MRU Health Care Policy Presentation and Professional Nurse Interview Report: Health & Medical Answers 2021

MRU Health Care Policy Presentation and Professional Nurse Interview Report: Health & Medical Answers 2021

MRU Health Care Policy Presentation and Professional Nurse Interview Report: Health & Medical Answers 2021

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MRU Health Care Policy Presentation and Professional Nurse Interview Report

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CHAPTER 28:
The NCLEX-RN®
examination
Tommie L. Norris, DNS, RN
SERGIO OSEGUEDA, MD-MSN-FNP-RN-BC
MRC FACULTY
The NCLEX-RN examination
• To receive a license to practice as an RN in the
United States and its territories, candidates must
furnish evidence of competency to provide safe and
effective nursing care by successfully completing
the NCLEX-RN examination
• There are three types of RN programs: (1) 2-year
associate degree programs usually found in
community or junior colleges, (2) hospital-based
diploma programs, and (3) baccalaureate degree or
higher programs found in 4-year colleges and
universities or academic health centers.
Purpose of the NCLEX-RN
examination
• The purpose of the NCLEX-RN examination is to:
• 1. Safeguard the public from unsafe practitioners.
• 2. Assist state boards of nursing in determining
candidates’ capabilities for performing entry-level RN
positions.
Characteristics of the NCLEX-RN
examination
• The NCLEX-RN examination is a pass-fail
examination and has been computerized since
1994.
• Today the NCLEX-RN examination is offered at
Pearson Professional Centers throughout the
United States, American Samoa, Guam, Northern
Mariana Islands, and U.S. Virgin Islands.
• The official results of the examination are sent to
candidates within 6 weeks after they have taken
the examination.
Computer adaptive testing
• The NCLEX-RN examination uses computer
adaptive testing (CAT), which is a test-administering
technique that uses computer technology and
measurement theory.
• As a candidate answers questions on the
examination, CAT adapts to the level of the
candidate’s knowledge, skills, and ability.
• After a candidate answers a question at a particular
level of difficulty, the computer then selects the
next item that the candidate should have a 50%
chance of answering correctly.
NCLEX-RN
• Candidates taking the examination answer a
minimum of 75 questions to a maximum of 265
questions. The NCSBN (2013) advises that the
length of an NCLEX-RN examination be based on
the performance of the candidate on the
examination and has established a goal to be 95%
sure of pass-fail decisions.
The computer determines whether a
candidate passes or fails based on the
following three rules:
• 1. 95% confidence interval rule: 95% certainty that the
candidate’s ability is obviously above or below the
passing standard.
• 2. Maximum-length examination rule: When the
candidate is very close to the passing standard, the
computer continues to give test items until the
maximum number of items is reached; at this point, the
computer disregards the 95% confidence rule and
considers only the final ability estimate.
• 3. Run-out-of-time rule: The candidate runs out of
time, and the 95% confidence interval has not been
determined.
Skipping questions and changing
answers
• Candidates taking the NCLEX-RN examination are
not allowed to skip questions and return to them at
a later time or to change answers to questions once
an answer has been selected and entered into the
computer.
• These actions would defeat the purpose of
adaptive testing because CAT selects questions
based on the examination taker’s knowledge, skills,
and abilities.
Question format
• All of the information needed to answer a particular
question appears on one computer screen, so
candidates do not need to see the previous or next
screen for answer determination.
• Questions are presented in traditional top-down
format, in which the question is presented, followed by
the potential answers to it.
• Candidates will receive test items in a variety of
formats which include traditional multiple choice,
multiple response, ordered response, fill-in-the-blank
calculations and/or hot spots.
• Recently items may also include charts, graphics,
sound, video, tables, and multimedia.
Identify the point of maximal impulse
(PMI): Hot spot (questions based on illustrations and charts).
QUESTIONS:
• • Multiple-response, multiple-choice questions.
SATA
• • Fill-in-the-blank
• • Ordered response “Drag and drop” (prioritize).
• • Chart exhibit.
• • Audio.
• • Graphic option identification.
Cognitive domains and the
NCLEX-RN examination
• Knowledge questions (remember)
• Comprehension questions (understand)
• Application questions (apply)
• Analysis questions (analyze)
Components of the NCLEX-RN®
examination test plan
• 1. Safe, effective care environment
• • Management of care
• • Safety and infection control
• 2. Health promotion and maintenance
• 3. Psychosocial integrity
• 4. Physiologic integrity




• Basic care and comfort
• Pharmacologic and parenteral therapies
• Reduction of risk potential
• Physiologic adaptation
Client needs
• Safe and effective care environment
• Health promotion and maintenance
• Psychosocial integrity
• Physiologic integrity
Integrated processes
• • Nursing process
• • Caring
• • Communication and documentation
• • Teaching and learning
Nursing process
• Assessment.
• Analysis.
• Planning.
• Implementation.
• Evaluation.
Caring
• The NCSBN defines caring as “the interaction of the
nurse and client in an atmosphere of mutual
respect and trust. In this collaborative
environment, the nurse provides encouragement,
hope, support and compassion to help achieve
desired outcomes”
Communication and
documentation
• The NCSBN defines communication and
documentation as “the verbal and nonverbal
interactions between the nurse and the client, the
client’s significant others and the other members of
the health care team.
• Events and activities associated with client care are
validated in written and/or electronic records that
reflect standards of practice and accountability in
the provision of care”
Teaching and learning
• The NCSBN defines teaching and learning as
“facilitation of the acquisition of knowledge, skills
and attitudes promoting a change in behavior”
Build your NCLEX study plan
• Use the following tips and strategies to build your own
study plan and increase the likelihood of being
successful on the NCLEX-RN examination:
• • Review the NCLEX Candidate Bulletin (find the most current
Bulletin at www.ncsbn.org).
• • Become familiar with the test plan (find the most current
Test Plan at www.ncsbn.org).
• • Locate your test site early. Be sure to obtain an
Authorization to Test (ATT).
Summary
• Success on the NCLEX-RN examination is needed to obtain a
license and practice as an RN.
• Most candidates taking the NCLEX-RN examination are
successful.
• Of the 155,098 first-time, U.S.-educated candidates taking
the examination during 2013, approximately 83.04% were
successful (NCSBN, 2014c).
• The pass rate is somewhat higher for those testing for the
first time in 2014, with 85.54% of the 89,032 candidates
passing.
• The key to success on the NCLEX-RN® examination is sound
preparation from the nursing program, adequate
preparation for the examination, and confidence in oneself.

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