NCLEX-RN Candidate Performance Report Notes

Candidate Identification and Administrative Details

• Candidate Name: Jessica Yvette McDaniel
• Candidate Address: 3911 Tamarron Circle 204, Memphis, TN 38125, United States
• Candidate Number: 25722208
• Date of Birth: 05/04/YYYY
• Program Code: US39409600
• Program Name: ARKANSAS STATE UNIVERSITY - ADN STATE UNIVERSITY,AR
• Test Date: 03/20/26
• Test Center: Memphis
• Jurisdiction / Licensing Board: TENNESSEE BOARD OF NURSING
• Examination Title: National Council Licensure Examination for Registered Nurses (NCLEX-RN®)

NCLEX-RN Examination Summary and Result Rules

• Administered Examination Length: 112 items
• Final Examination Decision: HAS NOT PASSED
• Passing Standard Requirement: Pass-fail decisions are evaluated based upon candidate performance across the entire examination. To pass the NCLEX-RN, a candidate must perform AT OR ABOVE the passing standard.
• Performance Classification Scale Definitions:
  • Above the passing standard: Demonstrates performance superior to the minimum threshold required for licensure in the evaluated domain.
  • Near the passing standard: Demonstrates performance in close proximity to the passing threshold. This classification does not imply performance at or above the standard, only that performance was near the boundary.
  • Below the passing standard: Demonstrates performance failing to reach the minimum passing threshold in the evaluated domain.
• Scoring Evaluation Principles:
  • Domain-specific performance level classifications are derived solely from responses to items within that specific content area.
  • An overall pass-fail outcome is not computed by summing or averaging performance levels across individual content domains.
  • A performance classification of "Near the passing standard" across all domains does not indicate an overall pass, as candidate performance in each domain may reside entirely on the failing side of proximity.

Educational and Informational Reference Resources

• Individualized Report Guidance: Candidate Performance Report detailing individual performance evaluation.
  • URL: https://www.nclex.com/candidate-performance-report.page
• Test Blueprint and Structure: Test Plan and Content Information outlining test framework and domain coverage.
  • URL: https://www.nclex.com/test-plans.page
• Content Validation and Research: Practice Analysis and Knowledge Survey regarding test content validation.
  • URL: https://www.ncsbn.org/exams/exam-statistics-and-publications/practice-analyses.page
• General Examination Information: NCLEX Primary Index and auxiliary candidate resources.
  • URL: https://www.nclex.com/index.page
• Testing Methodology: Computerized Adaptive Testing (CAT) methodology explaining test administration mechanics.
  • URL: https://www.nclex.com/computerized-adaptive-testing.page

Test Plan Area Performance Breakdown

• Management of Care

  • Performance Level: NEAR THE PASSING STANDARD
  • Domain Definition: Provides and directs nursing care that enhances the care delivery setting to protect the client and health care personnel.

• Safety and Infection Control

  • Performance Level: BELOW THE PASSING STANDARD
  • Domain Definition: Protects clients and health care personnel from health and environmental hazards.

• Health Promotion and Maintenance

  • Performance Level: BELOW THE PASSING STANDARD
  • Domain Definition: Provides and directs nursing care of the client that incorporates knowledge of expected growth and development principles, prevention and/or early detection of health problems and strategies to achieve optimal health.

• Psychosocial Integrity

  • Performance Level: ABOVE THE PASSING STANDARD
  • Domain Definition: Provides and directs nursing care that promotes and supports the emotional, mental and social well-being of the client experiencing stressful events, as well as clients with acute or chronic mental illness.

• Basic Care and Comfort

  • Performance Level: NEAR THE PASSING STANDARD
  • Domain Definition: Provides comfort and assistance in the performance of activities of daily living.

• Pharmacological and Parenteral Therapies

  • Performance Level: BELOW THE PASSING STANDARD
  • Domain Definition: Provides care related to the administration of medications and parenteral therapies.

• Reduction of Risk Potential

  • Performance Level: NEAR THE PASSING STANDARD
  • Domain Definition: Reduces the likelihood that clients will develop complications or health problems related to existing conditions, treatments or procedures.

