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

dormiar,

don't you think you are being a little harsh? did you have to take the hesi before you took state boards? If the hesi is suppose to be held to such high standards, why should you even go through nursing school...just sign up to take the hesi and if you can pass it then go take boards and be able to get your RN license.

Specializes in ICU, Education.

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.

does HESI even correlate with NCLEX?....

Specializes in Medical-surgical:ortho, cardio, oncology.

Yes, it does, and quite well:

http://www.nursingcenter.com/library/JournalArticle.asp?Article_ID=818330

" (the) HESI Exit Exam was designed to examine not only the accuracy of the examination in predicting NCLEX success but also the degree of risk for failure of the licensure examination associated with specific scoring intervals."

Specializes in geriatric.

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

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

Specializes in geriatric.

i'm suggesting the web site to review the exam.KAPLAN TEST REVIEW EXAM

Specializes in ICU, Education.

So you passed your NCLEX- RN then Hollykatkinson?

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.

I need help trying to pass the hesi....any advice?

I AM TAKING MY 4TH HESI EXAM NEXT WEEK DO YOU HAVE ANY TIPS OR ADVICE ON THIS VERSION HAVE YOU HEARD IF ITS EASIER OR HARDER?:banghead:

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.

elizabeth

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join date: aug 2008

post_old.gif aug 21, 2008, 12:11 pm

updated aug 21, 2008 at 12:12 pm by valmor1984

document.png 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 ā€œiā€ (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.

What books and remediation are your students using

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