Spurlock's article aims to examine the effectiveness of using HESI exit exams to accurately predict pass rates on the NCLEX-RN. The research will determine whether there is a correlation between mandatory HESI exit exam pass rates imposed by institutions to allow their students to sit for the NCLEX-RN. The variable considered is whether students taking the HESI exit exam failed to achieve a score of 850 or higher could improve their scores. Would they do better on the NCLEX-RN if they had to take a review course and several attempts to achieve the minimum score on the HESI exit exam before being allowed to take the actual NCLEX-RN in hopes of succeed ? The population that was chosen to carry out this study in a large nursing school. It would make the study even more effective if several schools were chosen to constitute the sample population. This allows two comparisons for the first promotion and two more for the next promotion. Spurlock chose to study two separate cohorts in May, which improves accuracy and errors made by studying a single group of nursing students. Using only nursing students and the idea that remedial measures and multiple test attempts were necessary to take the NCLEX-RN in order to improve scores is directly related to our educational institution nurse. Spurlock's study was published in 2008, received on December 31, and accepted on June 26. 2006. All sources cited in the document are from the year 2000 or later. The data presented and compared in this study were current at the time the paper was submitted. Spurlock performed due diligence using the licensing status website to obtain the most current NCLEX-RN version...... middle of paper ......ion and to be licensed by the board of state nursing they could be. do more harm than good. By pushing students solely on their ability to score well on the HESI exit exam, they may be misusing their time by taking repeated tests, allowing them to progress until they can take the NCLEX-RN. Spurlock points out that the only score that has some statistical significance is the first score on the HESI exit exam. By allowing multiple retakes of this test to achieve a passing score, it does not actually prepare students for the NCLEX-RN, as documented results show. Her final conclusion seems to be an appropriate way to conclude on the effectiveness of NCLEX-RN preparation performed by nursing schools. “Focusing on studying for an exit exam that has little use in predicting failure of the NCLEX-RN appears to be a poor use of students' time at the end of the program..”