Paper
Saturday, July 24, 2004
This presentation is part of : Using Computerized Testing to Assess Educational Outcomes
The Predictive Accuracy of HESI Exams: Five Years of Study
Ainslie Nibert, RN, PhD, Health Education Systems, Inc. (HESI), Houston, TX, USA and Anne Young, EdD, RN, College of Nursing, Texas Woman's University, Houston, TX, USA.

Objective: This presentation is will describe findings regarding the accuracy of the Health Education Systems, Inc. (HESI) Exit Exam (E2) in predicting NCLEX-RN success for associate degree (ADN), baccalaureate degree (BSN), and diploma nursing students.

Design: Descriptive, comparative designs employing chi squares were used to determine the accuracy of the E2 in predicting NCLEX-RN-RN outcomes.

Population, Sample, Setting, Years: The sample consisted of more than 25,000 graduating RN students who took the E2 prior to graduation during one of the 5 academic years studied. Responses of school administrators to questionnaires and their students’ aggregate E2 scores comprised the data.

Concept or Variables Studied Together: Predictive accuracy of the E2 by academic year and type of program, and comparison of student E2 scores in five scoring intervals with their performances on the NCLEX-RN were examined.

Methods: Of the 705 questionnaires distributed annually to RN program administrators, 596 (84.54%) responded. Predictive accuracy of the E2 was calculated, and chi square analyses were used to detect differences between expected and observed frequencies among NCLEX-RN outcomes of students scoring in each of the five scoring intervals, and among student scores by program type and across five academic years studied.

Findings: The E2 was found to be 96.36% to 98.30% accurate in predicting NCLEX-RN success across five academic years. No significant differences were found in the predictive accuracy of the E2 by program type or among years studied, and failures of the NCLEX-RN increased as students E2 scores decreased.

Conclusions: The E2 was a highly accurate predictor of NCLEX-RN success, regardless of type of nursing program tested. As students’ E2 scores decreased, so did their likelihood of NCLEX-RN failure.

Implications: The E2 was determined to be a valid predictor of NCLEX-RN success and as such can be used as an outcome measure for nursing curricula.

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Sigma Theta Tau International
July 22-24, 2004