Learning Objective 1: The learner will be able to summarize a standardized RN end of program examination’s predictive validity and re-test practices and policies.
Learning Objective 2: The learner will be able to critique potential contextual implementation strategies for including standardized examinations within nursing programs.
Methods: Deans and directors of nursing schools that administered Elsevier HESI™ Exit Exam (E2) students during the 2010 academic year responded. Data were collected regarding students’ national nursing licensure examination outcomes and the schools’ remediation and re-testing strategies and policies.
Results: A random stratified sample of 5438 student records was obtained, 3084 were from Associate Degree (AD) and 2354 were from Baccalaureate Degree (BD) programs. NCLEX outcomes were known for all but 316 (5.8%) students. The re-validation accuracy of the E2 for NCLEX-RN success was 98.26% for students scoring 900 and above. As E2 scores decreased failure rates increased.
Seventy-three (74%) of the 98 schools had exit policies, the most frequent established benchmark score was 90%, and 74% of schools counted the standardized exam as part of course grades. More than 60% of the student remediation strategies were student self-directed, including review based on testing reports.
Conclusion: A national United States sample of BD and AD nursing programs has found that electronic standardized end of program assessments are highly accurate at predicting licensure success. Faculty’s implementation strategies, policy development, and methods for remediation will be discussed.
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