The exam is built from eight Client Needs categories, each worth a set share of your scored questions. Here is how those percentages map onto the twelve study areas in MnemoNurse — and exactly how many practice questions sit under each one.
Percentages are the share of scored items on the NCLEX-RN, as published in the NCSBN test plan. Your exam adapts as you go, so the mix you personally see falls inside these ranges rather than hitting an exact number.
Delegation, prioritisation, advocacy, informed consent, continuity of care and legal/ethical practice.
Standard and transmission-based precautions, error prevention, restraints, handling hazardous materials.
Growth and development, antepartum/postpartum care, screening, health teaching and prevention.
Coping, mental health conditions, therapeutic communication, abuse/neglect, substance use.
Nutrition, mobility, elimination, rest and sleep, personal hygiene, non-pharmacological comfort.
Medication administration, dosage calculation, adverse effects, blood products, IV and TPN therapy.
Lab values, diagnostic tests, vital-sign changes, complications of procedures and system alterations.
Medical emergencies, haemodynamics, fluid and electrolyte imbalance, illness management, pathophysiology.
Perfusion problems, cardiac emergencies and the drugs that treat them.
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questions
High-yield items: Heart failure · Myocardial infarction · Dysrhythmias and ECG · Anticoagulation
Oxygenation, airway management and acute respiratory deterioration.
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questions
High-yield items: COPD and asthma · Pneumonia · Pulmonary embolism · Mechanical ventilation
Intracranial pressure, stroke care and neuro assessment findings.
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questions
High-yield items: Stroke · Increased ICP · Seizure precautions · Spinal cord injury
Glucose regulation, thyroid and adrenal disorders, insulin safety.
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questions
High-yield items: Diabetes and insulin · DKA and HHS · Thyroid storm · Addisonian crisis
Elimination, fluid and electrolyte balance, liver and kidney failure.
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questions
High-yield items: Acute kidney injury · Cirrhosis · GI bleed · Dialysis care
Drug classes, administration safety, dosage maths and adverse effects.
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questions
High-yield items: Dosage calculation · High-alert drugs · Antibiotics · Opioids and reversal agents
Precautions, error prevention, delegation and environmental safety.
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questions
High-yield items: Isolation precautions · Fall and restraint safety · Delegation · Triage
Unstable patients, shock states and rapid prioritisation.
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questions
High-yield items: Sepsis and shock · Haemodynamic monitoring · Codes · Burns and trauma
Recognising cues: lab values, vital signs and physical findings.
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questions
High-yield items: Lab value interpretation · Head-to-toe findings · Vital-sign changes · Screening
Antepartum through postpartum care and newborn adaptation.
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questions
High-yield items: Preeclampsia · Labour stages · Postpartum haemorrhage · Newborn assessment
Growth and development plus paediatric-specific illness management.
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questions
High-yield items: Developmental milestones · Bronchiolitis and croup · Congenital defects · Immunisations
Therapeutic communication, crisis response and psychotropic safety.
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questions
High-yield items: Suicide risk · Therapeutic responses · Substance withdrawal · Antipsychotic side effects
Meet the character, lock in the memory hook, then practise the questions that sit under that part of the blueprint.