LIPPINCOTT Q&A REVIEW FOR
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1)
Reference
Ch. 1 — The NCLEX-RN® Licensing Examination — Overview
Question Stem (NCLEX level — 2–4 sentences)
A nursing student is creating a study plan and asks which
foundational source dictates the content and cognitive levels
tested on the NCLEX-RN®. The student recalls that a formal,
ongoing process underlies the Test Plan but is unsure which
process that is. What should the student identify as the
foundation for the NCLEX-RN® Test Plan?
,Answer Options
A. The NCLEX blueprints developed by individual nursing
schools.
B. The NCLEX Practice Analysis (job task analysis) of newly
licensed RNs.
C. A committee of test writers who vote yearly on which topics
to include.
D. The curricula of the most widely used NCLEX review books.
Correct Answer
B
Rationales
Correct (B): The NCLEX Test Plan is grounded in a formal
practice analysis (job task/practice analysis) that surveys tasks,
knowledge, and skills of newly licensed RNs; this ensures
content validity and that test blueprints reflect current entry-
level practice. It directly informs content categories and
cognitive processing demands.
Incorrect (A): Individual nursing school blueprints do not govern
the national Test Plan and lack the representative, practice-
based data required for licensure test construction.
Incorrect (C): Although experts write and review items, the Test
Plan is not created by an ad hoc yearly vote; it is based on
systematic practice analysis data.
Incorrect (D): Review books summarize the Test Plan but do not
set the Test Plan’s content or weighting.
,Teaching Point (≤20 words)
The NCLEX Test Plan is based on a formal practice analysis of
entry-level RN practice.
Citation
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
2)
Reference
Ch. 1 — The NCLEX-RN® Licensing Examination — The Test Plan
Question Stem
A candidate preparing for the NCLEX-RN® asks which
organizational scheme the Test Plan uses to group content for
item development and weighting. Which classification should
the candidate learn and use when structuring study time?
Answer Options
A. Pharmacology, Pathophysiology, and Procedural Skills only.
B. Client needs categories and subcategories (e.g., Safe and
Effective Care Environment).
C. Medical specialty by hospital department (e.g., ICU, OR,
Pediatrics).
D. Individual nursing instructor learning objectives.
Correct Answer
B
, Rationales
Correct (B): The NCLEX Test Plan is organized by client needs
categories and subcategories (e.g., Safe and Effective Care
Environment, Health Promotion and Maintenance, Psychosocial
Integrity, Physiological Integrity), which guide item topics and
weighting. Studying by these categories aligns preparation with
the exam blueprint.
Incorrect (A): While pharmacology and pathophysiology are
important, they are not the Test Plan’s primary organizing
categories.
Incorrect (C): Hospital departments are not the Test Plan’s
structure; items are client-centered rather than department-
based.
Incorrect (D): Instructor objectives vary and do not define the
national Test Plan.
Teaching Point
Study using client needs categories from the Test Plan for
focused preparation.
Citation
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3)
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1)
Reference
Ch. 1 — The NCLEX-RN® Licensing Examination — Overview
Question Stem (NCLEX level — 2–4 sentences)
A nursing student is creating a study plan and asks which
foundational source dictates the content and cognitive levels
tested on the NCLEX-RN®. The student recalls that a formal,
ongoing process underlies the Test Plan but is unsure which
process that is. What should the student identify as the
foundation for the NCLEX-RN® Test Plan?
,Answer Options
A. The NCLEX blueprints developed by individual nursing
schools.
B. The NCLEX Practice Analysis (job task analysis) of newly
licensed RNs.
C. A committee of test writers who vote yearly on which topics
to include.
D. The curricula of the most widely used NCLEX review books.
Correct Answer
B
Rationales
Correct (B): The NCLEX Test Plan is grounded in a formal
practice analysis (job task/practice analysis) that surveys tasks,
knowledge, and skills of newly licensed RNs; this ensures
content validity and that test blueprints reflect current entry-
level practice. It directly informs content categories and
cognitive processing demands.
Incorrect (A): Individual nursing school blueprints do not govern
the national Test Plan and lack the representative, practice-
based data required for licensure test construction.
Incorrect (C): Although experts write and review items, the Test
Plan is not created by an ad hoc yearly vote; it is based on
systematic practice analysis data.
Incorrect (D): Review books summarize the Test Plan but do not
set the Test Plan’s content or weighting.
,Teaching Point (≤20 words)
The NCLEX Test Plan is based on a formal practice analysis of
entry-level RN practice.
Citation
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
2)
Reference
Ch. 1 — The NCLEX-RN® Licensing Examination — The Test Plan
Question Stem
A candidate preparing for the NCLEX-RN® asks which
organizational scheme the Test Plan uses to group content for
item development and weighting. Which classification should
the candidate learn and use when structuring study time?
Answer Options
A. Pharmacology, Pathophysiology, and Procedural Skills only.
B. Client needs categories and subcategories (e.g., Safe and
Effective Care Environment).
C. Medical specialty by hospital department (e.g., ICU, OR,
Pediatrics).
D. Individual nursing instructor learning objectives.
Correct Answer
B
, Rationales
Correct (B): The NCLEX Test Plan is organized by client needs
categories and subcategories (e.g., Safe and Effective Care
Environment, Health Promotion and Maintenance, Psychosocial
Integrity, Physiological Integrity), which guide item topics and
weighting. Studying by these categories aligns preparation with
the exam blueprint.
Incorrect (A): While pharmacology and pathophysiology are
important, they are not the Test Plan’s primary organizing
categories.
Incorrect (C): Hospital departments are not the Test Plan’s
structure; items are client-centered rather than department-
based.
Incorrect (D): Instructor objectives vary and do not define the
national Test Plan.
Teaching Point
Study using client needs categories from the Test Plan for
focused preparation.
Citation
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3)
