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Test Number : NCLEX-PN
Test Name : National Council Licensure Examination(NCLEX-PN)
Vendor Name : NCLEX
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NCLEX-PN test Format | NCLEX-PN Course Contents | NCLEX-PN Course Outline | NCLEX-PN test Syllabus | NCLEX-PN test Objectives


The test plan is reviewed and approved by the NCLEX
Examination Committee (NEC) every three years.
Multiple resources are used, including the exact practice analysis of licensed practical/vocational nurses (LPN/VNs), and expert opinions of the NEC, NCSBN staff and nursing regulatory bodies (NRBs) to ensure that the test plan is consistent with nurse practice acts. Following the endorsement of proposed revisions by the NEC, the test plan document is presented for approval to the Delegate Assembly, which is the decisionmaking body of NCSBN. The test plan serves a variety of purposes. It is used to guide candidates preparing for the examination, to direct item writers in the development of items, and to facilitate the classification of examination items. This document offers a comprehensive listing of content for each client needs category and subcategory outlined in the test plan. demo items are provided at the end of each category, which are specific to the client needs category in that section. There is an item writing guide along with demo case scenarios, which provide nurse educators with hands-on experience in writing NCLEX-style test items.

Entry into the practice of nursing is regulated by the licensing authorities within each of the NCSBN nursing regulatory bodies (state, commonwealth and territorial boards of nursing). To ensure public protection, each jurisdiction requires candidates for licensure to meet set requirements that include passing an examination that measures the competencies needed to perform safely and effectively as a licensed practical/vocational nurse (LPN/VN). NCSBN develops a licensure examination, the National Council Licensure Examination for Practical Nurses (NCLEX-PN), which is used by U.S. members to assist in making licensure decisions.
Several steps occur in the development of the NCLEX-PN Test Plan. The first step is conducting a practice analysis that is used to collect data on the current practice of entry-level LPN/VNs (Report of Findings from the 2018 LPN/VN Practice Analysis: Linking the NCLEX-PN Examination to Practice, NCSBN, 2019). Twelve thousand newly licensed practical/vocational nurses are asked about the frequency and priority of performing nursing care activities. Nursing care activities are then analyzed in relation to the frequency of performance, impact on maintaining client safety and client care settings where the activities are performed. This analysis guides the development of a framework for entry-level nursing practice that incorporates specific client needs, as well as processes that are fundamental to the practice of nursing. The next step is the development of the NCLEX-PN Test Plan, which guides the selection of content and behaviors to be tested. Variations in jurisdiction laws and regulations are considered in the development of the test plan. The NCLEX-PN Test Plan provides a concise summary of the content and scope of the licensure examination. It serves as a guide for examination development as well as candidate preparation. The NCLEX assesses the knowledge, skills and abilities that are essential for the entry-level LPN/VN to use in order to meet the needs of clients requiring the promotion, maintenance and restoration of health. The following sections describe beliefs about people and nursing that are integral to the examination, cognitive abilities that will be tested in the examination and specific components of the NCLEX-PN Test Plan.

Client Needs
Percentage of Items from Each
Category/Subcategory
Safe and Effective Care Environment
=> Coordinated Care 1824%
=> Safety and Infection Control 1016%
Health Promotion and Maintenance 612%
Psychosocial Integrity 915%
Physiological Integrity
=> Basic Care and Comfort 713%
=> Pharmacological Therapies 1016%
=> Reduction of Risk Potential 915%
=> Physiological Adaptation 713%

