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Certification Path for NCLEX-RN® Examination
The NCSBN Board of Directors (BOD) reevaluates the passing standard once every three years. The criterion that the BOD uses to set the standard is the minimum level of ability required for safe and effective entrylevel nursing practice.
To assist the BOD in making this decision, they are provided with information on:
- The historical record of the passing standard with summaries of the candidate performance associated with those standards
- Information describing the educational readiness of high school graduates who express an interest in nursing
- The results of a standard setting exercise performed by a panel of experts with the assistance of psychometricians
- The results of a standard setting survey sent to educators and employers; and
Once the passing standard is set, it is applied uniformly to every examination according to the procedures laid out in the Scoring the NCLEX section. To pass the NCLEX, a candidate must perform above the passing standard. There is no fixed percentage of candidates that pass or fail each examination.
Reference: https://www.nclex.com/files/2023_PN_Test%20Plan_FINAL.pdf
What is the scoring of NCLEX-RN® Examination
The NCLEX is different from a traditional fixed-length examination, which administers the same items to every candidate. Fixed-length examinations ensure that the difficulty of the examination is constant for every candidate; therefore, the percentage correct is the indicator of the candidate's ability. This approach requires high ability candidates to answer all easy items on the examination and low ability candidates to guess on difficult items. This method provides less accurate information about the candidate's true ability. The NCLEX uses CAT to administer items. CAT is able to produce exam results that are more precise and efficient, using fewer items by targeting items to the candidate's ability. The computer (i.e. CAT scoring algorithm) estimates the ability of the candidate in relation to the passing standard. Every time the candidate answers an item, the computer re-estimates the candidate's ability. With each additional answered item, the ability estimate becomes more precise.
NCLEX NCLEX-PN Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Physiological Integrity | 46% | - Reduction of Risk Potential - Basic Care and Comfort - Physiological Adaptation - Pharmacological and Parenteral Therapies |
| Topic 2: Safe and Effective Care Environment | 27% | - Coordination of Care - Safety and Infection Control |
| Topic 3: Psychosocial Integrity | 12% | - Mental Health Concepts - Coping Mechanisms and Support Systems |
| Topic 4: Health Promotion and Maintenance | 15% | - Growth and Development - Disease Prevention and Early Detection |
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