Chapter 5_mcgee
- 1. Passing the NCLEX-RN Chapter 5 Copyright © 2014, 2009 by Mosby, Inc., an imprint of Elsevier Inc.
- 2. Copyright © 2014, 2009 by Mosby, Inc., an imprint of Elsevier Inc. 2 *Evolution of the NCLEX- RN Exam *National Council of State Boards of Nursing *Protects the public interest by ensuring that all entry-level nurses have met the minimum standard level required for safe and effective practice before licensing *Was paper/pencil but went to CAT *Computerized adaptive testing *The student’s answer to each question determines whether the next question will be easier or more difficult.
- 3. Copyright © 2014, 2009 by Mosby, Inc., an imprint of Elsevier Inc. 3 *CAT *Reliable and valid means of testing for entry- level nurse competency *Adjusts the level of difficulty of each question based on the accuracy of the previous answer *Calculates estimated ability with each question answered *Uses a 95% confidence interval for determining the minimum passing standard for competency
- 4. Copyright © 2014, 2009 by Mosby, Inc., an imprint of Elsevier Inc. 4 *NCLEX-RN Exam *Pass or fail *The computer will continue to test until it determines with 95% confidence that ability either surpasses (pass) or does not meet the minimum passing standard (fail). *Length * If, by the 265th question, the computer has not been able to determine within 95% confidence that the student has either clearly passed or failed (in other words, right on the borderline), the computer will then estimate ability as either pass or fail; remember, the student must meet or exceed the standard to pass.
- 5. Copyright © 2014, 2009 by Mosby, Inc., an imprint of Elsevier Inc. 5 *NCLEX-RN Exam (Cont'd) *Pass or fail *Time limit * If students run out of time before they have completed at least 75 questions, the computer will determine that they have failed. * If they have answered at least 75 questions, the computer will evaluate the last 60 ability calculations, and as long as each and every one exceeds the minimum passing standard, the computer will determine that they have passed. *Number of questions * 75-265
- 6. Copyright © 2014, 2009 by Mosby, Inc., an imprint of Elsevier Inc. 6 *NCLEX-RN Exam (Cont'd) *NCLEX test plan *Perform practice analysis every 3 years to update test *Questions written by educators and practicing nurses * Written at application, analysis, synthesis, evaluation levels *Categories * Safe, effective care environment * Management of care 17-23% * Safety and infection control 9-15% * Health promotion and maintenance 6-12% * Psychosocial integrity 6-12% * Physiological integrity * Basic care and comfort 6-12% * Pharmacological and parenteral therapies 12-18%
- 7. Copyright © 2014, 2009 by Mosby, Inc., an imprint of Elsevier Inc. 7 *NCLEX-RN Exam (Cont'd) *NCLEX-RN-style test items *They primarily consist of four-option multiple- choice questions with one answer. *Multiple response for multiple-choice items is used. *Fill-in-the-blank by completing calculations. *Use/analyze exhibits, pictures, tables, or graphs. *Click on a certain area on an image to indicate answer (“hot spot” items). *Drag and drop items from one location to another on a screen for ordering or prioritizing.
- 8. Copyright © 2014, 2009 by Mosby, Inc., an imprint of Elsevier Inc. 8 *NCLEX-RN Exam Question 1 Which statement indicates the nurse has an accurate understanding of the NCLEX-RN exam? 1. “The test is primarily composed of essay questions.” 2. “There is a total of 250 questions on the NCLEX-RN test.” 3. “Management of care has the highest percentage of questions.” 4. “To pass the exam, I need to answer only questions from basic care.”
- 9. Copyright © 2014, 2009 by Mosby, Inc., an imprint of Elsevier Inc. 9 * * ANSWER AND RATIONALE: 3. “Management of care has the highest percentage of questions.” According to the test plan, management of care has 17-28% of the questions.
- 10. Copyright © 2014, 2009 by Mosby, Inc., an imprint of Elsevier Inc. 10 *Evidence-Based Strategies for Testing Success *Preparation begins now. *The exam tests critical and higher thinking skills. *Deep review is needed. *KATTS framework *Knowledge base, anxiety control, and test-taking strategy (KATTS) *Includes academic and nonacademic issues *Positive attitude and belief in self is critical *Complete 50 questions/hr; up to 100 questions/2 hr
- 11. Copyright © 2014, 2009 by Mosby, Inc., an imprint of Elsevier Inc. 11 *Evidence-Based Strategies for Testing Success KATTS Framework
- 12. Copyright © 2014, 2009 by Mosby, Inc., an imprint of Elsevier Inc. 12 *Evidence-Based Strategies for Testing Success (Cont'd) *The 5 C’s *Content * Know your stuff. *Confidence * Believe in yourself. *Control * Control tension and anxiety. *Common sense * What does your intuition tell you? *Comparison * Compare the last two choices before choosing.
- 13. Copyright © 2014, 2009 by Mosby, Inc., an imprint of Elsevier Inc. 13 * Evidence-Based Strategies for Testing Success The 5 C’s
- 14. Copyright © 2014, 2009 by Mosby, Inc., an imprint of Elsevier Inc. 14 *Evidence-Based Strategies for Testing Success (Cont'd) *Practice with NCLEX-style questions. *Engage in 2 to 3 hours of question drill for every 1 hour of focused content study. *Complete a minimum of 2500 NCLEX-RN-style questions.
Editor's Notes
- #9: ANSWER AND RATIONALE: 3. “Management of care has the highest percentage of questions.” According to the test plan, management of care has 17-28% of the questions. 1. The NCLEX-RN exam primarily consists of four-option multiple-choice questions, which include single- and multiple-response items. 2. Students may either pass or fail after answering 75 or up to 265 questions. 4. The NCLEX RN exam is a pass or fail test. The computer will continue to test you until it determines with 95% confidence that your ability either surpasses (pass) or does not meet the minimum passing standard (fail).
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