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Only one goal is served by the National Council Licensure Examination for Registered Nurses (NCLEX-RN® exam): to assess whether or not you are fit to practice as an entry-level nurse. It's very different from any nursing school test you've ever taken. The NCLEX-RN®, unlike nursing school exams, examines your ability to apply and analyze what you've learned in the classroom. When it comes to making nursing decisions, you'll be judged on your ability to apply critical thinking skills.

The "Meeting Client Needs" paradigm guides the NCLEX-RN® exam. In total, there are four primary categories and eight subcategories in the list. Students in many nursing programs are required to study distinct medical, surgical, pediatric, psychiatric/neurological, and obstetric classes. In contrast, the NCLEX-RN® exam integrates all of the material.

The most common question type is a multiple-choice one with four possible answers; however, other question types are available. In addition to multiple-choice and answer choices, there are also fill-in-the-blank and hot spot questions as well as charts and exhibits. Nursing content is interwoven into all questions.

Consider the following dilemma:

After an uncomplicated delivery of a 9 lb. 8 oz. baby boy, a 23-year-old mother with insulin-dependent diabetes mellitus (IDDM) is brought back to the recovery room. According to the nurse's expectations, the patient's blood sugar should be

rise and fall continue to move in a static pattern.
Is this a question for an obstetrician or a question for a doctor or surgeon? Considering diabetes pathophysiology as well as labor and delivery concepts is necessary for selecting the correct answer (2).

CAT stands for "computer adaptive test," which is a testing format that adapts to your responses to the questions you've answered in real time. The CAT ensures that the questions are neither too difficult nor too easy for you. You might expect your first question to be below the required proficiency level. You get a somewhat more challenging question if you answer it properly. An easier question is selected if an incorrect answer is given. The computer is able to measure your degree of proficiency if you keep doing this throughout the test.

Needs of NCLEX-RN Candidate

NCLEX-RN® test questions are divided into four broad categories based on the needs of potential clients. Take a look at this:

Enviroment that is both safe and effective
In the first category of client needs, Safe and Effective Care Environment, there are two concepts:

The NCLEX-RN® exam has 17-23% of its questions on management of care. This section includes acts such as Advanced Directives, Advocacy, Case Management, Confidentiality and Continuity of Care, Quality Improvement and Delegation, Establishing Priorities, Ethical Practice, Informed Consent, Legal Responsibilities, and Referrals.

About nine to fifteen percent of exam questions pertain to infection prevention and control. Accident Prevention, Error Prevention, Hazardous Materials, Surgical Asepsis, Standard Precautions, and the Use of Restraints are all examples of nursing activities that can be taken to avoid harm.

Cultivating and maintaining good health
Health Promotion and Maintenance is the second client need category. Only 6% to 13% of the exam is comprised of these kind of questions. Aging, Prenatal/Intrapartum/Postpartum Care, Newborn Care, Stages and Transitions of Development and Transitions of Disease Prevention and Disease Screening and Lifestyle Choices Physical Assessment Techniques Health Promotion Program High Risk Behaviors and Self-Care Nursing actions are tested.


Psychosocial Integrity is the third type of client need to be considered. In the exam, it makes up between 6-12 percent of the questions and tested actions include grieving and loss and mental health concepts as well as the spiritual influence on health, sensory/perceptual alterations and stress management as well as support systems as well as therapeutic communication, chemical dependency, behavioral interventions, and crisis intervention.


Physiological Integrity is the final category of client needs listed here. There are four main ideas here:

NCLEX-RN® Basic Care and Comfort questions make about 6% to 13% of the exam's total questions. Assistive devices, elimination, mobility, nonpharmacological comfort interventions, nutrition and oral hydration, personal hygiene, and rest and sleep are all included in this subsection of nursing care.

12-18% of the exam is devoted to topics in Pharmacology and Parenteral Therapy. Nursing actions that have been tested include Adverse Effects, Contraindications, Blood and Blood Products, Central Venous Access Devices, Chemotherapy, Expected Effects, Intravenous Therapy, Medication Administration, Pharmacological Pain Management, Total Parenteral Nutrition, and Dosage Calculation.

9-15 percent of the exam is dedicated to reducing the risk of failure. There are a wide range of tested nursing actions that include diagnostic tests, laboratory values, the potential for complications from surgical procedures and health alterations, as well as therapeutic measures.

