Predictive Validity of NCLEX® Simulation Examinations

Tuesday, November 3, 2009: 10:55 AM

Anne Young, RN, EdD
Robin B. Britt, EdD, RNC
College of Nursing, Texas Woman's University, Houston, TX

Learning Objective 1: describe the predictive validity of parallel forms of NCLEX® simulation examinations for the BSN, ADN, Diploma, and PN nursing students.

Learning Objective 2: discuss implications of retesting when using simulation examinations for NCLEX® preparation.

Purpose: Six previous validity studies indicated that the Evolve (formerly HESI) Exit Exam (E2) was 96.30% to 98.30% accurate in predicting NCLEX® success. Many schools utilize parallel versions of the simulation exams for students who do not initially achieve school benchmark scores. This study was designed to assess the predictive accuracy of the E2 for the first, second, and third administrations of the E2.

Population, Sample, Setting: A randomized sample was drawn from 554 participating schools for a proportional sampling of Practical Nurse (PN), Baccalaureate, Associate, and Diploma (RN) nursing programs accounting for more than 6,500 students.

Findings: Predictive accuracy was determined by calculating the NCLEX® exam pass rate for those who scored 900 and above on the E² at each of the test administrations. Preliminary study outcomes from 661 nursing students’ revealed that students who took Version 1 and scored 900 and above on the E² achieved a 98.01% RN pass rate and a 98.03% PN pass rate on the NCLEX® Exam. Students who scored 900 and above on the E² Version 2 achieved a 91.05% and 90.5% pass rate on the NCLEX-RN® and NCLEX-PN® exams respectively. Students scoring 900 and above on the E² Version 3 achieved a 94.9.% and 100% pass rate on the NCLEX-RN® and NCLEX-PN® exams respectively.

Conclusions: Preliminary findings indicate that the predictive accuracy of the E2 is congruent for multiple administrations of parallel versions 1 and 2. Therefore, students who remediate and re-test with a second version of the E2 can expect to obtain accurate predictions of their readiness for successful completion of the licensing exam. Final analysis findings for versions 1-3 specific to types of nursing programs, PN, BSN, ADN, and Diploma, will be presented.