Saunders Q&A Review for the NCLEX-RN®
Examination, 7th Edition Chapter 1-10 Test Bank
This test bank contains 600+ questions derived from all 12 sections (Chapters 1-10 and Tests
1-10) of the Saunders Q&A Review for the NCLEX-RN® Examination, 7th Edition. Each section
includes 25 Multiple Choice, 15 Multiple Response, 5 Fill in the Blank, and 5 Ordered Response
questions (50 questions per section). All questions align with the NCLEX-RN test plan, include
rationales and test-taking strategies, and are written at applying, analyzing, evaluating, and
creating cognitive levels.
UNIT I: INTRODUCTION
Chapter 1: The NCLEX-RN® Examination
Multiple Choice Questions (25)
1. What is the minimum number of questions a candidate must answer on the NCLEX-
RN examination?
A. 265
B. 60
C. 100
D. 75
Answer: D
Rationale: The minimum is 75 questions (60 operational, 15 pretest).
2. The NCLEX-RN uses which type of testing methodology?
A. Linear fixed-form testing
B. Computer adaptive testing (CAT)
C. Paper-and-pencil testing
D. Oral examination
Answer: B
1|Page
,Rationale: CAT creates the examination as the test-taker answers each question, selecting
questions based on previous answers.
3. A candidate completes 75 questions and the computer stops. What does this
indicate?
A. The candidate failed the examination
B. The candidate passed the examination
C. The computer has reached 95% certainty about pass/fail
D. The candidate must answer more questions
Answer: C
Rationale: The 95% Confidence Interval Rule allows stopping when mathematically certain
the ability is above or below passing standard.
4. What is the maximum testing time for the NCLEX-RN?
A. 4 hours
B. 5 hours
C. 6 hours
D. 8 hours
Answer: C
Rationale: Maximum testing time is 6 hours (includes tutorial, sample items, breaks, and
examination).
5. How many pretest (unscored) questions are included in the NCLEX-RN?
A. 5
B. 10
C. 15
D. 25
Answer: C
Rationale: Fifteen of total questions are pretest (unscored) and administered among the
first 75 questions.
6. A candidate wants to change a testing appointment. What should they do?
A. Call the state board of nursing directly
B. Simply not show up and reschedule later
C. Make changes on candidate website or call candidate services
D. Send a written request to NCSBN
2|Page
,Answer: C
Rationale: Candidates can change appointments via the candidate website or by calling
candidate services.
7. Which identification document is acceptable for NCLEX-RN admission?
A. Expired driver's license
B. Social security card
C. Valid passport with photograph and signature
D. Birth certificate
Answer: C
Rationale: Acceptable ID includes valid, non-expired photo ID with signature (driver's
license, passport, state ID, military ID).
8. When are candidates permitted to take breaks during the NCLEX-RN?
A. Only before the examination starts
B. After every 50 questions
C. After 2 hours and after 3.5 hours (optional)
D. No breaks are allowed
Answer: C
Rationale: Optional breaks after 2 hours and after 3.5 hours; breaks count against testing
time.
9. What is the maximum number of questions a candidate may receive?
A. 150
B. 200
C. 265
D. 300
Answer: C
Rationale: Maximum is 265 questions (including pretest).
10. A candidate receives an ATT form. What must they do before the validity date
expires?
A. Mail the ATT to NCSBN
B. Schedule an appointment at a testing center
C. Submit additional fees to the state board
D. Complete an online tutorial
3|Page
, Answer: B
Rationale: The candidate must schedule a testing date and time before the ATT expiration
date.
11. The Run-Out-Of-Time (R.O.O.T.) Rule applies when:
A. The candidate finishes all questions early
B. The computer malfunctions
C. The examination ends because the candidate ran out of time
D. The candidate requests additional time
Answer: C
Rationale: R.O.O.T. Rule applies when the examination ends due to time expiration and
the computer lacks 95% certainty.
12. How soon after the examination can a candidate obtain unofficial results via Quick
Results Service in some states?
A. Immediately after the exam
B. 2 business days after the exam
C. 1 week after the exam
D. 1 month after the exam
Answer: B
Rationale: Quick Results Service provides unofficial results 2 business days after the
examination (fee required).
13. What is provided to a test-taker who fails the NCLEX-RN?
A. A refund of the examination fee
B. A candidate performance report
C. An automatic retake appointment
D. A detailed score breakdown by question
Answer: B
Rationale: A candidate performance report identifies strengths and weaknesses to guide
studying for retake.
