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

Specializes in PACU.
I didn't use that course last year and I passed my Nclex pn in less than 20 questions.

Umm, the minimum number of questions on the NCLEX-PN is 85. :confused:

Anyway, assuming I get into the LPN-RN program for this Fall, I'll inquire early on as to whether or not they mandate passing a HESI exam in order to graduate. If they do, I'll be sure to study my butt off for it. The stipulation that low-scoring students take an NCLEX review course actually sounds fair and prudent, though.

I took some sort of exit exam (I don't believe it was the HESI) at the end of my PN program, and I recall that we did need a certain score, but I don't recall much beyond that. I passed it on my first try and promptly forgot about it. I know that nobody failed due to being unable to do it.

Specializes in Home Health Case Mgr.

If you really want to know the specifics of the HESI debate, find the article written by Dr. Spurlock titled "Do No Harm" High Stakes Testing in Nursing Education or something to that effect. He is an instructor with Mt. Carmel School of Nursing and researched this very topic extensively. I have purchased a copy of this and encourage everyone to do the same. Very informative and well written. Hats off to Dr. Spurlock!

ERDude:bow:

I've done well through all of nursing school, and even through my pre-reqs. My school requires a 950 to pass the HESI exit exam. I took it today for the 3rd and final time and got a 938. I am so angry because I know I will be a good nurse, and my score shows that I know a lot. I have to pay $1000+ to retake the class and re-take the HESI's. I have a job lined up to begin June 2nd. I just want to know - IS THERE, OR IS THERE NOT A NURSING SHORTAGE??!! I have paid my tuition, done my hours, passed my classes, and jumped through every hoop I've been asked to jump through! I am concerned about my school's accreditation, but I am also concerned about my own career and finances. None of this makes much sense to me, and I am an older student, doing a mid life career change. I'd rather spit on the HESI review book than read it one more time. It will make good kindling this winter.

Hi. my school also requires our Hesi score to be 950 which is highest in our area compared to other programs. I have taken it and make an 825. I have one more try and if I don't pass, I too will have to pay 1000.00 or more to take the summer class of 2 hours and pay to take the hesi exam again. I have a job in line as well and a house on hold with hope that I pass. we have had 21 students fail out of 46. That includes our BSN and ADN programs together. I feel that the score should be lowered or the test not count as to whether we graduate or not. I wish I had some good advice about the hesi, but unfortunately I don't. I too am very bitter about it as well as my classmates. Good luck with it in the future.

As an instructor, I think HESI is great. It has been studied (nursing research and evidence-based practice - don't you love it???:redbeathe ) and it has been shown to have more than a 95% correlation to passing the NCLEX if the scores are above 850.

Yes, it is all about pass rates and accreditation, but those are the things that allow me and my program to continue teaching more hopeful nursing students. My suggestion is to raise the bar earlier in the program - even in admission and selection - and to pass along only those students who attain 75% or greater in testing and comprehensive final examinations. Require students to begin early using computerized NCLEX style testing programs and to provide written and referenced rationales for every incorrect answer on every test they take in your program - don't provide it for them! "What the nurse does for the patient makes the patient strong", and likewise, what the teacher does for the student makes the teacher strong.

Here's hoping for a continued 100% NCLEX pass rate!:yeah:

A 100% NCLEX pass rate, yes because that is as realistic as it is just for a student who can make it through a grueling and intense nursing program, but might just need a 2nd shot at passing the NCLEX.

I hope everyone realizes that this HESI does not determine how a nursing student who needed a second chance to pass still exhibits the potential to be a compassionate, thorough, and kindhearted nurse.

What other stipulations does your college have if you don't make an 850? Legally, they cannot keep you from graduating but you will have to get an attorney. Hesi Exit Exam is an outside vendor. It is for pass rate information for the school only. The school should offer another way to graduate. Ours, we have to show we are enrolled in a KAPLAN course which may I add is over $400 to take for a 4 day class.

If our instructors will not support us in having this banned in our respective institutions, then we all need to band together as classmates and have our voice heard with legal representation.

Their accreditation and pass rates cost us extensive hardships.

It's about time the students' voices are hard without fear or repercussion from our educators.

Whose side are they on anyhow.

I just completed my nursing program and have to make an 850 on thursday to pass. In our program you are given 3 chances at $38 a take to pass or you will recieve an F for your last semester and have to go back to school. I passed my first year with a 925 without studying so im not extremely worried however i have friends that are excellent students and would have been excellent nurses but didnt make the grade on the hesi. Let people take the test that matters and if you fail the nclex then you can do what you need to. Two years of intense training plus pre-reqs all to fall on one test that doesnt count unless you dont pass. Another way for a rich person to get richer. :banghead:

STAYINONTHEGRIND.....

I am VERY CONCERNED at the alarming rate of students who either completed the nursing program and if they didn't pass them would deny them of their earned degree and/or were never told that HESI Exit exam was going to be given to them. I strongly agree also, as students our voices need to be finally be heard. There is NO REASON why you are not given you degree if you have completed all clinical/theory rotations. BON does not require you pass HESI EXIT exam.

What or HOW do you think we should proceed with this? I am setting up a meeting with my BON. Can we all join hands in this????

