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 / Scheduling the Examination
Stem: You are scheduled to test in 10 days. Yesterday you
learned your 7-year-old child with asthma developed a fever
(38.9°C) and increased work of breathing; you are the primary
caregiver. Which action most appropriately balances candidate
responsibilities and exam rules?
,A. Proceed to the testing center as scheduled; arrange childcare
on arrival.
B. Contact the testing vendor or state board immediately to
reschedule and document the reason.
C. Leave the child at home and test, then return immediately
after the exam.
D. Cancel the appointment online without contacting the
testing board; reapply later.
Correct answer: B
Rationale — Correct: Contacting the testing vendor or state
board immediately and documenting the caregiving conflict
follows recommended steps for scheduling changes and special
considerations. This action preserves exam security and
candidate rights while allowing official guidance on
rescheduling and required documentation. It prevents
unauthorized cancellation that could affect eligibility or
deadlines.
Rationale — Incorrect:
A. Proceeding without notifying authorities risks abandonment
of dependent and may violate personal/legal responsibilities;
does not address exam policy.
C. Leaving the child unsupervised is unsafe and an inappropriate
solution.
D. Canceling without contacting the board may forfeit eligibility
or incur additional steps; it fails to document extenuating
circumstances.
,Teaching point: Contact the board/testing vendor ASAP and
document extenuating circumstances.
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
Stem: Midway through the exam your pulse is 110/min and you
feel lightheaded from anxiety. You notice the questions are
rapidly increasing in difficulty after several correct answers.
What is the best immediate action to maintain test
performance and safety?
A. Stop testing and leave the center; complete a reschedule
later.
B. Use the on-screen break only if the testing rules allow, and
practice calming techniques during allowed intervals.
C. Deliberately answer several questions incorrectly to reduce
difficulty and lower anxiety.
D. Continue answering as quickly as possible to finish sooner.
Correct answer: B
Rationale — Correct: Using permitted breaks and calming
strategies is the safest, rule-aligned response. Computer
adaptive testing (CAT) will continue to select items based on
, responses; taking allowable breaks and physiologic self-
management reduces acute anxiety without compromising test
integrity. This preserves performance while maintaining
compliance with test center rules.
Rationale — Incorrect:
A. Leaving mid-exam without following proctor instructions
risks test forfeit and procedural consequences.
C. Intentionally answering incorrectly violates ethical behavior
and invalidates the CAT process.
D. Rushing risks careless errors and poorer clinical-judgment
performance.
Teaching point: Use allowed breaks and calming techniques;
don’t manipulate answers to alter item difficulty.
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 —
Exam Security / Exam Confidentiality
Stem: After leaving the testing center, a classmate texts you a
list of items that purportedly appeared on the exam. Your home
blood pressure was 130/82 earlier while you considered
responding. What should you do next?
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1
Reference: Ch. 1 — The NCLEX-RN® Licensing Examination —
Exam Administration / Scheduling the Examination
Stem: You are scheduled to test in 10 days. Yesterday you
learned your 7-year-old child with asthma developed a fever
(38.9°C) and increased work of breathing; you are the primary
caregiver. Which action most appropriately balances candidate
responsibilities and exam rules?
,A. Proceed to the testing center as scheduled; arrange childcare
on arrival.
B. Contact the testing vendor or state board immediately to
reschedule and document the reason.
C. Leave the child at home and test, then return immediately
after the exam.
D. Cancel the appointment online without contacting the
testing board; reapply later.
Correct answer: B
Rationale — Correct: Contacting the testing vendor or state
board immediately and documenting the caregiving conflict
follows recommended steps for scheduling changes and special
considerations. This action preserves exam security and
candidate rights while allowing official guidance on
rescheduling and required documentation. It prevents
unauthorized cancellation that could affect eligibility or
deadlines.
Rationale — Incorrect:
A. Proceeding without notifying authorities risks abandonment
of dependent and may violate personal/legal responsibilities;
does not address exam policy.
C. Leaving the child unsupervised is unsafe and an inappropriate
solution.
D. Canceling without contacting the board may forfeit eligibility
or incur additional steps; it fails to document extenuating
circumstances.
,Teaching point: Contact the board/testing vendor ASAP and
document extenuating circumstances.
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
Stem: Midway through the exam your pulse is 110/min and you
feel lightheaded from anxiety. You notice the questions are
rapidly increasing in difficulty after several correct answers.
What is the best immediate action to maintain test
performance and safety?
A. Stop testing and leave the center; complete a reschedule
later.
B. Use the on-screen break only if the testing rules allow, and
practice calming techniques during allowed intervals.
C. Deliberately answer several questions incorrectly to reduce
difficulty and lower anxiety.
D. Continue answering as quickly as possible to finish sooner.
Correct answer: B
Rationale — Correct: Using permitted breaks and calming
strategies is the safest, rule-aligned response. Computer
adaptive testing (CAT) will continue to select items based on
, responses; taking allowable breaks and physiologic self-
management reduces acute anxiety without compromising test
integrity. This preserves performance while maintaining
compliance with test center rules.
Rationale — Incorrect:
A. Leaving mid-exam without following proctor instructions
risks test forfeit and procedural consequences.
C. Intentionally answering incorrectly violates ethical behavior
and invalidates the CAT process.
D. Rushing risks careless errors and poorer clinical-judgment
performance.
Teaching point: Use allowed breaks and calming techniques;
don’t manipulate answers to alter item difficulty.
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 —
Exam Security / Exam Confidentiality
Stem: After leaving the testing center, a classmate texts you a
list of items that purportedly appeared on the exam. Your home
blood pressure was 130/82 earlier while you considered
responding. What should you do next?
