The National Council Licensure EXamination-Registered Nurse exam tests the RN's knowledge in all aspects of Subjects covered include Safe Effective Care Environment-coordinated care and safety and infection control; Health Promotion and Maintenance; Psychosocial Integrity; and Physiological Integrity-basic care and comfort, pharmacological therapies, reduction of risk potential, and physiological adaptation.
The exam's content is based on client needs:
Physiological Integrity
Basic Care and Comfort: 6-12 percent of NCLEX questions
Pharmacological and Parenteral Therapies: 13-19 percent of NCLEX questions
Reduction of Risk Potential: 13-19 percent of NCLEX questions
Physiological Adaptation: 11-17 percent of NCLEX questions
Safe Effective Care Environment
Management of Care: 13-19 percent of NCLEX questions
Safety and Infection Control: 8-14 percent of NCLEX questions
Health Promotion and Maintenance
Life Span, Growth and Development: 7-12 percent of NCLEX questions
Prevention and Early Detection of Disease: 5-11 percent of NCLEX questions
Psychosocial Integrity
Coping and Adaptation: 5-11 percent of NCLEX questions
Psychosocial Adaptation: 5-11 percent of NCLEX questions
Physiological Integrity
The Physiological Integrity category contains the majority of the questions on the exam, about 43-67 percent. This portion of the NCLEX deals with adult medical and surgical care, pediatrics, and gerontology, which is the study of the elderly and the effects of aging. Some of the questions may deal with conditions that nurses treat on a regular basis such as, diabetes, cardiovascular disorders, neurological disorders, renal diseases, and respiratory diseases. In addition, questions on traumatic injuries, immunological disorders, skin disorders and infectious diseases could be asked. There are different topics on the NCLEX pertaining to the pediatric client. These topics may include growth and development, birth abnormalities, child abuse, common infectious diseases of children, and usual childhood traumas such as burn injuries and fractures.
Safe and Effective Care Environment
This category makes up approximately 21-33 percent of the NCLEX questions. Questions in this category cover safety issues in patient care, particularly the administration of medicine to patients, safety measures to prevent further injuries and infections, isolation precautions, safety for pediatric patients, and special safety precautions for patients with psychiatric problems. [1]
This portion of the exam may also include questions pertaining to laboratory tests, test results, and unique nursing procedures that may be associated with test results; ethical and legal nursing problems; nursing management; and issues related to giving patients the best care. NCLEX questions on these topics are randomly spread throughout the exam.
Health Promotion and Maintenance
The Health Promotion and Maintenance category makes up about 12 percent of the NCLEX examination. Questions under this category deal with birth control measures, pregnancy, labor and delivery; care for a newborn infant, growth and development, and diseases that can spread easily like sexually transmitted infections. If a patient is pregnant, it is very important that the nurse be able to act as a teacher or counselor for the patient. This makes it necessary to understand all components of a patient’s pregnancy. Knowledge of a proper diet, development of the fetus, signs and symptoms of pregnancy complications and certain pregnancy related procedures will be helpful for this section of the exam.
Psychosocial Integrity
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