Knowledge

National Council Licensure Examination

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individual to recall specific facts and information. Level 2 questions require an additional level of thinking in order to answer the question. In these types of questions, the individual will be required to know specific information and then use it to interpret or analyze the question. Level 2 questions are analysis and application type questions. Level 3 questions are the most complex type of question on the NCLEX. These questions require the individual to judge, evaluate, and combine information. The individual will have to apply the rules, facts, and processes they know and then make decisions about what is best for the patient's care based on the situation. What makes level 3 questions difficult is the likely existence of more than one correct answer forcing the individual to decide which answer is the best choice. Level 2 and Level 3 questions make up about 95 percent of the questions on the NCLEX exam. However, it is possible for the exam to have no Level 1 question.
278:(ANA) took over management of the SBTPE in 1955, which at the time had 600 questions (plus 120 validator questions) divided into 4 sections and was administered over multiple-days. The NCSBN was created in 1978 and took ownership of the SBTPE, and in 1982, replaced the SBTPE with NCLEX. The NCLEX, which was at the time a test administered using paper and pencil, decreased the total number of questions from 720 to 480 (including up to 75 pilot questions, which had no bearing on the final score). The following year, in 1983, NCSBN once more lowered the number of questions to 370 (including as many as 70 pilot questions). As a paper exam, NCLEX was only provided twice a year. The NCLEX-RN was given over two days in February and November; while the NCLEX-PN was given over a single day in April and October. 478:, 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. 526:
of multiple-choice questions, questions that require choosing all of the correct answers from a list of options, putting a number of steps in the correct sequence, or identifying a correct area on a picture. Some of these alternative format questions ask information about a chart, graph, or audio clip. The questions can also use pictures as the answer choices instead of words. Each question will appear one at a time on a computer screen. Questions will not be repeated; however, questions based on a similar situation could be asked.
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these will be used on future examinations. The β€œtrial” questions are not identified as such, therefore, it is best to answer every question. If the individual continues to get questions from the same category, it could mean that the NCSBN is testing those types of questions, or it could mean that the individual keeps getting those types of questions incorrect. The computer will continue to randomly generate questions from that category until the individual has met the requirements of the test plan.
38: 1744: 274:(NLNE) National Committee on Nursing Tests conference proposed a "pooling of tests" as a solution, wherein each state would prepare and contribute exams in one or more subjects that could serve as a source of test items. The State Board Test Pool Examination (SBTPE) was given in 15 states during its initial testing year of 1944. By 1950, the SBTPE was used in all 48 states, with each jurisdiction establishing its own pass threshold. The 1768: 198: 190: 149: 141: 500:
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.
1756: 261:(CAT) format and are presently administered by Pearson VUE in their network of Pearson Professional Centers (PPC). With computerized exams such as this, the computer selects which question you are asked based on how you answered the previous question. The NCLEX covers a wide range of material. The individual will be scored on their ability to think critically about decisions involving nursing care. 550:
which do not involve simple multiple-choice selection. Examples of the new formats include identifying and selecting a particular area of a drawn body part, selecting multiple correct answers via check boxes, free response mathematical questions usually involving medication calculations, and ordering
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Questions on the NCLEX exam are of three different types or levels: Level 1, Level 2, and Level 3. Level 1 questions are the most basic questions and make up less than 10 percent of the total questions. Level 1 questions test the individual's knowledge and understanding. These questions require the
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The NCLEX exam is taken on a computer at a Pearson Professional Center. Pearson Professional Centers are testing centers for certifications and licenses all over the world. There are numerous testing centers in each state of the U.S. and centers can be found in 175 countries. The NCLEX exam consists
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in the United States, Canada, and Australia since 1982, 2015, and 2020, respectively. There are two types: the NCLEX-RN and the NCLEX-PN. After graduating from a school of nursing, one takes the NCLEX exam to receive a nursing license. A nursing license gives an individual the permission to practice
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Each individual will have a maximum of five hours to complete the exam, but there is no minimum time limit. There is a mandatory 10-minute break about 2Β½ hours after the start of the exam and another optional break after about 4 hours of testing. It is acceptable to take breaks any time during
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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
