Preparing for Nursing Exams

The National Council of State Boards of Nursing (NCSBN (PDF)) allocates the specific amount of questions that the nurse must answer in each category on the nursing exams. The NCSBN-PN and NCSBN-RN exams (PDF) vary in subtle ways. The most notable differences include categorical questions, such as client care responsibility, blood administration and central line care. Registered Nurses have furthered their training to dictate responsibilities concerning coordination and management, initiating IVs and medication, blood transfusions, and central line care, while an LPN has limited freedom to perform those duties. The RN exam ranges between 75 and 265 questions, while the LPN exam ranges between 85 and 205.

The test-taker must answer the questions as they appear on the screen, giving no room to skip ahead or return to a previously unanswered question. Test-takers (PDF) should read each question carefully before selecting the appropriate response. RN candidates are allowed 6 hours to take the exam, whereas PN candidates are limited to a maximum of 5 hours. The NCLEX consists of test questions covering cognitive recall, comprehension, application and analysis. The majority of the questions test each candidate's application and analysis capabilities. In fact, the NCLEX exam incorporates the five fundamental stages of the nursing process, including assessing, analyzing, planning, implementing, and evaluating patient situations.

The National Council of State Boards of Nursing determines the percentage of categorical questions and largely depends on the results of a graduate survey conducted by the council every three years. The categorical percentages change in accordance with 130 activity statements. The NCSBN's test format (compute...

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Eat a high-protein meal before taking the exam. Statistically, test-takers who have eaten a meal high in b-vitamins have commented on the clarity of thought during stressful peaks. Breathe in slowly to stimulate oxygen to the brain. Remember to pace yourself through the exam, making sure not to rush or spend too much time on any one question. Stand up and walk around if permitted to stimulate blood flow to the brain and throughout the body. Stretch to relieve cramping and muscle tension. Lastly, dress in layers to predict against the testing sites cold or warm temperature. Nobody wants to shiver while taking one of the most important exams of their nursing career. Remain calm and don't overstress yourself if the test questions catch you off-guard. Keep in mind that even if you don't pass the first time, there's always the chance to re-take the exam.