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The benefit in Obtaining the NCLEX-RN® Examination

The NCLEX certified candidate provides a unique, comprehensive assessment of the health status of the client. The NCLEX certified candidate applies principles of ethics, client safety, health promotion and the nursing process to develop and implement an explicit plan of care that reflects unique cultural and spiritual client preferences, the applicable standard of care and legal considerations. The nurse assists clients to promote health, cope with health problems, adapt to and/or recover from the effects of disease or injury, and support the right to a dignified death. The NCLEX certified candidate is accountable for abiding by all applicable member board jurisdiction statutes and regulations/rules related to nursing practice.

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What is the scoring of NCLEX-RN® Examination

The NCLEX is different from a traditional fixed-length examination, which administers the same items to every candidate. Fixed-length examinations ensure that the difficulty of the examination is constant for every candidate; therefore, the percentage correct is the indicator of the candidate's ability. This approach requires high ability candidates to answer all easy items on the examination and low ability candidates to guess on difficult items. This method provides less accurate information about the candidate's true ability. The NCLEX uses CAT to administer items. CAT is able to produce exam results that are more precise and efficient, using fewer items by targeting items to the candidate's ability. The computer (i.e. CAT scoring algorithm) estimates the ability of the candidate in relation to the passing standard. Every time the candidate answers an item, the computer re-estimates the candidate's ability. With each additional answered item, the ability estimate becomes more precise.

Reference: https://www.nclex.com/files/2023_PN_Test%20Plan_FINAL.pdf

Certification Path for NCLEX-RN® Examination

The NCSBN Board of Directors (BOD) reevaluates the passing standard once every three years. The criterion that the BOD uses to set the standard is the minimum level of ability required for safe and effective entrylevel nursing practice.

To assist the BOD in making this decision, they are provided with information on:

  • The results of a standard setting survey sent to educators and employers; and
  • The results of a standard setting exercise performed by a panel of experts with the assistance of psychometricians
  • Information describing the educational readiness of high school graduates who express an interest in nursing
  • The historical record of the passing standard with summaries of the candidate performance associated with those standards

Once the passing standard is set, it is applied uniformly to every examination according to the procedures laid out in the Scoring the NCLEX section. To pass the NCLEX, a candidate must perform above the passing standard. There is no fixed percentage of candidates that pass or fail each examination.

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NCLEX NCLEX-PN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Safe and Effective Care Environment29–35%- Safety and Infection Control
  • 1. Accident Prevention
    • 2. Medical and Surgical Asepsis
      • 3. Standard Precautions
        • 4. Infection Control
          • 5. Handling Hazardous Materials
            • 6. Safety and Use of Equipment
              • 7. Emergency Response Plans
                • 8. Error Prevention
                  - Coordinated Care
                  • 1. Informed Consent
                    • 2. Advocacy
                      • 3. Quality Improvement
                        • 4. Ethical Practice
                          • 5. Continuity of Care
                            • 6. Assignment, Delegation, and Supervision
                              • 7. Client Rights
                                • 8. Information Technology
                                  • 9. Legal Responsibilities
                                    Topic 2: Physiological Integrity38–62%- Physiological Adaptation
                                    • 1. Medical Emergencies
                                      • 2. Pathophysiology
                                        • 3. Hemodynamics
                                          • 4. Alterations in Body Systems
                                            • 5. Fluid and Electrolyte Imbalances
                                              • 6. Therapeutic Interventions
                                                - Basic Care and Comfort
                                                • 1. Nutrition and Oral Hydration
                                                  • 2. Mobility/Immobility
                                                    • 3. Elimination
                                                      • 4. Personal Hygiene
                                                        • 5. Rest and Sleep
                                                          • 6. Assistive Devices
                                                            - Pharmacological Therapies
                                                            • 1. Medication Administration
                                                              • 2. Pharmacological Interactions
                                                                • 3. Pharmacological Pain Management
                                                                  • 4. Dosage Calculation
                                                                    • 5. Adverse Effects/Contraindications
                                                                      • 6. Side Effects
                                                                        - Reduction of Risk Potential
                                                                        • 1. Potential for Complications
                                                                          • 2. Therapeutic Procedures
                                                                            • 3. Diagnostic Tests
                                                                              • 4. Vital Signs
                                                                                • 5. Laboratory Values
                                                                                  Topic 3: Health Promotion and Maintenance6–12%- Newborn Care
                                                                                  - Health and Wellness
                                                                                  - Prevention and Early Detection of Disease
                                                                                  - Health Screening
                                                                                  - Lifestyle Choices
                                                                                  - Antepartum, Intrapartum, and Postpartum Care
                                                                                  - Developmental Stages and Transitions
                                                                                  - Aging Process
                                                                                  - High-Risk Behaviors
                                                                                  Topic 4: Psychosocial Integrity6–12%- End-of-Life Care
                                                                                  - Religious and Spiritual Influences
                                                                                  - Support Systems
                                                                                  - Crisis Intervention
                                                                                  - Coping Mechanisms
                                                                                  - Abuse and Neglect
                                                                                  - Behavioral Interventions
                                                                                  - Stress Management
                                                                                  - Grief and Loss
                                                                                  - Cultural Awareness
                                                                                  - Mental Health Concepts
                                                                                  Topic 5: Clinical Judgment ModelIntegrated throughout- Prioritize Hypotheses
                                                                                  - Evaluate Outcomes
                                                                                  - Take Action
                                                                                  - Analyze Cues
                                                                                  - Recognize Cues
                                                                                  - Generate Solutions

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