Hesi Exit Test - page 5

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... Read More

  1. Visit  suslastdnt} profile page
    1
    I took the Hesi yesterday & didn't make "the grade" (900) but I passed the class- so they gave me a "D". I will have this on my transcript to lower my GPA, even though that is not the grade I earned. There's something wrong when 1/2 of the class doesn't get to graduate because of this test.
    *LadyJane* likes this.
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  3. Visit  *LadyJane*} profile page
    0
    Wow, that's really too bad. Did you know that according to a study cited by Darrell Spurlock in his paper <TABLE width="100%" align=center border=0><TBODY><TR><TD vAlign=top colSpan=2 height=40>
    Do No Harm: Progression Policies and High-Stakes Testing in Nursing Education,
    </TD></TR><TR vAlign=center><TD class=it13>
    Journal of Nursing Education Vol. 45 No. 8 August 2006
    </TD><TD width=43></TD></TR><TR><TD colSpan=2>A score of 800 on the HESI correlates to a 90 percent chance of passing NCLEX. According to those statistics, you have a better than 90% chance of passing NCLEX.

    So, will the college "let" you graduate? Will they "let" you sit for NCLEX? How many people in your school failed HESI? Which school of nursing is it?

    Shine the light, people, shine the light.


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  4. Visit  *LadyJane*} profile page
    0
    OK, re-reading your post I see that your school is basically failing 50% of the class for not making 900 on HESI.

    That, to me, indicates inadequate preparation, and it seems to me that your class didn't get what they paid for. I'd be livid if I were you.
  5. Visit  AOx1} profile page
    2
    I am afraid that part of the problem we see is due to several factors. I went to nursing school in a rather horrific environment. I determined I would become a nurse educator so I could try in some small way to right what I saw as poor education practices. I am by no means perfect, but I do have my students' best interests at heart.

    1. I think there are many things you have to look at when you see a struggling student. The first I look at is social issues. Is that student having problems outside of the school setting? If so, I encourage them to seek help in whatever form they may need (ex- financial assistance, counseling, help from family, etc).

    2. If that is not the case, then I start to look at how they are learning the information. In almost every course other than nursing courses, they have been exposed to rote memorization, where the information just "disappears" after the course is over, never to be used again (for me, geometry comes to mind!) This won't work for nursing school.

    3. I look back over their tests and their notes and try to pinpoint the problem. I don't think success or failure should hinge on one event. If my students fail a test, they are required to come in for office hours. I don't want them getting behind.

    4. In clinical, if a student has problems, you spend a lot of time trying to diagnose the issue. Sometimes, it's as simple as disorganization, and with new tools, that student excels. A lot of it is building confidence, getting students to think out loud (I try to always 'talk out loud' when making decisions about patient care so they see this) and to apply information.

    5.) If you just cram in information, as soon as you don't immediately need it, you will forget it. But if you apply it, you see a totally different result. Also, we try to teach students everything. They aren't supposed to be learning EVERY SINGLE FACT about nursing. We are teaching them to safely practice in the first 6 months of their career.

    So how does all this relate to HESI? The student who does well on HESI has a high likelihood of doing well on NCLEX. If one or two students aren't doing well, it is likely due to individual factors (maybe they had a bad day, maybe they are poor test takers, etc).

    If HALF of your students aren't doing well and are going to flunk, I would want to know several things:
    If these students are truly unsafe, why was this not addressed prior to this point? If I see a student that is not practicing according to accepted standards, I immediately take steps to help them.

    If these students should be failed, why? Why was the deficiency in their education not caught prior to now? It's easy to tell when a student is struggling if you simply interact with them regularly instead of slinking off to a far-away room to grade papers during clinicals.

    If half are failing, what does that say about the school's curriculum, that half the students will not be prepared for practice? And why do they feel the need to artificially inflate pass rates? NCLEX is a minimal standards exam. It tests a graduate's ability to safely meet the basic standards of care in the first 6 months of practice. Why on earth is that student even at the point of graduation if they are truly unsafe? Why weren't these students offered help before? And if they aren't unsafe, why are they being punished?

