Exam Code: NCLEX-PN
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SAFE AND EFFECTIVE CARE ENVIRONMENT
The first Client Needs Category, Safe and Effective Care Environment, includes two concepts:
Coordinated Care accounts for 18-24 percent of questions on the NCLEX-PN® exam. The nursing actions included in this subcategory are Advanced Directives, Advocacy, Client Care Assignments, Client Rights, Concepts of Management and Supervision, Confidentiality, Continuity of Care, Establishing Priorities, Ethical Practice, Informed Consent, Legal Responsibilities, Quality Assurance, Referral Process, and Resource Management.
Safety and Infection Control accounts for 10-16 percent of exam questions. Nursing actions include Accident/Error Prevention, Handling Hazardous Materials, Home Safety, Injury Prevention, Emergency Response Plan, Medical and Surgical Asepsis, Incident Reporting, Safe Use of Equipment, Security Plan, Standard/Transmission-Based/and other Precautions, and Use of Restraints and Safety Devices.
HEALTH PROMOTION AND MAINTENANCE
The second Client Needs Category is Health Promotion and Maintenance. These questions account for 6-12 percent of the exam. Nursing actions tested include the Aging Process, Ante/Intra/Postpartum and Newborn Care, Data Collection Techniques, Developmental Stages and Transitions, Disease Prevention, Immunizations, High Risk Behaviors, Lifestyle Choices, Self Care, and Health Promotion Programs.
The third Client Needs Category is Psychosocial Integrity. It accounts for 9-15 percent of the exam and tested nursing actions include Coping Mechanisms, Grief and Loss, Mental Health Concepts, Spiritual Influence on Health, Sensory/Perceptual Alterations, Stress Management, Support Systems, Therapeutic Communication, Chemical Dependency, Behavioral Management, Crisis Intervention, Coping Mechanisms, and End of Life Care.
The final Client Needs Category is Physiological Integrity. It includes four concepts:
Basic Care and Comfort accounts for 7-13 percent of questions on the NCLEX-PN® exam. The nursing actions included in this subcategory are Assistive Devices, Elimination, Mobility, Non-pharmacological Comfort Interventions, Nutrition and Oral Hydration, Personal Hygiene, as well as Rest and Sleep.
Pharmacological and Parenteral Therapies accounts for 10-16 percent of the exam. Tested nursing actions include Adverse Effects, Expected Effects, Medication Administration, Pharmacological Pain Management, and Side Effects.
Reduction of Risk Potential accounts for 9-15 percent of the exam. Its tested nursing actions include Diagnostic Tests, Laboratory Values, Potential for Body System Alterations, Potential for Complications of Diagnostic Tests, Treatments, and Procedures, Therapeutic Procedures, and Vital Signs.
Physiological Adaptation accounts for 7-13 percent of the exam. Its tested nursing actions include Alterations in Body Systems, Basic Pathophysiology, Fluid and Electrolyte Imbalances, Medical Emergencies, and Unexpected Response to Therapies.
Everyone answers a minimum of 85 questions to a maximum of 205 questions. Regardless of how many you answer, you will be given 25 experimental questions that do not count for or against you. The exam administrators use them to test for future questions on the exam.
The NCLEX is scored using dichotomous scoring, so you can either pass or fail the exam. Currently, to pass the NCLEX-RN, the standard is 0.00 logits–or answer questions correctly at least 50% of the time
Passing and Failing The decision as to whether a candidate passes or fails the NCLEX is governed by three scenarios.
Scenario #1: The 95% Confidence Interval Rule This scenario is the most common for NCLEX candidates. The computer will stop administering items when it is 95% certain that the candidate’s ability is either clearly above or clearly below the passing standard.
Scenario #2: Maximum-Length Exam Some candidates’ ability levels will be very close to the passing standard. When this is the case, the computer continues to administer items until the maximum number of items is reached. At this point, the computer disregards the 95% confidence interval rule and considers only the final ability estimate. ? If the final ability estimate is at or above the passing standard, the candidate passes. ? If the final ability estimate is below the passing standard, the candidate fails.
Scenario #3: Run-Out-of-Time Rule (R.O.O.T.) If a candidate runs out of time before reaching the maximum number of items and the computer has not determined with 95% certainty whether the candidate has passed or failed, alternate criteria are used. ? If the candidate has not answered the minimum number of required items, the candidate automatically fails. ? If at least the minimum number of required items were answered, then the final ability estimate will be based on all responses given before the exam time expired. If the score is at or above the passing standard, the candidate will pass; otherwise, the candidate will fail.
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National Council Licensure Examination PN (NCLEX-PN) - Full
National Council Licensure Examination PN (NCLEX-PN) - Mini