Master The NCLEX-PN (2020)
Master The NCLEX-PN (2020) ensures success with step-by-step guidance and test strategies.
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MASTER THE™
NCLEX-PN®
5TH EDITION
NCLEX-PN®
5TH EDITION
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About Peterson’s
Peterson’s® has been your trusted educational publisher for over 50 years. It’s a milestone we’re quite
proud of, as we continue to offer the most accurate, dependable, high-quality educational content in the
field, providing you with everything you need to succeed. No matter where you are on your academic
or professional path, you can rely on Peterson’s for its books, online information, expert test-prep tools,
the most up-to-date education exploration data, and the highest quality career success resources—
everything you need to achieve your education goals. For our complete line of products, visit
www.petersons.com.
For more information, contact Peterson’s, 8740 Lucent Blvd., Suite 400, Highlands Ranch, CO 80129;
800-338-3282; or find us online at www.petersons.com.
Peterson’s makes every reasonable effort to obtain from reliable sources accurate, complete, and timely
information about the tests covered in this book. Nevertheless, changes can be made in the tests or the
administration of the tests at any time and Peterson’s makes no representation or warranty, either
expressed or implied as to the accuracy, timeliness, or completeness of the information contained in this
book.
© 2018 Peterson’s. All rights reserved. Previous editions © 2001, 2003, 2007, 2009
ALL RIGHTS RESERVED. No part of this work covered by the copyright herein may be reproduced
or used in any form or by any means—graphic, electronic, or mechanical, including photocopying,
recording, taping, Web distribution, or information storage and retrieval systems—without the prior
written permission of the publisher.
For permission to use material from this text or product, complete the Permission Request Form at
www.petersons.com/permissions.
ISBN: 978-0-7689-4240-8
Printed in the United States of America
10 9 8 7 6 5 4 3 2 1 20 19 18
Fifth Edition
Peterson’s® has been your trusted educational publisher for over 50 years. It’s a milestone we’re quite
proud of, as we continue to offer the most accurate, dependable, high-quality educational content in the
field, providing you with everything you need to succeed. No matter where you are on your academic
or professional path, you can rely on Peterson’s for its books, online information, expert test-prep tools,
the most up-to-date education exploration data, and the highest quality career success resources—
everything you need to achieve your education goals. For our complete line of products, visit
www.petersons.com.
For more information, contact Peterson’s, 8740 Lucent Blvd., Suite 400, Highlands Ranch, CO 80129;
800-338-3282; or find us online at www.petersons.com.
Peterson’s makes every reasonable effort to obtain from reliable sources accurate, complete, and timely
information about the tests covered in this book. Nevertheless, changes can be made in the tests or the
administration of the tests at any time and Peterson’s makes no representation or warranty, either
expressed or implied as to the accuracy, timeliness, or completeness of the information contained in this
book.
© 2018 Peterson’s. All rights reserved. Previous editions © 2001, 2003, 2007, 2009
ALL RIGHTS RESERVED. No part of this work covered by the copyright herein may be reproduced
or used in any form or by any means—graphic, electronic, or mechanical, including photocopying,
recording, taping, Web distribution, or information storage and retrieval systems—without the prior
written permission of the publisher.
For permission to use material from this text or product, complete the Permission Request Form at
www.petersons.com/permissions.
ISBN: 978-0-7689-4240-8
Printed in the United States of America
10 9 8 7 6 5 4 3 2 1 20 19 18
Fifth Edition
Loading page 5...
Petersonspublishing.com/publishingupdates
Check out our website at
www.petersonspublishing.com/publishingupdates to see if there is any
new information regarding the tests and any revisions or corrections to the
content of this book. We’ve made sure the information in this book is
accurate and up-to-date; however, the test format or content may have
changed since the time of publication.
Check out our website at
www.petersonspublishing.com/publishingupdates to see if there is any
new information regarding the tests and any revisions or corrections to the
content of this book. We’ve made sure the information in this book is
accurate and up-to-date; however, the test format or content may have
changed since the time of publication.
Loading page 6...
Contents
Before You Begin
How This Book Is Organized
Special Study Features
How to Get the Most Out of Your Review
Top 10 Strategies to Raise Your Score
Give Us Your Feedback
You’re Well on Your Way to Success!
PART I: NCLEX-PN® BASICS
1 All About the NCLEX-PN® Exam
About Practical Nursing and the Job Outlook
Exam Basics
The NCLEX-PN® Test Plan
Percentage of Exam Items
Integrated Nursing Processes
What to Expect on the Exam
Top 10 Strategies for Choosing the Correct Answer
Summing It Up
PART II: NCLEX-PN® REVIEW
2 Basic Nursing Concepts
The Nursing Process
Documentation
Role of the PN/VN
Pain Management
Nutrition
Nutritional Assessment
Therapeutic Diets
Infection Control
Legal Principles of PN Practice
Illegal Behavior
Risk Management
Ethical Principles
Professional Organizations
Summing It Up
Before You Begin
How This Book Is Organized
Special Study Features
How to Get the Most Out of Your Review
Top 10 Strategies to Raise Your Score
Give Us Your Feedback
You’re Well on Your Way to Success!
