National Council Licensure Examination(NCLEX-PN) exam Dumps

NCLEX-PN exam Format | Course Contents | Course Outline | exam Syllabus | exam Objectives

The test plan is reviewed and approved by the NCLEX
Examination Committee (NEC) every three years.
Multiple resources are used, including the exact practice analysis of licensed practical/vocational nurses (LPN/VNs), and expert opinions of the NEC, NCSBN staff and nursing regulatory bodies (NRBs) to ensure that the test plan is consistent with nurse practice acts. Following the endorsement of proposed revisions by the NEC, the test plan document is presented for approval to the Delegate Assembly, which is the decisionmaking body of NCSBN. The test plan serves a variety of purposes. It is used to guide candidates preparing for the examination, to direct item writers in the development of items, and to facilitate the classification of examination items. This document offers a comprehensive listing of content for each client needs category and subcategory outlined in the test plan. demo items are provided at the end of each category, which are specific to the client needs category in that section. There is an item writing guide along with demo case scenarios, which provide nurse educators with hands-on experience in writing NCLEX-style test items.

Entry into the practice of nursing is regulated by the licensing authorities within each of the NCSBN nursing regulatory bodies (state, commonwealth and territorial boards of nursing). To ensure public protection, each jurisdiction requires candidates for licensure to meet set requirements that include passing an examination that measures the competencies needed to perform safely and effectively as a licensed practical/vocational nurse (LPN/VN). NCSBN develops a licensure examination, the National Council Licensure Examination for Practical Nurses (NCLEX-PN), which is used by U.S. members to assist in making licensure decisions.
Several steps occur in the development of the NCLEX-PN Test Plan. The first step is conducting a practice analysis that is used to collect data on the current practice of entry-level LPN/VNs (Report of Findings from the 2018 LPN/VN Practice Analysis: Linking the NCLEX-PN Examination to Practice, NCSBN, 2019). Twelve thousand newly licensed practical/vocational nurses are asked about the frequency and priority of performing nursing care activities. Nursing care activities are then analyzed in relation to the frequency of performance, impact on maintaining client safety and client care settings where the activities are performed. This analysis guides the development of a framework for entry-level nursing practice that incorporates specific client needs, as well as processes that are fundamental to the practice of nursing. The next step is the development of the NCLEX-PN Test Plan, which guides the selection of content and behaviors to be tested. Variations in jurisdiction laws and regulations are considered in the development of the test plan. The NCLEX-PN Test Plan provides a concise summary of the content and scope of the licensure examination. It serves as a guide for examination development as well as candidate preparation. The NCLEX assesses the knowledge, skills and abilities that are essential for the entry-level LPN/VN to use in order to meet the needs of clients requiring the promotion, maintenance and restoration of health. The following sections describe beliefs about people and nursing that are integral to the examination, cognitive abilities that will be tested in the examination and specific components of the NCLEX-PN Test Plan.

Client Needs
Percentage of Items from Each
Category/Subcategory
Safe and Effective Care Environment
- Coordinated Care 1824%
- Safety and Infection Control 1016%
Health Promotion and Maintenance 612%
Psychosocial Integrity 915%
Physiological Integrity
- Basic Care and Comfort 713%
- Pharmacological Therapies 1016%
- Reduction of Risk Potential 915%
- Physiological Adaptation 713%

