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
Stem: A candidate arrives at the test center on the scheduled
day but presents a government-issued photo ID that expired
three days ago. The candidate insists the ID still proves identity
and asks to test. As the test center proctor, what is the most
appropriate immediate action?
,A. Allow the candidate to test after documenting the expired ID
and having the candidate sign an affidavit.
B. Accept the ID if the candidate provides a second form of
photo identification (e.g., student ID).
C. Deny testing and instruct the candidate to reschedule with a
current, valid government-issued photo ID.
D. Allow testing if the candidate’s appointment confirmation
matches the expired ID name.
Correct answer: C
Rationales:
Correct (C): Test centers require a current, valid, government-
issued photo ID; permitting testing with an expired ID
compromises exam security and identification policies. Denying
testing and instructing rescheduling follows established
administration procedures and protects exam integrity
(recognize cue → take action).
A: An affidavit does not substitute for valid identification;
allowing testing would violate ID policy and threaten security.
B: Secondary IDs (student IDs) are typically insufficient to
replace a current government photo ID; accepting them risks
incorrect identity verification.
D: Matching appointment details do not replace the
requirement for a valid government photo ID; identity
verification remains incomplete.
Teaching point: Always require a current government photo ID;
expired IDs are not acceptable.
,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 —
Special Accommodations
Stem: A candidate with documented dyslexia arrives and asks
the proctor for extra time even though the testing
accommodations were not approved before the test date. What
is the nurse-proctor’s best response?
A. Grant extra time immediately if the candidate provides the
documentation at check-in.
B. Allow testing under normal conditions and advise the
candidate to contact the licensing board for future
accommodation approval.
C. Cancel the exam and require the candidate to submit
additional documentation before rescheduling.
D. Provide alternative accommodations (e.g., a separate testing
room) on the spot without prior approval.
Correct answer: B
Rationales:
Correct (B): Accommodations require prior review and approval
by the testing agency or regulatory body; the proctor should
not unilaterally grant extra time. Allow testing under standard
conditions and direct the candidate to the formal
, accommodation request process for future testing (analyze cues
→ prioritize policy adherence).
A: Granting extra time without formal approval breaches testing
agency policies and compromises fairness.
C: Immediate cancellation may be unnecessarily punitive if the
candidate can still test under standard conditions; the correct
action is to allow testing and advise on proper accommodation
procedures.
D: Providing unapproved accommodations risks violating
security and equal-opportunity regulations; only approved
accommodations may be implemented.
Teaching point: Accommodations must be approved before test
day; proctors cannot grant ad-hoc modifications.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3
Reference: Ch. 1 — The NCLEX-RN® Licensing Examination —
Computer Adaptive Testing
Stem: While answering items, a candidate notices that
consecutive questions become more difficult after several
correct answers. The candidate believes the computer is
"punishing" them and asks the proctor whether they should
intentionally answer an easier question incorrectly to get easier
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
Stem: A candidate arrives at the test center on the scheduled
day but presents a government-issued photo ID that expired
three days ago. The candidate insists the ID still proves identity
and asks to test. As the test center proctor, what is the most
appropriate immediate action?
,A. Allow the candidate to test after documenting the expired ID
and having the candidate sign an affidavit.
B. Accept the ID if the candidate provides a second form of
photo identification (e.g., student ID).
C. Deny testing and instruct the candidate to reschedule with a
current, valid government-issued photo ID.
D. Allow testing if the candidate’s appointment confirmation
matches the expired ID name.
Correct answer: C
Rationales:
Correct (C): Test centers require a current, valid, government-
issued photo ID; permitting testing with an expired ID
compromises exam security and identification policies. Denying
testing and instructing rescheduling follows established
administration procedures and protects exam integrity
(recognize cue → take action).
A: An affidavit does not substitute for valid identification;
allowing testing would violate ID policy and threaten security.
B: Secondary IDs (student IDs) are typically insufficient to
replace a current government photo ID; accepting them risks
incorrect identity verification.
D: Matching appointment details do not replace the
requirement for a valid government photo ID; identity
verification remains incomplete.
Teaching point: Always require a current government photo ID;
expired IDs are not acceptable.
,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 —
Special Accommodations
Stem: A candidate with documented dyslexia arrives and asks
the proctor for extra time even though the testing
accommodations were not approved before the test date. What
is the nurse-proctor’s best response?
A. Grant extra time immediately if the candidate provides the
documentation at check-in.
B. Allow testing under normal conditions and advise the
candidate to contact the licensing board for future
accommodation approval.
C. Cancel the exam and require the candidate to submit
additional documentation before rescheduling.
D. Provide alternative accommodations (e.g., a separate testing
room) on the spot without prior approval.
Correct answer: B
Rationales:
Correct (B): Accommodations require prior review and approval
by the testing agency or regulatory body; the proctor should
not unilaterally grant extra time. Allow testing under standard
conditions and direct the candidate to the formal
, accommodation request process for future testing (analyze cues
→ prioritize policy adherence).
A: Granting extra time without formal approval breaches testing
agency policies and compromises fairness.
C: Immediate cancellation may be unnecessarily punitive if the
candidate can still test under standard conditions; the correct
action is to allow testing and advise on proper accommodation
procedures.
D: Providing unapproved accommodations risks violating
security and equal-opportunity regulations; only approved
accommodations may be implemented.
Teaching point: Accommodations must be approved before test
day; proctors cannot grant ad-hoc modifications.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3
Reference: Ch. 1 — The NCLEX-RN® Licensing Examination —
Computer Adaptive Testing
Stem: While answering items, a candidate notices that
consecutive questions become more difficult after several
correct answers. The candidate believes the computer is
"punishing" them and asks the proctor whether they should
intentionally answer an easier question incorrectly to get easier