PART I: NCLEX-PN® BASICS
1 All About the NCLEX-PN® Exam
About Practical Nursing and the Job Outlook
Exam Basics
The NCLEX-PN® Test Plan
Percentage of Exam Items
Integrated Nursing Processes
What to Expect on the Exam
Top 10 Strategies for Choosing the Correct Answer
Summing It Up
PART II: NCLEX-PN® REVIEW
2 Basic Nursing Concepts
The Nursing Process
Documentation
Role of the PN/VN
Pain Management
Nutrition
Nutritional Assessment
Therapeutic Diets
Infection Control
Legal Principles of PN Practice
Illegal Behavior
Risk Management
Ethical Principles
Professional Organizations
Summing It Up
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Practice Exercises: Basic Nursing Concepts
Answer Key and Explanations
3 Nursing Procedures
Vital Signs
Hygiene
Mobility
Feeding the Client
Elimination—Bowel
Elimination—Urinary
Hot and Cold Therapy
Wound Care
Asepsis
Collecting Specimens
Care of the Dying
Summing It Up
Practice Exercises: Nursing Procedures
Answer Key and Explanations
4 Pharmacology
Basic Concepts
Medication Legislation
Medication Names
Medication Actions
Medication Metabolism (Pharmacokinetics)
Medication Forms
Responsibilities of the PN/VN in Medication Administration
Medication Interactions
Legal Aspects of Medication Administration
Routes of Medication Administration
Calculation of Medication Dosages
Medications that Require Specific Nursing Actions or Considerations
Summing It Up
Practice Exercises: Pharmacology
Answer Key and Explanations
5 Maternal/Newborn Nursing
Basic Concepts
Anatomy
Physiology
Childbearing
Maternal Changes During Pregnancy
Signs of Pregnancy
Antepartum Care
Labor and Delivery
Postpartum
Newborn
Summing It Up
Answer Key and Explanations
3 Nursing Procedures
Vital Signs
Hygiene
Mobility
Feeding the Client
Elimination—Bowel
Elimination—Urinary
Hot and Cold Therapy
Wound Care
Asepsis
Collecting Specimens
Care of the Dying
Summing It Up
Practice Exercises: Nursing Procedures
Answer Key and Explanations
4 Pharmacology
Basic Concepts
Medication Legislation
Medication Names
Medication Actions
Medication Metabolism (Pharmacokinetics)
Medication Forms
Responsibilities of the PN/VN in Medication Administration
Medication Interactions
Legal Aspects of Medication Administration
Routes of Medication Administration
Calculation of Medication Dosages
Medications that Require Specific Nursing Actions or Considerations
Summing It Up
Practice Exercises: Pharmacology
Answer Key and Explanations
5 Maternal/Newborn Nursing
Basic Concepts
Anatomy
Physiology
Childbearing
Maternal Changes During Pregnancy
Signs of Pregnancy
Antepartum Care
Labor and Delivery
Postpartum
Newborn
Summing It Up
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Practice Exercises: Maternal/Newborn Nursing
Answer Key and Explanations
6 Pediatric Nursing
Basic Concepts
Nursing Care of Sick Children
Child Development
Toddler Development
Preschool-Aged Child Development (3–6 years)
School-Aged Child Development (6–12 years)
Adolescent Development (12–20 years)
Respiratory Disorders
Gastrointestinal Disorders
Genitourinary Disorders
Endocrine Disorders
Cardiovascular Disorders
Hematopoietic Disorders
Neurological Disorders
Musculoskeletal Disorders
Cognitive and Sensory Disorders
Skin Disorders
Growth and Development Disorders
Summing It Up
Practice Exercises: Pediatric Nursing
Answer Key and Explanations
7 Psychiatric Nursing
Basic Concepts
Personality and Self-Concept
Anxiety
Anxiety Disorders
Assessment and Treatment
Destructive Coping: Disorders of Abuse and Dependence
Affective Disorders
Thought Disturbances
Pharmacological Treatment of Psychiatric Disorders
Summing It Up
Practice Exercises: Psychiatric Nursing
Answer Key and Explanations
8 The Neurologic System
Basic Concepts
Central Nervous System
Peripheral Nervous System
Autonomic Nervous System
Neurons
Neurological Assessment
Neurologic System Disorders
Answer Key and Explanations
6 Pediatric Nursing
Basic Concepts
Nursing Care of Sick Children
Child Development
Toddler Development
Preschool-Aged Child Development (3–6 years)
School-Aged Child Development (6–12 years)
Adolescent Development (12–20 years)
Respiratory Disorders
Gastrointestinal Disorders
Genitourinary Disorders
Endocrine Disorders
Cardiovascular Disorders
Hematopoietic Disorders
Neurological Disorders
Musculoskeletal Disorders
Cognitive and Sensory Disorders
Skin Disorders
Growth and Development Disorders
Summing It Up
Practice Exercises: Pediatric Nursing
Answer Key and Explanations
7 Psychiatric Nursing
Basic Concepts
Personality and Self-Concept
Anxiety
Anxiety Disorders
Assessment and Treatment
Destructive Coping: Disorders of Abuse and Dependence
Affective Disorders
Thought Disturbances
Pharmacological Treatment of Psychiatric Disorders
Summing It Up
Practice Exercises: Psychiatric Nursing
Answer Key and Explanations
8 The Neurologic System
Basic Concepts
Central Nervous System
Peripheral Nervous System
Autonomic Nervous System
Neurons
Neurological Assessment
Neurologic System Disorders
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Summing It Up
Practice Exercises: The Neurologic System
Answer Key and Explanations
9 The Sensory System
Basic Concepts
The Eye
Eye Disorders
The Ear
Ear Disorders
Summing It Up
Practice Exercises: The Sensory System
Answer Key and Explanations
10 The Endocrine System
Basic Concepts
Endocrine Glands
Endocrine Disorders
Pancreas
Summing It Up
Practice Exercises: The Endocrine System
Answer Key and Explanations
11 The Gastrointestinal System
Basic Concepts
Digestive System
Assessment of the GI System
GI System Disorders
Liver
Gallbladder
Pancreas
Summing It Up
Practice Exercises: The Gastrointestinal System
Answer Key and Explanations
12 The Urinary and Renal Systems
Basic Concepts
Anatomy and Physiology
Urinary and Renal Assessment
Urinary and Renal Disorders
Summing It Up
Practice Exercises: The Urinary and Renal Systems
Answer Key and Explanations
13 The Hematologic and Immune Systems
Basic Concepts
Physiology of the Blood
Physiology of the Immune System
Practice Exercises: The Neurologic System
Answer Key and Explanations
9 The Sensory System
Basic Concepts
The Eye
Eye Disorders
The Ear
Ear Disorders
Summing It Up
Practice Exercises: The Sensory System
Answer Key and Explanations
10 The Endocrine System
Basic Concepts
Endocrine Glands
Endocrine Disorders
Pancreas
Summing It Up
Practice Exercises: The Endocrine System
Answer Key and Explanations
11 The Gastrointestinal System
Basic Concepts
Digestive System
Assessment of the GI System
GI System Disorders
Liver
Gallbladder
Pancreas
Summing It Up
Practice Exercises: The Gastrointestinal System
Answer Key and Explanations
12 The Urinary and Renal Systems
Basic Concepts
Anatomy and Physiology
Urinary and Renal Assessment
Urinary and Renal Disorders
Summing It Up
Practice Exercises: The Urinary and Renal Systems
Answer Key and Explanations
13 The Hematologic and Immune Systems
Basic Concepts
Physiology of the Blood
Physiology of the Immune System
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Hematological System Disorders
Immune System Disorders
Summing It Up
Practice Exercises: The Hematologic and Immune Systems
Answer Key and Explanations
14 Oncology
Basic Concepts
Cancer Diagnosis
Cancer Treatment
Nursing Care
Summing It Up
Practice Exercises: Oncology
Answer Key and Explanations
15 The Integumentary System
Basic Concepts
Skin Structure and Function
Skin Assessment
Integumentary System Disorders
Summing It Up
Practice Exercises: The Integumentary System
Answer Key and Explanations
16 The Respiratory System
Basic Concepts
Anatomy and Physiology
Diagnostic Tests for Respiratory Function
Respiratory System Disorders
Summing It Up
Practice Exercises: The Respiratory System