The activity statements used in the 2018 LPN/VN Practice Analysis: Linking the NCLEX-PN Examination to Practice (NCSBN, 2019) preface each of the eight content categories and are identified throughout the test plan by an asterisk (*). NCSBN performs an analysis of those activities used frequently and identified as important by entry-level nurses to ensure client safety. This is called a practice analysis; it provides data to support the NCLEX as a reliable, valid measure of competent, entry-level LPN/VN practice. The practice analysis is conducted every three years. In addition to the practice analysis, NCSBN conducts a knowledge, skills and abilities (KSA) survey. The primary purpose of this study is to identify the knowledge needed by newly licensed practical/vocational nurses in order to provide safe and effective care. Findings from both the 2018 LPN/VN Practice Analysis: Linking the NCLEX-PN Examination to Practice (NCSBN, 2019) and the 2018 LPN/VN Nursing Knowledge Survey (NCSBN, 2019) can be found at www.ncsbn.org/1235.htm. Both documents are used in the development of the NCLEX-PN Test Plan as well as to inform item development. All task statements in the 2020 NCLEX-PN Test Plan require the nurse to apply the fundamental principles of clinical decision making and critical thinking to nursing practice. The test plan also makes the assumption that the nurse integrates concepts from the following bodies of knowledge:
- Social Sciences (psychology and sociology); and
- Biological Sciences (anatomy, physiology, biology and microbiology) Collaboration with Interdisciplinary Team
- Identify roles/responsibilities of health care team members
- Identify need for nursing or interdisciplinary client care conference
- Contribute to the development of and/or update the client plan of care
- Contribute to planning interdisciplinary client care conferences
- Participate as a member of an interdisciplinary team Concepts of Management and Supervision
- Recognize and report staff conflict
- Verify abilities of staff members to perform assigned tasks (e.g., job description, scope of practice, training, experience)
- Provide input for performance evaluation of other staff
- Participate in staff education (e.g., inservices, continued competency)
- Use data from various credible sources in making clinical decisions
- Serve as resource person to other staff
- Monitor activities of assistive personnel
Confidentiality/Information Security
- Identify staff actions that impact client confidentiality and intervene as needed (e.g., access to medical records, discussions at nurses station, change-of-shift reports)
- Recognize staff member and client understanding of confidentiality requirements
- Apply knowledge of facility regulations when accessing client records
- Maintain client confidentiality*
- Provide for privacy needs Continuity of Care
- Follow up with client after discharge*
- Participate in client discharge or transfer*
- Provide follow-up for unresolved client care issues
- Provide and receive report*
- Record client information (e.g., medical record, referral/transfer form)
- Use agency guidelines to guide client care (e.g., clinical pathways, care maps, care plans)
Establishing Priorities
- Organize and prioritize care based on client needs*
- Participate in planning client care based upon client needs (e.g., diagnosis, abilities, prescribed treatment)
- Use effective time management skills
Ethical Practice
- Identify ethical issues affecting staff or client
- Inform client of ethical issues affecting client care
- Intervene to promote ethical practice
- Practice in a manner consistent with code of ethics for nurses*
- Review client and staff member knowledge of ethical issues affecting client care Informed Consent
- Identify appropriate person to provide informed consent for client (e.g., client, parent, legal guardian)
- Participate in client consent process*
- Describe informed consent requirements (e.g., purpose for procedure, risks of procedure)
- Recognize that informed consent was obtained (e.g., completed consent form, client understanding of procedure)
Information Technology
- Use information technology in client care*
- Access data for client or staff through online databases and journals
- Enter computer documentation accurately, completely and in a timely manner
Legal Responsibilities
- Identify legal issues affecting staff and client (e.g., refusing treatment)
- Verify and process health care provider orders*
- Recognize self-limitations of task/assignments and seek assistance when needed*
- Respond to the unsafe practice of a health care provider (e.g., intervene, report)*
- Follow regulation/policy for reporting specific issues (e.g., abuse, neglect, gunshot wound, communicable disease)*
- Document client care
- Provide care within the legal scope of practice*
Performance Improvement (Quality Improvement)
- Identify impact of performance improvement/quality improvement activities on client care outcomes
- Participate in quality improvement (QI) activity (e.g., collecting data, serving on QI committee)*
- Document performance improvement/quality improvement activities
- Report identified performance improvement/quality improvement concerns to appropriate
personnel (e.g., nurse manager, risk manager)
- Apply evidence-based practice when providing care*

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tips from nurses, certified to flow NCLEX examination on 1st are attempting

The NCLEX-RN examination is the closing hurdle to embarking to your career as a nurse. hence, in spite of everything you’ve already achieved in nursing faculty, you can be experiencing some anxiety concerning the look at various. there's a lot of constructed-up pressure, and you'll need to know extra about how, when and the place to begin learning and making ready for the look at various.

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Many experts say the check is altering continuously and is distinctive for everybody — for this reason, it is unlikely any two prospective nurses may have the equal look at various event or questions.

moreover, most nurses propose structuring your discovering in a way that's relaxed for you, but is constant and ongoing up until a day or two earlier than the look at various, when it’s advised that you just provide your brain a ruin from discovering. In other phrases, closing-minute cramming for the NCLEX isn't advisable or effective.

What are you able to predict on examine day?

“The testing middle is quiet — quieter than a library — and the checking out process can suppose a little bit awkward,” defined Marcia Sotelo, DNP, RN, CNE, CTN-B, Nursing branch chair for American Public tuition device.

