HESI is a tool, I agree. However, all public nursing school curriculum must be approved by governing laws and rules by the state system and the accrediting group. Just as an example, the state of Texas has a rule not allowing a standardized test to prevent a student from graduating. Curriculum cannot be changed at the will of a public nursing school. That is one of the factors that is taken into account for the school to get their accreditation and approval. HESI, or Elsevier, is not even accredited by any board of nursing or state system. In fact, the NLN advises against determining a students graduation using a standardized test. Perhaps a private school can set their own restrictions, but a public school cannot. If the student meets minimum outcomes on goals, outcome, and APPROVED curriculum, the student must be given their degree. Just as an example, what accreditation agency is approving a minimum score to graduate? None. Elsevier lacks the necessary approval and accreditation to be used as a graduation requirement. I just looked at the Indiana Board of Nursing, and they have no requirement to meet a certain score in HESI to qualify for graduation.