Structure of the NCLEX-RN
The NCLEX-RN uses a complex algorithm known as Computerized Adaptive Testing (CAT). This means the test adjusts the difficulty of questions based on the test taker’s ability, providing a more accurate measurement of a nurse’s competency. The exam includes questions from four major categories, based on the client needs framework:
- Safe and Effective Care Environment : Covers the management of care and safety and infection control.
- Health Promotion and Maintenance : Tests the nurse’s knowledge of growth and development across the life span and prevention and early detection of disease.
- Psychosocial Integrity : Focuses on the psychological and social aspects of a patient’s environment.
- Physiological Integrity : Tests the nurse’s ability to perform care related to the physiological health of patients, including basic care and comfort, pharmacological therapies, reduction of risk potential, and physiological adaptation.
Question Types
The NCLEX-RN includes a variety of question formats :-
- Multiple-choice : Traditional four-option questions where one choice is correct.
- Multiple response : Questions that may require you to select more than one correct answer.
- Fill-in-the-blank : Calculation based questions.
Drag and drop : Test takers must put information in the correct sequence or categorize items. - Hot Spots : Candidates must identify specific areas on graphs or anatomical illustrations.
- Chart/exhibit : Test takers must answer questions related to a graphic or table.
Length and Timing
The number of questions on the NCLEX-RN can range from 75 to 265, with 15 of these being pretest questions that are not scored. Candidates have up to 5 hours to complete the exam, including the tutorial and any breaks.
Passing Standard
The passing standard for the NCLEX-RN is based on the ability to think critically. Test takers must consistently perform above the passing threshold to succeed. The test continues until it is 95% certain that a candidate’s ability is clearly above or below the passing standard.
Purpose and Usage
The primary purpose of the NCLEX-RN is to ensure public protection by assessing the readiness of entry-level nurses to practice safely and effectively. It is required for licensure in the United States and its territories.
Preparation
Preparing for the NCLEX-RN involves a combination of content review, practice questions, and test-taking strategies. Resources for preparation include NCLEX review courses, study guides, practice tests, and the NCSBN Learning Extension. The NCSBN also provides a detailed test plan that gives an outline of the content covered on the exam.
Test Availability
The NCLEX-RN is offered year-round at Pearson VUE testing centers, a global network of professional testing centers. Candidates must apply for nursing licensure from their state board and then register with Pearson VUE to schedule their exam date.
Overall, the NCLEX-RN is a critical step for any individual seeking to practice as a registered nurse, ensuring they possess the necessary knowledge and skills to provide effective and safe patient care.
