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 — Exam
Administration / Identification Requirements
Question Stem
A candidate arrives at the test center 20 minutes before the
scheduled start time and presents one photo ID issued by a
state licensing agency. The proctor informs the candidate that
the second form of identification required is missing. Which
,action by the candidate demonstrates the best immediate
response to preserve eligibility to test?
A. Ask the proctor to make an exception and allow testing with
the single ID.
B. Withdraw from testing and request a refund for the exam
fee.
C. Call the issuing agency immediately and request an electronic
verification while remaining at the testing center.
D. Leave the test center and return with the second ID later the
same day.
Correct Answer
C
Rationales
Correct (C): Calling the issuing agency to obtain immediate
verification is an active, time-sensitive solution that may satisfy
identity verification protocols and preserve the candidate’s
opportunity to test the same day if the proctor can validate
identity per test center policy. This aligns with responsibility for
exam administration and avoiding unnecessary rescheduling.
A: Proctors must follow strict ID rules; asking for an exception
risks denial and violates exam security.
B: Withdrawing and requesting a refund is unnecessary and
does not address identity verification; refunds typically are not
immediate and do not preserve testing eligibility.
D: Leaving and returning later may not be allowed because
,testing appointments are scheduled; it risks missing the
appointment and is not the most proactive step.
Teaching Point
Immediately pursue authorized identity verification; follow
proctor and test-center procedures.
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 — Computer
Adaptive Testing (CAT) / Exam Experience
Question Stem
During a CAT NCLEX-RN® examination, a candidate notices that
after several items on medication calculations they suddenly
receive questions about psychiatric nursing. Which
interpretation should guide the candidate’s next action?
A. The candidate is failing because the computer is giving
unrelated topics.
B. The adaptive algorithm is adjusting to the candidate’s
demonstrated ability; continue answering to the best of your
ability.
C. The candidate should stop answering and request a retest
because the test is inconsistent.
, D. The candidate should focus only on psychiatric items and skip
remaining medication questions.
Correct Answer
B
Rationales
Correct (B): CAT adapts to performance across the test plan;
item topics may shift as the algorithm estimates ability. The
appropriate action is to continue answering accurately and
apply clinical judgment—this preserves performance.
A: Topic shifts do not indicate failure; they reflect the CAT
algorithm’s adaptive process.
C: Requesting a retest during the exam for perceived
inconsistency is inappropriate unless there is a technical
malfunction.
D: Selectively focusing on one content area ignores the
integrated nature of the exam and wastes test time.
Teaching Point
CAT changes item content based on performance; maintain
focus and answer each item using clinical judgment.
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 — Exam
Administration / Identification Requirements
Question Stem
A candidate arrives at the test center 20 minutes before the
scheduled start time and presents one photo ID issued by a
state licensing agency. The proctor informs the candidate that
the second form of identification required is missing. Which
,action by the candidate demonstrates the best immediate
response to preserve eligibility to test?
A. Ask the proctor to make an exception and allow testing with
the single ID.
B. Withdraw from testing and request a refund for the exam
fee.
C. Call the issuing agency immediately and request an electronic
verification while remaining at the testing center.
D. Leave the test center and return with the second ID later the
same day.
Correct Answer
C
Rationales
Correct (C): Calling the issuing agency to obtain immediate
verification is an active, time-sensitive solution that may satisfy
identity verification protocols and preserve the candidate’s
opportunity to test the same day if the proctor can validate
identity per test center policy. This aligns with responsibility for
exam administration and avoiding unnecessary rescheduling.
A: Proctors must follow strict ID rules; asking for an exception
risks denial and violates exam security.
B: Withdrawing and requesting a refund is unnecessary and
does not address identity verification; refunds typically are not
immediate and do not preserve testing eligibility.
D: Leaving and returning later may not be allowed because
,testing appointments are scheduled; it risks missing the
appointment and is not the most proactive step.
Teaching Point
Immediately pursue authorized identity verification; follow
proctor and test-center procedures.
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 — Computer
Adaptive Testing (CAT) / Exam Experience
Question Stem
During a CAT NCLEX-RN® examination, a candidate notices that
after several items on medication calculations they suddenly
receive questions about psychiatric nursing. Which
interpretation should guide the candidate’s next action?
A. The candidate is failing because the computer is giving
unrelated topics.
B. The adaptive algorithm is adjusting to the candidate’s
demonstrated ability; continue answering to the best of your
ability.
C. The candidate should stop answering and request a retest
because the test is inconsistent.
, D. The candidate should focus only on psychiatric items and skip
remaining medication questions.
Correct Answer
B
Rationales
Correct (B): CAT adapts to performance across the test plan;
item topics may shift as the algorithm estimates ability. The
appropriate action is to continue answering accurately and
apply clinical judgment—this preserves performance.
A: Topic shifts do not indicate failure; they reflect the CAT
algorithm’s adaptive process.
C: Requesting a retest during the exam for perceived
inconsistency is inappropriate unless there is a technical
malfunction.
D: Selectively focusing on one content area ignores the
integrated nature of the exam and wastes test time.
Teaching Point
CAT changes item content based on performance; maintain
focus and answer each item using clinical judgment.
Citation
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3
