LIPPINCOTT Q&A REVIEW FOR
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1)
Reference: Part 1, Ch. 1 — The NCLEX-RN® Licensing
Examination: Exam Administration / Scheduling the Examination
Stem: A nursing graduate calls to reschedule an NCLEX
appointment after receiving a job offer that begins in 2 days.
The graduate reports having required documentation for
authorization but says they will be at work during their original
appointment window. Which action should the nurse educator
advise the graduate to take now?
,A. Keep the original appointment and request late arrival at the
test center.
B. Reschedule the NCLEX to a later date that allows full
preparation and availability.
C. Cancel the appointment and plan to reapply when there is no
job conflict.
D. Go to the original appointment and explain the situation to
test center staff.
Correct Answer: B
Rationale — Correct (B): Rescheduling to a later date ensures
the candidate can complete the exam fully and not be at risk for
dismissal or incomplete testing due to being late or unavailable.
It prioritizes exam completion and candidate readiness, aligning
with test-administration policies that require adherence to
scheduled times. Choosing to reschedule reduces risk of
invalidation and avoids security/administrative complications.
Rationale — Incorrect:
A. Late arrival is often not permitted and could lead to denial of
testing; it risks wasted fees and inability to test.
C. Canceling and reapplying is unnecessarily punitive—
rescheduling retains the existing authorization window when
allowed.
D. Test center staff cannot override scheduling rules or allow
testing if candidate’s timing conflicts with test administration
protocols.
,Teaching Point: Always reschedule when you cannot arrive and
complete the exam within your authorized window.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Part 1, Ch. 1.
2)
Reference: Part 1, Ch. 1 — The NCLEX-RN® Licensing
Examination: Computer Adaptive Testing (CAT)
Stem: A graduate asks how the NCLEX-RN CAT decides when the
exam ends. Which explanation most accurately reflects how
CAT determines test length and stopping point?
A. The exam ends after a fixed number of questions selected
randomly from each content area.
B. The exam continues until the candidate’s ability is estimated
with confidence above or below the passing standard.
C. The exam ends when the candidate completes a preset
number of difficult questions.
D. The exam ends when the candidate requests to stop because
they feel confident.
Correct Answer: B
Rationale — Correct (B): CAT algorithms continue until there is
statistical confidence that the candidate’s ability is either clearly
above or below the passing standard, or until the maximum
question limit is reached. This explanation reflects how the
, NCLEX stops based on performance estimation rather than fixed
question counts, aligning with adaptive testing principles.
Rationale — Incorrect:
A. CAT is not fixed-length and does not select questions
randomly; it adapts based on responses.
C. While question difficulty adapts, the exam does not end
merely after a preset number of difficult items.
D. Candidate request does not determine stopping; procedures
require completion per CAT rules.
Teaching Point: CAT adapts item difficulty and stops when
ability is estimated confidently relative to the passing standard.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Part 1, Ch. 1.
3)
Reference: Part 1, Ch. 1 — The NCLEX-RN® Licensing
Examination: Exam Security / Confidentiality
Stem: During a study group, a recent test-taker mentions
several specific items and verbatim phrases from the NCLEX
they took yesterday. As the nursing program director, what is
the most appropriate immediate response?
A. Tell students the shared items are helpful and encourage
discussion to prepare others.
B. Report the disclosure to the state board or examination body
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1)
Reference: Part 1, Ch. 1 — The NCLEX-RN® Licensing
Examination: Exam Administration / Scheduling the Examination
Stem: A nursing graduate calls to reschedule an NCLEX
appointment after receiving a job offer that begins in 2 days.
The graduate reports having required documentation for
authorization but says they will be at work during their original
appointment window. Which action should the nurse educator
advise the graduate to take now?
,A. Keep the original appointment and request late arrival at the
test center.
B. Reschedule the NCLEX to a later date that allows full
preparation and availability.
C. Cancel the appointment and plan to reapply when there is no
job conflict.
D. Go to the original appointment and explain the situation to
test center staff.
Correct Answer: B
Rationale — Correct (B): Rescheduling to a later date ensures
the candidate can complete the exam fully and not be at risk for
dismissal or incomplete testing due to being late or unavailable.
It prioritizes exam completion and candidate readiness, aligning
with test-administration policies that require adherence to
scheduled times. Choosing to reschedule reduces risk of
invalidation and avoids security/administrative complications.
Rationale — Incorrect:
A. Late arrival is often not permitted and could lead to denial of
testing; it risks wasted fees and inability to test.
C. Canceling and reapplying is unnecessarily punitive—
rescheduling retains the existing authorization window when
allowed.
D. Test center staff cannot override scheduling rules or allow
testing if candidate’s timing conflicts with test administration
protocols.
,Teaching Point: Always reschedule when you cannot arrive and
complete the exam within your authorized window.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Part 1, Ch. 1.
2)
Reference: Part 1, Ch. 1 — The NCLEX-RN® Licensing
Examination: Computer Adaptive Testing (CAT)
Stem: A graduate asks how the NCLEX-RN CAT decides when the
exam ends. Which explanation most accurately reflects how
CAT determines test length and stopping point?
A. The exam ends after a fixed number of questions selected
randomly from each content area.
B. The exam continues until the candidate’s ability is estimated
with confidence above or below the passing standard.
C. The exam ends when the candidate completes a preset
number of difficult questions.
D. The exam ends when the candidate requests to stop because
they feel confident.
Correct Answer: B
Rationale — Correct (B): CAT algorithms continue until there is
statistical confidence that the candidate’s ability is either clearly
above or below the passing standard, or until the maximum
question limit is reached. This explanation reflects how the
, NCLEX stops based on performance estimation rather than fixed
question counts, aligning with adaptive testing principles.
Rationale — Incorrect:
A. CAT is not fixed-length and does not select questions
randomly; it adapts based on responses.
C. While question difficulty adapts, the exam does not end
merely after a preset number of difficult items.
D. Candidate request does not determine stopping; procedures
require completion per CAT rules.
Teaching Point: CAT adapts item difficulty and stops when
ability is estimated confidently relative to the passing standard.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Part 1, Ch. 1.
3)
Reference: Part 1, Ch. 1 — The NCLEX-RN® Licensing
Examination: Exam Security / Confidentiality
Stem: During a study group, a recent test-taker mentions
several specific items and verbatim phrases from the NCLEX
they took yesterday. As the nursing program director, what is
the most appropriate immediate response?
A. Tell students the shared items are helpful and encourage
discussion to prepare others.
B. Report the disclosure to the state board or examination body
