NCLEX-RN® Client Needs

NCLEX-RN® questions are organized along four major client needs. Let's take a look:

Safe and Effective Care Environment

The client need, Safe and Effective Care Environment, includes two concepts: Management and Care and Safety and Infection Control.

Management of Care accounts for 17-23 percent of questions on the NCLEX-RN exam. Some of the nursing actions included in this subcategory are Advanced Directives, Advocacy, Case Management, Client Rights, Concepts of Management, Confidentiality, Consultation, Continuity of Care, Quality Improvement, Delegation, Establishing Priorities, Ethical Practice, Informed Consent, Legal Responsibilities, Referrals, and Supervision.

Safety and Infection Control accounts for 9-15 percent of exam questions. Nursing actions include Accident Prevention, Error Prevention, Hazardous Materials, Surgical Asepsis, Standard Precautions, and Use of Restraints.

Health Promotion and Maintenance

The second client need is Health Promotion and Maintenance. These questions account for 6-12 percent of the exam. Nursing actions tested include the Aging Process, Ante/Intra/Postpartum and Newborn, Developmental Stages and Transitions, Disease Prevention, Health Screening, Lifestyle Choices, Physical Assessment Techniques, Health Promotion Programs, High Risk Behaviors, and Self-Care.

Psychosocial Integrity

The third client need is Psychosocial Integrity. It accounts for 6-12 percent of the exam and tested nursing actions include Coping Mechanisms, Grief and Loss, Mental Health Concepts, Spiritual Influence on Health, Sensory/Perceptual Alterations, Stress Management, Support Systems, Therapeutic Communication, Chemical Dependency, Behavioral Interventions, Crisis Intervention, Coping Mechanisms, End of Life Care, and Family Dynamics.

Physiological Integrity

The final client need is Physiological Integrity. It includes four concepts: Basic Care and Comfort, Pharmacological and Parenteral Therapies, Reduction of Risk Potential, and Physiological Adaptation.

Basic Care and Comfort accounts for 6-12 percent of questions on the NCLEX-RN exam. Nursing actions included in this subcategory are Assistive Devices, Elimination, Mobility, Nonpharmacological Comfort Interventions, Nutrition and Oral Hydration, Personal Hygiene, as well as Rest and Sleep.

The concept of Pharmacological and Parenteral Therapies accounts for 12-18 percent of the exam. Tested nursing actions include Adverse Effects, Contrindications, Blood and Blood Products, Central Venous Access Devices, Chemotherapy, Expected Effects, Intravenous Therapy, Medication Administration, Pharmacological Pain Management, Total Parenteral Nutrition, and Dosage Calculation.

Reduction of Risk Potential accounts for 9-15 percent of the exam. Its tested nursing actions include Diagnostic Tests, Laboratory Values, Potential for Complications from Surgical Procedures, and Health Alterations, as well as Therapeutic Procedures.

Finally, Physiological Adaptation accounts for 11-17 percent of the exam. Its tested nursing actions include Alterations in the Body Systems, Fluid and Electrolyte Imbalances, Hemodynamics, Medical Emergencies, Pathophysiology, and Unexpected Response to Therapies.