Hesi Exit Test - page 17

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. by   zakary08
    u guys can pay the KAPLAN nursing school for a review ,it's really amazing and the student who took the review there 95% pass the exit exam .which is amazing
  2. by   hollyberryh20
    stop comparing hesi to NCLEX, hesi is harder, and they test you on a harder level, if you can pass hesi your golden on the NCLEX
  3. by   zakary08
    i'm suggesting the web site to review the exam.KAPLAN TEST REVIEW EXAM
  4. by   dorimar
    So you passed your NCLEX- RN then Hollykatkinson?
  5. by   AmparoG-Mckinley
    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 feel that your schools method of giving the HESI is a great idea that all the schools should adopt. Imagine having to take a HESI after every class and if you don't pass it you don't move on, you remediate until you pass with a system like this you are prepared to pass the final HESI and the nclex. This will remove the fear of the HESI, you will be expecting it and you will have been prepared to take it and pass it. This would be using the HESI as a tool to make sure you are competent in each area of study and it will make you a better nurse. Using the HESI at the end of 3-4 years of nursing school in which you have had no classes or experience to pass the HESI and your entire career being made or broke by the results of the HESI. Imagine you get 2 chances to pass HESI with an 870 and if you don't make it you are finished, you never get to become an nurse, you owe lots of money and loans for school, and you went to school for 4 years for nothing. That is a devastating blow to one's life when I think about it that I have just one chance to acheive my dream of becoming a nurse because if I get an 869 thats it I will never become an RN and I will have wasted 4 years of my life. Try to understand that the way this test is used is devastating to one's career, and life.
  6. by   KADEINN
    Quote from mar28mel
    I need help trying to pass the hesi....any advice?
  7. by   Tawni
    <table id=post3057694 style="border-collapse: collapse" cellspacing=0 cellpadding=6 width="100%" align=center border=0><tbody><tr><td class=postbittop width="100%">dear valmor1984 ,

    i really want to know what school you are from and what type of remediation program your school taught to improve the statistics on passing the hesi the 4th time. i am a student from lone star kingwood college and our director was interested in finding out. please send me a private message (pm) or send me an e-mail through my profile page to respond back.thank you very much.


    </td></tr><tr id=collapseobj_post3057694><td class=postbitbody><table cellpadding=6 width="100%" border=0 cellspacgin="0"><tbody><tr><td class=smallfont style="vertical-align: top" align=left width="100%">registered user

    </td><td class=smallfont style="vertical-align: top; white-space: nowrap" align=left>join date: aug 2008

    </td></tr></tbody></table></td></tr><tr><td class=postbitbody id=td_post_3057694> aug 21, 2008, 12:11 pm
    updated aug 21, 2008 at 12:12 pm by valmor1984

    re: hesi exit test
    we have successfully used hesi for a number of years. in the beginning, we gave specialty exams each semester, which were used to provide students with assessment information (were not tied to a course grade). students did not take them seriously, despite being told that good effort would give them an idea of areas that they needed to review.

    because this method did not appear to be working, we did two things: we now give only midcurricular and exit exams. the midcurricular exam is worth a (small) percentage of the second medical-surgical course grade. if any student does not achieve an 850 on the midcurricular exam, faculty in that course meet with each student and create a study plan that will help them for the exit exam.

    the exit exam is part of the course requirements in one senior course. students are told before they enter the program that they will be given this test,and are reminded of this each semester that the exit exam is tied to graduation. students have three attempts within the last semester to achieve an 850 on the exit exam. historically, about 5% of the class does not achieve an 850 after 3 attempts. this year (very unusually) 17% of the class did not get an 850 after the third try.

    students who do not get achieve 850 receive an “i” (incomplete) and may walk in the graduation ceremonies. then, they must attend a six-week remediation course facilitated by faculty. after that, the students take the hesi for a fourth time. to date, we have not had a single student fail to achieve an 850 on the hesi. of those students who completed the hesi the fourth time, >85% pass nclex on the first attempt.
    generally, the students who do not achieve an 850 on three attempts are those who were consistently just at passing in most/all of their nursing courses. using the hesi in this way assists us in identifying those students who needed additional remediation, and providing the small-group time and attention that they may need to pass nclex.

    the net result? we have an excellent (>95%, usually 100%) pass rate. this was an important but secondary consideration in our decision-making, and it does keep the administration and the sbon happy.

    Last edit by VickyRN on Aug 2, '09 : Reason: Please do not place personal e-mail addy in post, per TOS.
  8. by   KADEINN
    What books and remediation are your students using
  9. by   Flo-ri-da
    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).
  10. by   dorimar
    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.
    Last edit by dorimar on Aug 5, '09
  11. by   Flo-ri-da
    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.
  12. by   dorimar
    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.
  13. by   dorimar
    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?