Re: Hesi Exit Test
I took state boards over 20 years ago. Then, we had only two opportunities a year and had to travel to the state capital to take a paper & pencil test that lasted 2 days. I would have loved for someone to have tried to prepare me throughout my nursing program with tests that were evidence-based to predict passing of the
Big One.
Most schools are going to progressive HESI exams. Which means you cannot progress in the program unless you achieve a specific score on HESI for your level of education. For example, there is a fundamentals HESI, M/S I HESI, Pediatrics HESI, Critical Care HESI, etc.
My school just started this. I feel better about this than just having the requirement of passing the HESI exit exam to graduate, because this way, if you aren't learning, you won't make it to the end just to fail the exit HESI. You have to repeat courses you are not proficient in until you learn it. At the end, the students still have to achieve an 850 on the exit HESI to graduate, but hopefully should be able to do so if they made it that far. Even though I think this is a better system, I still feel a great deal of stress related to these progressive HESI tests. I get a blue-print but it is very vague, and I worry that I may not cover what is necessary for my students to pass the progressive HESI (or rather that I will cover too much). I teach critical care, which is very advanced, and I struggle with what a critical care nurse should know
at entry level versus what a critical care nurse should know... I have been referring to the NCLEX-RN examiniation review book often in my lesson plans to make sure I am covering entry level stuff for you guys. So... I think this is a good thing for all of us.
I am not trying to be harsh. There is evidence that correlates the achievement of specific HESI scores and passing NCLEX. Also, testing is done for a purpose. Many of you may not realize the responsibillity you will have as an RN, and maybe some realize but just don't take it serioulsy enough. You should be more scared of doing harm than of failing a test. The tests are to prove competancy at entry level. Everyone should not be a nurse. Also, I think many nursing students don't realize the importance of passing NCLEX the first time. It shows up on your license how many times you attempted before passing, and this could greatly affect your employment opportunites in this job market.
I also wanted to make a point to those of you who talk about HESI being a benefit to schools and not students. NCLEX passing rates make a huge difference for eveyone. Not only does the school's reputation rely on our passing rates, but also NLN accreditation and clinical contracts. My school is very new, and has not graduated its first class yet. Many students who have enrolled are counting on our NLN accreditation for their higher education goals, and our first class passing rates will affect this. Clinical contracts are also affected by NCLEX passing rates. This affects students as well.
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