The National Council Licensure Examination (NCLEX) is a nationwide examination for the licensing of nurses in the United States, Canada, and Australia since 1982, 2015, and 2020 respectively.
There are two types, the NCLEX-RN and the NCLEX-PN.
After graduation from a school of nursing. A nursing student will have to take the NCLEX exam to receive a nursing license. NCLEX allows the nurses to practice in different states where they meet the requirements. NCLEX exam is conducted by the National Council of State Boards of Nursing (NCSBN).
The NCSBN administers these examinations which consist of 50 state boards of nursing such as the District of Columbia, American Samoa, and four U.S territories, Guam, Northern Mariana Islands, and the US Virgin Islands.
NCLEX exam takes two forms, NCLEX-RN and NCLEX-PN tests candidates to ascertain their eligibility to become practical nurses as an initial and entrance examination.
Entrance exam questions for both the examinations is different and have different sub-topics: -
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Safe and Effective care environment.
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Health promotion maintenance.
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Psychological Integrity
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Physiological Integrity.
What do you mean by a safe and effective care environment?
This type of category contains approximately 21-33 percent of the NCLEX questions. This Category covers the safety
Of patient and effective measurement. How a nurse deals with a patient by using effective measurement. This past consist of questions like what are the safety issues in patient care, how to prevent patients from various injuries, infections, and complications? Various isolation precautions are measured.
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Safety for pediatric patients.
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Special Safety precautions for patients with psychiatric problems.
Besides, this portion also includes questions related to the investigation, laboratory tests, test results, and nursing procedures: -
This part is also divided into two subcategories: -
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Safety and Infection Control.
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Management of care.
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Safety and Infection Control
In this part, nurses will have to prevent the patients from healthcare personnel-related infection and also to protect healthcare personnel from environmental and health hazards. This sub-category includes 12% of the questions in
NCEX exam.
Apart from this, the nursing actions required for this exam are as follows: -
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Accident and Injury Prevention
The role of the nurse in this part is related to various accidental incidences and the preventive measures for instance,
These preventive measures are related to different hospital settings such as Geriatric patients, Pediatric patients, in case of elderly patients. Registered nurses must know about these accidents, for example, the risk of falls, seizure patients, psychiatric patients (Hyperactive patients), and restraints policies. Besides, RNs must also identify factors that cause injuries to others, and implement every strategy that is appropriate to the patient. Registered nurses also promote orthopedic cases and prevent them from further complications.
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Emergency Response Plan
Here, in this section for NCLEX preparation, a nurse should have knowledge related to emergency response plans. In Addition, she should know about the disaster situation and how she can manage conditions earlier by using her critical thinking and triage skills for planning purposes.
A RNs should know how to implement the plan and how she can participate in emergencies.
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Ergonomic Principles
In this section, the RNs must be aware of ergonomic principles while preparing for the NCLEX examination. Ergonomic principles include assessment of the client's mobility and RNs know about how to use assistive devices to balance, transfer, and ambulate a patient. Apart from this, health education and advice regarding proper body mechanics and mobility devices.
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Error prevention
This part will prepare you for some critical conditions and how to prevent them while dealing with the patient in any hospital setup. Such as, preventing the patient from allergic reactions related to medications, food, later
Identify the client's allergic history and must follow all the regimen according to the patient's needs Moreover, verify physician orders for treatments and medications and ensure that physician orders are appropriate and accurate.
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Handling Hazardous and Infectious materials
How to handle hazardous and infectious materials. This includes identifying biohazardous, radiation
exposure, chemical waste, and infectious materials. RNs must follow facility and various state-mandated procedures for handling chemical waste products, and radiation therapy materials and must follow the techniques of proper disposal of materials.
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Home safety
This section includes home visits and during home visits how to implement the discharge plan and it also depends upon patient condition such as, post-operative patients, chronic ill patients and different treatment modalities.
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Reporting of Incident, Event, Irregular Occurrence or Variance
This section will cover some important issues of incidents and reports. The RNs must identify earlier any errors and incidents and maintain these records appropriately.
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Safe use of equipment
This section is related to safe use of equipment in the NCLEX exam. The Registered Nurse must inspect all medical equipment for safety hazards, while using medical equipment and teach clients how to safely use medical equipment and also assess and remove malfunctioning equipment from the client care area and must report the problem to the proper department.
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Security plan
This question part will discuss various security plans and how RNs use clinical decision-making and critical thinking of planning. One must know about the different procedures for evacuation, perform principles of triage, and also participate in disaster management
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Surgical Asepsis, Standard, and Transmission based precautions
This part will cover the standard precautions, surgical asepsis techniques and Nosocomial and hospital-based infection precautionary measures.
The RN must assess the health care area for infection sources and understand communicable disease and the mode of transmission such as, airborne, surface, droplet or equipment.
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A Registered nurse must be aware of principles of infection control for example, universal precautions, Surgical asepsis, hand hygiene, Aseptic techniques and can use these techniques properly.
