Elsevier is a Netherlands-based company established in 1880, operating within the Media & Internet industry, specifically in the publishing sector. With a workforce ranging from 5,001 to 10,000 employees, the company reported a revenue of approximately $11.45 billion. Elsevier specializes in providing educational resources and assessment tools, particularly in the field of nursing education. One of its key offerings is the HESI exam, which is designed to evaluate nursing students' readiness for the NCLEX® examination. The recently published "PN HESI Implementation Guide 2024" serves as a resource for faculty to effectively integrate HESI exams and Elsevier products into their curricula. This guide outlines strategies for enhancing student performance on HESI and NCLEX exams, including the establishment of testing policies, exam security measures, proctoring requirements, and remediation processes. Elsevier emphasizes the importance of a supportive testing culture and the need for consistent policies to ensure the integrity and effectiveness of standardized testing in nursing programs.