Answer Key and Explanations
17 The Reproductive System
Basic Concepts
The Male Reproductive System
The Female Reproductive System
Client Assessment
Male Reproductive System Disorders
Female Reproductive System Disorders
Other Reproductive Disorders
Summing It Up
Practice Exercises: The Reproductive System
Answer Key and Explanations
18 The Cardiovascular System
Basic Concepts
Cardiovascular Anatomy
Immune System Disorders
Summing It Up
Practice Exercises: The Hematologic and Immune Systems
Answer Key and Explanations
14 Oncology
Basic Concepts
Cancer Diagnosis
Cancer Treatment
Nursing Care
Summing It Up
Practice Exercises: Oncology
Answer Key and Explanations
15 The Integumentary System
Basic Concepts
Skin Structure and Function
Skin Assessment
Integumentary System Disorders
Summing It Up
Practice Exercises: The Integumentary System
Answer Key and Explanations
16 The Respiratory System
Basic Concepts
Anatomy and Physiology
Diagnostic Tests for Respiratory Function
Respiratory System Disorders
Summing It Up
Practice Exercises: The Respiratory System
Answer Key and Explanations
17 The Reproductive System
Basic Concepts
The Male Reproductive System
The Female Reproductive System
Client Assessment
Male Reproductive System Disorders
Female Reproductive System Disorders
Other Reproductive Disorders
Summing It Up
Practice Exercises: The Reproductive System
Answer Key and Explanations
18 The Cardiovascular System
Basic Concepts
Cardiovascular Anatomy
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Cardiac Physiology
Blood Composition
Assessment of the Cardiovascular System
Diagnostic Tests for Cardiovascular Assessment
Cardiovascular System Disorders
Vascular Disorders
Summing It Up
Practice Exercises: The Cardiovascular System
Answer Key and Explanations
19 The Musculoskeletal System
Basic Concepts
Skeleton
Joints and Connective Tissue
Muscular System
Musculoskeletal System Disorders
Summing It Up
Practice Exercises: The Musculoskeletal System
Answer Key and Explanations
PART III: TWO PRACTICE TESTS
Practice Test 1
Answer Sheet
Answer Key and Explanations
Practice Test 2
Answer Sheet
Answer Key and Explanations
APPENDICES
Appendix A: State Boards of Nursing
Appendix B: PN/VN Organizations
Appendix C: Websites of Interest
Blood Composition
Assessment of the Cardiovascular System
Diagnostic Tests for Cardiovascular Assessment
Cardiovascular System Disorders
Vascular Disorders
Summing It Up
Practice Exercises: The Cardiovascular System
Answer Key and Explanations
19 The Musculoskeletal System
Basic Concepts
Skeleton
Joints and Connective Tissue
Muscular System
Musculoskeletal System Disorders
Summing It Up
Practice Exercises: The Musculoskeletal System
Answer Key and Explanations
PART III: TWO PRACTICE TESTS
Practice Test 1
Answer Sheet
Answer Key and Explanations
Practice Test 2
Answer Sheet
Answer Key and Explanations
APPENDICES
Appendix A: State Boards of Nursing
Appendix B: PN/VN Organizations
Appendix C: Websites of Interest
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Before You Begin
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HOW THIS BOOK IS ORGANIZED
Peterson’s Master the™ NCLEX-PN® provides a review of your practical
nursing studies in outline form and as an overview of the Test Plan for the
NCLEX-PN exam. This self-tutoring process combines the most effective
practice with the content that you can expect to see on the actual exam.
Taking the NCLEX-PN is a skill. It shares some aspects with other
endeavors, such as competing in athletics. It requires discipline and practice
to succeed. These are skills that can be improved through coaching, but
ultimately, improvement also requires practice. Peterson’s Master™ the
NCLEX-PN® gives you both.
• “Top 10 Strategies to Raise Your Score” outlines time-tested strategies
for doing your best on the exam.
• Part I includes all you need to know about the NCLEX-PN Test Plan and
exam.
• Part II provides a content review that will help you do your best on the
exam.
• Part III consists of two complete Practice Tests that simulate the actual
exam, so you’re fully prepared for test day.
• Appendices provide information on state boards of nursing and
professional organizations, as well as websites you can check for health,
education, and job information.
SPECIAL STUDY FEATURES
Overview
Each chapter begins with a bulleted overview listing the topics that are
covered in the chapter. The overviews tell you immediately where to look for
a topic that you need to review.
Summing It Up
Peterson’s Master the™ NCLEX-PN® provides a review of your practical
nursing studies in outline form and as an overview of the Test Plan for the
NCLEX-PN exam. This self-tutoring process combines the most effective
practice with the content that you can expect to see on the actual exam.
Taking the NCLEX-PN is a skill. It shares some aspects with other
endeavors, such as competing in athletics. It requires discipline and practice
to succeed. These are skills that can be improved through coaching, but
ultimately, improvement also requires practice. Peterson’s Master™ the
NCLEX-PN® gives you both.
• “Top 10 Strategies to Raise Your Score” outlines time-tested strategies
for doing your best on the exam.
• Part I includes all you need to know about the NCLEX-PN Test Plan and
exam.
• Part II provides a content review that will help you do your best on the
exam.
• Part III consists of two complete Practice Tests that simulate the actual
exam, so you’re fully prepared for test day.
• Appendices provide information on state boards of nursing and
professional organizations, as well as websites you can check for health,
education, and job information.
SPECIAL STUDY FEATURES
Overview
Each chapter begins with a bulleted overview listing the topics that are
covered in the chapter. The overviews tell you immediately where to look for
a topic that you need to review.
Summing It Up
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Each review chapter ends with a point-by-point summary that captures the
most important information in the chapter. The summaries are a convenient
way to review these points one last time before the exam.
Bonus Information
Three types of bonus information are scattered throughout the book. Each
type highlights specific NCLEX-PN facts:
NOTE
Notes highlight critical information about the NCLEX-PN format.
TIP
Tips draw your attention to valuable concepts and advice for tackling the
NCLEX-PN exam.
ALERT!
An Alert! warns you about a common test-taking error or makes you aware of
an important nursing procedure.
Access Two NCLEX-PN Tests Online
Peterson’s provides you with access to two additional practice tests for the
NCLEX-PN exam. The testing content of these two practice tests was created
by the test-prep experts at Peterson’s. The Peterson’s online testing
experience resembles the testing experience you will find on the NCLEX-PN
exam. You can access these two practice tests at
www.petersonspublishing.com/NCLEX-PN. You will be asked to enter your
e-mail address, and Peterson’s will e-mail you an activation code and the link
needed to access the online practice tests for the NCLEX-PN exam.
HOW TO GET THE MOST OUT OF YOUR
REVIEW
most important information in the chapter. The summaries are a convenient
way to review these points one last time before the exam.
Bonus Information
Three types of bonus information are scattered throughout the book. Each
type highlights specific NCLEX-PN facts:
NOTE
Notes highlight critical information about the NCLEX-PN format.
TIP
Tips draw your attention to valuable concepts and advice for tackling the
NCLEX-PN exam.
ALERT!
An Alert! warns you about a common test-taking error or makes you aware of
an important nursing procedure.