Eleven to one-sevenths of the exam is taken up by Physiological Adaptation. For example, it has been shown to be effective in dealing with systemic changes in the body, electrolyte imbalances, hemodynamics, life-threatening situations, and unexpected responses to treatments, among other things.

Also Read: Nursing Assignment Writing Service


You'll receive two applications from your nursing school around six weeks before graduation: one for licensure and one for the NCLEX-RN® exam.

Your nursing school will expect you to turn in your paperwork and pay the licensure costs on a specific date. You'll be able to book your test time and date once you've received an ATT (permission to test). There are six-hour time periods available for testing throughout the year, 15 hours a day, six days a week.


First and foremost, you must apply to the National Council of State Boards of Nursing (NCSBN) for membership (NCSBN). Each state's Board of Nursing has its own set of rules and regulations that you must follow. Registration for the NCLEX-RN® exam and the application for licensure has been bundled in some states. If you want to practice as a nurse in another state, you must first apply for licensure with that state's State Board of Nursing. A Candidate Bulletin for the NCLEX-RN® exam will be sent to you once you have submitted your application.

Paying NCLEX-RN Examination and Licensing Fees

The NCLEX-RN® exam costs $200 to take. The State Boards of Nursing in each state set their own fees for additional nursing licenses. The National Council of State Boards of Nursing will accept your completed test application and test money. Between the hours of 8 a.m. and 8 p.m. (Eastern Time) on Monday through Friday, contact 1-866-496-2539 in the United States (1-952-681-3815 outside the United States). Those who register by phone must use a VISA or MasterCard to pay. The registration price over the phone is $9.50. The National Council of State Boards of Nursing accepts personal checks, cashier's checks, and money orders.

A postcard will be sent to you confirming receipt of your registration. Your State Board of Nursing must deem you eligible before you may make an appointment to take the exam and receive your Authorization to Test (ATT).


  • How many questions are there? _All participants are required to respond to a minimum of 75 questions and up to 265 questions. You will be asked 15 experimental questions, the answers to which have no bearing on your final grade. To prepare for future questions, the exam administrators use them.
  • Do I have enough time?_Each question may be answered at any moment. After a brief instruction, you'll have up to 6 hours to finish the exam. Mandatory breaks are not required. Nonetheless,
  • How long is the exam?_Your exam will come to an end if one of the following events occurs: It appears that you have demonstrated the bare minimum of competency and answered the bare minimum amount of questions (75). Because you have showed a lack of bare minimal competency and answered the bare minimum amount of questions, you have failed this test (75) You have answered all of the questions to the best of your ability (265).You have used up all of the time allotted to you (6 hours). TIP: Try not to be concerned about the length of your examination. Only 6 hours and 265 questions should be allotted to you throughout the testing session. In addition, if you have a lengthy exam, keep in mind that you are still in the game so long as the computer continues to ask you questions; thus, concentrate on answering each question to the best of your ability.
  • In the event that I fail, what will happen?_First and foremost, do not be discouraged. You are not alone in your feelings. Many students fail the NCLEX-RN® exam on their first attempt, and this is common. It signifies that you did not successfully answer any questions that were at or above the degree of difficulty that was required to pass the exam. Your inability to demonstrate your competence to give safe and effective treatment on this particular exam was a disappointment to me. After failing the test, you will be given a diagnostic profile that will analyze your overall performance. Take your time and read it thoroughly. You will be able to check how many questions you answered correctly on the exam. More questions you answered correctly, the closer you got to passing the test. The only way you will continue to receive questions after the first 75 is if you are answering questions that are near to the degree of difficulty required to pass the exam.. Make use of the diagnostic profile to identify the areas that need attention. You can then tailor your preparations to meet your needs.

Prepare for the NCLEX exam with the help of the HESI study guide. Are you preparing for the NCLEX-RN or HESI exams and in need of a study guide? So, you've found yourself at the correct spot. The NCLEX and HESI examinations are tough, therefore I've created a free study guide log for aspiring nurses and nursing students. When I was a nursing student, I created this study guide and decided to offer it online. This study plan contains the review books you should purchase to help you pass these examinations on the first try, as well as how I prepared for these exams day by day.

