Basic Care and Comfort
This type of question on the NCLEX-PN® falls under the topic of “Physiological Integrity” and will comprise from 7% to 13% of the test. They will assess your knowledge of the day-to-day patient care you will be expected to provide and the approved procedures for accomplishing these tasks. You will need to know how to safely and effectively provide assistance, as well as comfort, during activities of daily living. The needs of every patient are different, so you’ll need to know a variety of strategies to use during many different situations.
This is one of the two areas covered by questions about “Safe and Effective Environment” on the NCLEX-PN® test and is the basis for 18%–24% of the test questions. The main emphasis here is that you know how to collaborate with other healthcare personnel to provide care for patients. You will need to have a certain amount of knowledge of typical healthcare regulations to do this well. Things like advance directives and the referral process should be familiar to you, and you should understand your role in dealing with patients.
Health Promotion and Maintenance
The Health Promotion and Maintenance section of the NCLEX-PN® exam accounts for 6%–12% 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.
Questions about pharmacological concepts occupy about 10% to 16% of the NCLEX-PN® test and make up one of four subtopics falling under the broader heading of “Physiological Integrity.” You’ll need to know about medication administration and be able to monitor patients who are being given parenteral therapies. There are questions about dosage, effects, interactions, and expected outcomes, among other related concepts.
Occupying about 7% to 13% of the NCLEX-PN® test, questions on this area of healthcare relate to patient physical conditions during chronic care situations and acute/emergency episodes. You’ll need to understand and respond to scenarios involving body system alterations, fluid and electrolyte concerns, and the patient’s response to various therapies, among others. This area of study is one of the four parts listed under “Physiological Integrity.”
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. Approximately 9% to 15% of the questions on the exam are focused on this topic.
Reduction of Risk Potential
Included as a subtopic under “Physiological Integrity” in the outline of concepts covered on the NCLEX-PN® test, questions about reducing risk potential occupy about 9% to 15% of the test. You’ll need to know all about tests and lab values and their significance in patient care. Part of your job will be to spot irregularities in patient conditions, especially after medical procedures and during therapies. By doing so, you keep the risk of complications low and help the patient avoid unintended risks.
Safety and Infection Control
About 10% to 16% of the NCLEX-PN® test questions relate to this topic and are part of the focus on providing a “Safe and Effective Care Environment,” along with the questions on “Coordinated Care” concepts. Topics included all involve making sure the healthcare setting and the care you provide are geared for patient health and safety. From preventing and reporting accidents to security issues, your role in promoting patient welfare is important.
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