2024 -2025 NCLEX RN ACTUAL EXAM
TEST BANK LATEST 70 QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES/RN NCLEX TEST
BANK.
The graduate nurse understands the purpose of the NCLEX-RN® exam when stating
which of the following?
a.
"The exam provides feedback to the candidate regarding areas of weakness in nursing
practice."
b.
"The exam determines the candidate's ability or inability to meet minimum standards for
safe practice."
c.
"The exam gives employers an opportunity to hire graduates who have scored highest
among first-time licensure candidates."
d.
"The exam prepares new graduates as efficient, effective staff nurses."
. - ANSWER-ANS: B
The purpose of the NCLEX-RN® Exam is to determine whether a candidate is
competent to perform safe, effective, entry-level nursing care. It does not prepare
nurses but rather measures their performance on a test. Candidates who are
unsuccessful receive information about their weak areas on the test, but this is not the
purpose of it. Employers want to know if the person has passed because there is no
specific score given other than pass or fail
Which statement by the nursing professor is accurate about the NCLEX-RN® exam?
The purpose of the NCLEX-RN® test plan is to ensure that all
a.
"test takers answer items of comparable difficulty."
b.
"test takers answer approximately the same number of items."
c.
"test items are job related."
,d.
"clinical specialties will be equally represented." - ANSWER-ANS: C
The content of the NCLEX® Exam is based on a test plan that is determined by the
National Council. The test plan reflects entry-level nursing practice as identified by
research and the job analysis study of newly licensed registered nurses. Each
candidate will receive different levels of questions in a computer adaptive format. The
focus of the exam is not on clinical specialties. The test has a minimum of 75 questions
and a maximum of 265 questions, so a test taker can answer any number of questions
between these two numbers until they either reaches a passing standard or fails.
In trends class, a student tells the instructor, "I don't think I can possibly pass the
NCLEX-RN®. I hated psych nursing, but now I've heard that a huge amount of the
NCLEX® is psych related." What is the best response from the instructor?
a.
"Perhaps you should consider retaking the psychiatric nursing course."
b.
"There are equal numbers of questions related to each aspect of client needs."
c.
"Psychosocial integrity is the basis for 6% to 12% of the examination."
d.
"You will need to take a review course in which they teach psychiatric nursing
principles." - ANSWER-ANS: C
The last detailed test plan (2013) from the National Council designated from 6% to 12%
of the total questions to be from the area of psychosocial integrity. The student may not
be able to retake nursing courses or a review course. Stating that content area has the
same amount of questions would be inaccurate. Each of the categories of client needs
has a different percentage, so questions are based on that percentage from the detailed
test plan, not on equal numbers from each area. Students often hear incorrect
information and rumors about NCLEX.
Which statement indicates the graduate nurses understanding of the process at the
NCLEX® testing site?
a.
"I will be thumbprinted and photographed."
b.
"I will be placed in a locked testing cubicle."
c.
"I will answer 300 test questions."
d.
"I will be given some questions as a paper-and-pencil test." - ANSWER-ANS: A
Read the Candidate Bulletin and the instruction packet carefully. An Authorization to
Test (ATT) will be required for admission into the testing center; however, after January
1, 2014, the NCLEX will be going paperless, so the ATT will not have to be brought to
the testing center. All candidates will be thumbprinted and photographed and will have a
palm vein reader as part of the identification process at the testing location. Candidates
are not locked in a testing cubicle or given a paper-and-pencil test. The number of
,questions on each candidates test may vary with a minimum of 75 questions and a
maximum of 265 questions
Which statement made by the graduate nurse indicates understanding of the NCLEX-
RN® exam passing score?
a.
"Candidates seeking licensure in California and New York must score higher."
b.
"The passing score is the same for licensure in all states."
c.
"Candidates from BSN programs must score one standard deviation higher than the
ADN graduates."
d.
"ADN graduates must answer 80% of the 265 questions correctly to pass." - ANSWER-
ANS: B
Every state has the same passing criteria. There is no percentage identified as to the
number to get correct. The test has a minimum of 75 questions and a maximum of 265
questions. When the student reaches a passing level of competency or has not reached
the passing competency, the test turns off. There is no differentiation in education level
or state requirements.
What type of nursing position would most likely provide experience in the type of
nursing situations upon which the NCLEX® Exam questions are based?
a.
Home care nurse
b.
Psychiatric staff nurse
c.
Staff nurse in an ambulatory pediatric clinic
d.
