NCLEX Exam

    NCLEX Review

The NCLEX, National Council Licensure Examination, is a nursing certification exam for licensing in the United States. To ensure high standards in the nursing profession, each state board of nursing requires candidates for licensure to pass the appropriate NCLEX examination, NCLEX-PN for vocational or ractical nurses, and the NCLEX-RN for registered nurses. Try some nursing questions for free. Each of the following multiple-choice nursing tests has 10 questions. No sign-up required, just straight to the test.

In recent years, the NCSBN has added new format questions include identifying and selecting a particular area of a drawn body part, free response medication calculations, and ordering the steps of a nursing procedure. Questions can also make use of pictures as the answer choices, instead of words. Each question will appear one at a time on the computer screen, and will not be repeated.

Test takers will have a maximum of six hours to complete the exam. There is a mandatory 10-minute break about 2 ½ hours into the exam and another optional break after about 4 hours of testing. It is acceptable to take breaks at any time during the exam, although break time reduces your total available test time. The NCLEX is graded by comparing the responses to a pre-established standard. Those individuals who meet or exceed the standard pass the exam, those who do not fail.

NCLEX Exam Content

The Physiology category contains the majority of the questions on the exam, about 43%-67%. This section of the NCLEX covers adult medical and surgical care, pediatrics, and gerontology, the study of the medical effects of aging. There is a different focus pertaining to the pediatric client. Topics may include growth disorders, human development, birth abnormalities, child abuse, common infectious diseases of children, and childhood traumas such as burn injuries and fractures.

Effective Care Practices make up 21%-33% of all NCLEX questions, covering safety issues in patient care, particularly in the administration of medicines. You will also be tested on knowledge of measures to prevent further injuries and infections, safety for pediatric patients, and special precautions for patients with psychiatric disorders. This portion of the exam may include questions on laboratory tests, and nursing procedures associated with test results. Questions on these topics are randomly spread throughout the exam.

Health Promotion questions are 12%-15% of the NCLEX examination. Questions under this category deal with birth control measures, pregnancy, labor and delivery. Also covered is infant care, and sexually transmitted infections. If a patient is pregnant, it is very important that the nurse be able to act as a teacher and/or counselor. Knowledge that will be tested also includes proper nutrition, development of the fetus, signs and symptoms of complications, and certain pregnancy-related procedures.

Mental Health test areas constitute a final 12%-15% of the NCLEX test, pertaining to patients with psychiatric problems. In addition, this material may cover psychological coping mechanisms that fall short of psychiatric illness. Questions cover information on depression, schizophrenia, organic mental disorders, eating disorders, personality disorders, and anxiety. Also included in this section may be questions about crisis intervention, and substance abuse.

Practice Tests

This section offers practice tests in several medical areas. Each of the following multiple-choice tests has 10 questions to work on. No sign-up required, just straight to the test.


Nurse Education

Research various nursing degree programs that meet your requirements to become a nurse. The CNA (Certified Nursing Assistant) is the first step in becoming a nurse. They act as the eyes and ears of nurses, and in return obtain first hand experence in a clinical setting. After Becoming a CNA, you will assist in caring for patients by monitoring vital statistics, bathing, feeding and maintaining personal hygine. Most CNA programs can be completed within a few months, allowing you to begin working.

The next step in a typical nursing career after the CNA is to become a LPN (Licensed Practical Nurse) or LVN ( Licensed Vocational Nurse). This is a one year long program, in which you'll work under an RN, and be assigned advanced care work. Practice requirements for LPNs vary from state to state, but basic duties include passing meds, wound care, and administering feeding tubes. 1-year nursing certificate programs train students to pass the licensing test to become LPNs or LVNs.

