Do LPNs Need to Take the NCLEX? Exam Requirements Explained

The NCLEX (National Council Licensure Examination) is required for both Registered Nursing and Practical Nursing graduates to pass prior to practicing in healthcare. The NCLEX-PN assesses if graduates have the necessary knowledge, skills, and abilities for entry-level practical or vocational nursing practice. It focuses on safe, effective care, aligning with real-world responsibilities in a clinical setting.

NCLEX-PN Test Plan

The NCLEX- PN is broken up into four major content areas (2 of those areas are broken into subcategories):

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

The NCLEX-PN test plan should be reviewed by all Practical Nursing graduates prior to taking the exam.

What to expect

  • Computerized adaptive testing (CAT)
    • NCLEX-PN is administered using a CAT method which means that question difficulty will adjust based on whether the graduate answers correctly.
  • Exam length
    • The exam may be between 85 to 150 questions, ending when the CAT system determines the graduates competency or when the maximum number of questions is reached.
  • Types of Questions
    • The NCLEX-PN includes multiple-choice, select-all-that-apply, fill-in-the-blank, and case study questions. It’s designed to assess clinical judgment and application rather than memorized knowledge.

Conclusion

Preparation for the NCLEX-PN should involve reviewing test plans, practicing questions, and reviewing pertinent content learned during nursing school. You’ve got this Future LPN.

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