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The governing body responsible for making changes to the NCLEX is the National Council of State Boards of Nursing (NCSBN). They make changes by analyzing current nursing practices. They do this by surveying approximately 12,000 recently licensed nurses about different nursing activities that appear
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In 1994, the NCSBN revolutionized NCLEX by transitioning from paper-and-pencil exams to a computerized adaptive testing (CAT) format. Questions for the CAT test were selected from a test bank of 1,700–2,000 pretested, statistically analyzed questions that were coded according to topic and degree of
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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
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Each individual will take a different form of the exam. Since each question depends on how the previous question is answered, an individual can be given between 75 and 145 questions. Only 60 out of the first 75 questions on the exam will count. The 15 that do not count are β€œtrial” questions, and
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A certain number of correctly answered questions is not required to pass the exam. An individual's score will not be compared to other scores to determine if he or she passes. The NCLEX is graded by comparing the responses to a pre-established standard. Those individuals who meet or exceed the
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Like the section on Health Promotion and Maintenance, the Psychosocial Integrity category constitutes approximately 12 percent of the NCLEX questions. Questions in this category pertain to patients with psychiatric problems and their unique issues. In addition, this material may cover coping
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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
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Following the establishment of state boards of nursing in the early 20th century, each board independently developed and administered its own licensure exams. After the start of World War II, state boards of nursing came under increasing pressure to expedite licensing and schedule exams more
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on the NCLEX. The NCSBN analyzes these nursing activities based on how frequently they may occur, how they could impact the patient's safety, and the location of these activities. The NCSBN conducts these analyses every three years and then makes any needed changes to the exam.
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difficulty. Other changes included with the new CAT test was the test now took less than a day and was administered throughout the year. In addition to multiple-choice format questions, the NCSBN began including alternative item formats for the NCLEX-RN in October 2003.
243:(NCSBN). The NCSBN administers these examinations on behalf of its member boards, which consist of the boards of nursing in the 50 states, the District of Columbia, and four U.S. territories, American Samoa, Guam, Northern Mariana Islands, and the U.S. Virgin Islands. 509:
mechanisms for different situations. Other situations covered in this section are about psychosocial problems that fall short of psychiatric illness. Questions could cover information on the following disorders: depression,
329:(RN). As of 2015, 10 provincial and territorial RN regulators in Canada have chosen the NCLEX-RN and the National Council of State Boards of Nursing (NCSBN) as the provider of the Canadian RN entry-to-practice exam. 285:
In 2015, NCLEX was adopted in Canada, with changes made to address measuring units, drug names, and other terminology differences between the United States and Canada. Additionally, the NCLEX is available in
517:, eating disorders, personality disorders, and anxiety disorders. Also included in this section may be questions about crisis intervention, substance abuse, and therapy through communication. 371:
level of application or higher, but the exam may include items at all cognitive levels. Examples of cognitive level are memorization or recall, knowledge, analysis and application.
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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,
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The NCLEX-RN uses the five-step nursing process. Each of the questions will fall into one of the five steps: assessment, diagnosis, planning, implementation, and evaluation.
1445: 1678: 1633: 254:. NCLEX examinations are designed to test the knowledge, skills, and abilities essential for the safe and effective practice of nursing at the entry level. 1819: 1809: 246:
To ensure public protection, each board of nursing requires a candidate for licensure to pass the appropriate NCLEX examination: the NCLEX-RN for
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Zara, Anthony R. (1999). "Using Computerized Adaptive Testing to Evaluate Nurse Competence for Licensure: Some History and Forward Look".
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Most of the questions of the NCLEX exam are worded questions with multiple choice answers. In recent years, however, the NCSBN has added
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The NCSBN developed an updated version of the NCLEX called the "Next Generation NCLEX (NGN)," which went into effect April 1, 2023.
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the exam, however, test-takers will lose the additional break time from the total test time.
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in the states and territories of the United States require candidates to pass this exam for
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Candidate must be a graduate of an approved nursing school. Fluency in English assumed.