In order to become an RN (Registered Nurse), you will be required to earn a bachelors degree in nursing, and will enjoy an enlarged scope of practice over LPNs and CNAs, as well as command a greater salary. A 2-year associate's degree in nursing is generally considered the minimum educational requirement for RNs. These programs include basic courses in medical terminology, patient care and life sciences. Students will receive classroom instruction and clinical training in hospitals and other medical settings. Although ASN programs provide students with adequate nursing training, a bachelor's degree provides greater clinical experiences and a stronger general education. A 4-year BSN program allows students to study specialized areas of nursing, including pediatrics, geriatrics and mental health nursing. Students may also study allied health topics outside of nursing through elective courses.

An RN has to cope with more responsibility, and must oversee the work of LPNs and CNAs under their supervision. If you wish to continue advancement, a masters degree and several years of experience as a nurse, may qualify you for the NP (Nurse Practitioner) credential. The master's degree is intended for nursing professionals interested in supervisory positions. Nurse practitioners, nurse specialists and nursing instructors are often required to have a master's degree. Please check with your state board of nursing for practical details and exams that you must pass to become board certified.

Nursing certification

After completing your nursing education, you must be licensed by the state in which you'll be practicing. The state boards of nursing each have their own specific certification criteria. In general, the requirements include completion of a degree in nursing, and board certification by the relevant accrediting body. The two biggest certifying bodies are the American Nurses Credentialing Center (ANCC) and the American Academy of Nurse Practitioners (AANP). The license period varies by individual state, but is usually valid for either two or three years, at which time you'll need to renew.

Registered nurses (RNs) are not required to be certified in a certain specialty by state law. For example, it is not necessary to be a Certified Medical-Surgical Registered Nurse (CMSRN) to work on a hospital Medical-Surgical (MedSurg) floor, and most MedSurg nurses are not CMSRNs. Certified nurses may earn a higher salary than their non-certified nursing colleagues. In the US and Canada, many nurses become certified in a particular specialty area. There are well over 200 nursing specialties and subspecialties.

To keep your license current, you must take continuing education courses, and renew your license every few years. In any event, you'll wish to stay up to date on the newest advancements in nursing. There are a fixed number of credits that each state requires, and if you work in a hospital facility, these courses may be offered on-site.

Bone Fractures


Bone fracture types nursing review for the NCLEX exam that covers treatments, signs and symptoms, causes, and nursing interventions. A bone fracture is a break or crack in a bone. There are several types of bone fractures.

Parkinson's Disease


Parkinson's disease review on symptoms, nursing care, treatment, and pathophysiology NCLEX review. What is happening in Parkinson’s disease to cause movement to become affected? The dopaminergic neurons in the part of the midbrain called substantia nigra have started to die. This area is part of the basal ganglia, which is a part of the mid-brain that controls movement.

Hypertension NCLEX Review


Hypertension is the amount of resistance of blood pumping through the body/arteries. It affects organ systems of the body such as the cardiovascular, brain, kidneys, and eyes. A normal blood pressure is less than 120/80 (systolic blood pressure/diastolic pressure). Nursing interventions include assessing hypertension risk factors, obtaining blood pressure readings, evaluating medication compliance, and monitoring for side effects of pharmacological medications used for hypertension.

Urinary Tract Infection (UTI)


A urinary tract infection is an infection found within the urinary tract which is mainly caused by a bacteria (usually E.coli). It can also be caused by a virus or fungus as well. A UTI can be found anywhere through the urinary system such as:, Lower urinary system: Urethra (Urethritis) and Bladder (Cystitis) or the upper urinary system: Ureters (ureteritis) which is usually associated with bladder or kidney infection and Kidneys (pyelonephritis).

Nursing Specialization

Surgical Nursing specialists are highly-qualified nurses that have completed additional training to be able to provide critical care during the different stages of surgery. Based in hospitals, they work primarily within operating rooms and associated recovery areas, but may also be involved with certain procedures on wards, clinics or in other areas such as cardiac catheterisation units.

