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
  • prioritization
  • informed-consent
  • advance-directives
  • patient-rights

• Safety and Infection Control (6-12%)

  • infection-control-basics
  • fall-prevention
  • seclusion-and-restraints

Health Promotion and Maintenance (6-12%)

• immunization-schedule
• prenatal-care
• growth-and-development
• health-screening

Psychosocial Integrity (6-12%)

• therapeutic-communication
• suicide-assessment
• grief-and-loss
• cultural-considerations

Physiological Integrity (38-62%)

• Basic Care and Comfort (6-12%)

  • nutrition-basics
  • mobility-and-positioning
  • pain-management

• Pharmacological Therapies (6-12%)

  • See Pharmacology MOC

• Reduction of Risk Potential (9-15%)

  • vital-signs
  • Lab Values
  • perioperative-care

• Physiological Adaptation (11-17%)

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