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 — Computer
Adaptive Testing (CAT)
Stem
A nursing student arrives at the testing center. The proctor
explains that the NCLEX uses computerized adaptive testing and
that your next item will depend on prior answers. The student
,asks whether answering all questions correctly guarantees a
quick pass. Which is the best nursing educator response?
A. “Yes — if you answer every question correctly, the exam will
stop early and you will pass.”
B. “Not necessarily; the exam adapts and stops only when it can
determine with high confidence your ability relative to the
passing standard.”
C. “No — the exam always shows the maximum number of
items so it can fairly assess you.”
D. “Possibly — but only if you answer a set number of easy
questions in a row.”
Correct answer: B
Rationale — Correct (B)
CAT selects items based on your ability estimate and stops only
when the computer is sufficiently confident you are above (or
below) the passing standard. This explains why correct answers
alone do not guarantee immediate termination — the
algorithm focuses on confidence around the passing standard. It
aligns with CAT principles in Ch. 1.
Rationale — Incorrect
A. Overstates certainty; answering all correctly increases the
ability estimate but stopping depends on the confidence
interval, not simply correctness.
C. Incorrect — the exam may stop early if the stopping rule is
met; it does not always present the maximum items.
D. Misleading — there is no fixed “set number of easy
,questions” whose consecutive correctness alone triggers
passing.
Teaching point
CAT stops when confidence in ability relative to the passing
standard is reached.
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 — Test Plan &
Practice Analysis
Stem
A faculty mentor is advising students about how exam content
is selected. One student asks why certain clinical tasks appear
more frequently on the NCLEX. Which explanation best reflects
the relationship between practice analysis and the NCLEX test
plan?
A. “Questions are randomly selected from older textbooks, so
frequency is unrelated to practice.”
B. “The test plan is grounded in practice analysis that identifies
entry-level RN activities and weights them by frequency and
importance.”
C. “High-profile illnesses are prioritized to reflect media
, attention rather than practice frequency.”
D. “The test plan focuses only on critical care topics and
excludes community health.”
Correct answer: B
Rationale — Correct (B)
Practice analysis identifies tasks and activities performed by
entry-level RNs and informs the test plan to weight content
according to clinical occurrence and importance, ensuring the
exam reflects current practice. This ties directly to test plan
development in Ch. 1.
Rationale — Incorrect
A. False — item selection is not random from textbooks and is
informed by empirical practice analysis.
C. Incorrect — the test plan is evidence-based, not media-
driven.
D. Incorrect — the test plan covers a broad scope of nursing
practice, not only critical care.
Teaching point
The NCLEX test plan is based on practice analysis that weights
content by frequency and importance.
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 — Computer
Adaptive Testing (CAT)
Stem
A nursing student arrives at the testing center. The proctor
explains that the NCLEX uses computerized adaptive testing and
that your next item will depend on prior answers. The student
,asks whether answering all questions correctly guarantees a
quick pass. Which is the best nursing educator response?
A. “Yes — if you answer every question correctly, the exam will
stop early and you will pass.”
B. “Not necessarily; the exam adapts and stops only when it can
determine with high confidence your ability relative to the
passing standard.”
C. “No — the exam always shows the maximum number of
items so it can fairly assess you.”
D. “Possibly — but only if you answer a set number of easy
questions in a row.”
Correct answer: B
Rationale — Correct (B)
CAT selects items based on your ability estimate and stops only
when the computer is sufficiently confident you are above (or
below) the passing standard. This explains why correct answers
alone do not guarantee immediate termination — the
algorithm focuses on confidence around the passing standard. It
aligns with CAT principles in Ch. 1.
Rationale — Incorrect
A. Overstates certainty; answering all correctly increases the
ability estimate but stopping depends on the confidence
interval, not simply correctness.
C. Incorrect — the exam may stop early if the stopping rule is
met; it does not always present the maximum items.
D. Misleading — there is no fixed “set number of easy
,questions” whose consecutive correctness alone triggers
passing.
Teaching point
CAT stops when confidence in ability relative to the passing
standard is reached.
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 — Test Plan &
Practice Analysis
Stem
A faculty mentor is advising students about how exam content
is selected. One student asks why certain clinical tasks appear
more frequently on the NCLEX. Which explanation best reflects
the relationship between practice analysis and the NCLEX test
plan?
A. “Questions are randomly selected from older textbooks, so
frequency is unrelated to practice.”
B. “The test plan is grounded in practice analysis that identifies
entry-level RN activities and weights them by frequency and
importance.”
C. “High-profile illnesses are prioritized to reflect media
, attention rather than practice frequency.”
D. “The test plan focuses only on critical care topics and
excludes community health.”
Correct answer: B
Rationale — Correct (B)
Practice analysis identifies tasks and activities performed by
entry-level RNs and informs the test plan to weight content
according to clinical occurrence and importance, ensuring the
exam reflects current practice. This ties directly to test plan
development in Ch. 1.
Rationale — Incorrect
A. False — item selection is not random from textbooks and is
informed by empirical practice analysis.
C. Incorrect — the test plan is evidence-based, not media-
driven.
D. Incorrect — the test plan covers a broad scope of nursing
practice, not only critical care.
Teaching point
The NCLEX test plan is based on practice analysis that weights
content by frequency and importance.
Citation
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3)
