NCLEX RN Test Plan 2
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Slide 1 - NCLEX-RN Test Plan
- Lesson 14
Slide 2 - Purpose of the NCLEX-RN
- The National Council of State Boards of Nursing (NCSBN)
- Task: To ensure that those who are licensed to practice as registered nurses are “Safe” in terms of their knowledge base.
- Candidates must successfully complete the exam in order to receive a license to practice.
- What passing the exam does not indicate.
- Tracking of the success of the first-time test takers.
Slide 3 - Components of the NCLEX-RN Test Plan
- Test Plan: www.ncsbn.org
Slide 4 - Client Needs Framework
- Four Main purposes are considered fundamental.
- Nursing Process
- Communication and documentation
- Teaching and Learning
- Focuses on all care settings
- Majority of items are written at the application or higher levels of cognitive ability.
Slide 5 - Framework of Client Needs
- Safe and Effective Care Environment
- Management of Care 17-23%
- Safety and Control 9-15%
- Heath Promotion and Maintenance 6-12%
- Psychosocial Integrity 6-12%
- Physiological Integrity
- Basic Care and Comfort 6-12%
- Pharmacological and Parenteral Therapies 12-18%
- Reduction of Risk Potential 9-15%
- Physiological Adaptation 11-17%
Slide 6 - Administration of the NCLEX-RN Exam
- Time allotted is 6 hours
- Includes the tutorial, sample questions and all breaks.
- All RN candidates must answer a minimum of 75 items. The maximum number of items that a RN candidate may answer is 265 during the allotted six-hour period.
Slide 7 - Computer Adaptive Testing
- See video
Slide 8 - Types of Questions on the NCLEX-RN Exam.
- Multiple choice
- Multiple answer
- Fill in the blanks/calculations
- Hot spots
- Drag and drop/ordered response
Slide 9 - Passing Standard
- Minimum level of ability required for safe and effective entry-level nursing practice.
- Evaluated every 3 years
- Performance of past graduates
- Past passing standards
Slide 10 - NCLEX Pass or Fail Decision RulesThe decision as to whether a candidate passes or fails the NCLEX-RN exam is governed by three different scenarios:
- The 95% Confidence Interval Rule: This scenario is the most common for NCLEX candidates. The computer will stop administering items when it is 95% certain that the candidate’s ability is either clearly above or clearly below the passing standard.
- Maximum-Length Exam: Some candidate’s ability levels will be very close to the passing standard. When this is the case, the computer continues to administer questions until the maximum number of items is reached. At this point the computer disregards the 95% confidence rule and considers only the final ability estimate.
- The final ability estimate is above the passing standard, the candidate passes.
- The final ability estimate is at or below the passing standard, the candidate fails
- Run-out-of-time Rule (R.O.O.T.): If a candidate runs out of time before reaching the maximum number of items and the computer has not determined with 95% certainty whether the candidate has passed or failed, and alternate criteria is used.
- If the candidate has not answered the minimum number of required items, the candidate automatically fails.
- If at least the minimum number of required items were answered, the computer looks at the last 60 ability estimates.
- If the last 60 ability estimates were consistently above the passing standard, the candidate passes.
- If the candidate’s ability estimate drops below the passing standard even once over the last 60 items, the candidate fails.
Slide 11 - Tips for preparation for the NCLEX-RN
- Conduct a Self Assessment
- Develop a time table
- Become familiar with the NCLEX-RN test plan.
- Practice answering test questions
Slide 12 - References
- National Council of State Boards of Nursing. (2013, April). NCLEX- RN Examination Test Plan. Retrieved from NCSBN: https://www.ncsbn.org/1287.htm
- National Council of State Boards of Nursing. (2014). 2014 NCLEX Candidate Bulletin. Retrieved from NCSBN: https://www.ncsbn.org/1213.htm
- Trice, L. L. (2009). Understanding the NCLEX-RN. In G. R. Halstead, Issues and Trends in Nursing (pp. 63-85). Sudbury Massachusetts: Jones and Bartlett Publishers.
Slide 13 - Quiz