“When testers first arrive for the verify, they may be requested to demonstrate a photo identification and then lock up all of their assets in a single of the supplied lockers. entering and exiting the trying out room will require using a fingerprint (or palm print). For examine takers who are likely quite anxious, this process can make them think ever greater anxious,” Sotelo endured. “I highly imply viewing the examination day tips on the NCSBN.com website. The national Council of State Boards of Nursing is accountable for the continued development of the NCLEX exam.”

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How is the check structured?

by design, the NCLEX is likely in contrast to any other test you've got ever taken.

“The NCLEX, more than ever before, is reflective of the medical judgment nurses should possess to safely observe nursing,” brought up Ann Dabrow Woods, DNP, RN CRNP, ANP-BC, chief nurse of fitness gaining knowledge of, analysis and practice for Wolters Kluwer. “The countrywide Council of State Boards of Nursing continuously evolves the examination to reflect evidence-based observe adjustments in nursing,” she added.

“When it comes to the specific constitution of the examination, it's primarily made up of distinctive-choice questions, despite the fact different codecs may well be covered,” talked about Dabrow Woods, who additionally serves as adjunct school of the graduate nursing software at Drexel college. “The examination is personalised to the check taker’s performance, which means it follows a variable query format in which the computing device adapts to provide more and more problematic questions as time goes on. The exam will proceed until the person being examined reaches 95% sure bet of a passing ranking.”

“The NCLEX uses a CAT format (computerized adaptive checking out) that is terribly distinctive from a customary exam,” Sotelo concurred. “The computing device ‘adapts’ the questions based mostly upon the tester’s solutions, making a choice on questions at a difficulty stage the place the tester has a 50% possibility of answering appropriately.”

“After each query, the laptop reevaluates the tester’s ability, and once more chooses a query it believes the tester has a 50% opportunity of answering correctly,” Sotelo explained. “When testers answer questions as it should be, they acquire more difficult questions. When testers answer questions incorrectly, they receive less challenging questions. either method, testers have to take into account and be organized for this new type of checking out and have a mind-set that they're likely to be answering questions that are difficult for them. a clear understanding of this checking out format can support stay away from the anxiety that occurs when a tester is struggling to invariably provide proper answers to questions,” brought Sotelo.

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Scheduling tips: timing of test and when to register

specialists agree the timing of the look at various is crucial, and also you may still register to take the exam as soon as feasible, while nursing school tips remains sparkling.

Tracy Jones-Darnell, EdD, MSN, RN, CNE, NE-BC, faculty member for Walden tuition’s RN-BSN software, explained that “a pupil can not register for the NCLEX until they get an ATT, which is an authorization to examine, from their state.”

Her research and observations involving the most appropriate time frame has discovered that “college students are most successful in the event that they verify inside eight weeks of commencement. Many college students consider they're already organized and don't should analyze that long and check an awful lot sooner,” she persisted. “There is not a magic window of time, however the longer you wait previous the eight-week window, the improved your possibility of no longer passing the NCLEX on the first effort.”

Tammy Bjork, ADN, RN, NCLEX tutor for Amarillo college, cautioned that potential nurses “take your exam at the time of day that you simply look at various most advantageous. if you're a morning adult and you do smartly early within the morning, then time table your NCLEX for that point. If afternoon testing is your most desirable time, then go for it.”

“‘Cramming’ for the NCLEX is inconceivable,” Sotelo added. “there's without difficulty too a good deal guidance this is covered on the exam (e.g., all body techniques, all medicines, all nursing interventions, and so forth.). a hit college students are folks that set a schedule for some studying day by day — and stick with that schedule.”

analyze tips from nurses

“My suggestion is to dedicate round two hours a day to researching and enhance a examine plan that works for you. Use a mix of studying styles … whether it's fingers-on, visible, auditory or a mixture of these. the usage of distinctive patterns will aid continue more abilities,” Dabrow Woods cautioned. “Some tried-and-genuine strategies for protecting tips are mnemonics, drawing out ideas or relationships, the usage of the train-again formulation where you teach a person else about ideas and applications, or use flash cards.”

Bjork warns towards learning correct up except the examine time. “The mind receives exhausted! You want to go into an examination along with your mind alert and ready to use. So, the smartest thing that you may do is to take a damage, go for a walk, and breathe in sparkling air. prepare your intellect for the challenge forward by using taking a second to calm down. Cramming is the brain’s enemy.”

