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NCLEX-PN Exam Blueprint
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== Approximate Content Distribution == The following percentage ranges are those published in the 2026 NCLEX-PN test plan (NCSBN, 2026a). They are unchanged from the 2023 edition. Because the exam is variable length, the content distribution of any individual examination may differ by up to plus or minus 3 percent in each category. {| class="wikitable" ! Client Needs category !! Subcategory !! Percentage of items |- | rowspan="2" | Safe and Effective Care Environment || Coordinated Care || 18 to 24 percent |- | Safety and Infection Prevention and Control || 10 to 16 percent |- | Health Promotion and Maintenance || || 6 to 12 percent |- | Psychosocial Integrity || || 9 to 15 percent |- | rowspan="4" | Physiological Integrity || Basic Care and Comfort || 7 to 13 percent |- | Pharmacological Therapies || 10 to 16 percent |- | Reduction of Risk Potential || 9 to 15 percent |- | Physiological Adaptation || 7 to 13 percent |} Two observations for planning study time. First, '''Physiological Integrity as a whole is the largest area''', accounting for roughly a third to more than half of the examination when its four subcategories are combined. Second, '''Coordinated Care is the largest single subcategory''', which is why scope of practice, delegation, supervision, and prioritization deserve concentrated study.
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