    *Off soapbox now*
    BlessedRoseRN and *LadyJane* like this.
  6. Visit  kubivern} profile page
    1
    This certainly seems to be a volatile subject. Our school uses the ATI process, and failure on three tries for the Comp predictor still allows you to pass the program and get your degree; however, prior to the program recommending you for the NCLEX, you take an additional independent study course (1 to 4 credits) where you receive additional time, and take additional coursework, mostly geared towards the NCLEX (test taking strategies, professionalism, study sessions, etc. are also provided). Once you have completed those requirements, then you are recommended for the NCLEX.

    Like many of you, it is very disheartening to see a program rely on a single test for failure or passing. I have heard it explained by several senior nurse educators that the premise for this type of pass or fail program is to make nursing more professional, like the BAR exam for the lawyers or the boards for the physicians.

    Years ago when I was in the military, we had many certification opportunities. Similar to nursing, there was of course a final test (like the NCLEX). The difference, however, was that following the test, regardless if the student passed or failed, the results were analyzed and the student's weak areas were identified and then a specific qualification program was developed on those weak areas. Once the student was educated on those weak areas, then they were passed if their initial score was high enough (I think it was around 70%), or allowed to test again.

    I realize this would not constitute a "professional examination" in current education, but it still seems smart to me - even if people got a 99% on the test, they still were told their weak areas and were required to receive additional education to get them certified. I wish a program similar to this was available for nursing - I have seen so many good, good, caring nursing students be so scared by tests - life isn't a piece of paper and a pencil, or a test on a computer. I realize a basic standard must be maintained, but there are other ways to ensure requisite knowledge.
    *LadyJane* likes this.
  7. Visit  *LadyJane*} profile page
    0
    Thank you for your thoughtful replies, Livetolearn and vkubiak. Livetolearn, I couldn't agree with you more on your reasoning. While I would expect some people to fail out over the course of the year, and then perhaps a few not pass HESI, I wouldn't be surprised. But 900 seems a high level to require, especially when the company that produces HESI states that a score of 800 predicts a passing score on NCLEX, so why require 900?
    I agree half the class not passing HESI indicates a serious problem with the curriculum or the instruction, especially when the students failing are hard workers who had previously scored high up until that point.

    Yes, making a whole degree hinge on a single test is wrong, and using that to artificially inflate a college's pass rate is truly dishonest. Why not just give the degree if earned and permission to test and let NCLEX do the test? That is what med schools and law schools do. Passing the exam is up to the students. To have a pre-nclex before and then the real nclex after graduating is just stupid and dishonest. Or if the college does this, then why not put up the honest statistics and let the consumer (student) decide where to spend their dollars. Where is the consumer protection here? It's absent, I'd say.

    Actually, vkubiak's school has the best program I've heard of. He wrote:
    "This certainly seems to be a volatile subject. Our school uses the ATI process, and failure on three tries for the Comp predictor still allows you to pass the program and get your degree; however, prior to the program recommending you for the NCLEX, you take an additional independent study course (1 to 4 credits) where you receive additional time, and take additional coursework, mostly geared towards the NCLEX (test taking strategies, professionalism, study sessions, etc. are also provided). Once you have completed those requirements, then you are recommended for the NCLEX."

    This seems to be a school that may be more interested in producing safe nurses to enter the healthcare world of work, rather than just being a business with their own self interest at heart.

    Jane
  8. Visit  ema79} profile page
    2
    I agree with all of you! I recently took exit HESI and did not get the grade I needed to pass. My college requires 850 on it to graduate, I made 815. It was in a horribly noisey enviornment...and then add in the stress factor! I have a previous degree in another field and feel a bit cheated right now. I passed my classes...and I still don't get my degree because I was a little off on ONE test!?! It's madness, but such are the rules of the game. I will retake it August 21. Any tips on how to do better? I studied the first stage of Suzanne's study tip (still need the second one for NCLEX-RN) and will be attending a review session given by the people who make the exam.