Recommendation Books for Hesi's Study Guide

There are two books out there that are the greatest for studying for your HESI and NCLEX-RN exit exams after a lot of internet research and reading reviews. These books were purchased via Amazon.com. In order to prepare for your HESI and NCLEX exams, you should use the following textbooks:

  • A comprehensive review of the NCLEX-RN® examination by Saunders
  • HESI Comprehensive Review for the NCLEX-RN Examination study guide for hesi

It's important to note that the products we propose in this article are based on our own personal experiences and opinions. We are an Amazon.com affiliate, and every time you purchase a product we recommend, you help fund this site.

Quizzes to help you prepare for the NCLEX

Free NCLEX, dose, and personality quizzes that we have created are available here. Save this page to your favorites, and you can come back to it often to see what new tests have been added.

Practice Exams for the NCLEX

Exam Preparation Guide for the HESI (and NCLEX)
To prepare for the exit exams, they used the literature listed here

  • A 100-question test on December 11 covered every system of the body (renal; heart; gastrointestinal; urinary; ear; eye; endocrine; cancer). Using the Saunders Book review CD, I scored 72 percent.
  • Using the Saunders Book review CD, Reviewed Pediatrics got 65 percent on December 12th.
  • December 13-50 questions, reviewed Delegating and Prioritizing Skills score of 76% using Saunders book review CD. Review of Delegating and Prioritizing Skills.
  • Using the Saunders Book review CD, I scored 74 percent on December 15-100 questions.
  • Reviewed the OB skills and scored 70 percent using the Saunders Book review CD on December 17th.
  • Using the HESI CD (which I just received today in the mail), I studied for the December 18th exam and scored a 58 percent on the 75 questions. Yeah, I know.
  • Questions pertaining to the 26th through the 69th days of December Using the Saunder Book review CD and chapters from my HESI book on electrolytes, EKGs, IV solutions, and DIC, I scored 73 percent on the OB (during labor) questions.
  • To prepare for the December 27-35 exam, 35 questions were taken from the HESI book CD, while 50 questions were taken from the NCLEX 3500 website and scored 66 percent.
  • Peds NCLEX 3500 website 50 questions on December 29th (didn't earn a score...
  • Reading my HESI book on HIV, sorrow and grief helped me understand the rationale behind the question I had just answered.
  • The NCLEX 3500 website has 25 questions on pediatrics, and they are due on December 30.
    It was awarded a 75 percent mark.
  • Dec. 31st: 100 questions from Saunders' review CD on pediatric care some chapters in my HESI peds book, and got a 75% score
  • A child's physical and mental development, as well as his or her regimen of injections and illnesses, are all factors to consider.

Top Meds to Know for NCLEX

  • Patients taking betablockers, blood pressure medications, or heart rate control medications should know the following:
  • Aspirin/BP meds: Calcium channel blockers (end in -DIPINE)
  • Diltiazem and verapamil are two examples of CCBs.
  • Digoxin is a cardioglycoside/HR med.
  • Anxiety-reduction medication: (SSRIs, like fluoxeTINE)
    To reduce anxiety: (end in -LAM or -PAM, like clonazePAM)
  • Inhibitors of angiogenic activity (have the word NITRATE or NITRO in it)
  • The hormone insulin: (all of them: rapid, short, intermediate and long)
    Metformin is an anti-diabetic drug that is taken orally.
  • What are antibacterials? (most of them: cephalosporins, pencillins, fluoroquinolones and aminoglycosides)
  • narcotics/opioids and analgesics (acetaminophen and NSAIDs like ibuprofen) are pain medications.
  • Naloxone is an opioid overdose antidote.
  • Diarrhea: (all of them: thiazides, loop and K-sparing)
  • A short-acting bronchodilator such as –ALBUTEROL or a long acting one such as –ipraTROPIUM
  • Synthetic hormones (end in -SONE or -LONE)
  • Anti-neoplastic medications (not the specific meds, just the nursing considerations and side effects as a group)
  • Warfarin and heparin are examples of anticoagulants.
  • Platelet inhibitor: aspirin
  • epinephrine is used to treat anaphylaxis.
  • Miodarone is used to treat dysrhythmia.
  • Levothyroxine (Thyroid)
  • Docusate sodium is a stool softener.
  • A cholesterol-lowering drug: (end in -STATIN)