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Hampton University School of Nursing Test Plan for the National Council Licensure Examination for Registered Nurses (NCLEX-RN® Examination)
A comparison of plans- 2010-2013- “Be in the know!”
Deborah E. Jones, PhD, RN, CNE 1 Dean
The content of the NCLEX-RN Test Plan is organized into four major Client Needs categories. Two of the four
categories are divided into subcategories.
2010
NCLEX- RN Test Plan Content
Percentage of Items from Each
Category/Subcategory
THEN!
Percentage of Items from Each
Category/Subcategory
NOW!
2013
NCLEX-RN Test Plan Content
Safe and Effective Care
Environment
Safe and Effective Care Environment
Management of Care 16-22% 17-23% Management of Care
Safety and Infection
Control
8-14% 9-15% Safety and Infection Control
Health Promotion and
Maintenance
6-12% 6-12% Health Promotion and
Maintenance
Psychosocial Integrity 6-12% 6-12% Psychosocial Integrity
Physiological Integrity Physiological Integrity
Basic Care and Comfort 6-12% 6-12% Basic Care and Comfort
Pharmacological and
Parenteral Therapies
13-19% 12-18% Pharmacological and Parental
Therapies
Reduction of Risk Potential 10-16% 9-15% Reduction of Risk Potential
Physiological Adaptation 11-17% 11-17% Physiological Adaptation
Hampton University School of Nursing Test Plan for the National Council Licensure Examination for Registered Nurses (NCLEX-RN® Examination)
A comparison of plans- 2010-2013- “Be in the know!”
Deborah E. Jones, PhD, RN, CNE 2 Dean
Types of Items on the NCLEX-RN® Examination
(Information from Test Plan Booklets)
2010
Then
2013
Now! Candidates may be administered multiple choice items as well as items written in
alternate formats.
These formats may include but are not limited to:
1. multiple response
2. fill-in-the-blank calculation
3. ordered response 4. And/or hot spots
All item types may include multimedia such as
charts, tables, graphics, sound and video.
All items go through an extensive review process before being used as items on the
examination.
During the administration of the NCLEX-RN examination candidates will be required to respond to items in a variety of formats.
These formats may include, but are not limited to:
1. multiple response 2. fill-in-the-blank calculation
3. drag and drop
4. And/or hot spots
All item types may include multimedia, such as charts, tables, graphics, sound and video.
An alternate item format (previously known as an innovative item format) is an examination item, or
question, that uses a format other than standard, four-option, multiple-choice items to assess candidate ability. Alternate item formats may include:
Multiple-response items that require a candidate to select one or more than one response
Fill-in-the-blank items that require a candidate to type in number(s) in a calculation item Hot spot items that ask a candidate to identify one or more area (s) on a picture or graphic
Chart/exhibit format where candidates will be presented with a problem and will need to read the information
in the chart/exhibit to answer the problem
Hampton University School of Nursing Test Plan for the National Council Licensure Examination for Registered Nurses (NCLEX-RN® Examination)
A comparison of plans- 2010-2013- “Be in the know!”
Deborah E. Jones, PhD, RN, CNE 3 Dean
Ordered Response items that require a candidate to rank order or move options to provide the correct
answer
Audio item format where the candidate is presented an audio clip and uses headphones to listen and select the option that applies
Graphic Options that presents the candidate with graphics instead of text for the answer options and they will be required to select the appropriate graphic answer
Any item formats, including standard multiple-choice items, may include multimedia, charts, tables or graphic images.
Items defined:
1. Multiple choice-
2. Multiple-response items that require a candidate to select one or more than one response;
Multiple response items are described as having five or six options with a minimum of two correct (key) options. Items contain the statement “Select all that apply”.
3. Fill-in-the-blank items that require a candidate to type in number(s) in a calculation item;
4. Drag-and-drop item type that requires a candidate to rank order or move options to provide the correct answer (sounds like ordered response from 2010)
5. Hot spot items that ask a candidate to identify an area on a picture or graphic Rounding Answer:
Do calculator items have a decimal place? Yes, unless the item requests that the candidate records their answer using a whole number. If asked to record to one (or two) decimal places, the candidate must enter the decimal point for the answer to be correct.
When should a candidate round a calculation item?
Calculation items should be rounded at the end of the calculation.