Access Two NCLEX-PN Tests Online
Peterson’s provides you with access to two additional practice tests for the
NCLEX-PN exam. The testing content of these two practice tests was created
by the test-prep experts at Peterson’s. The Peterson’s online testing
experience resembles the testing experience you will find on the NCLEX-PN
exam. You can access these two practice tests at
www.petersonspublishing.com/NCLEX-PN. You will be asked to enter your
e-mail address, and Peterson’s will e-mail you an activation code and the link
needed to access the online practice tests for the NCLEX-PN exam.
HOW TO GET THE MOST OUT OF YOUR
REVIEW
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You will need to set aside at least three weeks of study to get the most out of
your exam review. Begin by reading the “Top 10 Strategies to Raise Your
Score,” and then plan your schedule so that you can dedicate 1 to 2 hours
every day to your review.
A good plan of study is to review one chapter each day and complete the
exercises that accompany it to see how well you have mastered that material.
When you have finished your review of all the subjects, take the Practice
Tests. This will help you assess how well you do on each Practice Test. After
taking each test, review any topics with which you are still having trouble
before taking the next test. This will help you sharpen your test-taking skills.
TOP 10 STRATEGIES TO RAISE YOUR
SCORE
In taking the NCLEX-PN exam, some strategies are more useful than
others. The following tips will help you raise your score.
1. Create a study plan and stick to it. The right study plan will help you
get the most out of this book in the time that you have.
2. Review key test elements daily for several weeks before the exam.
Reread the Test Plan to be sure that you understand the categories
and subcategories, and reread the information about alternate test
formats.
3. Complete all the exercises in this book. Doing so will help you
recognize your areas of strength and discover which areas need
improvement.
4. If possible, visit the test center before the day of the exam. This will
help you become familiar with the location and how long it takes to
travel there. On the day of the exam, leave plenty of time to get to
the test center in case the buses/subways/trains are running late, the
weather is bad, or parking your car is a problem.
5. Avoid cramming the night before the exam. This will only make you
feel more nervous. It is not likely to help you learn enough to make
a difference on your test score.
your exam review. Begin by reading the “Top 10 Strategies to Raise Your
Score,” and then plan your schedule so that you can dedicate 1 to 2 hours
every day to your review.
A good plan of study is to review one chapter each day and complete the
exercises that accompany it to see how well you have mastered that material.
When you have finished your review of all the subjects, take the Practice
Tests. This will help you assess how well you do on each Practice Test. After
taking each test, review any topics with which you are still having trouble
before taking the next test. This will help you sharpen your test-taking skills.
TOP 10 STRATEGIES TO RAISE YOUR
SCORE
In taking the NCLEX-PN exam, some strategies are more useful than
others. The following tips will help you raise your score.
1. Create a study plan and stick to it. The right study plan will help you
get the most out of this book in the time that you have.
2. Review key test elements daily for several weeks before the exam.
Reread the Test Plan to be sure that you understand the categories
and subcategories, and reread the information about alternate test
formats.
3. Complete all the exercises in this book. Doing so will help you
recognize your areas of strength and discover which areas need
improvement.
4. If possible, visit the test center before the day of the exam. This will
help you become familiar with the location and how long it takes to
travel there. On the day of the exam, leave plenty of time to get to
the test center in case the buses/subways/trains are running late, the
weather is bad, or parking your car is a problem.
5. Avoid cramming the night before the exam. This will only make you
feel more nervous. It is not likely to help you learn enough to make
a difference on your test score.
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6. Relax the night before the test. Try to take your mind off the exam
for a while. Go to a movie or hang out with a friend—but not with
someone who will be taking the test with you.
7. Be sure to bring one acceptable form of identification to the test
center. You will not be able to take the exam without the proper
form of identification, and you will have to reregister and pay
another examination fee.
8. Listen to what the test administrator tells you, and pay attention to
the tutorial. Don’t worry, however: You don’t need to be a computer
whiz to take the test.
9. Read every word of every question on the exam. Pay attention to
details. They provide clues to the answer and help prevent you from
selecting the wrong answer choice.
10. Don’t spend too much time on any one question. You have up to 5
hours to complete your exam—but you still can’t afford to spend too
much time on any one question. Try to maintain a steady pace. But
it is more important to get the questions right as you go through—
that is how a CAT (computer adaptive test) works.
GIVE US YOUR FEEDBACK
Peterson’s publishes a full line of books—test prep, education exploration,
financial aid, and career preparation. Peterson’s publications can be found at
high school guidance offices, college libraries and career centers, and your
local bookstore and library. In addition, you can find Peterson’s products
online at www.petersons.com.
We welcome any comments or suggestions you may have about this
publication. Please call our customer service department at 800-338-3282
Ext. 54229 or send an e-mail message to custsvc@petersons.com. Your
feedback will help us make educational dreams possible for you—and others
like you.
YOU’RE WELL ON YOUR WAY TO SUCCESS!
for a while. Go to a movie or hang out with a friend—but not with
someone who will be taking the test with you.
7. Be sure to bring one acceptable form of identification to the test
center. You will not be able to take the exam without the proper
form of identification, and you will have to reregister and pay
another examination fee.
8. Listen to what the test administrator tells you, and pay attention to
the tutorial. Don’t worry, however: You don’t need to be a computer
whiz to take the test.
9. Read every word of every question on the exam. Pay attention to
details. They provide clues to the answer and help prevent you from
selecting the wrong answer choice.
10. Don’t spend too much time on any one question. You have up to 5
hours to complete your exam—but you still can’t afford to spend too
much time on any one question. Try to maintain a steady pace. But
it is more important to get the questions right as you go through—
that is how a CAT (computer adaptive test) works.
GIVE US YOUR FEEDBACK
Peterson’s publishes a full line of books—test prep, education exploration,
financial aid, and career preparation. Peterson’s publications can be found at
high school guidance offices, college libraries and career centers, and your
local bookstore and library. In addition, you can find Peterson’s products
online at www.petersons.com.
We welcome any comments or suggestions you may have about this
publication. Please call our customer service department at 800-338-3282
Ext. 54229 or send an e-mail message to custsvc@petersons.com. Your
feedback will help us make educational dreams possible for you—and others
like you.
YOU’RE WELL ON YOUR WAY TO SUCCESS!
Loading page 17...
Remember that knowledge is power. Using Peterson’s Master theTM NCLEX-
PN® will help you become familiar with the kind of content that appears in
the actual NCLEX-PN® exam. We look forward to helping you obtain your
PN/VN certification. Good luck!
PN® will help you become familiar with the kind of content that appears in
the actual NCLEX-PN® exam. We look forward to helping you obtain your
PN/VN certification. Good luck!
