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NCLEX NCLEX-PN : National Council Licensure Examination(NCLEX-PN) Exam
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Format | NCLEX-PN Course Contents | NCLEX-PN Course Outline | NCLEX-PN test
Syllabus | NCLEX-PN test
The test plan is reviewed and approved by the NCLEX®
Examination Committee (NEC) every three years.
Multiple resources are used, including the latest practice analysis of licensed practical/vocational nurses
(LPN/VNs), and expert opinions of the NEC, NCSBN staff and nursing regulatory bodies (NRBs) to ensure that
the test plan is consistent with nurse practice acts. Following the endorsement of proposed revisions by
the NEC, the test plan document is presented for approval to the Delegate Assembly, which is the decisionmaking body of NCSBN.
The test plan serves a variety of purposes. It is used to guide candidates preparing for the examination, to
direct item writers in the development of items, and to facilitate the classification of examination items. This
document offers a comprehensive listing of content for each client needs category and subcategory outlined
in the test plan. demo items are provided at the end of each category, which are specific to the client needs
category in that section. There is an item writing guide along with demo case scenarios, which provide
nurse educators with hands-on experience in writing NCLEX-style test items.
Entry into the practice of nursing is regulated by the licensing authorities within each of the NCSBN nursing
regulatory bodies (state, commonwealth and territorial boards of nursing). To ensure public protection, each
jurisdiction requires candidates for licensure to meet set requirements that include passing an examination
that measures the competencies needed to perform safely and effectively as a licensed practical/vocational
nurse (LPN/VN). NCSBN develops a licensure examination, the National Council Licensure Examination for
Practical Nurses (NCLEX-PN®), which is used by U.S. members to assist in making licensure decisions.
Several steps occur in the development of the NCLEX-PN Test Plan. The first step is conducting a practice
analysis that is used to collect data on the current practice of entry-level LPN/VNs (Report of Findings from
the 2018 LPN/VN Practice Analysis: Linking the NCLEX-PN® Examination to Practice, NCSBN, 2019). Twelve
thousand newly licensed practical/vocational nurses are asked about the frequency and priority of performing nursing care activities. Nursing care activities are then analyzed in relation to the frequency of performance, impact on maintaining client safety and client care settings where the activities are performed. This
analysis guides the development of a framework for entry-level nursing practice that incorporates specific
client needs, as well as processes that are fundamental to the practice of nursing. The next step is the
development of the NCLEX-PN Test Plan, which guides the selection of content and behaviors to be tested.
Variations in jurisdiction laws and regulations are considered in the development of the test plan.
The NCLEX-PN Test Plan provides a concise summary of the content and scope of the licensure examination.
It serves as a guide for examination development as well as candidate preparation. The NCLEX® assesses the knowledge, skills and abilities that are essential for the entry-level LPN/VN to use in order to meet the needs
of clients requiring the promotion, maintenance and restoration of health. The following sections describe
beliefs about people and nursing that are integral to the examination, cognitive abilities that will be tested in
the examination and specific components of the NCLEX-PN Test Plan.
Percentage of Items from Each
Safe and Effective Care Environment
=> Coordinated Care 18–24%
=> Safety and Infection Control 10–16%
Health Promotion and Maintenance 6–12%
Psychosocial Integrity 9–15%
=> Basic Care and Comfort 7–13%
=> Pharmacological Therapies 10–16%
=> Reduction of Risk Potential 9–15%
=> Physiological Adaptation 7–13%
The activity statements used in the 2018 LPN/VN Practice Analysis: Linking the NCLEX-PN®
Practice (NCSBN, 2019) preface each of the eight content categories and are identified throughout the test
plan by an asterisk (*). NCSBN performs an analysis of those activities used frequently and identified as
important by entry-level nurses to ensure client safety. This is called a practice analysis; it provides data to
support the NCLEX as a reliable, valid measure of competent, entry-level LPN/VN practice. The practice analysis is conducted every three years.
