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Bringing NCLEX to Clinical: Success Through Clinical Reasoning Activities

As an educator, we often look for ways to help students focus on their own personal gaps and grow from them. One strategy that I’ve used, and that I explain in this video, is to have students take their HESI - based scores and use the identified weaknesses in clinical.

This learning activity will help your students grow in a couple of areas.

  1. By tying the two activities together, students will see that the exam they took last semester can help them focus in clinical this semester.
  2. Students will appreciate how real the NCLEX is when they focus on it during the care of a 'real' patient.
  3. Students begin to take ownership of their own learning, and the “carding your neighbor” suggestion in the video reinforces that since it is not a faculty-centered activity.
  4. If faculty use this strategy in both class and clinical, the students are more likely to see a connection between what they learn in class and what they do in clinical.
  5. Developing one's critical thinking skills happens when the learner compares their own critical thinking abilities to that of other students.

By focusing on the student’s HESI-identified weaknesses, they can strengthen their NCLEX preparation in those areas. The power of the “getting carded” exercise in clinical is that it’s a student-centered learning strategy that integrates Adult Learning Theory (Andragogy) with Constructivism. This kind of activity develops clinical reasoning in the learner by allowing your learners to collaborate, and in the end, you not only facilitate success in the classroom, but more importantly, the profession.

For more information about HESI, click here

For other resources from Nurse Tim, click here

Tim Bristol,

PhD, RN, CNE, ANEF