Predictive Validity of Standardized Exit Exams for Next Generation NCLEX-PN Outcomes: A Multiprogram Analysis of Exam Scores and Institutional Policies.

BACKGROUND

The 2023 Next Generation NCLEX-PN® (NGN-PN) introduced significant changes in content and methodology, necessitating revalidation of standardized exit exams as predictors of licensure success in practical nursing programs.

PURPOSE: This multiprogram study examined the predictive validity of the HESI Exit Exam (E2) on first-time NGN-PN pass rates (FTPR) and the influence of institutional E2 policies on student outcomes.

METHODS

Data from 404 practical nursing students across 9 U.S. programs were analyzed alongside institutional E2 policies.

RESULTS

Achieving E2 benchmarks of ≥850 or ≥900 strongly predicted first-time pass NGN-PN rates (98.5%-98.8%), with passing students scoring nearly 190 points higher than failing peers. While no individual E2 policy was directly linked to passing the NGN-PN on the first attempt, policies such as requiring minimum scores, multiple attempts, practice testing, and structured remediation significantly increased benchmark score attainment.

CONCLUSION

These results affirm E2 benchmarks as reliable predictors of NGN-PN readiness and highlight policy approaches that indirectly support licensure success. Incorporating evidence-based testing and remediation strategies may enhance student preparedness and strengthen program outcomes in the evolving NGN assessment landscape.