A.L.L.
coyura Academy
THE
NCLEX
STUDY GUIDE
+ Practice Questions
A Complete Roadmap to Passing the NCLEX-RN
Comprehensive content review across all NCLEX categories, test-taking strategies,
50 practice questions with full rationales, and a complete study planner.
— What's Inside: — — You Will Learn: —
+ Complete NCLEX-RN category overview + How the NCLEX-CAT algorithm works
+ Safe & effective care environment + The 6 NCLEX client needs categories
+ Health promotion & maintenance + Priority + delegation frameworks
+ Psychosocial integrity review + Pharmacology mnemonics & tips
+ Physiological integrity (all 4 sub-areas) + Lab values every nurse must know
+ 50 practice questions + full rationales + How to answer NCLEX-style questions
Nursing is not just a career. It is a calling. This guide helps you answer it.
Created by ALLcoyura Academy
,A.L.L.
coyura Academy
NCLEX-RN OVERVIEW
Understanding the exam structure is the first step to passing it.
What Is the NCLEX-RN?
The NCLEX-RN (National Council Licensure Examination — Registered Nurse) is the standardised exam used across the United
States and Canada to determine whether candidates are prepared to practice safely and competently as entry-level registered
nurses. It is developed and administered by the National Council of State Boards of Nursing (NCSBN). As of 2023, the exam uses
the Next Generation NCLEX (NGN) format.
NCLEX-RN Key Facts: The CAT Algorithm — How Scoring Works:
1. Question Presented
Fact Detail
You receive a question calibrated to your current ability estimate.
Exam Format Computerised Adaptive T
2. You Answer
Min Questions 85 questions (Next Gen f
The CAT algorithm scores your response immediately.
Max Questions 150 questions
3. Difficulty Adjusts
Time Limit 5 hours total
Correct → harder next Q. Wrong → easier next Q.
Passing Standard Near the logit passing sta
4. Confidence Grows
Cost $200 USD per attempt
The algorithm builds statistical certainty about your ability.
Wait to Retake 45–90 days (varies by sta
5. Exam Ends
Score Report Pass / Fail only — no nu
When 95% confidence exists that you are above or below passing.
NCLEX Client Needs Categories & Percentage Breakdown:
Category % of Exam Key Content Areas
Safe & Effective Care Environment
Management of Care 17–23% Priority, delegation, legal/ethical, case management
Safety & Infection Control 9–15% Error prevention, standard precautions, restraints
Health Promotion & Maintenance 6–12% Lifespan development, disease prevention, screening
Psychosocial Integrity 6–12% Mental health, coping, crisis intervention, abuse
Physiological Integrity
Basic Care & Comfort 6–12% Nutrition, elimination, mobility, non-pharma comfort
Pharmacological Therapies 13–19% Drug actions, interactions, adverse effects, dosage
Reduction of Risk Potential 9–15% Labs, diagnostic tests, complications, invasive procedures
Physiological Adaptation 11–17% Acute/chronic illness, fluid/electrolytes, emergencies
Created by ALLcoyura Academy Page 2
, A.L.L.
coyura Academy
CONTENT REVIEW: SAFE CARE & HEALTH PROMOTION
Management of Care, Safety, Infection Control, and Health Promotion.
MANAGEMENT OF CARE — Priority & Delegation Framework
Priority Frameworks: Delegation Rules (5 Rights):
Framework Principle Right What It Means
Maslow's Hierarchy Physiological needs first (airway, breath Right Task Only delegate tasks within UAP/LPN scope
ABCs Airway > Breathing > Circulation — alw Right Person Match task to competency and training
Acute vs. Chronic Acute/unstable conditions always take p Right Direction Give clear, concise instructions
Life-threatening Any immediately life-threatening proble Right Supervision RN remains accountable — always follow up
SATA Priority Choose all that apply — think: most uns Right Circumstanc Consider patient stability and setting
SAFETY & INFECTION CONTROL — Key Principles
Isolation Precaution Types: Restraint & Safety Rules:
■ Obtain MD order — cannot apply restraints without a valid order
Type PPE & Room ■ Assess every 15–30 min — circulation, skin integrity, respiratory
■ Release and reposition at least every 2 hours
Standard ALL patients — gloves, hand hygiene
■ Use least restrictive restraint appropriate for the situation
Contact MRSA, C. diff, wounds — gown + gloves
■ Document behaviour requiring restraint, type used, and patient
response
Droplet Flu, meningitis — surgical mask, private room ■ Never tie to side rails — always tie to the bed frame with
quick-release knot
Airborne TB, measles, varicella — N95, negative press
Protective Neutropenic — positive pressure, mask for vi
HEALTH PROMOTION & MAINTENANCE — Screening & Development
Erikson's Developmental Stages (Key NCLEX Stages):
Stage Crisis Nursing Implication
Infant (0–1) Trust vs. Mistrust Consistent caregiver response builds trust
Toddler (1–3) Autonomy vs. Shame Allow choices; encourage independence
Preschool (3–6) Initiative vs. Guilt Support creativity; avoid criticism
School Age (6–12) Industry vs. Inferiority Praise accomplishments; encourage skills
Adolescent (12–18) Identity vs. Role Confusion Support identity exploration
Young Adult (18–40) Intimacy vs. Isolation Foster close relationships
Middle Adult (40–65) Generativity vs. Stagnation Mentorship; contributing to society
Older Adult (65+) Integrity vs. Despair Life review; accepting life as meaningful
Created by ALLcoyura Academy Page 3
coyura Academy
THE
NCLEX
STUDY GUIDE
+ Practice Questions
A Complete Roadmap to Passing the NCLEX-RN
Comprehensive content review across all NCLEX categories, test-taking strategies,
50 practice questions with full rationales, and a complete study planner.