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PART I
NCLEX-PN® BASICS
CHAPTER 1 All About the NCLEX-PN®
Exam
NCLEX-PN® BASICS
CHAPTER 1 All About the NCLEX-PN®
Exam
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Chapter 1
All About the NCLEX-PN® Exam
OVERVIEW
• About Practical Nursing and the Job Outlook
• Exam Basics
• The NCLEX-PN® Test Plan
• Percentage of Exam Items
• Integrated Nursing Processes
• What to Expect on the Exam
• Top 10 Strategies for Choosing the Correct Answer
• Summing It Up
ABOUT PRACTICAL NURSING AND THE JOB
OUTLOOK
The practical nursing profession began in the late 1800s. Women were
trained for careers as home “attendants” caring for invalids, the elderly, and
children in home settings. The profession moved outside the home during
World Wars I and II, when the country had an acute need for nurses to care
for wounded soldiers. In the 1940s, the National Association of Practical
Nurse Education was formed. The organization developed a curriculum for
Licensed Practical Nurses (LPNs), and in the late 1950s, the National League
for Nursing began accrediting LPN schools in addition to those that trained
registered nurses (RNs).
All About the NCLEX-PN® Exam
OVERVIEW
• About Practical Nursing and the Job Outlook
• Exam Basics
• The NCLEX-PN® Test Plan
• Percentage of Exam Items
• Integrated Nursing Processes
• What to Expect on the Exam
• Top 10 Strategies for Choosing the Correct Answer
• Summing It Up
ABOUT PRACTICAL NURSING AND THE JOB
OUTLOOK
The practical nursing profession began in the late 1800s. Women were
trained for careers as home “attendants” caring for invalids, the elderly, and
children in home settings. The profession moved outside the home during
World Wars I and II, when the country had an acute need for nurses to care
for wounded soldiers. In the 1940s, the National Association of Practical
Nurse Education was formed. The organization developed a curriculum for
Licensed Practical Nurses (LPNs), and in the late 1950s, the National League
for Nursing began accrediting LPN schools in addition to those that trained
registered nurses (RNs).
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Today, more than 1,500 state nursing board–approved training programs for
practical nurses/vocational nurses (PN/VNs) are offered through vocational
and technical schools and community and junior colleges. Some high
schools, hospitals, colleges, and universities also offer PN/VN programs.
Admission generally requires a high school diploma or its equivalent.
Programs are typically one-third class work and two-thirds clinical work, but
class content is just as important as gaining clinical experience. Courses
usually cover basic nursing concepts and client-care subjects, including
anatomy, physiology, pediatrics, obstetrics, psychiatric nursing, drug therapy,
medical-surgical nursing, nutrition, and first aid.
Becoming Licensed
A PN’s scope of practice is defined by the rules and regulations of the State
Board of Nursing of each state. To obtain a license, a PN/VN must pass the
NCLEX-PN exam developed by the National Council of State Boards of
Nursing (NCSBN), Inc. This is a national test with no state-specific sections.
To practice in a state other than the one in which you are originally licensed,
a PN must apply to the new state’s Board of Nursing for licensure. Through
Interstate Endorsement, the license is usually granted after checking the PN’s
records, without the PN having to retake the NLCEX-PN. Requirements vary
from state to state, however, so be sure to check with a state’s Board of
Nursing for its licensing conditions and process.
The Enhanced Nurse Licensure Compact (eNLC) is another means of gaining
mutual recognition licensure. Through the eNLC, a nurse holds a license in
the state in which he or she lives but may practice, both in-person and via the
Internet, in other states that belong to the eNLC. For the most up-to-date list
of states in the compact, visit www.ncsbn.org/eNLC. PN/VNs interested in
obtaining information about the eNLC should contact the Board of Nursing in
the state in which they live. Appendix A of this book provides contact
information for the Boards of Nursing for each state and identifies those
participating in the eNLC.
practical nurses/vocational nurses (PN/VNs) are offered through vocational
and technical schools and community and junior colleges. Some high
schools, hospitals, colleges, and universities also offer PN/VN programs.
Admission generally requires a high school diploma or its equivalent.
Programs are typically one-third class work and two-thirds clinical work, but
class content is just as important as gaining clinical experience. Courses
usually cover basic nursing concepts and client-care subjects, including
anatomy, physiology, pediatrics, obstetrics, psychiatric nursing, drug therapy,
medical-surgical nursing, nutrition, and first aid.
Becoming Licensed
A PN’s scope of practice is defined by the rules and regulations of the State
Board of Nursing of each state. To obtain a license, a PN/VN must pass the
NCLEX-PN exam developed by the National Council of State Boards of
Nursing (NCSBN), Inc. This is a national test with no state-specific sections.
To practice in a state other than the one in which you are originally licensed,
a PN must apply to the new state’s Board of Nursing for licensure. Through
Interstate Endorsement, the license is usually granted after checking the PN’s
records, without the PN having to retake the NLCEX-PN. Requirements vary
from state to state, however, so be sure to check with a state’s Board of
Nursing for its licensing conditions and process.
The Enhanced Nurse Licensure Compact (eNLC) is another means of gaining
mutual recognition licensure. Through the eNLC, a nurse holds a license in
the state in which he or she lives but may practice, both in-person and via the
Internet, in other states that belong to the eNLC. For the most up-to-date list
of states in the compact, visit www.ncsbn.org/eNLC. PN/VNs interested in
obtaining information about the eNLC should contact the Board of Nursing in
the state in which they live. Appendix A of this book provides contact
information for the Boards of Nursing for each state and identifies those
participating in the eNLC.
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NOTE
Licensed Vocational Nurse (LVN, or VN) is the title given to entry-
level nurses practicing in Texas and California. These caregivers
are known as Licensed Practical Nurses (LPNs or PNs) in all other
states.
The Job Outlook
PN/VNs work in many different settings. According to the U.S. Bureau of
Labor Statistics (www.bls.gov), about 16 percent of PN/VNs work in
hospitals, 38 percent in nursing and residential care facilities, 13 percent in
doctors’ offices, and 7 percent have government jobs. The remaining work in
places like home health care services, employment services, community care
facilities for the elderly, and outpatient care centers. A PN/VN’s job is to
provide basic care under the supervision of doctors and RNs.
In general, a PN/VN’s duties may include:
• gathering client health information
• taking vital signs
• changing dressings
• performing routine laboratory tests
• teaching clients good health habits
• teaching family members how to care for an ill relative
• helping clients with bathing, dressing, and personal hygiene
Duties may also depend on one’s job setting. As a home health care aide, a
PN/VN may prepare meals for a client. In a doctor’s office or clinic, a
PN/VN may make appointments and keep medical records. However, as
more procedures are performed in doctor’s offices and outpatient facilities,
PN/VNs have begun taking on direct care responsibilities for clients
Licensed Vocational Nurse (LVN, or VN) is the title given to entry-
level nurses practicing in Texas and California. These caregivers
are known as Licensed Practical Nurses (LPNs or PNs) in all other
states.
The Job Outlook
PN/VNs work in many different settings. According to the U.S. Bureau of
Labor Statistics (www.bls.gov), about 16 percent of PN/VNs work in
hospitals, 38 percent in nursing and residential care facilities, 13 percent in
doctors’ offices, and 7 percent have government jobs. The remaining work in
places like home health care services, employment services, community care
facilities for the elderly, and outpatient care centers. A PN/VN’s job is to
provide basic care under the supervision of doctors and RNs.
