The NCLEX-PN is a computer-adaptive test that assesses knowledge of nursing practices in the United States. It covers four sections: Health Promotion and Maintenance, Safe and Effective Care Environment, Physiological Integrity, and Psychosocial Integrity. The test is administered by the NCSBN and only reports pass or fail scores.
The National Council for Practical/Professional Nurses Licensing Examination (NCLEX-PN) tests people in the United States who want to become licensed to practice nursing in their state. It is a computer-adaptive test, which means that the questions on the test change depending on the candidate’s response to the previous question. There can be anywhere from 85 to 205 questions on the exam, which are divided into four sections entitled Health Promotion and Maintenance, Safe and Effective Care Environment, Physiological Integrity, and Psychosocial Integrity. Each of these subjects includes subtopics. The test is administered by the National Board of State Boards of Nursing (NCSBN), which only reports exam scores as passing or failing.
Health Promotion and Maintenance The NCLEX-PN questions present topics that test a person’s understanding of preventive care and how to present this information to a patient. The test ensures that the person understands what information needs to relate to the person they are caring for and also tests the person’s ability to recognize that a patient has fully understood the risks of medical procedures and tests. Topics such as heart health, family planning, lifestyle changes, and risky behaviors are covered.
Safe and Effective Health Care The NCLEX-PN questions cover concepts around coordinated care and safety and infection control. The questions in this section test a person’s knowledge of accident prevention, patient confidentiality, hospital emergency plans, work-related documentation and codes of conduct. Environmental hazards and poison control issues are also addressed. Each question is listed along with four possible answers, from which the test taker must choose the correct one.
Physiological Integrity The NCLEX-PN questions cover basic care and comfort, risk reduction potential, pharmacological therapies, parenting therapies, and physiological adaptation. Many of these questions test a person’s knowledge of medicinal doses, such as how many milligrams of a pain reliever can be given in a given amount of time. This section of the NCLEX-PN also tests a patient’s knowledge of prevention and awareness of complications.
The fourth section of the NCLEX-PN questions presents information related to psychosocial integrity. These questions test the person’s knowledge of patient emotional care. Dealing with stressful occurrences, emotional events and family dynamics is a big part of the nursing profession. These questions demonstrate the person’s ability to help patients cope, understand, and move forward after a medical emergency or illness.
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