In addition to the practice analysis, NCSBN conducts a knowledge, skills and abilities (KSA) survey. The primary purpose of this study is to identify the knowledge needed by newly licensed practical/vocational nurses
in order to provide safe and effective care. Findings from both the 2018 LPN/VN Practice Analysis: Linking
Examination to Practice (NCSBN, 2019) and the 2018 LPN/VN Nursing Knowledge Survey
(NCSBN, 2019) can be found at www.ncsbn.org/1235.htm. Both documents are used in the development of
the NCLEX-PN Test Plan as well as to inform item development.
All task statements in the 2020 NCLEX-PN®
Test Plan require the nurse to apply the fundamental principles
of clinical decision making and critical thinking to nursing practice. The test plan also makes the assumption
that the nurse integrates concepts from the following bodies of knowledge:
=> Social Sciences (psychology and sociology); and
=> Biological Sciences (anatomy, physiology, biology and microbiology) Collaboration with Interdisciplinary Team
=> Identify roles/responsibilities of health care team members
=> Identify need for nursing or interdisciplinary client care conference
=> Contribute to the development of and/or update the client plan of care
=> Contribute to planning interdisciplinary client care conferences
=> Participate as a member of an interdisciplinary team Concepts of Management and Supervision
=> Recognize and report staff conflict
=> Verify abilities of staff members to perform assigned tasks (e.g., job description, scope of practice, training, experience)
=> Provide input for performance evaluation of other staff
=> Participate in staff education (e.g., inservices, continued competency)
=> Use data from various credible sources in making clinical decisions
=> Serve as resource person to other staff
=> Monitor activities of assistive personnel
=> Identify staff actions that impact client confidentiality and intervene as needed (e.g., access to medical records, discussions at nurses station, change-of-shift reports)
=> Recognize staff member and client understanding of confidentiality requirements
=> Apply knowledge of facility regulations when accessing client records
=> Maintain client confidentiality*
=> Provide for privacy needs Continuity of Care
=> Follow up with client after discharge*
=> Participate in client discharge or transfer*
=> Provide follow-up for unresolved client care issues
=> Provide and receive report*
=> Record client information (e.g., medical record, referral/transfer form)
=> Use agency guidelines to guide client care (e.g., clinical pathways, care maps, care plans)
=> Organize and prioritize care based on client needs*
=> Participate in planning client care based upon client needs (e.g., diagnosis, abilities, prescribed treatment)
=> Use effective time management skills
=> Identify ethical issues affecting staff or client
=> Inform client of ethical issues affecting client care
=> Intervene to promote ethical practice
=> Practice in a manner consistent with code of ethics for nurses*
=> Review client and staff member knowledge of ethical issues affecting client care Informed Consent
=> Identify appropriate person to provide informed consent for client (e.g., client, parent, legal guardian)
=> Participate in client consent process*
=> Describe informed consent requirements (e.g., purpose for procedure, risks of procedure)
=> Recognize that informed consent was obtained (e.g., completed consent form, client understanding of procedure)
=> Use information technology in client care*
=> Access data for client or staff through online databases and journals
=> Enter computer documentation accurately, completely and in a timely manner
=> Identify legal issues affecting staff and client (e.g., refusing treatment)
=> Verify and process health care provider orders*
=> Recognize self-limitations of task/assignments and seek assistance when needed*
=> Respond to the unsafe practice of a health care provider (e.g., intervene, report)*
=> Follow regulation/policy for reporting specific issues (e.g., abuse, neglect, gunshot wound,
=> Document client care
=> Provide care within the legal scope of practice*
Performance Improvement (Quality Improvement)
=> Identify impact of performance improvement/quality improvement activities on client care
=> Participate in quality improvement (QI) activity (e.g., collecting data, serving on QI committee)*
=> Document performance improvement/quality improvement activities
=> Report identified performance improvement/quality improvement concerns to appropriate
personnel (e.g., nurse manager, risk manager)
=> Apply evidence-based practice when providing care*
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software Entry alternatives
Direct Entry medical professional of Nursing follow (DNP)
The Direct Entry doctor of Nursing observe software is an accelerated application designed for individuals who have a baccalaureate diploma or higher in fields other than nursing who want to pursue training as an advanced apply nurse. The Direct Entry DNP offers a seamless, built-in curriculum to put together college students for license as registered nurses and for certification as advanced observe nurses. during this program, students complete extensive prerequisite courses prior to enrollment. They examine and comprehensive advanced generalist nursing requirements on an intensive full-time foundation all over the primary 18-months of the application.