Staff nurse in a medical-surgical inpatient unit - ANSWER-ANS: D
The largest percentage of content on the test plan is based on physiologic integrity,
which includes basic care and comfort (6%-12%), pharmacologic and parenteral
therapies (12%-18%), reduction of risk potential (9%-15%), and physiologic adaptation
(11%-17%). Research also shows that the majority of new graduates begin their first job
in a hospital medical-surgical environment caring for adult clients.
What is the best review strategy to use to prepare for the NCLEX-RN® Exam?
a.
Spend about 8 hours a day on your days off until you take the examination.
b.
Study for 4 hours a night while taking a 2-week review course.
c.
Review basic nursing content 2 to 3 hours a day 3 days a week for 5 to 6 weeks.
d.
Study 10 hours on the day and evening before the examination. - ANSWER-ANS: C
, Studying 2 to 3 hours a day for 2 or 3 days a week is realistic with frequent breaks
during the studying. The new graduate should consider taking the exam within 2 to 3
weeks of obtaining your Authorization to Test. Cramming before the examination will not
improve your pass rate. Studying for 8 hours a day is fatiguing and does not necessarily
promote retention of the information.
What are helpful strategies for dealing with test anxiety?
a.
Put as much time as possible into studying.
b.
Practice relaxation techniques and positive thinking.
c.
Use review books and tapes.
d.
Focus on test-taking skills and emphasize facts less. - ANSWER-ANS: B
Put yourself in charge of your feelings. Replace those negative thoughts and ideas with
positive ones. Practice relaxation and positive thinking and picture yourself succeeding.
Picture yourself succeeding. Give yourself permission to take some breaks; studying all
of the time will increase anxiety. Review books and tapes assist with the review of
important content and do not necessarily deal with test anxiety directly. They may
discuss the concept and provide strategies to use, such as the two mentioned in the
correct response. Test-taking skills are important for success on NCLEX but do not
directly reduce test anxiety.
A nurse has been out of school about 6 months. Which of the following would indicate
that the nurse is having problems with burnout?
a.
Having chronic fatigue, increased irritability, and feelings of helplessness
b.
Feels angry regarding the type of care being delivered and scheduling of staff coverage
c.
Signs up for extra courses for an advanced degree and works double shifts for extra
money
d.
Is disorganized regarding patient care and has to stay late to finish shift work -
ANSWER-ANS: A
Fatigue, irritability, and feelings of helplessness are all early signs of burnout. Anger
regarding care may be very appropriate; how the anger is directed is important.
Overscheduling oneself is something that may promote early burnout, as are
disorganization and poor time management.
Which of the following statements indicate the nurses understanding of the content of
the NCLEX® Exam?
a.
"The exam is based on a practice analysis conducted by the National Council of State
Boards of Nursing."
TEST BANK LATEST 70 QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES/RN NCLEX TEST
BANK.
The graduate nurse understands the purpose of the NCLEX-RN® exam when stating
which of the following?
a.
"The exam provides feedback to the candidate regarding areas of weakness in nursing
practice."
b.
"The exam determines the candidate's ability or inability to meet minimum standards for
safe practice."
c.
"The exam gives employers an opportunity to hire graduates who have scored highest
among first-time licensure candidates."
d.
"The exam prepares new graduates as efficient, effective staff nurses."
. - ANSWER-ANS: B
The purpose of the NCLEX-RN® Exam is to determine whether a candidate is
competent to perform safe, effective, entry-level nursing care. It does not prepare
nurses but rather measures their performance on a test. Candidates who are
unsuccessful receive information about their weak areas on the test, but this is not the
purpose of it. Employers want to know if the person has passed because there is no
specific score given other than pass or fail
Which statement by the nursing professor is accurate about the NCLEX-RN® exam?
The purpose of the NCLEX-RN® test plan is to ensure that all
a.
"test takers answer items of comparable difficulty."
b.
"test takers answer approximately the same number of items."
c.
"test items are job related."
,d.
"clinical specialties will be equally represented." - ANSWER-ANS: C
The content of the NCLEX® Exam is based on a test plan that is determined by the
National Council. The test plan reflects entry-level nursing practice as identified by
research and the job analysis study of newly licensed registered nurses. Each
candidate will receive different levels of questions in a computer adaptive format. The
focus of the exam is not on clinical specialties. The test has a minimum of 75 questions
and a maximum of 265 questions, so a test taker can answer any number of questions
between these two numbers until they either reaches a passing standard or fails.
In trends class, a student tells the instructor, "I don't think I can possibly pass the
NCLEX-RN®. I hated psych nursing, but now I've heard that a huge amount of the
NCLEX® is psych related." What is the best response from the instructor?
a.
"Perhaps you should consider retaking the psychiatric nursing course."
b.
"There are equal numbers of questions related to each aspect of client needs."
c.