In general, a PN/VN’s duties may include:
• gathering client health information
• taking vital signs
• changing dressings
• performing routine laboratory tests
• teaching clients good health habits
• teaching family members how to care for an ill relative
• helping clients with bathing, dressing, and personal hygiene
Duties may also depend on one’s job setting. As a home health care aide, a
PN/VN may prepare meals for a client. In a doctor’s office or clinic, a
PN/VN may make appointments and keep medical records. However, as
more procedures are performed in doctor’s offices and outpatient facilities,
PN/VNs have begun taking on direct care responsibilities for clients
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undergoing these procedures. PN/VNs who work in nursing homes may
evaluate clients and develop care plans. In some states, PN/VNs may also
administer prescribed medications and intravenous fluids.
In 2016, employment opportunities for PN/VNs numbered 724,500. The U.S.
Bureau of Labor Statistics (BLS) predicts that PN/VN positions are projected
to grow 12 percent by 2026. Practical nursing is now a fast-growing
occupation in part because of the long-term care needs of a growing
population of older people. Home health care services, nursing care facilities,
and health care providers’ offices and clinics are expected to offer an
increasing number of opportunities for PV/VNs.
Salaries for PV/VNs are also rising. According to the BLS, in 2016, the
median annual salary of PN/VNs was $44,090. Annual earnings are expected
to continue rising as the demand for PN/VNs exceeds supply in the next five
to ten years.
EXAM BASICS
NCSBN conducts periodic surveys every three years of the tasks performed
by practicing PNs and the knowledge and skills they need to perform them.
This information becomes the basis of the Test Plan and the questions for the
exam. Both the NCLEX-RN and NCLEX-PN exams are computer-based
tests; they are not available in paper form.
You don’t need to be especially computer savvy to take the test. The test
administrator will show you how to use the computer, and you will be
presented with sample questions to help you get a little practice before you
start the actual exam. Mixed in the first 85 questions are 25 questions that
NCSBN uses to gather data. They do not count towards determination of
pass/fail. They cannot be distinguished from the scored questions.
NCLEX-PN tests are administered only at Pearson Professional Centers.
There is no minimum time for completing the exam, but the maximum time
is 5 hours. The 5-hour limit includes time to take a tutorial, which explains
the alternate item formats and provides sample questions.
evaluate clients and develop care plans. In some states, PN/VNs may also
administer prescribed medications and intravenous fluids.
In 2016, employment opportunities for PN/VNs numbered 724,500. The U.S.
Bureau of Labor Statistics (BLS) predicts that PN/VN positions are projected
to grow 12 percent by 2026. Practical nursing is now a fast-growing
occupation in part because of the long-term care needs of a growing
population of older people. Home health care services, nursing care facilities,
and health care providers’ offices and clinics are expected to offer an
increasing number of opportunities for PV/VNs.
Salaries for PV/VNs are also rising. According to the BLS, in 2016, the
median annual salary of PN/VNs was $44,090. Annual earnings are expected
to continue rising as the demand for PN/VNs exceeds supply in the next five
to ten years.
EXAM BASICS
NCSBN conducts periodic surveys every three years of the tasks performed
by practicing PNs and the knowledge and skills they need to perform them.
This information becomes the basis of the Test Plan and the questions for the
exam. Both the NCLEX-RN and NCLEX-PN exams are computer-based
tests; they are not available in paper form.
You don’t need to be especially computer savvy to take the test. The test
administrator will show you how to use the computer, and you will be
presented with sample questions to help you get a little practice before you
start the actual exam. Mixed in the first 85 questions are 25 questions that
NCSBN uses to gather data. They do not count towards determination of
pass/fail. They cannot be distinguished from the scored questions.
NCLEX-PN tests are administered only at Pearson Professional Centers.
There is no minimum time for completing the exam, but the maximum time
is 5 hours. The 5-hour limit includes time to take a tutorial, which explains
the alternate item formats and provides sample questions.
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TIP
To help you feel more at ease on the day of the exam, try a virtual
tour of a Pearson Professional Testing Center online at
www.vue.com/nclex.
Taking a Computer-Adaptive Test
The NCLEX-PN exam is a computer-adaptive test (CAT). This means that
the computer program adjusts to the ability level of the candidate taking the
test. As a result, no two tests are exactly alike, but each will test the range of
topics and percentage of test items in the Test Plan.
All PN/VN candidates answer at least 85 questions (maximum 205).
However, the number of questions you receive on your exam does not affect
your score. The length of your exam is determined by your responses. When
a question is answered correctly, the next question increases in critical
thinking requirements. When a question is answered incorrectly, the next
question is slightly decreased in critical thinking requirements. The computer
continues with this pattern until the computer can predict with 95% certainty
that the candidate is a safe or unsafe practitioner. The computer then
calculates with 95 percent certainty that your ability is either above or below
the passing standard.
With a CAT, you see only one question at a time on the computer screen.
Once you select an answer and press NEXT, you cannot return to a question
to review it. To understand how a CAT works, watch the video at
www.ncsbn.org/356.htm.
How the NCLEX-PN® Is Scored
According to the NCSBN, the passing standard is “the minimum level of
ability required for safe and effective entry-level nursing practice.” The
passing standard is not based on a standard minimum number of questions
answered correctly. Rather, it is reviewed every three years based on an
To help you feel more at ease on the day of the exam, try a virtual
tour of a Pearson Professional Testing Center online at
www.vue.com/nclex.
Taking a Computer-Adaptive Test
The NCLEX-PN exam is a computer-adaptive test (CAT). This means that
the computer program adjusts to the ability level of the candidate taking the
test. As a result, no two tests are exactly alike, but each will test the range of
topics and percentage of test items in the Test Plan.
All PN/VN candidates answer at least 85 questions (maximum 205).
However, the number of questions you receive on your exam does not affect
your score. The length of your exam is determined by your responses. When
a question is answered correctly, the next question increases in critical
thinking requirements. When a question is answered incorrectly, the next
question is slightly decreased in critical thinking requirements. The computer
continues with this pattern until the computer can predict with 95% certainty
that the candidate is a safe or unsafe practitioner. The computer then
calculates with 95 percent certainty that your ability is either above or below
the passing standard.
With a CAT, you see only one question at a time on the computer screen.
Once you select an answer and press NEXT, you cannot return to a question
to review it. To understand how a CAT works, watch the video at
www.ncsbn.org/356.htm.
How the NCLEX-PN® Is Scored
According to the NCSBN, the passing standard is “the minimum level of
ability required for safe and effective entry-level nursing practice.” The
passing standard is not based on a standard minimum number of questions
answered correctly. Rather, it is reviewed every three years based on an
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appraisal of the previous three years of tests and on surveys and information
from the education and nursing fields. Whether a test-taker passes or fails the
exam depends on whether his or her ability, as demonstrated by answering
questions, is above or below the passing standard.
