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Passing the NCLEX-PN exam is essential for anyone who wants to practice as an LPN or LVN in the United States. NCLEX-PN exam is computer-adaptive, which means that the difficulty level of the questions changes based on the test taker’s performance. The passing standard for the exam is based on the level of knowledge and skills required to provide safe and effective nursing care. Candidates who pass the exam will receive their nursing license from the state board of nursing.

NCLEX-PN exam is a computerized adaptive test (CAT), which means the level of difficulty of the questions is adjusted based on the candidate's performance. NCLEX-PN exam consists of multiple-choice questions that cover four main categories, including safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiological integrity. The test-taker must demonstrate competency in each of these categories to pass the exam.

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

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NCLEX NCLEX-PN Exam Syllabus Topics:

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

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