The activity statements used in the 2018 LPN/VN Practice Analysis: Linking the NCLEX-PN Examination to Practice (NCSBN, 2019) preface each of the eight content categories and are identified throughout the test plan by an asterisk (*). NCSBN performs an analysis of those activities used frequently and identified as important by entry-level nurses to ensure client safety. This is called a practice analysis; it provides data to support the NCLEX as a reliable, valid measure of competent, entry-level LPN/VN practice. The practice analysis is conducted every three years. In addition to the practice analysis, NCSBN conducts a knowledge, skills and abilities (KSA) survey. The primary purpose of this study is to identify the knowledge needed by newly licensed practical/vocational nurses in order to provide safe and effective care. Findings from both the 2018 LPN/VN Practice Analysis: Linking the NCLEX-PN Examination to Practice (NCSBN, 2019) and the 2018 LPN/VN Nursing Knowledge Survey (NCSBN, 2019) can be found at www.ncsbn.org/1235.htm. Both documents are used in the development of the NCLEX-PN Test Plan as well as to inform item development. All task statements in the 2020 NCLEX-PN Test Plan require the nurse to apply the fundamental principles of clinical decision making and critical thinking to nursing practice. The test plan also makes the assumption that the nurse integrates concepts from the following bodies of knowledge:
=> Social Sciences (psychology and sociology); and
=> Biological Sciences (anatomy, physiology, biology and microbiology) Collaboration with Interdisciplinary Team
=> Identify roles/responsibilities of health care team members
=> Identify need for nursing or interdisciplinary client care conference
=> Contribute to the development of and/or update the client plan of care
=> Contribute to planning interdisciplinary client care conferences
=> Participate as a member of an interdisciplinary team Concepts of Management and Supervision
=> Recognize and report staff conflict
=> Verify abilities of staff members to perform assigned tasks (e.g., job description, scope of practice, training, experience)
=> Provide input for performance evaluation of other staff
=> Participate in staff education (e.g., inservices, continued competency)
=> Use data from various credible sources in making clinical decisions
=> Serve as resource person to other staff
=> Monitor activities of assistive personnel
Confidentiality/Information Security
=> Identify staff actions that impact client confidentiality and intervene as needed (e.g., access to medical records, discussions at nurses station, change-of-shift reports)
=> Recognize staff member and client understanding of confidentiality requirements
=> Apply knowledge of facility regulations when accessing client records
=> Maintain client confidentiality*
=> Provide for privacy needs Continuity of Care
=> Follow up with client after discharge*
=> Participate in client discharge or transfer*
=> Provide follow-up for unresolved client care issues
=> Provide and receive report*
=> Record client information (e.g., medical record, referral/transfer form)
=> Use agency guidelines to guide client care (e.g., clinical pathways, care maps, care plans)
Establishing Priorities
=> Organize and prioritize care based on client needs*
=> Participate in planning client care based upon client needs (e.g., diagnosis, abilities, prescribed treatment)
=> Use effective time management skills
Ethical Practice
=> Identify ethical issues affecting staff or client
=> Inform client of ethical issues affecting client care
=> Intervene to promote ethical practice
=> Practice in a manner consistent with code of ethics for nurses*
=> Review client and staff member knowledge of ethical issues affecting client care Informed Consent
=> Identify appropriate person to provide informed consent for client (e.g., client, parent, legal guardian)
=> Participate in client consent process*
=> Describe informed consent requirements (e.g., purpose for procedure, risks of procedure)
=> Recognize that informed consent was obtained (e.g., completed consent form, client understanding of procedure)
Information Technology
=> Use information technology in client care*
=> Access data for client or staff through online databases and journals
=> Enter computer documentation accurately, completely and in a timely manner
Legal Responsibilities
=> Identify legal issues affecting staff and client (e.g., refusing treatment)
=> Verify and process health care provider orders*
=> Recognize self-limitations of task/assignments and seek assistance when needed*
=> Respond to the unsafe practice of a health care provider (e.g., intervene, report)*
=> Follow regulation/policy for reporting specific issues (e.g., abuse, neglect, gunshot wound, communicable disease)*
=> Document client care
=> Provide care within the legal scope of practice*
Performance Improvement (Quality Improvement)
=> Identify impact of performance improvement/quality improvement activities on client care outcomes
=> Participate in quality improvement (QI) activity (e.g., collecting data, serving on QI committee)*
=> Document performance improvement/quality improvement activities
=> Report identified performance improvement/quality improvement concerns to appropriate
personnel (e.g., nurse manager, risk manager)
=> Apply evidence-based practice when providing care*



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Is It Time To Dump The Queen? | NCLEX-PN Latest Questions and real questions

with the aid of TANYA SMITH-CARTWRIGHT

tsmith-cartwright@tribunemedia.web

WITH Barbados set to eradicate the British monarchy as its head of state later this 12 months, opinion seems to be break up about even if The Bahamas should still comply with.

Anglican priest Father Sebastian Campbell stated it's “a farce” for The Bahamas to consider it is wholly impartial as long as it continues to dangle on to the monarchy as its head of state.

“The monarchy should still have been abolished a long time ago,” Father Campbell observed when contacted by means of The Tribune.

“we are dragging their ft. I don’t know the way come Barbados is leading us during this. They aren't wholly independent. it truly is a farce. independent nations should still not be swearing allegiance to Her Majesty the Queen.”

“Barbados will cease that. at the least different international locations are speakme about it.

“We may still be making an attempt to separate ourselves much more now from the monarchy. They proceed to assist a system that's totally dysfunctional. A device that's marked with lots of ills and they persevered to dangle on to it. The colonial device gave birth to slavery and lasted for 300 years.”

