Hesi Exit Test - page 4

by CSLee3 205,795 Views | 406 Comments

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... Read More


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    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.
    2bnursechichi likes this.
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    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????
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    Quote from Nurse-Teacher23
    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??? ) 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!


    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????
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    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.
    Skeletor likes this.
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    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!
    2bnursechichi, sjgj2006, *LadyJane*, and 1 other like this.
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    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
    sjgj2006, medheadgirl, and *LadyJane* like this.
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    Quote from nursingtestpro
    The exit exam practice is being increasingly questioned in nursing education. What happens is students who may actually pass the NCLEX are never given the chance to take it because of a HESI (or another exit exam) score.
    HESI is good at predicting NCLEX success because it sets the pass score so high. HESI is NOT good at predicting NCLEX failure. A majority of the students who do not attain an 850 who are allowed to take NCLEX actually PASS.
    This is documented in the August 2006 issue of Nurse Educator
    Schools have this crazy policy because they want to have a good pass rate. So if the students have even a small chance of failing the school prevents them from taking the test and protects their pass rate.
    It is not fair to the students to let them spend their time, money, and hard work for two to four years and then deny them the opportunity to fulfill their dream of being a nurse. It is the school's responsibility to prepare the students throughout their nursing program to succeed on the NCLEX.
    Several states are looking into this practice. New York State has already banned it.
    There is a lot of money to be made by the testing companies (more than 247,000 took NCLEX RN and PN in 2006). Profit seems to be fueling this practice.
    Perhaps the students who were denied graduation should get together and seek legal advice, or at least register a complaint with your state board of nursing or NLNAC.
    Can you give the exact reference.
    I am looking in this journal and I would like to quote it - but I need the name of the article, or authors.
    thanks.
    Nurse-Teacher23 likes this.
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    I am opposed to this also. I understand that schools have to have a high rate of graduates passing NCLEX in order to maintain accreditation, but this puts an undue burden on the student. In my opinion the tests should be used to evaluate the curriculum or the instructors, not the students. If I paid for my course and passed it then I would expect to graduate! I am on the advisory board for two nursing schools, one of which uses HESI in the same manner. I make sure my comments are in the minutes, but it falls on deaf ears. Someone has convinced Admin that this test is preferable to maintaining quality within the classroom.
    sunshinelady, Skysail, and *LadyJane* like this.
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    We educators hear you, BUT!! The computerized exit exam is very much like the NCLEX-RN. If you are successful, you will have a better chance at passing and not have to pay another $300-400 to repeat the NCLEX-RN. We told our students in August about the exit exam and they did not really hear us until April! Then it was pure panic. They all passed and we are looking forward to their NCLEX pass rates!

    Relax, use all of the CD's and helps you can to get better at computerized exam. Take care!
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    I think the use of HESI and other standardized examinations for uses other than to evaluate student areas that may need reinforcement is a bit abusive, to be honest. We use ATI and were specifically advised by that company not to use the tests in such a manner, but instead to evaluate course content and student need for remediation. It should not be an obstacle to prevent an otherwise qualified student from taking the NCLEX or graduating. This strategy seems designed only to give an artificially inflated pass rate for the school. If I were a student, I would not attend such as school. I agree with the posting about seeking legal counsel in such a situation.
    ok2bme, 2bnursechichi, Cree8ive1, and 1 other like this.


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