LIPPINCOTT Q&A REVIEW FOR
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1
Reference: Ch. 1 — Overview / The Test Plan
Stem: A recent graduate asks you how to prioritize study time
during NCLEX preparation. She can either memorize facts from
textbooks, focus on high-volume question practice mapped to
the Test Plan client needs categories, review only
pharmacology, or re-read course lecture notes verbatim. Which
strategy most directly aligns with the NCLEX Test Plan and best
prepares her for exam success?
,A. Memorize facts from textbooks.
B. Practice high-quality NCLEX-style items mapped to the Test
Plan client-needs categories.
C. Study only pharmacology since it’s heavily tested.
D. Re-read course lecture notes verbatim.
Correct Answer: B
Rationale — Correct: Practicing NCLEX-style items mapped to
the Test Plan builds clinical judgment across client-needs
categories and mirrors the exam’s structure. This approach
develops application and analysis skills rather than rote recall. It
also reveals patterns of weaknesses to prioritize remediation.
Rationale — Incorrect:
A. Pure memorization does not develop clinical judgment or
test-taking speed.
C. Focusing only on pharmacology ignores other client-needs
domains and reduces readiness.
D. Re-reading lectures is passive and less effective for
application and analysis.
Teaching Point: Use the Test Plan to structure active practice,
not rote memorization.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
2
,Reference: Ch. 1 — Practice Analysis: The Foundation of the
Test Plan
Stem: Your nursing program faculty ask why the NCLEX Test Plan
changes over time and how that should influence curriculum.
You must recommend one evidence-based curricular action that
reflects the purpose of the national practice analysis. What do
you advise?
A. Keep the same curriculum indefinitely; entry-level practice
doesn’t change.
B. Integrate new entry-level responsibilities identified by the
practice analysis into learning objectives and assessments.
C. Focus only on passing past NCLEX questions since they
represent the exam.
D. Eliminate simulation and increase lecture hours.
Correct Answer: B
Rationale — Correct: The practice analysis identifies current
entry-level nursing tasks and informs the Test Plan; curricula
should be updated to teach and assess those competencies.
Aligning learning objectives and assessments with
contemporary practice ensures graduates are prepared for
licensure expectations.
Rationale — Incorrect:
A. Practice evolves; failing to update curriculum risks mismatch
with the Test Plan.
C. Relying solely on past items encourages narrow test coaching
, rather than competency development.
D. Removing simulation may reduce experiential learning
needed for clinical judgment.
Teaching Point: Align curriculum with practice analysis results
to reflect real entry-level expectations.
Citation: Billings & Hensel, Ch. 1.
3
Reference: Ch. 1 — Test Plan Details
Stem: As a clinical instructor planning a review session, you
want to design activities that reflect the NCLEX cognitive levels
(application, analysis, evaluation). Which learning activity most
directly builds the cognitive skills expected on the exam?
A. Ask students to memorize definitions and recite them.
B. Use unfolding clinical case scenarios requiring students to
prioritize and justify interventions.
C. Give a timed vocabulary quiz.
D. Assign passive video lectures to watch without discussion.
Correct Answer: B
Rationale — Correct: Unfolding case scenarios force students to
recognize and analyze cues, prioritize hypotheses, and choose
actions—skills central to NCLEX cognitive demands and the
CJMM. This develops clinical judgment beyond recall.
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1
Reference: Ch. 1 — Overview / The Test Plan
Stem: A recent graduate asks you how to prioritize study time
during NCLEX preparation. She can either memorize facts from
textbooks, focus on high-volume question practice mapped to
the Test Plan client needs categories, review only
pharmacology, or re-read course lecture notes verbatim. Which
strategy most directly aligns with the NCLEX Test Plan and best
prepares her for exam success?
,A. Memorize facts from textbooks.
B. Practice high-quality NCLEX-style items mapped to the Test
Plan client-needs categories.
C. Study only pharmacology since it’s heavily tested.
D. Re-read course lecture notes verbatim.
Correct Answer: B
Rationale — Correct: Practicing NCLEX-style items mapped to
the Test Plan builds clinical judgment across client-needs
categories and mirrors the exam’s structure. This approach
develops application and analysis skills rather than rote recall. It
also reveals patterns of weaknesses to prioritize remediation.
Rationale — Incorrect:
A. Pure memorization does not develop clinical judgment or
test-taking speed.
C. Focusing only on pharmacology ignores other client-needs
domains and reduces readiness.
D. Re-reading lectures is passive and less effective for
application and analysis.
Teaching Point: Use the Test Plan to structure active practice,
not rote memorization.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
2
,Reference: Ch. 1 — Practice Analysis: The Foundation of the
Test Plan
Stem: Your nursing program faculty ask why the NCLEX Test Plan
changes over time and how that should influence curriculum.
You must recommend one evidence-based curricular action that
reflects the purpose of the national practice analysis. What do
you advise?
A. Keep the same curriculum indefinitely; entry-level practice
doesn’t change.
B. Integrate new entry-level responsibilities identified by the
practice analysis into learning objectives and assessments.
C. Focus only on passing past NCLEX questions since they
represent the exam.
D. Eliminate simulation and increase lecture hours.
Correct Answer: B
Rationale — Correct: The practice analysis identifies current
entry-level nursing tasks and informs the Test Plan; curricula
should be updated to teach and assess those competencies.
Aligning learning objectives and assessments with
contemporary practice ensures graduates are prepared for
licensure expectations.
Rationale — Incorrect:
A. Practice evolves; failing to update curriculum risks mismatch
with the Test Plan.
C. Relying solely on past items encourages narrow test coaching
, rather than competency development.
D. Removing simulation may reduce experiential learning
needed for clinical judgment.
Teaching Point: Align curriculum with practice analysis results
to reflect real entry-level expectations.
Citation: Billings & Hensel, Ch. 1.
3
Reference: Ch. 1 — Test Plan Details
Stem: As a clinical instructor planning a review session, you
want to design activities that reflect the NCLEX cognitive levels
(application, analysis, evaluation). Which learning activity most
directly builds the cognitive skills expected on the exam?
A. Ask students to memorize definitions and recite them.
B. Use unfolding clinical case scenarios requiring students to
prioritize and justify interventions.
C. Give a timed vocabulary quiz.
D. Assign passive video lectures to watch without discussion.
Correct Answer: B
Rationale — Correct: Unfolding case scenarios force students to
recognize and analyze cues, prioritize hypotheses, and choose
actions—skills central to NCLEX cognitive demands and the
CJMM. This develops clinical judgment beyond recall.