Our small private school just started using HESI for our third graduating group in their final quarter. The students took version 1 of the exit exam as a diagnostic tool when they began the "NCLEX Prep" course. Throughout the course they took content exams (Fundamentals, Obstetrics, Peds, Med/Surg...), they worked on case studies, and they answered over 3000 NCLEX style computerized test questions, providing textbook-referenced rationales for every incorrect answer they scored. At the end of the course they took HESI version 2 and had to pass with 800 or they got an incomplete (they were allowed to "walk" with their classmates at graduation and we have since raised the score to 850 for subsequent groups.) Over the next quarter, those who failed version 2 may take version 3 and version 4. If they don't pass those two exams they fail the course and they must repeat it (the NCLEX Prep course), at the end of which they must pass HESI version 5. If they don't, there is version 6 and 7 to continue remediating. Only after failing all 7 HESI exit exams and repeating the course do they finally and completely fail the program.

HESI has become our program's safety net. We had abysmal pass rates for the first 2 graduating groups. The State Board was literally moving toward closing us down - cease and desist, lock our doors, end of the program's existence, take a deep sigh and get a new job (including the students currently enrolled).

The third graduating group of 38 students was reduced by 9 who could not pass the second HESI. In retrospect, these are the students who have not been strong throughout the program - generally not quite grasping the critical thinking component so essential to quality nursing. These nine are now remediating with us in an "NCLEX Refresher" course which focuses on content support and how to read and answer NCLEX style questions. They continue with 200 NCLEX style computerized test questions per week with rationales.

The rest of the graduates have started off strong with a 100% initial pass rate so far. Just what the Nurse Practitioner ordered!

As an instructor, I think HESI is great. It has been studied (nursing research and evidence-based practice - don't you love it???:redbeathe ) and it has been shown to have more than a 95% correlation to passing the NCLEX if the scores are above 850.

Yes, it is all about pass rates and accreditation, but those are the things that allow me and my program to continue teaching more hopeful nursing students. The State Board is very interested in assuring the public that the students who complete our program will be well-prepared to enter the profession.

My suggestion is to raise the bar earlier in the program - even in admission and selection - and to pass along only those students who attain 75% or greater in testing and comprehensive final examinations. Require students to begin early using computerized NCLEX style testing programs and to provide written and referenced rationales for every incorrect answer on every test they take in your program - don't provide it for them! "What the nurse does for the patient makes the patient strong", and likewise, what the teacher does for the student makes the teacher strong.

Here's hoping for a continued 100% NCLEX pass rate!:yeah:

I admire that at least you placed a measurement from the get go. With our program we were not notified of this exam until approx. 1 1/2 months before graduation. Plus according to our policy it stated only that we will tested on a comprehensive exit exam, but gave no indication the name of exit exam or what the passing score would be nor did it indicate how many times we were allowed to take it. Throughout the nursing curriculum we were never tested nor practiced on the computer. Naive we were. We were guinea pigs. Now 70% of my classmates are without their degree, cannot sit for boards. Passed a mandatory remedial exam. Took HESI and all failed. Than they repeated second year 6 months, all passed. Took HESI again, and 98% failed HESI. Repeated second year, again and all passed. Took HESI again and all failed. Repeat second year, yes, again. All passed. Took HESI and 99% failed HESI. The students keep repeating second year and passing, yet when it came down to taking HESI they fail????

I need any infomation on the hesi exit exam if anyone has taken it. We have to have a 950 or better in order to get our degree and take state boards and have 3 shots at taking the test. Most other schools only have to have 850, so can anyone please help me.

I feel so frustrated right now. All I needed was an 850 to pass! I have taken the Exit HESI 3 times and receive the scores 850, 809, 746. What's going on? I have taken Test-taking Prep courses since the beginning on nursing school and still I can't pass a test if my life depended on it.

I have seen some "not so bright or good student nurses" pass the Exist HESI. And I just do not understand it. I feel lost and my dreams to be a nurse are not fading, but seem so far.

How can we let a test dedicate how we run our lives? I have seen students pass the Exist HESI the first time, but then go to fail the NCLEX and have to retake it again.

Something needs to be done because alot of great nurses are there, they just cannot pass a freakin' HESI test!

At this point it may not be a lack of knowledge for you. You were not that far off. Try focusing on test-taking strategies. Kaplan has some great tips for that. Saunders is good and I also used the Hogan book by Pearson Vue (who writes the NCLEX). You can use the Hesi review book-which scared me to death because I didn't get above an 80 on any of their CD exams-but at least it gives you a feel for the type of questions you will be asked by Hesi. After I failed the initial Hesi, I only practiced questions that were at an analysis/application level-no knowledge only questions. I did not pass the Hesi the first time-I got an 822. I felt so humiliated as I hvae remained at he top of my class through nursing school. I passed the second time with an 1148. I couldn't figure out what I was doing wrong until I reviewed the strategies and got a few simple tips from my teachers. They told me to remember that nurses are supposed to be "nice" to all family members along with being therapeutic when they can be-that helped me a lot with the psych part. They also said that nurses are not doctors and cannot diagnose medically (for some crazy reason this helped-although I knew that already). The last tip is that the test wants to see what you as a nurse could possibly do in a situation before running to get the doctor. The first time I took the test, I thought that they were trying to trick me with the questions (thanks to nursing school exams) so I tried to pick the "safe" answer-which unfortunately for me was the wrong answer. As Kaplan says a successful test taker chooses a path to get to the right answer-they do not let the path choose them (eliminate wrong answers and choose the one that remains and is correct). When I took the Hesi the second time-I didn't get any "gut" feelings that answers were right-I used the test-taking strategies to point me to the right answer (sometimes I felt icy inside thinking it might be the wrong answer-but I had ruled out everything else). Good Luck! :typing

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