14. How long must a candidate wait before retaking the NCLEX-RN after a failure?
A. 15 days
B. 30 days
4|Page
Examination, 7th Edition Chapter 1-10 Test Bank
This test bank contains 600+ questions derived from all 12 sections (Chapters 1-10 and Tests
1-10) of the Saunders Q&A Review for the NCLEX-RN® Examination, 7th Edition. Each section
includes 25 Multiple Choice, 15 Multiple Response, 5 Fill in the Blank, and 5 Ordered Response
questions (50 questions per section). All questions align with the NCLEX-RN test plan, include
rationales and test-taking strategies, and are written at applying, analyzing, evaluating, and
creating cognitive levels.
UNIT I: INTRODUCTION
Chapter 1: The NCLEX-RN® Examination
Multiple Choice Questions (25)
1. What is the minimum number of questions a candidate must answer on the NCLEX-
RN examination?
A. 265
B. 60
C. 100
D. 75
Answer: D
Rationale: The minimum is 75 questions (60 operational, 15 pretest).
2. The NCLEX-RN uses which type of testing methodology?
A. Linear fixed-form testing
B. Computer adaptive testing (CAT)
C. Paper-and-pencil testing
D. Oral examination
Answer: B
1|Page
,Rationale: CAT creates the examination as the test-taker answers each question, selecting
questions based on previous answers.
3. A candidate completes 75 questions and the computer stops. What does this
indicate?
A. The candidate failed the examination
B. The candidate passed the examination
C. The computer has reached 95% certainty about pass/fail
D. The candidate must answer more questions
Answer: C
Rationale: The 95% Confidence Interval Rule allows stopping when mathematically certain
the ability is above or below passing standard.
4. What is the maximum testing time for the NCLEX-RN?
A. 4 hours
B. 5 hours
C. 6 hours
D. 8 hours
Answer: C
Rationale: Maximum testing time is 6 hours (includes tutorial, sample items, breaks, and
examination).
5. How many pretest (unscored) questions are included in the NCLEX-RN?
A. 5
B. 10
C. 15
D. 25
Answer: C
Rationale: Fifteen of total questions are pretest (unscored) and administered among the
first 75 questions.
6. A candidate wants to change a testing appointment. What should they do?
A. Call the state board of nursing directly
B. Simply not show up and reschedule later
C. Make changes on candidate website or call candidate services
D. Send a written request to NCSBN
2|Page
,Answer: C
Rationale: Candidates can change appointments via the candidate website or by calling
candidate services.
7. Which identification document is acceptable for NCLEX-RN admission?
A. Expired driver's license
B. Social security card
C. Valid passport with photograph and signature
D. Birth certificate
Answer: C
Rationale: Acceptable ID includes valid, non-expired photo ID with signature (driver's
license, passport, state ID, military ID).
8. When are candidates permitted to take breaks during the NCLEX-RN?
A. Only before the examination starts
B. After every 50 questions
C. After 2 hours and after 3.5 hours (optional)
D. No breaks are allowed
Answer: C
Rationale: Optional breaks after 2 hours and after 3.5 hours; breaks count against testing
time.
9. What is the maximum number of questions a candidate may receive?
A. 150
B. 200
C. 265
D. 300
Answer: C
Rationale: Maximum is 265 questions (including pretest).
10. A candidate receives an ATT form. What must they do before the validity date
expires?
A. Mail the ATT to NCSBN
B. Schedule an appointment at a testing center
C. Submit additional fees to the state board
D. Complete an online tutorial
3|Page
, Answer: B
Rationale: The candidate must schedule a testing date and time before the ATT expiration
date.
11. The Run-Out-Of-Time (R.O.O.T.) Rule applies when:
A. The candidate finishes all questions early
B. The computer malfunctions
C. The examination ends because the candidate ran out of time
D. The candidate requests additional time
Answer: C
Rationale: R.O.O.T. Rule applies when the examination ends due to time expiration and
the computer lacks 95% certainty.
12. How soon after the examination can a candidate obtain unofficial results via Quick
Results Service in some states?
A. Immediately after the exam
B. 2 business days after the exam
C. 1 week after the exam
D. 1 month after the exam
Answer: B
Rationale: Quick Results Service provides unofficial results 2 business days after the
examination (fee required).
13. What is provided to a test-taker who fails the NCLEX-RN?
A. A refund of the examination fee
B. A candidate performance report
C. An automatic retake appointment
D. A detailed score breakdown by question
Answer: B
Rationale: A candidate performance report identifies strengths and weaknesses to guide
studying for retake.
14. How long must a candidate wait before retaking the NCLEX-RN after a failure?
A. 15 days
B. 30 days
4|Page
