NCLEX-PN Test Specifics

NCLEX stands for National Council Licensure Exam. Even once you are finished with your LPN nursing program, you cannot work until passing the exam and therefore officially earning the LPN license. In training, one receives a multitude of materials, information, and methods to learn and practice. The NCLEX does not weigh all knowledge the same. The exam’s main focus is on patient needs. The test questions are written at application level or higher.

There are four major patient need categories on the test. They are: safe and effective care environment, health promotion and maintenance, psychological integrity, and physiological integrity. The categories are subdivided.

Safe and effective care environment is about care that enhances health care delivery facilities and protects the people in those facilities. It is composed of the subtopics of coordinated care which is simply collaboration with others as well as safety and infection control practices. Each topic is no more than 17 to 19 percent of the test, respectively.

Health promotion and maintenance has no subtopics. It is about prevention, early detection of disease, and knowing the expected stages of growth and development. It makes up no more than 13 percent of the exam.

Psychological integrity is about promoting the emotional, mental, and social well being of a patient. It makes up about 13 percent of the exam. Physiological integrity concerns improving health by providing care and comfort, assisting patients, and reducing risks for patients. Its subcategories are basic care and comfort, pharmacological therapies, reduction of risk, and physiological adaptation.

Basic care is focused on assistance with daily living activities. Pharmacological therapy is all about administering medications and the required monitoring of said medications. Risk reduction centers around doing procedures and practices that decrease the likelihood of complications or additional health problems due to the treatment or condition. Physiological adaptation is about specialized care for patients with acute, chronic, or life-threatening health conditions.

Want to know more? You can find detailed test plans for the exam on the National Council of State Boards of Nursing website.

Last Updated: 05/22/2014

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