This course helps practical nursing graduates organise their review for the NCLEX-PN. It covers how the exam works, how to approach clinical judgement questions, and the content areas the exam tests: coordinated care, safety and infection control, health promotion, psychosocial integrity, basic care and comfort, pharmacological therapies, risk reduction and physiological adaptation. Each lesson includes a worked question to practise reasoning. It is independent study material only, is not a nursing programme and does not guarantee any exam outcome.
Modules
Understanding the Exam
Lessons
Coordinated Care and Safety
Lessons
Health Promotion and Psychosocial Integrity
Lessons
Basic Care and Pharmacology
Lessons
Reduction of Risk and Physiological Adaptation
Lessons
Review Plan and Exam Day
Lessons
Other Lessons
Module 4 Review
Module review: key terms, activity and quiz.
Lesson 1.1: How the NCLEX-PN Is Built and Delivered
The NCLEX-PN is developed and owned by the National Council of State Boards of Nursing (NCSBN), a not-for-profit organization made up of the nursing regulatory bodies of U.S. states and territories. Every state or territ
Lesson 5.1: Mobility, Nutrition, and Elimination
Mobility questions test your understanding of positioning and complications of immobility. Complications of prolonged immobility include pressure injuries, deep vein thrombosis, muscle atrophy, contractures, constipation
Lesson 1.2: Client Needs Categories on the Test Plan
The NCLEX-PN Test Plan organizes all exam content into four broad Client Needs categories, some of which are further divided into subcategories. The first is Safe and Effective Care Environment, which covers Coordinated
Lesson 5.2: The Rights of Medication Administration and Core Pharmacology Safety
Medication safety is tested throughout the exam using the Rights of Medication Administration: right patient, right medication, right dose, right route, right time, and, in more current frameworks, additional rights such
Lesson 1.3: The Clinical Judgment Measurement Model and Next Generation Item Types
The Next Generation NCLEX (NGN) added item types designed to measure clinical judgment more directly than traditional multiple-choice questions alone. These are built around NCSBN’s Clinical Judgment Measurement Model (C
Lesson 5.3: Common Medication Classes and Adverse Effects
For cardiovascular medications, know that beta-blockers (metoprolol, atenolol) can cause bradycardia and should be held per parameters if heart rate is too low, ACE inhibitors (lisinopril) commonly cause a dry cough and
Module 1 Review
Module review: key terms, activity and quiz.
Lesson 2.1: Scope of Practice, Delegation, and the LPN/LVN Role
As an LPN/LVN, your scope of practice is defined by your state’s Nurse Practice Act and enforced by your state board of nursing, not by facility policy alone. Facility policy can be more restrictive than what the law all
Lesson 2.2: Standard Precautions and Transmission-Based Precautions
Standard precautions apply to every patient, every time, regardless of known infection status, and include hand hygiene, use of personal protective equipment (PPE) when contact with blood or body fluids is anticipated, s
Lesson 2.3: Error Prevention, Safety, and Emergency Response
Patient identification is a foundational safety practice tested throughout the exam: use at least two identifiers (never the room number alone), such as full name and date of birth, or full name and a medical record numb
Module 2 Review
Module review: key terms, activity and quiz.
Lesson 3.1: Growth and Development Across the Lifespan
The NCLEX-PN tests recognition of expected developmental milestones across infancy, childhood, adolescence, adulthood, and older adulthood, and your ability to identify findings that fall outside the expected range. For
Lesson 3.2: Prevention, Screening, and Health Teaching
Health promotion content tests your understanding of primary, secondary, and tertiary prevention. Primary prevention aims to prevent disease before it occurs, such as immunizations and health education. Secondary prevent
Lesson 3.3: Antepartum and Newborn Care Basics
Antepartum content on the NCLEX-PN focuses on recognizing normal pregnancy findings versus warning signs. Normal findings include physiologic anemia of pregnancy (from plasma volume expansion outpacing red cell increase)
Module 3 Review
Module review: key terms, activity and quiz.
Lesson 4.1: Therapeutic Communication Techniques
Therapeutic communication questions ask you to identify the response that keeps the focus on the patient’s feelings and experience rather than shutting the conversation down. Open-ended questions, reflecting feelings bac
Lesson 4.2: Coping, Crisis Intervention, and Grief
Defense mechanisms are frequently tested; you should be able to recognize common ones such as denial (refusing to accept reality), regression (reverting to an earlier developmental behavior under stress), projection (att
Lesson 4.3: Substance Use and Mental Health Fundamentals
Substance use content tests recognition of intoxication versus withdrawal for common substances. Alcohol withdrawal can progress from mild tremors and anxiety to seizures and delirium tremens (DTs), which can be life-thr
Module 5 Review
Module review: key terms, activity and quiz.
Lesson 6.1: Reduction of Risk Potential: Monitoring and Diagnostic Tests
Reduction of Risk Potential content focuses on preventing complications through monitoring, recognizing early warning signs, and correctly preparing patients for procedures and diagnostic tests. Vital sign trends matter
Lesson 6.2: Fluid, Electrolyte, and Acid-Base Balance
Fluid volume deficit (hypovolemia) presents with tachycardia, hypotension, dry mucous membranes, decreased skin turgor, concentrated urine, and dizziness on standing; fluid volume excess (hypervolemia) presents with edem
Lesson 6.3: Physiological Adaptation: Recognizing Emergent Conditions
The Physiological Adaptation subcategory tests recognition of acute, life-threatening changes in condition. For chest pain, classic cardiac warning signs include crushing or pressure-like substernal chest pain, pain radi
Module 6 Review
Module review: key terms, activity and quiz.