The NCLEX-RN Exam
The NCLEX-RN exam (National Council Licensure Examination) has one purpose: To determine if it’s safe for you to begin practice as an entry-level nurse. It is significantly different from any test that you took in nursing school. While nursing school exams are knowledge-based, the NCLEX-RN tests application and analysis using the nursing knowledge you learned in school. You will be tested on how you can use critical thinking skills to make nursing judgments.
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Learn more about the NCLEX-RN
CAT is an acronym for “computer adaptive test,” a testing format that is interactively based on your response to the questions. Based on your skill level, the CAT ensures that the questions are not “too hard” or “too easy.”
Your first question will be relatively easy—below the level of minimum competency. If you answer it correctly, the computer selects a slightly more difficult question. If answered incorrectly, the computer selects a slightly easier question. By continuing to do this throughout the test, the computer is able to determine your level of competence.
NCLEX-RN® questions are organized along four major client needs. Let’s take a look:
- Safe and Effective Care Environment
- Health Promotion and Maintenance
- Psychosocial Integrity
- Physiological Integrity
Safe and Effective Care Environment
The client need, Safe and Effective Care Environment, includes two concepts: Management and Care and Safety and Infection Control.
Management of Care accounts for 17-23% of questions on the NCLEX-RN exam. Some of the nursing actions included in this subcategory are Advanced Directives, Advocacy, Case Management, Client Rights, Concepts of Management, Confidentiality, Consultation, Continuity of Care, Quality Improvement, Delegation, Establishing Priorities, Ethical Practice, Informed Consent, Legal Responsibilities, Referrals, and Supervision.
Safety and Infection Control accounts for 9-15% of exam questions. Nursing actions include Accident Prevention, Error Prevention, Hazardous Materials, Surgical Asepsis, Standard Precautions, and Use of Restraints.
Health Promotion and Maintenance
The second client need is Health Promotion and Maintenance. These questions account for 6-12% of the exam. Nursing actions tested include the Aging Process, Ante/Intra/Postpartum and Newborn, Developmental Stages and Transitions, Disease Prevention, Health Screening, Lifestyle Choices, Physical Assessment Techniques, Health Promotion Programs, High Risk Behaviors, and Self-Care.
The third client need is Psychosocial Integrity. It accounts for 6-12% 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 Interventions, Crisis Intervention, Coping Mechanisms, End of Life Care, and Family Dynamics.
The final client need is Physiological Integrity. It includes four concepts: Basic Care and Comfort, Pharmacological and Parenteral Therapies, Reduction of Risk Potential, and Physiological Adaptation.
Basic Care and Comfort accounts for 6-12% of questions on the NCLEX-RN exam. Nursing actions included in this subcategory are Assistive Devices, Elimination, Mobility, Nonpharmacological Comfort Interventions, Nutrition and Oral Hydration, Personal Hygiene, as well as Rest and Sleep.
The concept of Pharmacological and Parenteral Therapies accounts for 12-18% of the exam. Tested nursing actions include Adverse Effects, Contrindications, Blood and Blood Products, Central Venous Access Devices, Chemotherapy, Expected Effects, Intravenous Therapy, Medication Administration, Pharmacological Pain Management, Total Parenteral Nutrition, and Dosage Calculation.
Reduction of Risk Potential accounts for 9-15% of the exam. Its tested nursing actions include Diagnostic Tests, Laboratory Values, Potential for Complications from Surgical Procedures, and Health Alterations, as well as Therapeutic Procedures.
Finally, Physiological Adaptation accounts for 11-17% of the exam. Its tested nursing actions include Alterations in the Body Systems, Fluid and Electrolyte Imbalances, Hemodynamics, Medical Emergencies, Pathophysiology, and Unexpected Response to Therapies.
And now, let take this free NCLEX-RN practice exam with 30 multiple choise questions accompanied by answers. Your results will be scored automatically and displayed after you finish this free NCLEX-RN Exam Practice (by click “Submit”), and the results will show your strengths and your weaknesses.
You can see details at: http://www.practicequiz.com/nclex-rn-exam-practice/questions?page=13
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