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Predicting NCLEX-RN Success: The Seventh Validity Study HESI Exit Exam


CIN: Computers, Informatics, Nursing: January 2012 - Volume 30 - Issue 1 - p 55–60
doi: 10.1097/NCN.0b013e3182343edf
Continuing Education

The findings of six previously conducted studies indicated that the HESI (E2) was highly accurate in predicting NCLEX-RN success. The purpose of this study—the seventh study to investigate the validity of the E2—was to examine the accuracy of three parallel versions of the E2in predicting licensure success and to describe program practices regarding E2 benchmark scores, remediation programs, and retesting policies. The findings of this study again indicated that the E2 was highly accurate in predicting NCLEX-RN success. Additionally, all three versions of the E2 were found to have a predictive accuracy above 90%. The most common E2 benchmark score designated by faculty at the participating schools was 850, and most schools required students to retest with different versions of the E2 until the faculty-designated E2 benchmark score was achieved. Remediation seemed to be effective in raising students’ E2 scores, and it was recommended that future research investigate the effectiveness of specific remediation strategies.

Author Affiliations: College of Nursing, Texas Woman’s University (Dr Young); and Elsevier, Assessment/HESI (Dr Willson), Houston. Dr Wilson is the Director of Research at Elsevier Review and Testing/HESI. In this role, she works with faculty investigators. Dr Young declares that she has no conflict of interest.

Pamela Willson is an employee of Elsevier. She is the director of Research, Review and Testing/HESI and Health Sciences. Dr Young has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Anne Young, EdD, RN, Texas Woman’s University, 6700 Fannin, Houston, TX 77030 (

© 2012 Lippincott Williams & Wilkins, Inc.