You can have ear plugs if you want them. In my case the room was very quiet and I did not need them.
As far as random tests of 265 questions: that is untrue. Every person taking the NCLEX will get about 50% of the questions right and 50% wrong. Where the demarcation line is (the dividing line between right and wrong) is what determines whether you pass or fail in the end. NCLEX has a baseline that is the equivalent of the minimum number of questions to pass at the application and analysis level at which you can be a safe practitioner as a new nurse. Knowledge and comprehension level quesions are on the test, but are not passing level questions. It is assumed you know and understand the material. What NCLEX wants to know is this: can you apply what you have learned through the critical thinking process.
If your demarcation line falls above their baseline: you pass. If your demarcation line falls below: you don't pass. If you take the whole alloted five hours and don't finish, they look at the last 60 questions. You have to get all 60 questions right, otherwise you don't pass.
If you know the strategies for answering NCLEX style questions, you stand a good chance of passing. You need to know Maslow and how to apply it. Pain is not a physical need, it is considered to be psychosocial. You also need to know Erickson. Look at the choices of answer: is it a mixture of assessment and implementation? Always make sure there is an assessment, don't try to implement something before there is an assessment. The assessment may be in the question, or it may be in the answer. Always eliminate wrong choices in order to get to the right one. Is it a priority question? Who's the least stable of the patients listed? Is it a delegation question? RN's cannot delegate teaching, nursing assessment
, or evaluation.
Know how to position patients for tests and for after tests.
Know airborne, droplet, and contact precautions: and what type of diseases qualify for which. There may be a combination.
Know developmental levels and vaccination schedules.
Much of the NCLEX is basic nursing skills and knowledge. Take your time and read the questions thoroughly: there is often more information in the question than you need, make sure you really know what the question is asking before you try to answer. Many people are so nervous, they rush through the questions without understanding what the question is really asking!
ALL OF THE INFORMATION I HAVE GIVEN YOU COMES FROM EITHER KAPLAN OR PEARSON (THE AGENCY THAT ADMINISTERS NCLEX).
One last thing: according to Pearson, 84% of US educated first-time test takers pass the NCLEX first time around. Those who do not pass, generally speaking, are not using the correct strategies for test taking.
I passed it in 75 questions and about 75 minutes. You can do it too. Good luck- Denise Covington, RN