NCLEX-RN Test Blueprint

Exam Structure

NCLEX-RN uses Computerized Adaptive Testing (CAT). 85-150 questions, 5-hour time limit.

Client Need Categories

Safe and Effective Care Environment (21-33%)

• Management of Care (15-21%)

  • delegation-versus-assignment-in-nursing
  • acuity-and-intensity-in-nursing-prioritization
  • informed-consent
  • powers-of-attorney-and-advance-directives
  • client-rights-and-protections

• Safety and Infection Control (6-12%)

  • infection-control
  • fall-prevention
  • restraints-and-restraint-alternatives

Health Promotion and Maintenance (6-12%)

• well-care-anticipatory-guidance-and-immunization-across-the-lifespan
• first-prenatal-visit
• growth-vs-development-lifespan-milestones-and-play-patterns
• adult-preventive-screening-and-health-promotion

Psychosocial Integrity (6-12%)

• therapeutic-communication
• self-harm-and-suicide
• grief-and-loss
• culturally-competent-care

Physiological Integrity (38-62%)

• Basic Care and Comfort (6-12%)

  • nutritional-assessment-framework
  • immobility-complications
  • pain-management

• Pharmacological Therapies (6-12%)

  • See Pharmacology MOC

• Reduction of Risk Potential (9-15%)

  • vital-signs
  • Lab Values
  • perioperative-surgical-classification-anesthesia-and-innovation

• Physiological Adaptation (11-17%)

  • heart-failure
  • diabetes-mellitus
  • stroke
  • acute-kidney-injury