Sotelo emphasised that studying is ongoing throughout nursing college and never ends. “the most essential component is to now not stop getting to know. rejoice commencement from nursing faculty the day of the commencement ceremony. the following day, college students need to proceed to study. … students don’t in reality start researching for the NCLEX at a undeniable element. reasonably, all their gaining knowledge of all through their nursing program is a component of the preparation for the NCLEX.”

Sean Marchese, MS, RN, passed the NCLEX in 2017 and now works as a nurse at the Mesothelioma center. He recommends a structured however attractive approach to verify prep. “prepare your examine materials in a means that makes it extra unique that you can look at. You don’t always should observe the structure of a look at ebook or ebook. in case you don’t are looking to be taught all of pediatrics in a single afternoon, spread it throughout different imperative Topics like nursing diagnoses or physical examination findings.”

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mindset tactics for alleviating anxiety, calming fears

Dabrow Woods suggests taking control of what that you can while making an attempt not to emphasize concerning the rest. “consultants respect that taking the examination is disturbing; controlling issues which you can handle is a good starting factor to cut back the stress and nervousness degrees. Small issues, like filling your fuel tank the evening earlier than, getting a full night’s sleep, and ingesting a fit meal will put your mind relaxed. I additionally imply taking the day off earlier than the examination, stop getting to know and apply respiration workouts to assist calm your nerves.”

Marchese brought, “Standardized checks can also be elaborate for a lot of people, but one of the crucial successful things a look at various-taker can do is change how they look at, no longer always what they look at.”

“some of the innovations that helped me probably the most became taking time to look at find it irresistible become a pastime and not a full-time job,” Marchese recalled. “Don’t drive your self to examine all day until you attain your breaking aspect. instead, placed on some tune or grab some snacks and look at for about three to 4 hours every day or each different day. The trick is to beginning discovering early satisfactory in the season so that you don’t think such as you’re operating out of time.”

counsel and strategies on the way to strategy the questions and content

many of the study strategies, idea methods and critical pondering capabilities you realized and used right through nursing faculty will benefit you for the NCLEX as smartly.

“all through the exam, there are many ideas to comply with, starting with analyzing the questions. study the entire query and don’t leap to conclusions, verify what you're definitely being asked and pull out key phrases or repeated words to in shape the selected ask to the solutions. seek opposite answers to eliminate the wrong ones in dissimilar-option questions and assess which alternative seems more seemingly,” Dabrow Woods brought up. “Don’t overthink the query, and check out to depart your very own experiences out of the decision making. always intent through the questions and by no means 2d guess yourself.”

Sotelo agreed and extended on that balanced method of exercising caution while resisting the urge to overthink.

“Take your time, focus on one query at a time, and ensure that you are answering what's being requested. test takers on occasion run into considerations because they answer primarily based upon their old scientific journey (e.g., in college or working as a nursing assistant). hence, they can also no longer choose the suitable reply as a result of they count on that there isn’t enough staffing, elements, or time,” she defined. “I all the time inspired college students to reply the questions based on them working in what I referred to as the ‘NCLEX hospital.’ in this health center, there is quite a lot of team of workers, satisfactory elements, and all of the time needed. Don’t speak your self out of the appropriate reply.”

Jones-Darnell, who agreed with Sotelo’s counsel to count on most excellent clinic circumstances for each question, introduced: “at all times determine the customer and issue first. assume the customer is between 18-sixty five years historical unless otherwise mentioned in the query. ascertain even if the question wants you to determine some thing real or false, and what precedence it is if they delineate a ‘first, next, earlier than or after’ within the question. The NCBSN creates questions according to a perfect sanatorium atmosphere. This potential that for each query, you could assume there is at all times adequate staffing, materials, valuable docs, an obtainable pharmacist and most significantly, satisfactory time for the nurse to operate the appropriate movements.”

Use precedence frameworks

Sotelo recommends the usage of priority frameworks for help approaching the test. A precedence framework is a method of prioritizing/picking out the most effective reply. Sotelo offered the following examples that should be would becould very well be effective as you approach the NCLEX questions.

ABCs: airway, breathing, circulation. opt for the reply it really is regarding airway/oxygenation. Nothing else concerns if the affected person isn’t able to breathe.

Maslow’s hierarchy of wants: The customer should have physiological and protection needs met first.

Nursing manner: the first step within the nursing method is evaluation. Do you have got adequate information — based on the stem within the question — to act? If no longer, choose an answer that enables you to additional check.

Least restrictive, least invasive: When clients exhibit indicators that could lead on to harming themselves or others, you deserve to opt for the least restrictive system of retaining them safe. When consumers need an intervention, the safety choice is one it really is least invasive and doesn’t compromise boundaries between backyard and inside of the physique.

