Health Promotion and Maintenance
The Health Promotion and Maintenance section of the NCLEX-PN® exam accounts for 7%-13% of the questions on the exam. Unlike other sections, these questions have a focus on preventative health and caring for the well patient. Topics covered include prenatal, postpartum, and newborn care; aging, developmental stages, self-care, disease prevention, and high-risk behaviors.
The Physiological Integrity section of the NCLEX-PN® exam makes up the majority of the test and is divided into four subcategories. Basic Care and Comfort accounts for 9%-15% and covers topics such as elimination, hygiene, sleep, nutrition, mobility and immobility, and non-pharmacological comfort. Pharmacological Therapies makes up 11%-17% of the total exam and includes many facets of medication administration, including dosage calculations, adverse effects, interactions, and expected outcomes. Reduction of Risk Potential is 9%-15% of the exam. Topics covered include laboratory values and diagnostic tests, potential for complications in surgical and diagnostic procedures, and changes in vital signs. Finally, Physiological Adaption makes up 9%-15% of the exam. This subsection covers how the body reacts to alterations in body systems, including fluid and electrolyte imbalances, radiation, unexpected responses to therapies, and medical emergencies.
The Psychosocial Integrity section of the NCLEX-PN® exam focuses on the emotional and mental health needs of patients and their families. Topics covered include abuse and neglect, religious and spiritual health, coping mechanisms, cultural concepts, end-of-life issues, grief, stress management, support systems, therapeutic communication, and crisis intervention.
Safe and Effective Care Environment
The Safe and Effective Care Environment section of the NCLEX-PN® exam is divided into two subcategories: Coordinated Care and Safety and Infection Control. The Coordinated Care section makes up 12%-19% of the total exam and covers concepts such as management, supervision, and collaboration among the healthcare team, patient rights, patient advocacy, confidentiality, ethics, legal responsibilities, prioritization, and resource management. The Safety and Infection Control subcategory accounts for 11%-17% of the total test. It covers concepts like ergonomics, reporting sentinel events, the proper use of restraints and safety equipment, the handling of hazardous materials, and standard precautions.
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