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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
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A candidate for licensure is required to pass the appropriate NCLEX examination, NCLEX-RN for registered nurses and the NCLEX-PN for vocational or practical nurses. NCLEX examinations are designed to test the knowledge, skills and abilities essential for the safe and effective practice of nursing at the entry-level. Usually, NCLEX exams cover the following areas: Physiological Integrity, Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity.
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NCLEX NCLEX-PN Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Health Promotion and Maintenance | 6–12% | - Aging Process - Health and Wellness - Health Screening - Lifestyle Choices - Antepartum, Intrapartum, and Postpartum Care - Developmental Stages and Transitions - High-Risk Behaviors - Prevention and Early Detection of Disease - Newborn Care |
| Topic 2: Psychosocial Integrity | 6–12% | - Coping Mechanisms - Abuse and Neglect - Cultural Awareness - End-of-Life Care - Support Systems - Grief and Loss - Religious and Spiritual Influences - Stress Management - Crisis Intervention - Behavioral Interventions - Mental Health Concepts |
| Topic 3: Physiological Integrity | 38–62% | - Reduction of Risk Potential
|
| Topic 4: Clinical Judgment Model | Integrated throughout | - Analyze Cues - Take Action - Evaluate Outcomes - Recognize Cues - Generate Solutions - Prioritize Hypotheses |
| Topic 5: Safe and Effective Care Environment | 29–35% | - Coordinated Care
|
