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Format | NCLEX-RN Course Contents | NCLEX-RN Course Outline | NCLEX-RN test
Syllabus | NCLEX-RN test
THE NCLEX-RN® EXAM
The National Council Licensure Examination (NCLEX-RN® exam) 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.
NCLEX-RN® TEST FORMAT
The NCLEX-RN® test
is organized according to the framework, "Meeting Client Needs." There are four major categories and eight subcategories. Many nursing programs are based on the medical model where students take separate medical, surgical, pediatric, psychiatric, and obstetric classes. However, on the NCLEX-RN® exam, all of the content is integrated.
TYPES OF QUESTIONS
Questions are primarily multiple-choice with four possible answer choices; however, there are also alternate question types. Alternate question types include multiple-response, fill-in-the-blank, hot spots, chart/exhibit and drag-and-drop. All questions involve integrated nursing content.
Let's look at the following question:
A 23-year-old woman with insulin dependent diabetes mellitus (IDDM) is returned to the recovery room one hour after an uneventful delivery of a 9 lb., 8 oz., baby boy. The nurse would expect the woman's blood sugar to
- remain stationary
Is this an obstetrical question or a medical/surgical question=> In order to select the correct answer, (2), you must consider the pathophysiology of diabetes along with the principles of labor and delivery.
SAFE AND EFFECTIVE CARE ENVIRONMENT
The first Client Needs Category, Safe and Effective Care Environment, includes two concepts:
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, 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 test
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 Needs Category 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 Care, 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 Needs Category is Psychosocial Integrity. It accounts for 6-12% of the test
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 Needs Category is Physiological Integrity. It includes four concepts:
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.
Pharmacological and Parenteral Therapies accounts for 12-18% of the exam. Tested nursing actions include Adverse Effects, Contraindications, 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.
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.
NCLEX-RN® GRADING SYSTEM
The NCLEX-RN® test
is pass/fail—there is no numerical score. A determination will be made at the conclusion of the test
as to whether you have passed or failed. However, the results will not be made available at the test
site. You'll be notified by your State Board of Nursing approximately 2-4 weeks after your test date.
Your first step is to submit an application to the National Council of State Boards of Nursing (NCSBN). You will be required to follow the procedures established by the individual State Boards of Nursing. Some states have combined registration for the NCLEX-RN® test
with the application for licensure. In all other states, you must apply for licensure with the State Board of Nursing in the state in which you wish to become licensed. Once you have applied, you will receive a Candidate Bulletin to register for the NCLEX-RN® exam.
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Dalhousie has a robust nursing application and school and body of workers on the school of Nursing were proactive in preparing the first cohort of students for the NCLEX examination:â€˘ In winter 2012, when the primary cohort of NCLEX writers have been in their 2d yr of studies, the school of Nursing adopted NCLEX-fashion questions in all first- and 2nd-12 months classes. the first cohort of scholars have now been working with NCLEX-style questions for two years.â€˘ In Spring 2014, the first cohort of NCLEX writers had access to a web program with steadily tricky quizzes on all points of the nursing curriculum. The college students solutions NCLEX-vogue questions and were able to assess their preparedness in key curriculum areas.â€˘ This yr, during their final 12 months of reports, all fourth year nursing college students have access to a few NCLEX practice assessments and on-line application that gives them comments on their performance on the apply checks as well as focused substances for areas the place they may wish to do more work.â€˘ In iciness 2015, all fourth 12 months students might be invited to an NCLEX information session lead via NSCN.â€˘ additionally, all professors within the faculty of Nursing have had the chance to attend NCLEX query writing seminars.
Do you expect there to be any have an effect on on move prices?Dalhousieâ€™s faculty of Nursing have worked proactively to make certain that the first cohort of NCLEX writers are correctly prepared for the examination. it's vital to observe that these college students will not be aware of the change between the CRNE and NCLEX, given that they have been working with NCLEX-primarily based material considering their 2d year of reports.The college of Nursing has self assurance within the high great of its nursing schooling program, youngsters, it is intricate to predict how the first cohort of students will fare in any exam.
presently, there is no fixed percentage of candidates that circulate or fail the NCLEX-RN exam. For more assistance on NCLEXâ€™s flow/fail decision rules for particular person exams, please read web page 15 of the NCLEX Examination Candidate Bulletin.
If college students have additional questions, who do they contact?The NCLEX-RN examination is administered in collaboration with NSCN, Pearson VUE and the countrywide Council of State Boards of Nursing.
Contact NSCN for questions concerning:â€˘ NSCN NCLEX-RN Registrationâ€˘ Licensure/Registrationâ€˘ name or address tradeâ€˘ identify Correctionsâ€˘ checking out accommodationâ€˘ Approval to take examination
Contact Pearson VUE for questions concerning:â€˘ Pearson VUE NCLEX-RN Registrationâ€˘ methods of paymentâ€˘ Authorization to look at various emailâ€˘ Scheduling/Re-scheduling of examination Appointmentâ€˘ suited sorts of Identificationâ€˘ feedback about the look at various core
Contact the country wide Council of State Boards of Nursing for questions concerning:â€˘ NCLEX developmentâ€˘ widely wide-spread NCLEX assistanceâ€˘ ordinary Questions/Inquiries relating to Examination AdministrationÂ
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