Nursing was voted the most trusted profession for the 22nd year in a row (Walker, 2024). To continue to be the most trusted profession, nursing faculty must ensure their students are prepared to enter the nursing profession. Students must be prepared to take the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) licensing exam upon graduation. In 2020, the world changed with the emergence of COVID-19. COVID-19 brought many challenges to higher education faculty and students, including having to transition to emergency remote teaching (ERT) and learning (Hodges, et al., 2020; Iglesias-Pradas et al., 2021; Shin & Hickey, 2020). Handling how to administer tests was one of those challenges. The problem in the current study focuses on a cohort of nursing students who elected to enroll in a traditional face-to-face nursing program, but, due to unforeseen circumstances had to transition to emergency remote teaching. The purpose of this study was to, retrospectively, examine the scores of two groups of senior students at a public university in South Texas who took the HESI E2® in relation to proctoring modality. There was a statistical difference in proctoring modalities, with students using in person proctoring performing better than those using remote proctoring do. Since there was a significant difference noted between proctoring modalities and HESI E2® scores, a second question was included to compare each Cohort with the population mean. Cohort 2019 had a mean HESI® score of 945, which was well above the population mean of 847. Cohort 2020 had a decrease in the mean that coincided with an increase in the population mean, thus the proctoring modality for this cohort was a factor but not for the population. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]