Both exams focus on four specific areas of practice. The first is safe effective care environment. This is about being able to maintain hygiene and control infections. The second element is health promotion and maintenance. Preventative healthcare is one of the most important fields of work today. Then, there is psychosocial integrity. This looks at your ability to cope with the stresses of being a nurse and also focuses on being able to deliver mental health care. The final and largest element of the NCLEX exam is physiological integrity, which accounts for 43% to 67% of all questions. This is about your ability to deliver proper nursing care.
In the past, all NCLEX questions were multiple choice. Although many are still of the multiple-choice type, a lot of questions are now in a different format. But 90% of the questions continue to be multiple choice. Questions come in three levels. Level 1 is general knowledge and generally delivered as multiple choice. Level 2 is on analysis and application, which may or may not be multiple choice. Level 3 questions are the hardest of all and require you to apply facts, processes and rules in order to answer them. Often, these questions are open questions. Around 90% of the exam is made up of level 2 and 3 questions.
Students will attend one of their regional Pearson Centers in order to sit the examination. They are delivered electronically. The number of questions that need to be answered varies per student, as they are generated based on the answers of your previous question. As such, you might have to answer anything between 75 and 265 questions. However, only 60 of the 75 questions actually count, with the other 15 being trial questions. You have six hours to complete the test, with a number of break times included. The passing mark depends on how you compare to predetermined standards.
In order to take the NCLEX exam, you must first ask your state board of nursing to be licensed. If they believe you have the necessary skills to become a nurse in the state, they will put you forward for the NCLEX examination. To confirm your place, you will receive the Authorization to Take the Test (ATT) letter.
At present, the cost of an NCLEX exam is $200.
The NCLEX-PN test plan provides a concise summary of the content and scope of the exam. It serves as a guide for both exam development and candidate preparation. The test plan links along with descriptions of each version are provided below.