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RNs must know how to maintain asepsis and how to do aseptic precautions.
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Always use appropriate techniques to organize a sterile field.
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Follow correct policies in case of epidemic, pandemic, and in communicable infection.
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Should know about various precautions in case of immunocompromised patients.
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Must educate the team members on how to control and follow all the preventive measures.
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Use of Restraints and Safety Devices
This section is regarding the use of restraints and safety devices as covered in the NCLEX-RN examination.
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How to use restraints and safety devices requires knowledge related to those required safe devices.
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Must know about when and where we use these restraints.
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Should know when to monitor and evaluate the client response regarding who requires safe devices.
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Health Promotion and Maintenance
Health promotion is the process of improving and protecting the health of society, including communities and populations. However, health promotion and regulation is also based on planning and strategies.
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RNs must know about the implementation of these plans accordingly.
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Health promotion programs should be designed to improve population health outcomes.
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Equitable health distribution to all.
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How to improve health quality and also how to improve the availability of healthcare and related services.
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Psychosocial Integrity
Psychosocial integrity includes promoting and supporting the emotional, mental, and social well-being of the client who is experiencing psychological trauma related to injuries or disasters.
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Physiological Integrity
The nurse promotes physical health and wellness by providing care and comfort, reducing patient potential risks, and managing the health risks.
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Management of care
This subcategory accounts for 20% of the questions in the NCLEX-RN examination. The nursing knowledge required for this exam includes: -
This subcategory accounts for 20% of the questions in the NCLEX-RN examination. The nursing knowledge required for this exam includes: -
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Advance Directives.
Advance directives are linked with the quality of the living will and power of attorney for health care. The nursing actions required with advance directives include assessing client knowledge, care planning, education, life planning, and self-care determination.
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Advocacy
One of the major roles of a Registered Nurse is to act as an Advocate. This section will discuss the importance of advocacy as a nurse and identify various treatment options. Nurses must educate and empower staff members on how
to restore patients rights.
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Assignment, Delegation, and Supervision
Registered nurses must organize their assignments to manage time effectively and also identify their tasks that are appropriate for education, skills of the personnel performance, and delegation based on the Licensure Must know how to supervise and distribute work.
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Case Management
This section will discuss the benefits of Registered Nurses as case managers. They will make sure each client will get a multidisciplinary team approach such as medical management, Rehabilitation Services, various referral services, and community-based assessment and treatment.
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Client Rights
Registered Nurses must be aware of the client's right and familiar with all patient's rights. Registered nurses should also ensure that clients can select their healthcare provider, and provide them with proper information related to treatment choices. Apart from this, registered nurses should be familiar with the right to privacy, confidentiality, respect and dignity, patient autonomy, and compassionate care. This portion covers the questions related to the rights of patients.
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Collaboration with the Interdisciplinary Team
This section will cover collaboration with the interdisciplinary team. The registered nurse must identify the needed approach and know the significant strategies to work among the team.
Concepts of Management
This portion will cover the various concepts of management and objectives by creating and implementing
The established goals.
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Confidentiality and Information Security
This section will discuss the patient's relevant information and confidentiality. Registered nurses must intervene accordingly when confidentiality or security is at risk of being breached and report to the appropriate authorities when it has been breached.
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Consultation
This section will discuss consultation as covered by the NCLEX-RN exam. A Registered nurse must know when it is appropriate to recommend the specialist and how to understand the emergent condition of the patient.
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Continuity of Care
This section will discuss the promotion of continuity of care as a Registered Nurse. Continuity of care ensures the standardization of communication for hand-off and the treatment plan of the patient from admission time till discharge. We should know about the complete process.
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Establishing Priorities
The Registered Nurse knows about the patient's condition and will be able to prioritize the patient's treatment and nursing plan according to the patient's disease condition. This section is very crucial for the NCLEX-RN examination.
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Ethical Practice
This section covers the importance of ethical practice while dealing with patients in different setups.
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Information Technology
This portion covers the questions that are related to patients' documentation, treatment plans, and discharge plan records.
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Informed Consent
This section covers the Registered Nurse's responsibility to provide informed consent for the client. RNs must identify the appropriate person to provide informed consent for the client such as the parent, legal guardian, and client.
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Legal Rights and Responsibilities
The registered nurse must be aware of all the legal implications and what are the rights of clients and how a nurse should be responsible in case of legal responsibilities.
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Organ Donation
This portion covered all the important information which is related to organ donation. Registered nurses must know about the legal implications involved in organ donation and transplant. A registered nurse must be aware of various complications and risk factors associated with transplants.
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Performance Improvement and Risk Management
This section will define performance improvement and risk management. However, nurses must understand quality assurance and performance improvement activities.
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Referrals
This section will discuss referral plans according to the patient's condition and how to prevent further complications.
Given the above, this syllabus is part of the NCLEX-RN examination.
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