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A Concept Analysis of “High Stakes Testing”

Sullivan, Debra PhD, RN, CNE, COI

doi: 10.1097/NNE.0000000000000021
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The nursing community is troubled by the growing use of standardized exit examinations as a graduation requirement. After years of preparation, a single test score could prevent a student from graduating or taking a licensing examination. The tremendous importance placed on exit examinations qualifies them as “high-stakes testing,” a concept not well studied in nursing education. This concept analysis provides a greater understanding of the term to help operationalize its use in the nursing discipline.

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Author Affiliation: Assistant Professor, School of Nursing, Middle Tennessee State University, Murfreesboro.

The author declares no conflicts of interest.

Correspondence: Dr Sullivan, School of Nursing, Middle Tennessee State University, Cason-Kennedy, Nursing Building, Box 81, Murfreesboro, TN 37132 (

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