.

Am I normal to feel this way? I have discussed it with other staff and told it is the policy of the college network, DON'T go there...etc.

Your viewpoints would be appreciated. I just want my students to all have a shot at NCLEX after proving themselves to me, not a private vendor.

ERDude

This discussion on HESI began 2 years ago. I am just discovering this today. After 3 years in a MSN program and just prior to graduation, the school informed us that this exam was required for graduation. So day one I sit in class happy to be graduating in 4 months, but wait, you have to take this little test.

I am taking HESI soon and I am just beginning to discover the issues here. I have read nothing but horror stories about this exam. Educators are powerless it seems, and the boards of nursing don't have a stake in this. So my question is this, what happened to nursing? When did nursing become such a weakling? Who is really behind this shinding?

The theme is the same, everyone feels bad. The recourse appears to be none. I always thought nursing was about fight for the advancement and well-being of the profession. This is a big quiet thud and it needs to be heard nationwide with a bang.

If HESI is going to be used to gauge passing rates for NCLEX and other certification exams, then the concept should be integrated throughout the academic process, not unloaded on people as a condition to graduation. I t has been asked before but it appears I may have to do my own research.

1. What states licensing boards allow / disallow this interloper exam as a condition to NCLEX, graduation, etc.?

2. Should this not be openly published by the schools prior to admission?

3. Is there a decline in admission for schools that have HESI as a requirement? Probably not since prospective students are not sensitized to the over reaching concerns. Also, schools are busting at the seems and turning away students (question answered).

Specializes in ICU, Education.

No state allows or disallows HESI as a condition to NCLEX. Most states just require graduation from a nursing school and passing NCLEX-RN. However, states & the NLN require schools to achieve specific passing rates. HESI predicts this so schools are resorting to HESI to improve their passing rates. It's not all bad. There are some good concepts here... There are some bad too.

I do not know what your experience level is, and how you can just be taking HESI if you are in an MSN program (that is not clicking with me...). But for you to knock me for being a weakiling, if you haven't been working in this field, angers me immensely.

I have worked the bedside for 24 years. I have seen a great deal of good and a great deal of bad. The bad is what made me go back to school and to also get certified in my specialty. I kept thinking allllllll these years that I could make a difference because I was good at it and because I really cared. You will never know what I gave up for standing up for my principles in this field. It is actually none of your business, and I doubt many would do what I did and give up what I did. I am NOT weak, just disheartened. I am FINALLY realizing that nursing and education is a business just like everything else, and it's not even that if you want to make a difference, you can't advance--but rather, it's you can't make a difference.

For your final question...

Students will go whereever they can get in---the waiting lists are long

Nurses aren't the only one's settling.

My comments were not directed at anyone individual nor is it a knock on nursing. I've been a nurse for over 30 years and have seen a lot of changes, mostly for the better where nurses have become more empowered. Nursing education has improved as well and I can only hope that it gets better.

My problem with this HESI testing is that it is being used in a punitive way in some schools and dropped on students just prior to graduation. To make matters worse is that this exam is being used by school to measure the success of their program. To me, this seems like an unnecessary layer to the educational pathway. You go to school, you graduate on merit, and you take your exam for licensing. Comprehensive exams given throughout the curriculum should suffice. HESI acts like a wedge and it seems like educators have no say in the matter, thus, my point about weakness as it is being dictated outside of nursing. From what I heard, the questions are foreign to students, poorly formulated and a set up for failure. The NCLEX exam is a better representation for nationwide testing.

Specializes in ICU, Education.

I have to say that I agree with all of this. This has been my dilemma since I entered academics (only April, but it seems like centuries). I do get upset when people throw comments around about nursing being weakling and not "standing up" or that educators don't care. This kills me, because of all I stood up for in my profession (standards) and did it nicely and professionally, but still gave up position, salary, etc. (and knowingly). And then chose to go into education for the SAME reasons and did that somewhat knowinglly too (knew it would be a cut in pay but not such a tremendous cut into my family time in order to do the job well). It is killing me- this profession. I know what is good practice. I so want to help new nurses see that early. I want to make new nurses comfortable in order to learn well, and teach them from my experiences (what i did well, and not so good, and the experiences of my peers). Then all this HESI stuff and standardized testing hit me full in the face. I did not want to teach to a stupid test. I wanted to teach practical stuff that could affect outcomes. Now I hear myself droning on in lecture in order to cover what might be on a HESI.....

But, I was never weak. And that was what I took from your prior post.

Specializes in ICU, Education.

Flo -ri-da,

Sorry to get my knickers in a bunch...

I am wondering why you have to take HESI in a Master's program, especially if you have been nursing all these years. HESI is supposed to predict NCLEX-RN pass rates. Surely you are not going to have to take NCLEX again?

We take our HESI through EVOLVE and I was wondering if our test can be re-scored if you find a mistake?

this last semester a group of students didn't make the cutoff score of 850 on the HESI, because of that the school changed our class grade from passing to failing even when the HESI wasn't part of our last class MedSurg 2. After three unsuccessful attempts the school told us to reapply to the program or some to repeat the last class. We met with our Board of Nursing. They said they were aware of the problem that 2% of schools in our state are causing and asked us to meet with our State Representatives and Senators from our district. We have and all were appalled by what this school has done to us. They will contact the school. Our group have also found that the state's Higher Education Board has outlawed schools to deny a student's degree based on a single high stakes exit exam. We have also found that students who took schools to court because of this have all won. What does that tell you. Another very important fact is that these schools are denying students their hard earned degrees because of funding. If they have students make the cutoff score in the HESI, then they think that'll guarantee them pass NCLEX on the first try, and if they do, well the school gets thousands of dollars for each one that does as well as good ratings for the school.

We'll keep you posted. We are not giving up. Our director of nursing told us that once we were done kicking and screaming that we will go back crawling for mercy, well..... We are not done kicking and screaming. Spread the word about the State Reps and Senators, it seems it is working.

Student Nurses B.O.N.D. ( Battle Over Nursing Degrees)

Specializes in geriatric.

thanks fo the information and good luck

can anyone tell me how many HESI tests are there and which one did you take and what was on that test. I failed version V-1

i heard there are up to 7 versions..

good luck

Specializes in MS, LTC, Post Op.

My school just started the HESI...midway through the program and changed policy to say that if you don't pass with a 900 on the HESI, then you don't graduate. I think its fine if you want to start the policy with the student that are just starting the program, but to start it when a class is now 8 months from graduation is CRAZY and really not fair for us at all.

Shannon77, Your group has an advantage. Your program changed their policy midway. Our program has had Exit Exams, but in the past semesters students were still allowed their degrees. google Darrell Spurlock Jr. Ph.D RN. He has been fighting this issue for a long time and has also been used as expert witness in courtrooms for nursing students who took their school to court. Interesting note, no matter the nursing program's departmental policy, every student who has filed suit against their programs have ALL won. If you find yourself going through this hell of not making their arbitrary or benchmark score, then appeal through the school's chain of command. My group is the first group in our school to not give in. We are on our school's agenda to speak to the school's Board members. The program doesn't want us to make this a public matter, they wanted to just through us under the rug. Come this board meeting, we will have our media present along with several state reps and a senator in our corner.

Student Nurses B.O.N.D. :wink2:

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