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NCLEX NCLEX-PN Exam Syllabus Topics:

TopicDetails
Topic 1
  • Safe and Effective Care Environment: This section of the exam measures skills of Licensed Practical Nurses and covers how they contribute to a safe and efficient care environment. It is divided into two parts. The first, Coordinated Care, focuses on how the LPN collaborates with healthcare teams, prioritizes client care, supports informed consent processes, and operates within legal and ethical boundaries. The second, Safety and Infection Control, includes protecting clients and staff from hazards, using protective equipment, and responding to environmental threats such as infections and emergencies.
Topic 2
  • Psychosocial Integrity: This section of the exam measures skills of Licensed Practical Nurses and covers emotional, mental, and social well-being. It includes communication techniques, support for clients with behavioral disorders, stress management, substance abuse recognition, and care for clients with cognitive impairments. It also emphasizes therapeutic interactions and understanding cultural and spiritual beliefs.
Topic 3
  • Physiological Integrity: This section of the exam measures skills of Vocational Nurses and focuses on maintaining and restoring clients' physical health. It includes four subcategories. Basic Care and Comfort addresses daily living support and non-pharmacological pain relief. Pharmacological Therapies covers medication administration, client monitoring, and drug safety. Reduction of Risk Potential involves identifying and mitigating health risks from procedures or conditions. Physiological Adaptation tests the ability to manage acute, chronic, or life-threatening conditions, including interventions and monitoring for clients on ventilators, dialysis, or in surgical recovery.
Topic 4
  • Health Promotion and Maintenance: This section of the exam measures skills of Vocational Nurses and covers preventive care, early detection of illness, and promoting healthy behaviors. It includes care across all age groups, understanding developmental stages, supporting life transitions, and providing immunization guidance and health education to individuals and communities.

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

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The NCLEX is different from a traditional fixed-length examination, which administers the same items to every candidate. Fixed-length examinations ensure that the difficulty of the examination is constant for every candidate; therefore, the percentage correct is the indicator of the candidate's ability. This approach requires high ability candidates to answer all easy items on the examination and low ability candidates to guess on difficult items. This method provides less accurate information about the candidate's true ability. The NCLEX uses CAT to administer items. CAT is able to produce exam results that are more precise and efficient, using fewer items by targeting items to the candidate's ability. The computer (i.e. CAT scoring algorithm) estimates the ability of the candidate in relation to the passing standard. Every time the candidate answers an item, the computer re-estimates the candidate's ability. With each additional answered item, the ability estimate becomes more precise.

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