2026 NCLEX-RN Test Plan

Client Needs Categories

The NCLEX-RN exam is organized into 4 major Client Needs categories with 8 subcategories. Select any category below to start a focused practice quiz.

Management of Care

17–23%

Providing integrated, cost-effective care to clients by coordinating, supervising, and/or collaborating with members of the multidisciplinary health care team.

AdvocacyDelegation & SupervisionEthical PracticeLegal Rights & ResponsibilitiesPrioritization
385 questions

Safety & Infection Control

9–15%

Protecting clients and health care personnel from health and environmental hazards.

Standard PrecautionsSurgical AsepsisError PreventionUse of Restraints
251 questions

Health Promotion & Maintenance

6–12%

Providing and directing nursing care that incorporates knowledge of expected growth and development, prevention, and early detection of health problems.

Aging ProcessAnte/Intra/Postpartum CareDevelopmental StagesHealth ScreeningImmunizations
421 questions

Psychosocial Integrity

6–12%

Promoting and supporting the emotional, mental, and social well-being of clients and families experiencing stressful events, as well as clients with acute or chronic mental illness.

Coping MechanismsCrisis InterventionGrief & LossMental Health ConceptsSubstance Use DisordersTherapeutic Communication
312 questions

Basic Care & Comfort

6–12%

Providing comfort and assistance in the performance of activities of daily living.

Nutrition & Oral HydrationMobility & ImmobilityRest & SleepEliminationPalliative & Hospice Care
236 questions

Pharmacological Therapies

6–12%

Providing care related to the administration of medications and monitoring clients receiving parenteral therapies.

Adverse Effects & InteractionsDosage CalculationsExpected Actions & OutcomesMedication AdministrationParenteral & IV Therapies
353 questions

Reduction of Risk Potential

9–15%

Reducing the likelihood that clients will develop complications or health problems related to existing conditions, treatments, or procedures.

Laboratory ValuesDiagnostic TestsPotential ComplicationsSystem-Specific AssessmentsVital Signs & Monitoring
415 questions

Physiological Adaptation

11–17%

Managing and providing care for clients with acute, chronic, or life-threatening physical health conditions.

Alterations in Body SystemsFluid & Electrolyte ImbalancesHemodynamicsMedical EmergenciesPathophysiology
786 questions