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
Stem
A graduate scheduled the NCLEX for 8:00 AM but overslept and
arrives at the test center 45 minutes late. The test-center staff
informs the candidate that check-in closed 30 minutes before
the appointment. The candidate insists the delay was due to a
,public transit strike and asks for immediate testing. Which
action should the RN-level candidate take next?
A. Demand to be admitted because the delay was caused by
public transit.
B. Request the staff reschedule the appointment for the next
available slot and ask about rescheduling fees.
C. Refuse to leave and ask to speak with a supervisor to appeal
the check-in policy.
D. Ask to take the exam immediately in the next open
workstation without further paperwork.
Correct answer: B
Rationales
Correct (B): The appropriate immediate action is to accept
rescheduling and ask about rescheduling procedures/fees; test
centers enforce strict check-in windows for security and
administration. This response preserves professionalism,
follows test-center policy, and initiates the correct follow-up
(reschedule and confirm next steps).
Incorrect (A): Demanding admission ignores test-center rules;
extenuating circumstances may be considered but do not
guarantee immediate entry.
Incorrect (C): Refusing to leave escalates conflict and may
violate exam center policies; speaking calmly with staff about
options is preferable.
Incorrect (D): Test centers cannot admit candidates outside of
check-in without proper authorization and security checks.
,Teaching point: Always follow test-center check-in policies;
promptly arrange rescheduling if late.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
2
Reference
Ch. 1 — Computer Adaptive Testing (CAT) — Exam Termination
Stem
A candidate has completed 75 NCLEX items and feels uncertain
about performance. The computer indicates the exam has
ended. The candidate asks the RN test administrator why the
exam stopped before the maximum number of items. What is
the best explanation the candidate should accept?
A. The test ended because the candidate reached the maximum
time limit.
B. The exam concluded because the computer determined the
candidate’s ability was clearly above or below the passing
standard.
C. The test ended due to a technical error; the candidate should
demand a retake.
D. The exam ended because the candidate skipped too many
items.
Correct answer: B
, Rationales
Correct (B): In CAT, the exam may end early when the algorithm
has statistically determined the candidate’s ability relative to
the passing standard with confidence; this is normal and not
indicative of a technical problem.
Incorrect (A): CAT does not typically end early due to time
limits; time is managed differently and early termination is
related to measurement confidence.
Incorrect (C): Assuming a technical error without evidence is
incorrect; test centers will investigate technical issues, but early
termination for measurement reasons is expected.
Incorrect (D): Skipping items does not by itself cause early
termination; the algorithm uses item responses to estimate
ability.
Teaching point: CAT ends early when a candidate’s ability is
determined with statistical confidence.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3
Reference
Ch. 1 — Special Accommodations / Exam Administration
Stem
A candidate with documented visual impairment was approved
for extra time and a screen-enlargement device. On test day the
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1
Reference
Ch. 1 — The NCLEX-RN® Licensing Examination — Exam
Administration / Scheduling
Stem
A graduate scheduled the NCLEX for 8:00 AM but overslept and
arrives at the test center 45 minutes late. The test-center staff
informs the candidate that check-in closed 30 minutes before
the appointment. The candidate insists the delay was due to a
,public transit strike and asks for immediate testing. Which
action should the RN-level candidate take next?
A. Demand to be admitted because the delay was caused by
public transit.
B. Request the staff reschedule the appointment for the next
available slot and ask about rescheduling fees.
C. Refuse to leave and ask to speak with a supervisor to appeal
the check-in policy.
D. Ask to take the exam immediately in the next open
workstation without further paperwork.
Correct answer: B
Rationales
Correct (B): The appropriate immediate action is to accept
rescheduling and ask about rescheduling procedures/fees; test
centers enforce strict check-in windows for security and
administration. This response preserves professionalism,
follows test-center policy, and initiates the correct follow-up
(reschedule and confirm next steps).
Incorrect (A): Demanding admission ignores test-center rules;
extenuating circumstances may be considered but do not
guarantee immediate entry.
Incorrect (C): Refusing to leave escalates conflict and may
violate exam center policies; speaking calmly with staff about
options is preferable.
Incorrect (D): Test centers cannot admit candidates outside of
check-in without proper authorization and security checks.
,Teaching point: Always follow test-center check-in policies;
promptly arrange rescheduling if late.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
2
Reference
Ch. 1 — Computer Adaptive Testing (CAT) — Exam Termination
Stem
A candidate has completed 75 NCLEX items and feels uncertain
about performance. The computer indicates the exam has
ended. The candidate asks the RN test administrator why the
exam stopped before the maximum number of items. What is
the best explanation the candidate should accept?
A. The test ended because the candidate reached the maximum
time limit.
B. The exam concluded because the computer determined the
candidate’s ability was clearly above or below the passing
standard.
C. The test ended due to a technical error; the candidate should
demand a retake.
D. The exam ended because the candidate skipped too many
items.
Correct answer: B
, Rationales
Correct (B): In CAT, the exam may end early when the algorithm
has statistically determined the candidate’s ability relative to
the passing standard with confidence; this is normal and not
indicative of a technical problem.
Incorrect (A): CAT does not typically end early due to time
limits; time is managed differently and early termination is
related to measurement confidence.
Incorrect (C): Assuming a technical error without evidence is
incorrect; test centers will investigate technical issues, but early
termination for measurement reasons is expected.
Incorrect (D): Skipping items does not by itself cause early
termination; the algorithm uses item responses to estimate
ability.
Teaching point: CAT ends early when a candidate’s ability is
determined with statistical confidence.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3
Reference
Ch. 1 — Special Accommodations / Exam Administration
Stem
A candidate with documented visual impairment was approved
for extra time and a screen-enlargement device. On test day the
