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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
  • 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
  • The results of a standard setting exercise performed by a panel of experts with the assistance of psychometricians

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.

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

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NCLEX-PN exam is a critical step in obtaining licensure as a practical nurse in the United States. NCLEX-PN exam is administered by the National Council of State Boards of Nursing (NCSBN) and is designed to test the knowledge, skills, and abilities of individuals seeking to work as practical nurses. Passing NCLEX-PN exam is necessary to obtain a license to practice as a licensed practical nurse (LPN) or licensed vocational nurse (LVN).

NCLEX-PN exam is one of the most important exams for aspiring licensed practical nurses (LPNs) in the United States. NCLEX-PN exam is designed to evaluate the competency and knowledge of a candidate in nursing practice and determine their readiness to provide safe and effective care to patients. Passing NCLEX-PN exam is a crucial step in obtaining a nursing license and starting a career in nursing.

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NCLEX NCLEX-PN Exam Syllabus Topics:

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

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