The concern of the monarchy’s position in former British colonies has grabbed renewed consideration after the bombshell interview Prince Harry and his wife Meghan Markle, the Duchess of Sussex, gave to American television character Oprah Winfrey.

within the inform-all interview that aired on Sunday, Ms Markle pointed out she pondered suicide as a senior royal while pregnant with her son Archie. She claimed officials in “the institution” of the monarchy didn't aid when she sought assistance. Ms Markle, who is biracial, also felt the Royal family unit and the establishment—officials who run the palace—did not offer protection to her from what she and her husband noticed as racist attacks from Britain’s tabloid press.

She and Prince Harry also disclosed that whereas she was pregnant along with her first newborn, one Royal loved one had “considerations and conversations about how dark” Archie’s skin could be. Prince Harry later clarified that these remarks were now not made via his grandmother, Queen Elizabeth nor his grandfather, Prince Phillip.

Ms Markle also cautioned Archie became now not given a royal title due to his racial heritage.

In an announcement launched this week, Queen Elizabeth noted the concerns on race raised through Prince Harry and the Duchess of Sussex are “concerning”. She referred to while “some recollections may also range,” they are taken seriously and may be addressed through the family privately.

meanwhile, Fr Campbell noted the colonial fashion of governance that they at the moment practice is the worst sort of intellect enslavement. He thanked Prince Harry and his wife for pulling the veil lower back on the establishment.

Fr Campbell persevered: “The grotesque facet of it has all the time been there however thank God for Harry and Meghan’s story which is basically bringing it to mild. they're nevertheless slowed down with racism. That comes out so obviously and they continue to worship this thing (the monarchy).

“Mia Mottley and Barbados is a good example to observe. She is mentally liberated and has been pushing for this for a very long time from when she become minister of subculture. When they have this type of mindset at the precise, it makes a large difference. They look forward to future leadership who would basically and really proceed to run with this.”

The Tribune asked Minister of international Affairs Darren Henfield for his view.

He spoke back, “Sorry, no remark in the mean time.”

For his part, chairman of the modern Liberal celebration, Senator Fred Mitchell pointed out youngsters his party has no real coverage on the monarchy, he personally feels it can be accomplished away with. he is disenchanted that this present generation isn't anti-monarchist.

Senator Mitchell said: “There is not any policy by the PLP on the abolition of the monarchy. I and others like Alfred Sears, QC, have long mentioned the monarchy is a quaint anarchism that should still fall away. I even have in my opinion led the dialogue on this rely for over three a long time and it is a tiresome field to me now. As Michael Manley used to say ‘it’s impatient of debate.’

“I have questioned what philosophical challenge would engage this technology past idle gossip on social media. I had hoped by now that someone from this technology would were inspired to adopt the anti-monarchist cause but unfortunately—and here's a regular historical man’s lament—I concern it does not ignite the extra noble minds of my successors. I proceed to urge them to undertake the conception. i will proceed to lobby for its adoption.”

unlike Senator Mitchell, former FNM Free countrywide movement cupboard minister Maurice Moore feels the connection with the British has its advantages.

Mr Moore noted, “so far as i'm concerned I don’t feel they may still circulation faraway from the monarchy. There ought to be some advantages, no longer a lot, to the relationship. it is a good. I think it's going to support us more than harm us at this stage. I don’t consider us slicing Britain free might be of any support. They may still preserve that relationship.”

Maurice Tynes, former clerk of the condominium of assembly, spoke of approval turned into given to Barbados a long time in the past to have its personal head of state.

“My opinion is that i believed they should have made the step to separate ourselves from the monarchy a long time in the past,” Mr Tynes advised The Tribune. “only for americans’s dignity i assumed they must go along with the evolution of their democracy. It’s the subsequent step. here's some thing that they ought to have achieved a long time ago.

“Barbados handed the law very nearly 20 years in the past for permission for them to trade the constitution, but they didn’t do it unexpectedly. they're doing it in degrees. so that approval turned into given years ago to make that flow.”

by way of November, Barbados will eradicate the monarchy as its head of state coinciding with that Caribbean island’s fifty fifth anniversary of independence. it's the just the latest nation within the area to make inroads to develop into a republic. In 1970, Guyana cut ties with the Queen as its head of state, adopted by way of Trinidad and Tobago in 1976, and Dominica in 1978.

like the international locations it follows, Barbados will stay a part of the Commonwealth.

The Queen’s role as head of state is basically regarded to be ceremonial, although she is represented through a Governor-common who carries out obligations on her behalf.


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