Registering for Your Exam
To register for the NCLEX-PN, you must first check with the State Board of
Nursing of the state in which you want to practice. You do not have to take
the test in that state, however. States vary in procedure. All states require
registration with PearsonVUE. You can register online at
www.pearsonvue.com/nclex/ or by phone. Test-takers who have special needs
must request testing accommodation before registering for the exam. The
Board of Nursing in the state in which the exam will be taken handles these
accommodations.
After you register for the exam, you will receive an Authorization to Test
(ATT) form in an email. Be sure to note the range of validity dates listed on
the ATT. You must schedule and take your exam during this time period or
you will need to reapply for another ATT. If you want to take the exam
outside the United States, you must pay an international scheduling fee. A
Value Added Tax (VAT) may also apply.
To be admitted to the test center, you need one valid form of identification
that includes a recent photograph and your signature. For a list of acceptable
forms of identification, refer to the NCSBN website at
www.ncsbn.org/1221.htm. If your ID does not include a signature but meets
all other ID requirements, you will need to bring a secondary form of
identification. If you arrive at the test center without acceptable identification,
you will be turned away and required to register and pay for the exam again.
Before your exam, you will be digitally fingerprinted and photographed, and
you will be required to provide your signature. This information accompanies
your exam results.
THE NCLEX-PN® TEST PLAN
from the education and nursing fields. Whether a test-taker passes or fails the
exam depends on whether his or her ability, as demonstrated by answering
questions, is above or below the passing standard.
Registering for Your Exam
To register for the NCLEX-PN, you must first check with the State Board of
Nursing of the state in which you want to practice. You do not have to take
the test in that state, however. States vary in procedure. All states require
registration with PearsonVUE. You can register online at
www.pearsonvue.com/nclex/ or by phone. Test-takers who have special needs
must request testing accommodation before registering for the exam. The
Board of Nursing in the state in which the exam will be taken handles these
accommodations.
After you register for the exam, you will receive an Authorization to Test
(ATT) form in an email. Be sure to note the range of validity dates listed on
the ATT. You must schedule and take your exam during this time period or
you will need to reapply for another ATT. If you want to take the exam
outside the United States, you must pay an international scheduling fee. A
Value Added Tax (VAT) may also apply.
To be admitted to the test center, you need one valid form of identification
that includes a recent photograph and your signature. For a list of acceptable
forms of identification, refer to the NCSBN website at
www.ncsbn.org/1221.htm. If your ID does not include a signature but meets
all other ID requirements, you will need to bring a secondary form of
identification. If you arrive at the test center without acceptable identification,
you will be turned away and required to register and pay for the exam again.
Before your exam, you will be digitally fingerprinted and photographed, and
you will be required to provide your signature. This information accompanies
your exam results.
THE NCLEX-PN® TEST PLAN
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The NCLEX-PN exam is built on a Client Needs structure that provides a
universal method of defining competency in all nursing settings and that
corresponds to state laws and rules. The Test Plan includes the following four
Client Needs categories:
1. Safe and Effective Care Environment
• Coordinated Care
• Safety and Infection Control
2. Health Promotion and Maintenance
3. Psychosocial Integrity
4. Physiological Integrity
• Basic Care and Comfort
• Pharmacological Therapy
• Reduction of Risk Potential
• Physiological Adaptation
NOTE
The NCLEX-PN Test Plan document describes the scope and
content of the exam. You can download a copy of the Test Plan free
from the NCSBN website, www.ncsbn.org. Check out the Detailed
Test Plan (Educator Version), too. It provides more information
about the test content.
Safe and Effective Care Environment
The Safe and Effective Care Environment category assesses the candidate’s
ability to provide “nursing care that contributes to the enhancement of the
health care delivery setting and protects clients and health care personnel.”
This category includes questions about advocacy, client-care assignments,
continuity of care, performance improvement, and the referral process.
universal method of defining competency in all nursing settings and that
corresponds to state laws and rules. The Test Plan includes the following four
Client Needs categories:
1. Safe and Effective Care Environment
• Coordinated Care
• Safety and Infection Control
2. Health Promotion and Maintenance
3. Psychosocial Integrity
4. Physiological Integrity
• Basic Care and Comfort
• Pharmacological Therapy
• Reduction of Risk Potential
• Physiological Adaptation
NOTE
The NCLEX-PN Test Plan document describes the scope and
content of the exam. You can download a copy of the Test Plan free
from the NCSBN website, www.ncsbn.org. Check out the Detailed
Test Plan (Educator Version), too. It provides more information
about the test content.
Safe and Effective Care Environment
The Safe and Effective Care Environment category assesses the candidate’s
ability to provide “nursing care that contributes to the enhancement of the
health care delivery setting and protects clients and health care personnel.”
This category includes questions about advocacy, client-care assignments,
continuity of care, performance improvement, and the referral process.
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The Coordinated Care subcategory is concerned with the PN’s ability to
collaborate with health care team members to provide effective client care.
Topics include:
• advance directives
• continuity of care
• advocacy
• establishing priorities
• client-care assignments
• ethical practice
• client rights
• informed consent
• concepts of management and supervision
• legal responsibilities and supervision
• performance improvement (quality improvement)
• confidentiality/information security
• collaboration with interdisciplinary team
• referral process
• resource management
• information technology
The Safety and Infection Control subcategory is concerned with protecting
team members, clients, and clients’ family members and friends from health
and environmental hazards. Topics include:
• accident/error/injury prevention
• handling hazardous and infectious materials
• home safety
• safe use of equipment
• emergency response plan
• ergonomic principles
collaborate with health care team members to provide effective client care.
Topics include:
• advance directives
• continuity of care
• advocacy
• establishing priorities
• client-care assignments
• ethical practice
• client rights
• informed consent
• concepts of management and supervision
• legal responsibilities and supervision
• performance improvement (quality improvement)
• confidentiality/information security
• collaboration with interdisciplinary team
• referral process
• resource management
• information technology
The Safety and Infection Control subcategory is concerned with protecting
team members, clients, and clients’ family members and friends from health
and environmental hazards. Topics include:
• accident/error/injury prevention
• handling hazardous and infectious materials
• home safety
• safe use of equipment
• emergency response plan
• ergonomic principles
Loading page 27...