— What's Inside: — — You Will Learn: —
+ Complete NCLEX-RN category overview + How the NCLEX-CAT algorithm works
+ Safe & effective care environment + The 6 NCLEX client needs categories
+ Health promotion & maintenance + Priority + delegation frameworks
+ Psychosocial integrity review + Pharmacology mnemonics & tips
+ Physiological integrity (all 4 sub-areas) + Lab values every nurse must know
+ 50 practice questions + full rationales + How to answer NCLEX-style questions
Nursing is not just a career. It is a calling. This guide helps you answer it.
Created by ALLcoyura Academy
,A.L.L.
coyura Academy
NCLEX-RN OVERVIEW
Understanding the exam structure is the first step to passing it.
What Is the NCLEX-RN?
The NCLEX-RN (National Council Licensure Examination — Registered Nurse) is the standardised exam used across the United
States and Canada to determine whether candidates are prepared to practice safely and competently as entry-level registered
nurses. It is developed and administered by the National Council of State Boards of Nursing (NCSBN). As of 2023, the exam uses
the Next Generation NCLEX (NGN) format.
NCLEX-RN Key Facts: The CAT Algorithm — How Scoring Works:
1. Question Presented
Fact Detail
You receive a question calibrated to your current ability estimate.
Exam Format Computerised Adaptive T
2. You Answer
Min Questions 85 questions (Next Gen f
The CAT algorithm scores your response immediately.
Max Questions 150 questions
3. Difficulty Adjusts
Time Limit 5 hours total
Correct → harder next Q. Wrong → easier next Q.
Passing Standard Near the logit passing sta
4. Confidence Grows
Cost $200 USD per attempt
The algorithm builds statistical certainty about your ability.
Wait to Retake 45–90 days (varies by sta
5. Exam Ends
Score Report Pass / Fail only — no nu
When 95% confidence exists that you are above or below passing.
NCLEX Client Needs Categories & Percentage Breakdown:
Category % of Exam Key Content Areas
Safe & Effective Care Environment
Management of Care 17–23% Priority, delegation, legal/ethical, case management
Safety & Infection Control 9–15% Error prevention, standard precautions, restraints
Health Promotion & Maintenance 6–12% Lifespan development, disease prevention, screening
Psychosocial Integrity 6–12% Mental health, coping, crisis intervention, abuse
Physiological Integrity
Basic Care & Comfort 6–12% Nutrition, elimination, mobility, non-pharma comfort
Pharmacological Therapies 13–19% Drug actions, interactions, adverse effects, dosage
Reduction of Risk Potential 9–15% Labs, diagnostic tests, complications, invasive procedures
Physiological Adaptation 11–17% Acute/chronic illness, fluid/electrolytes, emergencies
Created by ALLcoyura Academy Page 2
, A.L.L.
coyura Academy
CONTENT REVIEW: SAFE CARE & HEALTH PROMOTION
Management of Care, Safety, Infection Control, and Health Promotion.
MANAGEMENT OF CARE — Priority & Delegation Framework
Priority Frameworks: Delegation Rules (5 Rights):
Framework Principle Right What It Means
Maslow's Hierarchy Physiological needs first (airway, breath Right Task Only delegate tasks within UAP/LPN scope
ABCs Airway > Breathing > Circulation — alw Right Person Match task to competency and training
Acute vs. Chronic Acute/unstable conditions always take p Right Direction Give clear, concise instructions
Life-threatening Any immediately life-threatening proble Right Supervision RN remains accountable — always follow up
SATA Priority Choose all that apply — think: most uns Right Circumstanc Consider patient stability and setting
SAFETY & INFECTION CONTROL — Key Principles
Isolation Precaution Types: Restraint & Safety Rules:
■ Obtain MD order — cannot apply restraints without a valid order
Type PPE & Room ■ Assess every 15–30 min — circulation, skin integrity, respiratory
■ Release and reposition at least every 2 hours
Standard ALL patients — gloves, hand hygiene
■ Use least restrictive restraint appropriate for the situation
Contact MRSA, C. diff, wounds — gown + gloves
■ Document behaviour requiring restraint, type used, and patient
response
Droplet Flu, meningitis — surgical mask, private room ■ Never tie to side rails — always tie to the bed frame with
quick-release knot
Airborne TB, measles, varicella — N95, negative press
Protective Neutropenic — positive pressure, mask for vi
HEALTH PROMOTION & MAINTENANCE — Screening & Development
Erikson's Developmental Stages (Key NCLEX Stages):
Stage Crisis Nursing Implication
Infant (0–1) Trust vs. Mistrust Consistent caregiver response builds trust
Toddler (1–3) Autonomy vs. Shame Allow choices; encourage independence
Preschool (3–6) Initiative vs. Guilt Support creativity; avoid criticism
School Age (6–12) Industry vs. Inferiority Praise accomplishments; encourage skills
Adolescent (12–18) Identity vs. Role Confusion Support identity exploration
Young Adult (18–40) Intimacy vs. Isolation Foster close relationships
Middle Adult (40–65) Generativity vs. Stagnation Mentorship; contributing to society
Older Adult (65+) Integrity vs. Despair Life review; accepting life as meaningful
Created by ALLcoyura Academy Page 3
