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2017 NCLEX-PN® Test Plan Overview
KristinSinger,MSN,RNRNTestDevelopmentAssociate,Examinations
Objectives
Attheendofthewebinartheparticipantwillbeableto
1. Discusstheapproved2017NCLEX-PN® TestPlan2. Accessthe2015LPN/VNPracticeAnalysisand
2017NCLEX-PNTestplan
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NCLEX®Development
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NURSING SCOPE OF PRACTICE
KNOWLEDGE, SKILLS AND ABILITIES (KSA)PRACTICE ANALYSIS
ITEM WRITING
ITEM REVIEW
PRE-TEST
ADDITIONAL REVIEW PROCESSES
EXAMINATION ADMINISTRATION
NCLEX TEST PLAN
Methodology
• NCLEX-PNpracticeanalysismethodologywasreviewedandapprovedbythreepsychometricians
• NCSBN® ChiefExecutiveOfficerapprovedtheproceduresusedtoprotectsubjectparticipants’rights
• Apanelof10nurseSubjectMatterExperts(SMEs)developedacomprehensivelistofentry-levelPNactivitystatements
PNExpertPanel• Resourcesused
– Summaryofnurseleaderinterviews– Practiceactivitylogs– Documentsfrompractice– Professionalexpertise
• MeetingOutcomes– Developedlistofnursingactivitystatements– Approvedcurrentcategorystructure
NCLEX® ExaminationCommittee
• ReviewandapproveactivitystatementsdevelopedbySMEPanel
• ApproveoverallstructureoftheNCLEX® ClientNeedscategories
• Proposethedraft2017NCLEX-PNTestPlan
SampleandRespondents
• Samplereflectedthe2015populationofNCLEX-PNcandidates
• PercentageofrespondentswassimilartothenursingrepresentationacrosstheUnitedStates
• Samplingfollowsentry-levelnursedistributionacrosstheUnitedStates
ENTRY-LEVELNURSEDEMOGRAPHICS2015AND2012
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Gender
11.3
88.7
12.1
87.9
0
10
20
30
40
50
60
70
80
90
100
Male Female
Perc
ent (
%)
Year
2015 2012
RaceandEthnicity
22.6
0.9
7.19.7
1.0 1.1
52.3
5.3
18.6
1.2
5.7
11.2
0.9 0.9
57.9
3.7
0
10
20
30
40
50
60
70
African American Asian Indian Asian Other Hispanic Native American Pacific Islander White – Not of Hispanic Origin
Other
Percen
t(%)
Race/Ethnicity
2015 2012
EducationalPrograms
83.7
11.1
0.2 0.9 0.42.7 1.1
86.4
10.6
0.2 1.6 0.1 0.6 0.60
10
20
30
40
50
60
70
80
90
100
LPN/VN Diploma LPN/VN Associate RN Diploma RN Associate RN Baccalaureate Educated outside U.S.
Other
Perc
ent (
%)
2015 2012
MonthsSinceGraduationandEmployment
7.4
13.9
2.8
7.1
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
Months employed as LPN/VN Months since graduation
Mon
ths
2015 2012
OrientationPrograms
EmploymentSettings
EmploymentFacilities2015 2012
TypeofFacility/Organization % %
Hospital 10.3 12.1
Long-termcare 50.4 54.2
Community-basedorambulatorycarefacility/organization 28.6 25.2
Other 10.7 8.5
PracticeSettingsNote:Respondentscouldselectallthatapply
ClientHealthConditions
7.8
36.7
30.6
26.6
18.3
49.7
1.9
25.9
5.9
37.9
27.5
26.0
18.7
47.8
1.9
29.9
0 10 20 30 40 50 60
Other
Behavioral/emotional conditions
At end of life
Acute conditions
Unstable chronic conditions
Stable chronic conditions
OB (Maternity) clients
Well clients
Percent(%)
Clie
nt C
ondi
tion
2015 2012
PracticeAnalysistoTestPlanwww.ncsbn.org/testplans.htmwww.ncsbn.org/9486.htm
NCLEX® TestPlan
• Thepracticeanalysisguidesthedevelopmentofthetestplan,whichisthebasisoftheNCLEX
• Outlineofcontententry-levelnursesmustknowtobeconsideredminimallycompetent
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2017NCLEX-PN® TestPlanTimeline
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August2016 DelegateAssemblyactionisprovided.
September2016 Theapproved2017NCLEX-PNTestPlanispublishedandplacedontheNCSBNwebsite.
September2016 PanelofJudgesmeettorecommendthe2017NCLEX-PNPassingStandard.
December2016 NCSBNBoardofDirectorsevaluatesthe2017NCLEX-PNPassingStandard.
April1,2017 Approved2017NCLEX-PN® TestPlanandthe2017NCLEX-PNPassingStandardareeffective.
OVERVIEWOFTHE2017NCLEX-PN® TESTPLAN
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Overviewofthe2017NCLEX-PN® TestPlan
• Overallformatisretained• Minoreditsforcurrencyandclarification• Minimalchangestotheentry-levelnursingactivitystatements
• MinimalchangetotheNCLEXclientneedcontentdistributionpercentages
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BeliefsSection
TheLPN/VNusesspecializedknowledgeandskillswhichmeetthehealthneedsofpeopleinavarietyofsettingsunderthedirectionofqualifiedhealthprofessionals. Consideringuniqueculturalandspiritualclientpreferences,theapplicablestandardofcareandlegalinstructions, theLPN/VNusesaclinicalproblem-solvingprocess(thenursingprocess)tocollectandorganizerelevanthealthcaredata,assistintheidentificationofthehealthneeds/problemsthroughouttheclient’slifespanandcontributetotheinterdisciplinaryteaminavarietyofsettings.
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NCLEX® IntegratedProcesses
• NursingProcess• Caring• CommunicationandDocumentation• TeachingandLearning
NCLEX® IntegratedProcesses
• CulturalandSpirituality– Interactionofthenurseandtheclient(individual,familyorgroup,includingsignificantothersandpopulation)whichrecognizesandconsiderstheclient-reported,self-identified,uniqueandindividualpreferencestoclientcare,theapplicablestandardofcareandlegalinstructions.
NCLEX-PN® TestPlanComparison
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ContentArea Title
April2017Weight(±3%)
April2014Weight(±3%)
1 CoordinatedCare 21% 19%
2 SafetyandInfection Control 13% 13%
3 HealthPromotion andMaintenance 9% 10%
4 PsychosocialIntegrity 12% 11%
5 BasicCareandComfort 10% 10%
6 PharmacologicalTherapies 13% 14%
7 ReductionofRiskPotential 12% 13%
8 Physiological Adaptation 10% 10%
Total 100% 100%
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EffectiveApril1,2017
CoordinatedCare21%
SafetyandInfectionControl13%
HealthPromotionandMaintenance
9%
PsychosocialIntegrity12%
BasicCareandComfort10%
PharmacologicalTherapies13%
ReductionofRiskPotential12%
PhysiologicalAdaptation10%
DistributionofContentfortheNCLEX-PN®TestPlan
2017NCLEX-PN® DetailedTestPlan
Threepurposes1. Guidecandidatespreparingfortheexam2. Directionforitemdevelopment3. Facilitateclassificationofexamitems
www.ncsbn.org/nclex.htm
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Thankyou!