• least restrictive restraints and safety devices
• reporting of incident/event/irregular occurrence/variance
Health Promotion and Maintenance
This category relates to the stages of human growth and development and
preventing health problems and early detection of health problems. The
LPN/VN provides nursing care for clients that incorporates the knowledge of
expected stages of growth and development and prevention and/or early
detection of health problems. Topics include:
• aging process
• health promotion/disease prevention
• ante-/intra-/postpartum and newborn care
• high-risk behaviors
• community resources
• lifestyle choices
• data collection technique
• self-care
• developmental stages and transitions
Psychosocial Integrity
Psychosocial Integrity is concerned with the emotional, mental, and social
well-being of clients. The LPN/VN provides care that assists with promotion
and support of the emotional, mental, and social well-being of clients. Topics
include:
• abuse or neglect
• mental health concepts
• behavioral management
• religious and spiritual influences on health
• chemical and other dependencies
• reporting of incident/event/irregular occurrence/variance
Health Promotion and Maintenance
This category relates to the stages of human growth and development and
preventing health problems and early detection of health problems. The
LPN/VN provides nursing care for clients that incorporates the knowledge of
expected stages of growth and development and prevention and/or early
detection of health problems. Topics include:
• aging process
• health promotion/disease prevention
• ante-/intra-/postpartum and newborn care
• high-risk behaviors
• community resources
• lifestyle choices
• data collection technique
• self-care
• developmental stages and transitions
Psychosocial Integrity
Psychosocial Integrity is concerned with the emotional, mental, and social
well-being of clients. The LPN/VN provides care that assists with promotion
and support of the emotional, mental, and social well-being of clients. Topics
include:
• abuse or neglect
• mental health concepts
• behavioral management
• religious and spiritual influences on health
• chemical and other dependencies
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• sensory/perceptual alterations
• coping mechanisms
• stress management
• crisis intervention
• support systems
• cultural awareness
• therapeutic communication
• end-of-life concepts
• therapeutic environment
• grief and loss
• aging process
Physiological Integrity
This category is concerned with clients’ physical well-being. The LPN/VN
assists in the promotion of physical health and well-being by providing care
and comfort, reducing risk potential for clients, and assisting them with the
management of health alterations.
The Basic Care and Comfort subcategory is concerned with the activities of
daily living. Topics may include:
• assistive devices
• nutrition and oral hydration
• elimination
• mobility/immobility
• personal hygiene
• nonpharmacological comfort
• rest and sleep
The Pharmacological Therapies subcategory concerns the administration of
medications. Topics may include:
• coping mechanisms
• stress management
• crisis intervention
• support systems
• cultural awareness
• therapeutic communication
• end-of-life concepts
• therapeutic environment
• grief and loss
• aging process
Physiological Integrity
This category is concerned with clients’ physical well-being. The LPN/VN
assists in the promotion of physical health and well-being by providing care
and comfort, reducing risk potential for clients, and assisting them with the
management of health alterations.
The Basic Care and Comfort subcategory is concerned with the activities of
daily living. Topics may include:
• assistive devices
• nutrition and oral hydration
• elimination
• mobility/immobility
• personal hygiene
• nonpharmacological comfort
• rest and sleep
The Pharmacological Therapies subcategory concerns the administration of
medications. Topics may include:
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• adverse effects/contraindications/interactions and side effects
• expected actions/outcomes
• pharmacological pain management
• dosage calculations
• medication administration
The Reduction of Risk Potential subcategory assesses the knowledge, skills,
and abilities necessary to prevent clients from developing complications or
health problems related to treatments, procedures, or existing conditions.
Topics may include:
• diagnostic tests
• therapeutic procedures
• laboratory values
• changes/abnormalities in vital signs
• potential for alterations in body systems
• potential for complications (diagnostic tests/treatments/procedures)
• potential for complications from surgical procedures and health
alterations
The Physiological Adaptation subcategory deals with acute, chronic, and life-
threatening problems related to physical health. Topics may include:
• alterations in body systems
• medical emergencies
• basic pathophysiology
• fluid and electrolyte imbalances
• unexpected response to therapies
PERCENTAGE OF EXAM ITEMS
• expected actions/outcomes
• pharmacological pain management
• dosage calculations
• medication administration
The Reduction of Risk Potential subcategory assesses the knowledge, skills,
and abilities necessary to prevent clients from developing complications or
health problems related to treatments, procedures, or existing conditions.
Topics may include:
• diagnostic tests
• therapeutic procedures
• laboratory values
• changes/abnormalities in vital signs
• potential for alterations in body systems
• potential for complications (diagnostic tests/treatments/procedures)
• potential for complications from surgical procedures and health
alterations
The Physiological Adaptation subcategory deals with acute, chronic, and life-
threatening problems related to physical health. Topics may include:
• alterations in body systems
• medical emergencies
• basic pathophysiology
• fluid and electrolyte imbalances
• unexpected response to therapies
PERCENTAGE OF EXAM ITEMS
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On the NCLEX-PN, percentages are assigned to each category and
subcategory of the Client Needs structure. The following table provides the
specific percentages as determined by the NCSBN, which oversees the test:
Client Needs Category Percentage of Exam Items
Safe and Effective Care Environment
• Coordinated Care
• Safety and Infection Control
• 18-24
• 10-16
Health Promotion and Maintenance • 6-12
Psychosocial Integrity • 9-15
Physiological Integrity
• Basic Care and Comfort
• Pharmacological Therapies
• Reduction of Risk Potential
• Physiological Adaptation
• 7-13
• 10-16
• 9-15
• 7-13
NCLEX-PN exam passing level questions are “application and analysis,”
which means that you need to apply what you have learned in class and in
your clinical experience to make decisions based on real-life situations.
INTEGRATED NURSING PROCESSES
The NCLEX-PN is designed to assess a test-taker’s knowledge of the
Integrated Processes fundamental to the work of the PN/VN at the same time
it evaluates his or her skills in the Client Needs categories. For example, test
items that fall under the Reduction of Risk Potential subcategory of
Physiological Integrity may also assess the candidate’s knowledge of ways to
change a client’s harmful behavior (such as drinking alcohol while pregnant).
1. Clinical Problem-Solving Process (Nursing Process)—Use the
scientific approach to client care. Includes data collection, planning,
implementation, and evaluation.
subcategory of the Client Needs structure. The following table provides the
specific percentages as determined by the NCSBN, which oversees the test:
Client Needs Category Percentage of Exam Items
Safe and Effective Care Environment
• Coordinated Care
• Safety and Infection Control
• 18-24
• 10-16
Health Promotion and Maintenance • 6-12
Psychosocial Integrity • 9-15
Physiological Integrity
• Basic Care and Comfort
• Pharmacological Therapies
• Reduction of Risk Potential
• Physiological Adaptation
• 7-13
• 10-16
• 9-15
• 7-13
NCLEX-PN exam passing level questions are “application and analysis,”
which means that you need to apply what you have learned in class and in
your clinical experience to make decisions based on real-life situations.
INTEGRATED NURSING PROCESSES
The NCLEX-PN is designed to assess a test-taker’s knowledge of the
Integrated Processes fundamental to the work of the PN/VN at the same time
it evaluates his or her skills in the Client Needs categories. For example, test
items that fall under the Reduction of Risk Potential subcategory of
Physiological Integrity may also assess the candidate’s knowledge of ways to
change a client’s harmful behavior (such as drinking alcohol while pregnant).
1. Clinical Problem-Solving Process (Nursing Process)—Use the
scientific approach to client care. Includes data collection, planning,
implementation, and evaluation.
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Subject
National Council Licensure Examination