NCLEX-RN

NCLEX-RN (National Council Licensure EXamination-Registered Nurse). All Boards of Nursing in states and territories of the United States require candidates to pass this exam for licensure as a Registered Nurse (RN).

Exam content

The majority of test items are written at the application or higher levels of cognition but the exam may include items at all of the cognitive levels; mainly, memorization or recalling, knowledge, analysis and application.
The exam's content is based on client needs:
  • Safe Effective Care Environment
    • Management of Care
    • Safety and Infection Control
  • Health Promotion and Maintenance
  • Psychosocial Integrity
  • Physiological Integrity
    • Basic Care and Comfort
    • Pharmacological and Parenteral Therapies
    • Reduction of Risk Potential
    • Physiological Adaptation

Question types

Most of the questions of the NCLEX-RN exam are worded multiple choice questions. In recent years, however, the Boards of Nursing have added broader questions that don't involve multiple choice. For example, some questions:
  • Require identifying and selecting a particular area of a drawn body-part pertaining to the question
  • Involve selecting multiple correct answers (via check boxes)
  • Calculating an answer for a mathematical question (usually for medication dosages) and inputting the answer
  • Arranging according to order a certain medical or nursing procedure (e.g. how to don sterile gloves, or how to do a guaiac test)
Candidates will also encounter fill in the blank questions. Besides multiple choice, these are what are known as "New Format Questions". (wikipedia)

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