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Source: Nibert, A., Young, A., & Britt, R. (2003). The HESI Exit Exam: Progression Benchmark and Remediation Guide. Nurse Educator, 28(3), 141-145.
Total Population
A total of 11,988 students took the Exit Exam in academic year 1999-2000.
- 10,546 RN students in 166 RN programs
- 1,442 PN students in 36 LPN/LVN programs
The use of the Exit Examination as a progression benchmark and remediation guide was examined reviewing responses to the HESI annual survey received from RN programs only.
Sample Size
Responses were received from administrators at 158 of the 166 (95.18%) RN programs.
The RN sample consisted of 5,903 (86.81%) RN students in 158 RN programs.
- 3,459 (58.60%) were enrolled in 92 associate degree (ADN) programs
- 2,346 (39.74%) were enrolled in 63 baccalaureate degree (BSN) programs
- 98 (1.66%) were enrolled in 3 diploma programs
Progression Policy Use
149 (94.30%) of the 158 participating RN schools responded to a question regarding adoption of a progression policy.
- 45 (30.20% reported that they had either implemented or maintained a progression policy during the study year; 35 (77.78%) submitted either complete or partial progression policy statements from their schools.
- Three main consequences were cited in these policies:
- Denial of eligibility for graduation (18 or 51.43%)
- An incomplete or failing grade in the capstone course (12 or 34.29%)
- Withholding of approval for NCLEX examination candidacy (5 or 14.29%)
- 36 (80.00%) required re-testing using a different version of the Exit Exam
- One year later (2000-2001), four additional programs required re-testing for students who failed the attain the stated benchmarks, bringing the total of number of schools that retested to 40 (88.89%)
Most Typical Benchmark Cited
The most typical benchmark cited in the programs included in this study was the use of the 850 HESI score, which has been deemed the acceptable score by the HPM calculation. This benchmark was utilized in 36 (80.00%) of the programs reporting.
Remediation Strategies
149 (94.30%) of the 158 participating RN programs responded to a question regarding the use of required remediation as a function of the school's progression policy.
- Of the 42 (28.19%) schools that required remediation, their strategies implemented were:
- A specifically-designed remediation course (22 or 52.38%)
- Completion of computer-assisted instruction programs (10 or 23.81%)
- A comprehensive review guided by NCLEX examination preparation books (4 or 9.52%)
- Participation in mandatory tutoring sessions with faculty (4 or 9.52%)
- Completion of an NCLEX simulation exam (1 or 2.38)
- Reenrollment in core nursing courses (1 or 2.38)
©2003 Nurse Educator
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