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NCLEX

The NCLEX Exam is offered by Pearson VUE. The National Council of State Boards of Nursing has partnered with Pearson VUE to deliver the NCLEX exam. Pearson VUE offers both the NCLEX-RN and NCLEX-PN exams.

The NCLEX CAT testing format stands for a computer adaptive testing format. The computer during the NCLEX test will give you harder questions if you answer a question correctly or easier questions if you answer a question incorrectly. The first question on the NCLEX will be below the baseline required passing score. Consequently, a graph could be constructed using questions as points on the graph. The points above and below the passing baseline contribute to your overall testing score. The NCLEX test attempts to match you with questions that are at your level of nursing knowledge and understanding.

The NCLEX does not time each question presented in the CAT format. You are allowed to answer each question without time constraints. However, the NCLEX does have a test taking time of 5 hours.

NCLEX-RN vs. NCLEX-PN

One of the primary differences between the NCLEX-RN and NCLEX-PN is the different number of questions. Please review the following chart:

  NCLEX-RN NCLEX-PN
Minimum Number of Questions 75 85
NCLEX

Both of these tests require the same basic understanding of nursing practice and knowledge. The NCLEX-RN questions and the NCLEX-PN questions are presented with four multiple choice answer scenarios. In some cases, the NCLEX is using a more difficult question format that requires multiple right answers to be selected. However, the material that is covered is the same. On the NCLEX-RN nursing students are required to concentrate for a longer period of time due to the

higher number of questions. If the computer doesn't turn off at the minimum number of questions, continue to answer each question in a reasonable amount of time. Do not begin to rush through the questions, because you may have to answer the maximum number of questions on the exam. Anticipate going the distance and concentrating on each question.

Obviously, some of the NCLEX questions related to delegation of responsibility are different between these exams. Registered nurses will be asked to assign tasks to practical nurses and nursing assistants while prioritizing their patients. Likewise practical nurses will be asked questions that require assigning tasks to nursing assistants and requesting more assistance from registered nurses. Many of the study guides on the market have questions that help understand the delegation of responsibility task with nursing. According to the National Council of State Boards of Nursing, the NCLEX examination covers the following "categories of client needs":

Safe, Effective Care Environment
1.
Management of Care
2.
Safety and Infection Control
Health Promotion and Maintenance
1.
Growth and Development Through the Life Span.
2.
Prevention and Early Detection of Disease
Psychosocial Integrity
1.
Coping and Adaptation
2.
Psychosocial Adaptation
Physiological Integrity
1.
Basic Care and Comfort
2.
Pharmacological and Parenteral Therapies
3.
Reduction of Risk Potential
4.
Physiological Adaptation
Length of the test
1.
your ability to reason critically, analytically, and logically
2.
your ability to present your ideas in a coherent and organized manner
3.
your familiarity with the conventions of Standard Written English, including grammar and syntax (sentence structure)
Multiple-Choice

The multiple-choice writing questions measure your ability to:

1.
Improve sentences and paragraphs
2.
Identify errors (such as diction, grammar, sentence construction, subject-verb agreement, proper word usage, and wordiness)
3.
Try multiple-choice questions: Identifying Sentence Errors, Improving Sentences, Improving Paragraphs

The NCLEX examination is a multiple choice exam which uses an interactive system called Computerized Adaptive Testing (CAT) to gauge your level of competence. RN candidates will answer a minimum of 75 questions, LPN candidates a minimum of 85 questions. After you have answered the minimum number of questions, the computer will attempt to access your level of competence.

NCLEX

If you are clearly above the passing standard at this time, you will pass; likewise, if you are clearly below the standard you will fail. If you are too close to the standard to allow a definitive result to be determined, you will continue to answer questions until a final assessment can be made. RN candidates may take a maximum of 265 questions, LPN candidates a maximum of 205.

Time to Complete the Exam

You will have 5 hours in which to complete the exam. This includes the time set aside for the introductory computer tutorial and for two 10-minute breaks.

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