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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!