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NCLEX-RN Exam Topics and Domains
NCLEX-RN is organized into 4 weighted domains.
Safe and Effective Care Environment
Health Promotion and Maintenance
Aging Process
- Provide care and education for the newborn, infant, and toddler client from birth through 2 years
- Provide care and education for the preschool, school age and adolescent client ages 3 through 17 years
- Provide care and education for the adult client ages 18 through 64 years
- Provide care and education for the adult client ages 65 years and over
Ante-/Intra-/Postpartum and Newborn Care
- Provide prenatal care and education
- Provide care and education to an antepartum client or a client in labor
- Provide post-partum care and education
Developmental Stages and Transitions
- Identify expected physical, cognitive and psychosocial stages of development
- Compare client development to expected age/developmental stage and report any deviations
- Assist client to cope with life transitions
Health Promotion/Disease Prevention
- Assess and educate clients about health risks based on family, population, and community
- Assess client's readiness to learn, learning preferences, and barriers to learning
- Plan and/or participate in community health education
- Educate client about preventative care and health maintenance recommendations
- Provide resources to minimize communication barriers
Health Screening
Perform targeted screening assessments (e.g., vision, nutrition, depression)
High-Risk Behaviors
Educate client about prevention and treatment of high risk health behaviors
Lifestyle Choices
- Assess client's lifestyle choices
- Assess client's need/desire for contraception
- Educate client on sexuality issues
Self-Care
Assess client ability to manage care in home environment and plan care accordingly
Techniques of Physical Assessment
Perform comprehensive health assessments
Psychosocial Integrity
Abuse or Neglect
Assess client for abuse or neglect and report, intervene, and/or escalate
Behavioral Interventions
Incorporate behavioral management techniques when caring for a client
Chemical and Other Dependencies/Substance Use Disorder
Assess client for substance abuse and/or toxicities and intervene as appropriate
Coping Mechanisms
Assess client's ability to cope with life changes and provide support
Crisis Intervention
Assess the potential for violence and use safety precautions
Cultural Awareness/Cultural Influences on Health
Incorporate client cultural practices and beliefs when planning and providing care
End-of-Life Care
Provide end-of-life care and education to clients
Family Dynamics
Assess client support system to aid in plan of care
Grief and Loss
Provide care for a client experiencing grief or loss
Mental Health Concepts
- Provide care and education for acute and chronic psychosocial health issues
- Assess psychosocial factors influencing care and plan interventions
- Provide appropriate care for a client experiencing visual, auditory, and/or cognitive alterations
Stress Management
Recognize non-verbal cues to physical and/or psychological stressors
Therapeutic Communication
- Use therapeutic communication techniques
- Promote a therapeutic environment
Physiological Integrity
How do I earn this certification?
Passing NCLEX-RN earns the Registered Nurse (RN) License certification. It sits in the Nursing Licensure and Professional Development track.
Practice with Precision
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How to study for this exam?
The most effective way to prepare for NCLEX-RN is by using the PlanetCert Simulator to practice questions and review detailed explanations.
What's changed on this exam?
- ACTIVE
- Last content update: 2023-04-01
- Announcement date: 2023-01-15
- Computer Adaptive Testing (CAT) Engine Enhanced for NGN Integrated clinical judgment case studies into CAT algorithm; supports partial credit scoring for new item types • Release date: 2023-04-01
- Pearson VUE Testing Platform Current Secure test delivery; biometric authentication; enhanced security features • Release date: Ongoing
- Nursys e-Notify Current Real-time license verification system for employers and healthcare facilities • Release date: Ongoing
Who should take this exam?
- Clinical experience during nursing education
- NCLEX preparation course or review materials
- Practice with Next Generation NCLEX item types