he questions on the NCLEX are all multiple-choice with four possible answer choices. Any necessary background information will appear with the question. Some questions will appear without background information.
Integrated Content
The questions on the NCLEX involve integrated nursing content. Many nursing programs are based on the medical model. Students take separate medical, surgical, pediatric, psychiatric, and obstetric classes. However, on the NCLEX, all content is integrated.
Look at the following question.
A 23-year-old woman with insulin dependent diabetes mellitus (IDDM) is returned to the recovery room one hour after an uneventful delivery of a 9 lb., 8 oz., baby boy. The nurse would expect the woman's blood sugar to
(1) rise.
(2) fall.
(3) remain stationary.
(4) fluctuate.
Is this an obstetrical question or a medical/surgical question? In order to select the correct answer,(2), you must consider the pathophysiology of diabetes along with the principles of labor and delivery. This is an example of an integrated question.
Test Blueprint
The NCLEX is organized according to the framework, "Meeting Client Needs." There are four major categories:
Safe and Effective Care Environment. 