Computer adaptive quizzing versus NCLEX review textbook in preparation for the exit HESI examination

Abstract

BackgroundNursing students must pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination to become licensed registered nurses. There is an identified nursing shortage, and nursing programs are faced with finding solutions to help students pass the NCLEX-RN examination and enter the workforce. Many nursing schools administer a predictor examination, such as Health Education Systems Incorporated (HESI). A gap exists in identifying solutions for NCLEX's success. AimThe purpose of this study was to evaluate differences in the exit HESI examination scores of senior-level associate degree nursing (ADN) students who used CAQ to prepare with ADN students who used NCLEX review textbooks to prepare for the exit HESI examination. MethodsThe study used a quantitative nonexperimental descriptive comparative design with archival data. Two groups of students took the exit HESI examination during their capstone course. The sample included students previously enrolled in an ADN program. Archival data were collected and analyzed using a one-way ANCOVA with a pairwise comparison post hoc analysis. ResultsThe CAQ group had higher exit HESI examination scores compared to the NCLEX review textbook preparation group. ConclusionsCAQ as a curricular adjunct can contribute to student success on standardized examinations.