Paper
Friday, July 13, 2007
This presentation is part of : Predicting Success from Nursing Applicant to Novice Nurse: Use of Elsevier’s Computerized Exams for Preadmission Assessment, NCLEX-RN Preparation, and Measurement of Workplace Competency
The Relationships among HESI Exam Scores in an Associate Degree Nursing Program: The Admission Assessment Exam, a Customized Mid-Curricular Exam, and the HESI Exit Exam
Mary J. Yoho, PhD, RN, CNE, Nursing, Elsevier Review and Testing, Houston, TX, USA

The purpose of this study was to examine the relationship between Health Education Systems, Inc., (HESI) exam scores and student success in an associate degree (ADN) nursing program. A longitudinal, bivariant correlational design was used to measure the relationships among students’ HESI Admission Assessment (A²) exam scores, their customized Mid-Curricular (MC) exam scores, and their HESI Exit Exam (E²) scores. The accuracy of the E2 in predicting NCLEX-RN success was also examined. 

Of the seven academically-oriented exams that comprise the A2 (math, reading comprehension, grammar, vocabulary, chemistry, anatomy and physiology, and biology), only the math and reading comprehension exams were administered to the study population. A benchmark score of 70% was set for each of the A2 exams administered, as well as the composite A2 score, which is the average score for all academically-oriented exams administered. The MC was administered half way through the curriculum, and the E2, administered during the last semester of the curriculum. The faculty designated a HESI score of 850 as the benchmark score for both the MC and the E2. Data were obtained from 139 students who took the A², MC, E², and NCLEX-RN between August 2002 and October 2004. Findings indicated that there was a significant positive correlation between students’ reading comprehension scores with their MC scores (P = .001) and a significant positive correlation between students’ MC scores and their E2 scores (P = .05). Additionally, there was a significant positive correlation of students’ E2 scores and their NCLEX-RN outcomes (P = .001). The E2 was 94.55% accurate in predicting NCLEX-RN success; three students who scored above 900 on the E2 failed the NCLEX-RN on their first attempt.