Pediatric Nurses deal with a range of situations, including babies born with heart complications, teenagers who have sustained broken limbs, and child protection issues. Health problems can affect a child's development and it's vital to work with the child's family or carers to ensure that he or she does not suffer additionally from the stress of being ill or in hospital. Neonatal nurses work with newborn babies who are born sick or prematurely.

Geriatric Nursing entails work with older adults with diverse health conditions, both chronic and acute. Geriatric nurses must juggle numerous priorities simultaneously, and make use of all manner of interpersonal skills to improve the quality of patients' lives, sometimes in difficult situations. Work may be based in hospital wards, clinics or community settings and you be required to perform shift work, in order to provide 24-hour care. Learning disability nurses work in partnership with them and family carers, to provide specialist healthcare.

Mental Health Nurses are trained to care for people suffering from metal illness, regardless of age or background. Conditions range from personality and psychological disorders to neuroses and psychoses. Nurses who choose to specialise in the mental health branch of nursing, a complex and demanding area, work closely with psychiatrists, and clinical psychologists.

NCLEX Curriculum

Infection Control
  • Accident/Error Prevention: Techniques to prevent patient accidents and errors.
  • Emergency Response Plan: Implementing emergency response plans and protocols.
  • Handling Hazardous Materials: Safe handling and disposal of hazardous substances.
  • Infection Control: Techniques to prevent and control infections.
  • Security Plan: Maintaining a safe and secure healthcare environment.
Mental Health
  • Abuse/Neglect: Identifying and managing cases of abuse and neglect.
  • Coping Mechanisms: Supporting patients in developing effective coping mechanisms.
  • End-of-Life Care: Providing compassionate care for terminally ill patients.
  • Mental Health Concepts: Understanding and applying mental health principles.
  • Therapeutic Communication: Techniques for effective communication with patients.
Patient Care
  • Assistive Devices: Proper use of devices to aid patient mobility and independence.
  • Elimination: Assisting patients with elimination needs.
  • Mobility/Immobility: Techniques for promoting and managing patient mobility.
  • Nutrition and Oral Hydration: Ensuring adequate patient nutrition and hydration.
  • Personal Hygiene: Assisting patients with personal hygiene needs.
Pharmacology
  • Adverse Effects/Contraindications: Identifying and managing medication side effects.
  • Dosage Calculation: Calculating accurate medication dosages.
  • Pharmacological Pain Management: Using medications to manage pain.
  • Pharmacotherapy: Principles of medication administration and monitoring.
  • Parenteral/Intravenous Therapies: Administering IV fluids and medications.
Physiology
  • Alterations in Body Systems: Managing physiological changes and disorders.
  • Fluid and Electrolyte Imbalances: Identifying and managing imbalances.
  • Medical Emergencies: Responding to and managing medical emergencies.
  • Pathophysiology: Understanding disease processes and their effects on the body.
  • Unexpected Response to Therapies: Identifying and managing adverse reactions to therapies.

Nursing Duties

Education to become a nurse is rigorous and requires advanced coursework to become a registered nurse (RN). Curriculum includes courses in epidemiology, physiology, pharmacology, differential diagnosis, laboratory diagnostics, radiology, statistics and research methods, health policy, leadership, chronic disease management.

Nurses treat both physical and mental conditions through comprehensive history taking, physical exams, and ordering diagnostic tests. Duties and responsibilities include, but are not limited to, the following:

  • Nursing diagnoses, evaluation, and management of acute and chronic illnesses.
  • Obtaining medical histories, and conducting physical examinations.
  • Ordering, and performing diagnostic studies (routine lab tests, bone x-rays, EKGs).
  • Requesting physical therapy, and rehabilitation treatments.
  • Recommending prenatal care and family planning services.
  • Providing child care, including screening and immunizations.
  • Providing care for patients in acute and critical care settings.
  • Performing or assisting in minor surgeries and procedures, such as biopsies, suturing, and casting.
  • Counseling services, and educating patients on health issues, self-care skills, and treatment options.
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