Cognitive Levels Tested in Exam
— When making clinical decisions, issues of culture, background, comorbidities, knowledge, and education level, and ability to discuss and comply with a prescribed treatment regimen must be taken into consideration
— It is of fundamental importance to the practice of nursing to test the knowledge, skills, and abilities of the nurse in order to license a safe and competent beginner who is able to successfully care for a diverse group of patients
Safe and effective care environment: The nurse provides and directs nursing care that enhances achievement of patient outcomes while protecting patients and health care personnel:
° Management of care: Regulatory information (advocacy, delegation, patient rights, informed consent, and more)
° Safety and infection control: Safety in care environments, equipment use, standard precautions, and emergency response
Health promotion and maintenance: Health promotion through the lifespan; health screening, including genetics, lifestyle choices, and physical assessment techniques
Psychosocial integrity: The therapeutic environment, adaptive processes, mental health, stress management across the lifespan, and alteration in sensorium
° Basic care and comfort: Performance of activities of daily life (ADLs), assistive devices, nutrition and oral hydration, elimination, and rest and sleep
° Pharmacological and parenteral therapies: Medication administration, parenteral therapies, adverse effects, expected outcomes of therapy, central venous access devices (CVADs), dosage calculations, and blood and blood products administration
° Reduction of risk potential: Interpretation of changes in vital signs, laboratory and diagnostic tests and complications related to procedures, and therapeutic procedures
° Physiological adaptation: Recognition of fluid and electrolyte imbalance, and pathophysiology and responses to unexpected emergencies
— Caring: The philosophy of trust and mutual respect that is achieved within the therapeutic relationship
— Communication and documentation:
° The verbal and nonverbal items that constitute the nurse-patient relationship and the information regarding therapies, interventions, and events that require documentation
° Documentation must adhere to regulatory standards and accountability requirements
— Teaching/learning: The acquisition of knowledge skills and attitudes promotes a change in behavior
— Culture and spirituality: The way that the nurse involves and incorporates self-identified preferences in care and unique patient needs in order to facilitate optimization of patient recovery from illness
— What type of learner are you?
— What type of study habits did you have during nursing school?
— Did you study in groups, or alone?
— Did you take notes, or draw diagrams to help you to learn information and to apply it effectively?
— Ensure that you obtain and use a great study guide—like this one!
— If you can, access and work through at least 3,000 practice questions:
° Consult online resources, bookstores, and nursing libraries to find these practice questions
° By attempting to answer at least 3,000 questions, you vastly increase your exposure to the different types of questions that you may encounter in the test, and thereby increase your chances of success
— If you go on break, your palm vein scan, digital fingerprint, digital signature, and photo ID will be required before you can re-enter the testing room and resume the test
— 95% confidence interval rule: This means that the computer will end the test whenever its algorithm has determined (with 95% confidence) that you are either above or below the assigned passing standard.
— Maximum-length exam:
° If your ability level is assessed to be very close to the passing standard, the computer will continue to administer questions until the maximum number is reached
° In this case, the computer will calculate the percent of questions answered correctly without regard for the 95% rule
° If the final score is below the passing standard, the candidate is unsuccessful
— Run-out-of-time rule:
° If the candidate runs out of time before answering the maximum number of items, and the 95% rule cannot apply, the candidate fails.
° If the minimum number of questions has been answered, the computer assesses ability based on the last 60 questions—if the student has been consistently above the standard, he or she passes; if the student falls below the passing standard, he or she fails
— Just because you have to answer 230 questions does not necessarily mean that you have failed
— You may simply be one of those randomly selected by the computer program to answer the full test