• Physiological Adaptation

  • Performance Level: NEAR THE PASSING STANDARD
  • Domain Definition: Manages and provides care for clients with acute, chronic or life-threatening physical health conditions.

Clinical Judgment Sub-Domain Performance Breakdown

• Clinical Judgment (Overall)

  • Performance Level: NEAR THE PASSING STANDARD
  • Domain Definition: The observed outcome of critical thinking and decision-making. It is an iterative process that uses nursing knowledge to observe and assess presenting situations, identify a prioritized client concern, and generate the best possible evidence-based solution in order to deliver safe client care.

• Recognize Cues

  • Performance Level: BELOW THE PASSING STANDARD
  • Sub-Domain Definition: Identify relevant and important information from different sources (e.g., medical history, vital signs).

• Analyze Cues

  • Performance Level: NEAR THE PASSING STANDARD
  • Sub-Domain Definition: Organizing and linking the recognized cues to the client's clinical presentation.

• Prioritize Hypotheses

  • Performance Level: BELOW THE PASSING STANDARD
  • Sub-Domain Definition: Evaluating and ranking hypotheses according to priority (urgency, likelihood, risk, difficulty, time, etc.).

• Generate Solutions

  • Performance Level: NEAR THE PASSING STANDARD
  • Sub-Domain Definition: Identifying expected outcomes and using hypotheses to define a set of interventions for the expected outcomes.

• Take Actions

  • Performance Level: NEAR THE PASSING STANDARD
  • Sub-Domain Definition: Implementing the solution(s) that address(es) the highest priorities.

• Evaluate Outcomes

  • Performance Level: BELOW THE PASSING STANDARD
  • Sub-Domain Definition: Comparing observed outcomes against expected outcomes.

The provided Candidate Performance Report does not contain practice exam questions. Going beyond what the note covers, here are NGN-style clinical judgment practice questions targeted toward the content areas flagged in your report as Below the passing standard (Safety and Infection Control, Pharmacological and Parenteral Therapies, Recognize Cues, Prioritize Hypotheses, and Evaluate Outcomes):

Case Study Item 1: Recognize Cues & Pharmacological Therapies

Clinical Presentation: A nurse is administering IV vancomycin to a client with a severe wound infection. Twenty minutes into the infusion, the client reports feeling warm, flushed, and itchy across the face and upper neck. Vital signs are BP $104/66\,mmHg$, HR $108\,\text{bpm}$, RR $18\,\text{breaths/min}$, and $SpO_2$ $98\%$ on room air.

Question: Which cue is most critical for the nurse to recognize, and what is the appropriate immediate action?

• A. Recognize an acute anaphylactic reaction; call a rapid response team immediately.
• B. Recognize Vancomycin Flushing Syndrome (Red Man Syndrome); temporarily stop or slow the infusion and assess the client.
• C. Recognize fluid overload; increase the infusion rate to finish early.
• D. Recognize a localized IV site infiltration; restart the IV in the opposite arm.

Correct Answer: B
Rationale: Flushing and itching of the upper body during rapid vancomycin administration is characteristic of Vancomycin Flushing Syndrome caused by histamine release. The immediate step is to stop or slow the infusion rate and assess vital signs before contacting the healthcare provider.

Case Study Item 2: Prioritize Hypotheses & Infection Control

Clinical Presentation: A nurse is prioritizing care for four assigned clients on a medical-surgical floor:

1. Client A: Has Clostridioides difficile and requires routine medication administration.
2. Client B: Post-operative day 1 following an abdominal surgery, reporting sudden shortness of breath and chest tightness.
3. Client C: Requires teaching on central venous catheter insertion site care prior to discharge tomorrow.
4. Client D: Requests assistance to ambulate to the bathroom.

Question: Based on client safety and prioritization principles, which hypothesis should the nurse prioritize first?

• A. Client A is at highest risk for spreading hospital-acquired infections.
• B. Client B is experiencing a potentially life-threatening respiratory/vascular complication.
• C. Client C requires mandatory discharge education before noon.
• D. Client D is at immediate risk for a fall if unassisted.

Correct Answer: B
Rationale: Using airway, breathing, and circulation (ABC) prioritization, Client B's acute onset of respiratory distress (potential pulmonary embolism or ate