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patients, and special safety precautions for patients with psychiatric problems.
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nursing, granted by the state where they met the requirements.
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offer sample questions mirroring the actual exam to assist in
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in United States and Board of Nursing in 10 Canadian provinces
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programs that aim to help students study and pass the exams.
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these topics are randomly spread throughout the exam.
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National Council of State Boards of Nursing (NCSBN)
494: 239:NCLEX examinations are developed and owned by the 853:Dorsey, Corinne F.; Schowalter, Joyce M. (2008). 241:National Council of State Boards of Nursing, Inc. 27:US nationwide examination for licensing of nurses 1786: 852: 270:frequently. In response, participants at a 1942 771: 769: 742:Nursing Now!: Today's Issues, Tomorrow's Trends 538:standard pass the exam, those who do not fail. 379:The exam's content is based on client needs: 367:The majority of test items are written at the 1092: 928: 910: 884: 848: 846: 551:the steps of a medical or nursing procedure. 426:The exam's content is based on client needs: 824: 822: 766: 1067:National Council of State Boards of Nursing 892:"NCSBN Launches Next Generation NCLEX Exam" 837:National Council of State Boards of Nursing 689:National Council of State Boards of Nursing 657:National Council of State Boards of Nursing 632:National Council of State Boards of Nursing 619: 617: 615: 613: 593:Professional licensure in the United States 70:National Council of State Boards of Nursing 1099: 1085: 843: 465: 36: 819: 503: 347:require a passing result on the exam for 775: 739: 685:"Canadian Educators & Students FAQs" 679: 677: 610: 453:Pharmacological and Parenteral Therapies 409:Pharmacological and Parenteral Therapies 304: 1820:Standardized tests in the United States 1810:Professional examinations in healthcare 14: 1787: 1309:Nursing credentials and certifications 735: 733: 731: 729: 727: 725: 645: 441:Health Promotion and Maintenance 6-12% 272:National League of Nursing Education's 231:) is a nationwide examination for the 225:National Council Licensure Examination 31:National Council Licensure Examination 1080: 1020:Advances in Health Sciences Education 723: 721: 719: 717: 715: 713: 711: 709: 707: 705: 674: 257:NCLEX examinations are provided in a 1755: 1597:Nursing Interventions Classification 1017: 430:Safe and Effective Care Environment 1767: 954: 856:The first 25 years : 1978-2003 558:Multiple education platforms offer 482:Safe and Effective Care Environment 250:and the NCLEX-PN for vocational or 24: 1011: 702: 436:Safety and Infection Control 9-15% 25: 1831: 1055: 541: 456:Reduction of Risk Potential 9-15% 1766: 1754: 1743: 1742: 495:Health Promotion and Maintenance 397:Health Promotion and Maintenance 383:Safe Effective Care Environment 197: 196: 189: 188: 148: 147: 140: 139: 1607:Nursing Outcomes Classification 1602:Nursing Minimum Data Set (NMDS) 1274:Associate of Science in Nursing 1072:NCLEX-RN Detailed Exam Overview 978: 918:"Next Generation NCLEX Project" 830:"Pencils Down, Booklets Closed" 459:Physiological Adaptation 11-17% 362: 1279:Bachelor of Science in Nursing 778:"The story of nurse licensure" 13: 1: 1501:Psychiatric and mental health 603: 421: 374: 259:computerized adaptive testing 60:computerized adaptive testing 1800:Nursing in the United States 1294:Master of Science in Nursing 992:. 2019-12-14. Archived from 797:10.1097/NNE.0b013e3182001e82 740:Catalano, Joseph T. (2012). 