    I honestly know how all of you feel, I'm in the same boat! good luck to all!
    Selene006 and *LadyJane* like this.
  9. Visit  AOx1} profile page
    1
    I encourage my students to avail themselves of all the resources they can possibly use, BUT not to cram. I have them start first semester, and gradually build up how often they practice NCLEX questions. I like Saunders NCLEX review books. Of course, HESI should also be providing you with review information. I would suggest looking at the print-out, and trying to find more about your weaker areas. For example, are you more weak in analysis, or planning of care? Are you more weak at a given disease process (ex- care of a client with cardiovascular compromise)? Look for something you can reasonably address in a short period of time. And remember, testing is not the only way to measure knowledge. Practice plenty, but don't panic and try to cram. The idea is to become comfortable testing, so it's not something you do only at the end of the semester with a final standardized test. Also, consider earplugs! No, I'm not kidding.
    I let my students wear them during tests. For some of them it really helps.
    *LadyJane* likes this.
  10. Visit  ema79} profile page
    0
    thanks! I've been using a variety of sources but mainly Saunders. I do wear earplugs but seem to still get distracted when people are moving around and talking loud right next to me. I seem to have problems with the questions that 2 of the answers are right but chosing the BETTER answer is my weakness.
  11. Visit  ursurla} profile page
    0
    I can understand how you are feeling...We were told towards the end of the nursing program that we were require to particpate in an assessment/predictor before we were able to sit for the state boards. When we started with the review ERI...I did very poorly on my first predictor...then, after the third try I finally got a 850. The school should not impose that in order to graduate is to pass the predictor however, this wasn't the case for us...Our educator gave us many chances because it would look good for the school and, she knows that we can do it....It should not be that a test is the only indicator which saids you can be a nurse. You must find what your weaknesses are which i did and, You should study a few hours a day. I am studying Lippincott, Saunders and Kaplan which will show you how to use strategies to answer questions. I know it is ssooo frustating but keep studying...You all can do it!!!
  12. Visit  ema79} profile page
    0
    thanks! Ive been studying...I can do it!!!
  13. Visit  suslastdnt} profile page
    1
    Quote from *LadyJane*
    Wow, that's really too bad. Did you know that according to a study cited by Darrell Spurlock in his paper <TABLE width="100%" align=center border=0><TBODY><TR><TD vAlign=top colSpan=2 height=40>
    Do No Harm: Progression Policies and High-Stakes Testing in Nursing Education,
    </TD></TR><TR vAlign=center><TD class=it13>
    Journal of Nursing Education Vol. 45 No. 8 August 2006
    </TD><TD width=43></TD></TR><TR><TD colSpan=2>A score of 800 on the HESI correlates to a 90 percent chance of passing NCLEX. According to those statistics, you have a better than 90% chance of passing NCLEX.

    So, will the college "let" you graduate? Will they "let" you sit for NCLEX? How many people in your school failed HESI? Which school of nursing is it?

    Shine the light, people, shine the light.




    </TD></TR></TBODY></TABLE>
    No- they will not let us graduate or sit for boards. We will have a "D". Some of us talked to the LPN school & they are considering letting us start in the 4th level & graduate in Dec., which is great, but it doesn't make up for all the time, money, etc. that was just given to the RN program. The school is Southern University Shreveport Louisiana.
    *LadyJane* likes this.
  14. Visit  gramkram} profile page
    1
    We give the HESI but only for guidance for the student- areas they need to study in order to pass NCLEX. Another local school who had to increase their board pass rate by board of nursing mandate also gives the HESI and are requiring a certain score in order to "pass" nursing and sit for the board. I've had students do poorly on HESI and pass boards first try- did they go study, were they having a bad day on HESI, was it a wake-up call.....don't know!
    During the LPN exit course I spend a few minutes during each class period using an LPN NCLEX review, do some questions- the students think it is helpful.
    *LadyJane* likes this.


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