• Exam Code: NCLEX-PN
  • Exam Name: National Council Licensure Examination(NCLEX-PN)
  • Certification Provider: NCLEX
  • Corresponding Certification:NCLEX Certification
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What is the scoring of NCLEX-RN® Examination

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.

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

Certification Path for NCLEX-RN® Examination

The NCSBN Board of Directors (BOD) reevaluates the passing standard once every three years. The criterion that the BOD uses to set the standard is the minimum level of ability required for safe and effective entrylevel nursing practice.

To assist the BOD in making this decision, they are provided with information on:

  • The results of a standard setting survey sent to educators and employers; and
  • Information describing the educational readiness of high school graduates who express an interest in nursing
  • The historical record of the passing standard with summaries of the candidate performance associated with those standards
  • The results of a standard setting exercise performed by a panel of experts with the assistance of psychometricians

Once the passing standard is set, it is applied uniformly to every examination according to the procedures laid out in the Scoring the NCLEX section. To pass the NCLEX, a candidate must perform above the passing standard. There is no fixed percentage of candidates that pass or fail each examination.

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NCLEX NCLEX-PN Exam Syllabus Topics:

SectionWeightObjectives
Physiological Integrity38–62%- Pharmacological Therapies
  • 1. Pharmacological Interactions
    • 2. Medication Administration
      • 3. Dosage Calculation
        • 4. Side Effects
          • 5. Adverse Effects/Contraindications
            • 6. Pharmacological Pain Management
              - Physiological Adaptation
              • 1. Fluid and Electrolyte Imbalances
                • 2. Therapeutic Interventions
                  • 3. Hemodynamics
                    • 4. Medical Emergencies
                      • 5. Pathophysiology
                        • 6. Alterations in Body Systems
                          - Reduction of Risk Potential
                          • 1. Diagnostic Tests
                            • 2. Therapeutic Procedures
                              • 3. Potential for Complications
                                • 4. Laboratory Values
                                  • 5. Vital Signs
                                    - Basic Care and Comfort
                                    • 1. Assistive Devices
                                      • 2. Rest and Sleep
                                        • 3. Personal Hygiene
                                          • 4. Elimination
                                            • 5. Nutrition and Oral Hydration
                                              • 6. Mobility/Immobility
                                                Safe and Effective Care Environment29–35%- Safety and Infection Control
                                                • 1. Safety and Use of Equipment
                                                  • 2. Medical and Surgical Asepsis
                                                    • 3. Emergency Response Plans
                                                      • 4. Error Prevention
                                                        • 5. Standard Precautions
                                                          • 6. Accident Prevention
                                                            • 7. Handling Hazardous Materials
                                                              • 8. Infection Control
                                                                - Coordinated Care
                                                                • 1. Informed Consent
                                                                  • 2. Ethical Practice
                                                                    • 3. Assignment, Delegation, and Supervision
                                                                      • 4. Information Technology
                                                                        • 5. Legal Responsibilities
                                                                          • 6. Client Rights
                                                                            • 7. Quality Improvement
                                                                              • 8. Continuity of Care
                                                                                • 9. Advocacy
                                                                                  Health Promotion and Maintenance6–12%- Prevention and Early Detection of Disease
                                                                                  - Health and Wellness
                                                                                  - Antepartum, Intrapartum, and Postpartum Care
                                                                                  - Aging Process
                                                                                  - High-Risk Behaviors
                                                                                  - Lifestyle Choices
                                                                                  - Health Screening
                                                                                  - Newborn Care
                                                                                  - Developmental Stages and Transitions
                                                                                  Psychosocial Integrity6–12%- Grief and Loss
                                                                                  - Support Systems
                                                                                  - Coping Mechanisms
                                                                                  - Cultural Awareness
                                                                                  - Crisis Intervention
                                                                                  - Mental Health Concepts
                                                                                  - Behavioral Interventions
                                                                                  - Stress Management
                                                                                  - Religious and Spiritual Influences
                                                                                  - End-of-Life Care
                                                                                  - Abuse and Neglect
                                                                                  Clinical Judgment ModelIntegrated throughout- Prioritize Hypotheses
                                                                                  - Generate Solutions
                                                                                  - Evaluate Outcomes
                                                                                  - Take Action
                                                                                  - Recognize Cues
                                                                                  - Analyze Cues

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