students will meet both the AACN essentials of Baccalaureate schooling for expert Nursing apply and the AACN essentials of graspâ€™s training in Nursing all through the 18-month pre-licensure component of the program. A master of Science in Nursing as an superior Generalist is conferred upon successful completion of the pre-licensure coursework, whereupon students are eligible to sit down for the country wide Council Licensure Examination (NCLEX-RN). The pre-licensure component of the application contains 56 educational credit.
After passing the NCLEX-RN test
and receiving a license as a registered nurse, students then proceed into the doctoral degree coursework in one of the following nurse practitioner specialty areas of follow: adult-Gerontology basic Care Nurse Practitioner, family unit Nurse Practitioner, Pediatric basic Care Nurse Practitioner, Psychiatric-mental fitness Nurse Practitioner, and girlsâ€™s health Nurse Practitioner. in an effort to growth to nurse practitioner analyze (doctoral degree), college students should be in respectable educational standing and be licensed as registered nurses. The application includes a scientific mission associated practicum, 1,000 clinical practice hours, and an extra 48 credit following conferral of the pre-licensure graspâ€™s diploma.
applicants are reviewed and permitted into the clinical forte application to which they follow and are assigned a medical placement year at the moment. college students are permitted to slow down and attend part-time all through the nurse practitioner part. To accomplish that, they should contact the graduate office to discover when a clinical seat can be purchasable. college students who want to exchange distinctiveness programs have to contact the graduate workplace and both application directors, practice and be accredited into the preferred distinctiveness software. Acceptance is not certain and might gradual completion of the degree because the clinical year is assigned on a space available groundwork.
Direct Entry application college students are not eligible to apply to the nurse anesthesia application as a result of admission to this application requires at the least one-yr of experience as a registered nurse in an intensive care (ICU) setting.
put up-Baccalaureate doctor of Nursing practice (DNP)
The put up-Baccalaureate DNP offers a seamless, integrated curriculum to put together registered nurses for certification as advanced follow nurses. This program, designed for people who dangle baccalaureate degree in nursing and wish to specialize in one in every of right here specialty apply areas: adult-Gerontology basic Care Nurse Practitioner, family unit Nurse Practitioner, Pediatric fundamental Care Nurse Practitioner, Psychiatric-intellectual health Nurse Practitioner, and girlsâ€™s health Nurse Practitioner, will also be accomplished on a full or part-time foundation. The application contains a scientific undertaking linked practicum, 1,000 scientific observe hours, and seventy oneâ€“74 tutorial credits.
put up-masterâ€™s medical professional of Nursing apply (DNP)
The post-graspâ€™s DNP application is designed for at present practicing graspâ€™s organized superior apply nurse practitioners who want to comprehensive a terminal follow degree application. Following an entire portfolio assessment and building on prior clinical skills and adventure, college students will center of attention on imaginative core category work in healthcare nice, safeguard, informatics, and policy. building on a groundwork of facts-based mostly follow knowledge, students will advance and lead an imaginative practice growth or trade mission. The software contains a challenge associated practicum and not less than 30 academic credit.
RN (ASN) to doctor to Nursing apply (DNP)
The RN to DNP program is designed for the affiliate diploma prepared registered nurse who desires to turn into an superior practice nurse and concentrate on one in all here uniqueness follow areas: grownup-Gerontology fundamental Care Nurse Practitioner, family Nurse Practitioner, Pediatric basic Care Nurse Practitioner, Psychiatric-intellectual fitness Nurse Practitioner, and womenâ€™s fitness Nurse Practitioner. Following an entire portfolio evaluation, an individualized curriculum of school room and scientific content material can be developed. students getting into through this route will be required to complete bridge route work in advance of starting the DNP curriculum. This software may also be completed on a full or part-time foundation. 1000 (1,000) advanced apply clinical hours and a medical challenge linked practicum are required. credit hours are dependent on results of the individual portfolio review.
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