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National Council Licensure Examination (NCLEX)

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NCSBN is dedicated to developing psychometrically sound and legally defensible nurse licensure and certification examinations consistent with current practice. The nursing regulatory bodies (NRBs) that comprise NCSBN protect the public’s health and welfare by assuring that safe and competent nursing care is provided by licensed nurses. We work with influential personnel and have access to the PEARSON VUE database which allows us to register candidate data and provide registered NCLEX, USMLE, and other certificates with or without exams. Buy NCLEX certificate online.

More than 6 Million Candidates have taken the NCLEX exams. According to the National Council of State Boards of Nursing, in 2017, the first-attempt NCLEX pass rate for U.S.-educated nursing students was 87%. The second-attempt pass rate for domestically-educated students taking the test was 45.56%. These results demonstrate that it is a pretty difficult test. Buy NCLEX certificate online, also Buy NCLEX license without exam.

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NCLEX-RN (National Council Licensure Examination-Registered Nurse). All boards of nursing in states and territories of the United States require candidates to pass this exam for licensure as a registered nurse (RN). As of 2015, 10 provincial/territorial RN regulators in Canada have chosen the NCLEX-RN and the National Council of State Boards of Nursing (NCSBN) as the provider of the Canadian RN entry-to-practice exam.

The NCLEX-RN uses the five-step nursing process. Each of the questions will fall into one of the five steps: assessment, diagnosis, planning, implementation, and evaluation.

The exam’s content is based on client needs:

  • Safe and Effective Care Environment
    • Management of Care 17-23%
    • Safety and Infection Control 9-15%
  • Health Promotion and Maintenance 6-12%
  • Psychosocial Integrity 6-12%
  • Physiological Integrity
    • Basic Care and Comfort 6-12%
    • Pharmacological and Parenteral Therapies
    • Reduction of Risk Potential 9-15%
    • Physiological Adaptation 11-17%


NCLEX-PN (National Council Licensure Examination-Practical Nurse). All US state and territorial boards of nursing require a passing result on the exam for licensure as a licensed practical nurse (LPN) or licensed vocational nurse (LVN).


The exam’s content is based on client needs:

  • Safe Effective Care Environment
    • Coordination of Care
    • Safety and Infection Control
  • Health Promotion and Maintenance
  • Psychosocial Integrity
  • Physiological Integrity
    • Basic Care and Comfort
    • Pharmacological and Parenteral Therapies
    • Reduction of Risk Potential
    • Physiological Adaptation

National Council Licensure Examination (NCLEX)?

The National Council Licensure Examination (NCLEX) is a nationwide examination for the licensing of nurses in the United States, Canada and Australia since 1982, 2015 and 2020 respectively. There are two types, the NCLEX-RN and the NCLEX-PN. After graduation from a school of nursing, one takes the NCLEX exam to receive a nursing license. A nursing license gives an individual the permission to practice nursing, granted by the state where they met the requirements.

NCLEX examinations are developed and owned by the National Council of State Boards of Nursing, Inc. (NCSBN). The NCSBN administers these examinations on behalf of its member boards which consist of the boards of nursing in the 50 states, the District of Columbia, and four U.S. territories, American Samoa, Guam, Northern Mariana Islands, and the U.S. Virgin Islands.

To ensure public protection, each board of nursing requires a candidate for licensure to pass the appropriate NCLEX examination: NCLEX-RN for registered nurses and the NCLEX-PN for vocational or practical nurses. NCLEX examinations are designed to test the knowledge, skills and abilities essential for the safe and effective practice of nursing at the entry level.

NCLEX examinations are provided in a computerized adaptive testing (CAT) format and are presently administered by Pearson VUE in their network of Pearson Professional Centers (PPC). With computerized exams such as this, the computer selects which question you are asked based on how you answered the previous question. The NCLEX covers a wide range of material. The individual will be scored by their ability to think critically about decisions involving nursing care.

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  • 2 Separate exam with 125 question on each practice exam.
  • 6 continuous hours to take each practice exam.
  • A tutorial to demonstrate the different question types.
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  • Exam must be used within 45 days of purchase.
  • A Score report with the percentage of question answered correctly.

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Physiological Integrity

The Physiological Integrity category contains the majority of the questions on the exam, about 43-67 percent. This portion of the NCLEX deals with adult medical and surgical care, pediatrics, and gerontology, which is the study of the elderly and the effects of aging. Some of the questions may deal with conditions that nurses treat on a regular basis such as, diabetes, cardiovascular disorders, neurological disorders, renal diseases, and respiratory diseases. In addition, questions on traumatic injuries, immunological disorders, skin disorders and infectious diseases could be asked. There are different topics on the NCLEX pertaining to the pediatric client. These topics may include growth and development, birth abnormalities, child abuse, common infectious diseases of children, and usual childhood traumas such as burn injuries and fractures.


Safe and Effective Care Environment

This category makes up approximately 21-33 percent of the NCLEX questions. Questions in this category cover safety issues in patient care, particularly the administration of medicine to patients, safety measures to prevent further injuries and infections, isolation precautions, safety for pediatric patients, and special safety precautions for patients with psychiatric problems.

This portion of the exam may also include questions pertaining to laboratory tests, test results, and unique nursing procedures that may be associated with test results; ethical and legal nursing problems; nursing management; and issues related to giving patients the best care. NCLEX questions on these topics are randomly spread throughout the exam.


Health Promotion and Maintenance

The Health Promotion and Maintenance category makes up about 12 percent of the NCLEX examination. Questions under this category deal with birth control measures, pregnancy, labor and delivery; care for a newborn infant, growth and development, and diseases that can spread easily like sexually transmitted infections. If a patient is pregnant, it is very important that the nurse be able to act as a teacher or counselor for the patient. This makes it necessary to understand all components of a patient’s pregnancy. Knowledge of a proper diet, development of the fetus, signs and symptoms of pregnancy complications and certain pregnancy related procedures will be helpful for this section of the exam.

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