450:Basic Care and Comfort 6-12% 444:Psychosocial Integrity 6-12% 135:Annual number of test takers 7: 1106: 839:(Spring 2014): 10–15. 2014. 653:"NCSBN Historical Timeline" 581: 412:Reduction of Risk Potential 335: 309: 276:American Nurses Association 10: 1836: 1289:Doctor of Nursing Practice 264: 42:Next Generation NCLEX logo 1738: 1615: 1582: 1549: 1446:Women's Health Care Nurse 1337: 1253: 1204: 1181:Clinical nurse specialist 1173: 1164: 1123: 1114: 936:"NGN FAQs for Candidates" 520: 433:Management of Care 17-23% 357:licensed vocational nurse 292:French-speaking Canadians 205: 183: 172: 164: 156: 134: 120: 105: 95: 83: 75: 65: 55: 47: 35: 1625:International Nurses Day 1141:Licensed practical nurse 776:Benefiel, Diane (2011). 515:organic mental disorders 447:Physiological Integrity 415:Physiological Adaptation 403:Physiological Integrity 353:licensed practical nurse 1304:Nurse Licensure Compact 1032:10.1023/A:1009866321381 466:Physiological Integrity 177:State Boards of Nursing 986:"Become a test centre" 659:. 2015. Archived from 504:Psychosocial Integrity 406:Basic Care and Comfort 400:Psychosocial Integrity 168:$ 200 USD or $ 360 CAD 1536:Travel health nursing 1136:Clinical nurse leader 576:personalized learning 305:Levels of examination 99:1994 in United States 91:in the USA and Canada 1361:Correctional nursing 548:new format questions 386:Coordination of Care 1695:Republic of Ireland 1471:Occupational health 1461:Nursing informatics 1237:Psych/mental health 233:licensing of nurses 32: 1815:Nursing regulation 1795:1994 introductions 1559:Nursing assessment 1421:Legal consultation 1284:Diploma in Nursing 1269:Nightingale Pledge 1196:Nurse practitioner 184:Qualification rate 144:358,998 (in 2023) 30: 1805:Nursing education 1782: 1781: 1569:Nursing care plan 1564:Nursing diagnosis 1249: 1248: 1245: 1244: 1217:Adult-gerontology 1205:NPs by population 1186:Nurse anesthetist 1166:Advanced practice 869:978-0-9796795-3-7 751:978-0-8036-2763-5 391:Infection Control 345:boards of nursing 319:boards of nursing 248:registered nurses 221: 220: 193:69.66% (in 2023) 16:(Redirected from 1827: 1770: 1769: 1758: 1757: 1746: 1745: 1436:Medical-surgical 1339:Specialties and 1299:Board of nursing 1171: 1170: 1146:Registered nurse 1121: 1120: 1101: 1094: 1087: 1078: 1077: 1051: 1005: 1004: 1002: 1001: 982: 976: 975: 973: 972: 966:IHM NCLEX Course 958: 952: 951: 949: 947: 932: 926: 925: 924:on 14 July 2022. 914: 908: 907: 905: 903: 888: 882: 881: 861: 850: 841: 840: 834: 826: 817: 816: 782: 773: 764: 763: 737: 700: 699: 697: 696: 681: 672: 671: 669: 668: 649: 643: 642: 640: 638: 629: 621: 560:test preparation 327:registered nurse 252:practical nurses 217: 214: 212: 201:74.54% (in 2023) 200: 199: 192: 191: 152:65,679 (in 2023) 151: 150: 143: 142: 87:Prerequisite to 40: 33: 29: 21: 1835: 1834: 1830: 1829: 1828: 1826: 1825: 1824: 1785: 1784: 1783: 1778: 1734: 1611: 1584: 1583:Classification 1578: 1551:Nursing process 1545: 1386:Faith community 1351:Ambulatory care 1342: 1340: 1333: 1259: 1257: 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Index

NCLEX-RN

computerized adaptive testing
National Council of State Boards of Nursing
nurse licensure
Canada
Australia
English
French
State Boards of Nursing
www.nclex.com
licensing of nurses
National Council of State Boards of Nursing, Inc.
registered nurses
practical nurses
computerized adaptive testing
National League of Nursing Education's
American Nurses Association
Canadian French
French-speaking Canadians
boards of nursing
licensure
registered nurse
boards of nursing
licensure
licensed practical nurse
licensed vocational nurse
cognition
Infection Control
pediatrics

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