The NCLEX test plan is a content guideline to determine the distribution of test questions. NCSBN uses the “Client Needs” categories to ensure that the NCLEX covers a full spectrum of nursing activities. It is a summary of the content and scope of the NCLEX to serve as a guide for candidates pr...
NCLEX-RN Test Plan
The NCLEX test plan is a content guideline to determine the
distribution of test questions. NCSBN uses the “Client Needs”
categories to ensure that the NCLEX covers a full spectrum of
nursing activities. It is a summary of the content and scope of the
NCLEX to serve as a guide for candidates preparing for the exam
and to direct item writers in the development of items.
The content of the NCLEX-RN is organized into four major Client
Needs categories: Safe and Effective Care Environment, Health
Promotion and Maintenance, Psychosocial Integrity, Physiological
Integrity. Some of these categories are divided further into
subcategories.
Below is the NCLEX-RN test plan effective as of April 2019 to March
2022:
I. Safe and Effective Care Environment
Management of Care 17-23%
Safety and Infection Control 9-15%
II. Health Promotion and Maintenance 6-12%
III. Psychosocial Integrity 6-12%
IV. Physiological Integrity
Basic Care and Comfort 6-12%
Pharmacological and Parenteral Therapies 12-18%
Reduction of Risk Potential 9-15%
, Physiological Adaptation 11-17%
Safe and Effective Care
Environment
There are two subcategories under Safe and Effective Care
Environment.
Management of Care (17-23%) category includes
content that tests the nurse’s knowledge and ability to
direct nursing care that enhances the care delivery
setting in order to protect clients, significant others, and
health care personnel.
Safety and Infection Control (9-15%) category
includes content that tests the nurse’s ability required to
protect clients, families, and health care personnel from
health and environmental hazards.
Health Promotion and Maintenance
Health Promotion and Maintenance (6-12%) category includes
content that tests the nurse’s ability to provide and direct nursing
care of the client that incorporates knowledge of expected growth
and development, preventing and early detection of health
problems, and strategies to achieve optimal health.
Psychosocial Integrity
The Psychosocial Integrity category (6-12%) is content related
to the promotion and support for the emotional, mental, and social
well-being of the client experiencing stressful events and clients
with acute or chronic mental illness.
Physiological Integrity
In the Physiological Integrity category are items that test the nurse’s
ability to promote physical health and wellness by providing care
and comfort, reducing risk potential, and managing health
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