I have recently done a research study for my MSN degree about the HESI and other exits tests that are out there. Some schools are using the results to determine remediation programs or changes needed in cirriculum. Others do make the students pass to graduate. One program director I talked with has several students who graduated a year or so ago who still haave not been able to take the NCLEX abecause of it. I know programs want there pass rates to be high but I think holding this over a student is wrong. Use the results for remediation but let the students graduate. The HESI has a 97.8% accuracy rate of who will succeed on the NCLEX and who will fail. They have individually studied 4 years of the HESI Exit test to prove this. Of course they will give the school all sorts of summaries to help them. I think they are trying to make money. I feel that the student should receive remediation all along and not wait until the end of the program.