What if you’re now not a strong look at various-taker?

The nursing certified consulted on this subject agree that even anxious or traditionally “dangerous” verify takers can successfully pass the NCLEX, specially with acceptable preparation and mindset.

Dabrow Woods: “Nursing is a experience and you’ve already passed the first gate, graduating from school. The next step is to successfully flow the NCLEX exam after which start onboarding and orientation. if you are not a strong examine taker, don’t let that deter you or have an effect on your efficiency. as a substitute, congratulate your self for successfully graduating nursing faculty and allocate extra time to making ready for the examination. follow checks should be key to get to grips with the format of the verify, and constant gaining knowledge of will assist prepare you for the fabric without burning out from lengthy cram sessions.”

Sotelo: “The CAT structure is difficult for all and sundry, but has been proven to be very effective in appropriately selecting which examine takers are prepared to observe as registered nurses. each tester receives between seventy five and a hundred forty five questions and has 5 hours to take the examination. That capability the student has over two minutes to answer each and every query. The best thing to do is without problems center of attention on one query at a time.”

Lynn Weber, RN, BSN, application director of Marion Technical faculty: “If the scholar is not a powerful examine-taker, i would propose you to do 100 UWorld questions a day, as if you are getting match for the biggest competitors of your lifestyles!

Jones-Darnell: “The key's to increase test taking strategies to make use of in the event you method a query that has unfamiliar content material. for people that don't look at various neatly, I imply the usage of these examine taking innovations as they approach each query besides the fact that they suppose they know the answer immediately. The proprietary check reviews teach look at various taking recommendations to support college students when answering questions about the NCLEX.”

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What now not to do

Kymberlee Hardy RN, BSN, explains what to steer clear of before and all over the NCLEX:

don't fall into the rabbit hole of memorizing posts online about bad experiences of alternative americans. once in a while listening to what no longer to do is beneficial, however most instances it makes the verify scarier than it has to be.

do not analyze your verify taking potential during the examination in keeping with the class of questions you receive. it is commonplace to consider that “convenient” questions means you are doing poorly, and “difficult” questions are meant to bring your ranking returned down, which means you're doing neatly. don't let this shuttle you up. Take each new query separately and focal point on the content presented.

do not panic if you happen to get hold of one more question after the “minimum question” cut off. keep your composure and continue checking out with self assurance.

extra assistance and anecdotes from nurses

Emily Giddings, RN, MN, CCCE: “everyone who takes the NCLEX seems like they're failing. That’s simply how the adaptive algorithm works. every question you’re given is one the algorithm has calculated [that you’ll] have best a 50% possibility of answering as it should be. That potential that in spite of the fact that I sat all the way down to take the NCLEX again nowadays after decades of nursing adventure, i might nevertheless feel most effective halfway certain of each reply I provide. preserve that in mind while you’re trying out, and don’t let the level of problem cause you to lose awareness.”

Tammy Bjork: “I had a dependancy of inserting a cinnamon Jolly Rancher in my mouth earlier than a look at various because I felt that it helped stimulate my mind and it grew to become any such habit that I could not take a verify with out it. basically, my total type all started to ask for one before every test. I did the equal element before my NCLEX, and that i bet it labored as a result of I passed. provide it a try.”

Tears, emotions are commonplace and anticipated

Kymberlee Hardy, RN, BSN: “You might also cry (otherwise you may additionally see different americans outside/near the Test Center crying) after the examination. this is completely general. all and sundry taking the NCLEX has worked extraordinarily difficult to get to this aspect. Inevitably, you will believe that you failed the exam once the computer shuts down. from time to time, it's extremely overwhelming, and crying is the most effective method to express these emotions.”

Jones-Darnell: “maintain a good mind set at all times. in case you permit your mind to feed on self-doubt you'll create a self-fulfilling prophecy of defeat and failure. try to be aware the way you arrived at this element to your existence. you're smart and equipped, otherwise you do not have been authorized into nursing school and then graduated from nursing school. i counsel my students to write a positive affirmation when they begin the verify, akin to: “i am smart! i will move the NCLEX these days!”

In closing, Jones-Darnell provided these phrases of wisdom concerning the NCLEX examination: “the realm will no longer stop if you don't flow the NCLEX on the first effort. In my 25 years in the nursing profession, and the ultimate 12 in nursing training, no one has ever asked me if I passed the NCLEX on my first attempt.”

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