"Psychosocial integrity is the basis for 6% to 12% of the examination."
d.
"You will need to take a review course in which they teach psychiatric nursing
principles." - ANSWER-ANS: C
The last detailed test plan (2013) from the National Council designated from 6% to 12%
of the total questions to be from the area of psychosocial integrity. The student may not
be able to retake nursing courses or a review course. Stating that content area has the
same amount of questions would be inaccurate. Each of the categories of client needs
has a different percentage, so questions are based on that percentage from the detailed
test plan, not on equal numbers from each area. Students often hear incorrect
information and rumors about NCLEX.
Which statement indicates the graduate nurses understanding of the process at the
NCLEX® testing site?
a.
"I will be thumbprinted and photographed."
b.
"I will be placed in a locked testing cubicle."
c.
"I will answer 300 test questions."
d.
"I will be given some questions as a paper-and-pencil test." - ANSWER-ANS: A
Read the Candidate Bulletin and the instruction packet carefully. An Authorization to
Test (ATT) will be required for admission into the testing center; however, after January
1, 2014, the NCLEX will be going paperless, so the ATT will not have to be brought to
the testing center. All candidates will be thumbprinted and photographed and will have a
palm vein reader as part of the identification process at the testing location. Candidates
are not locked in a testing cubicle or given a paper-and-pencil test. The number of
,questions on each candidates test may vary with a minimum of 75 questions and a
maximum of 265 questions
Which statement made by the graduate nurse indicates understanding of the NCLEX-
RN® exam passing score?
a.
"Candidates seeking licensure in California and New York must score higher."
b.
"The passing score is the same for licensure in all states."
c.
"Candidates from BSN programs must score one standard deviation higher than the
ADN graduates."
d.
"ADN graduates must answer 80% of the 265 questions correctly to pass." - ANSWER-
ANS: B
Every state has the same passing criteria. There is no percentage identified as to the
number to get correct. The test has a minimum of 75 questions and a maximum of 265
questions. When the student reaches a passing level of competency or has not reached
the passing competency, the test turns off. There is no differentiation in education level
or state requirements.
What type of nursing position would most likely provide experience in the type of
nursing situations upon which the NCLEX® Exam questions are based?
a.
Home care nurse
b.
Psychiatric staff nurse
c.
Staff nurse in an ambulatory pediatric clinic
d.
Staff nurse in a medical-surgical inpatient unit - ANSWER-ANS: D
The largest percentage of content on the test plan is based on physiologic integrity,
which includes basic care and comfort (6%-12%), pharmacologic and parenteral
therapies (12%-18%), reduction of risk potential (9%-15%), and physiologic adaptation
(11%-17%). Research also shows that the majority of new graduates begin their first job
in a hospital medical-surgical environment caring for adult clients.
What is the best review strategy to use to prepare for the NCLEX-RN® Exam?
a.
Spend about 8 hours a day on your days off until you take the examination.
b.
Study for 4 hours a night while taking a 2-week review course.
c.
Review basic nursing content 2 to 3 hours a day 3 days a week for 5 to 6 weeks.
d.
Study 10 hours on the day and evening before the examination. - ANSWER-ANS: C
, Studying 2 to 3 hours a day for 2 or 3 days a week is realistic with frequent breaks
during the studying. The new graduate should consider taking the exam within 2 to 3
weeks of obtaining your Authorization to Test. Cramming before the examination will not
improve your pass rate. Studying for 8 hours a day is fatiguing and does not necessarily
promote retention of the information.
What are helpful strategies for dealing with test anxiety?
a.
Put as much time as possible into studying.
b.
Practice relaxation techniques and positive thinking.
c.
Use review books and tapes.
d.
Focus on test-taking skills and emphasize facts less. - ANSWER-ANS: B
Put yourself in charge of your feelings. Replace those negative thoughts and ideas with
positive ones. Practice relaxation and positive thinking and picture yourself succeeding.
Picture yourself succeeding. Give yourself permission to take some breaks; studying all
of the time will increase anxiety. Review books and tapes assist with the review of
important content and do not necessarily deal with test anxiety directly. They may
discuss the concept and provide strategies to use, such as the two mentioned in the
correct response. Test-taking skills are important for success on NCLEX but do not
directly reduce test anxiety.
A nurse has been out of school about 6 months. Which of the following would indicate
that the nurse is having problems with burnout?
a.
Having chronic fatigue, increased irritability, and feelings of helplessness
b.
Feels angry regarding the type of care being delivered and scheduling of staff coverage
c.
Signs up for extra courses for an advanced degree and works double shifts for extra
money
d.
Is disorganized regarding patient care and has to stay late to finish shift work -
ANSWER-ANS: A
Fatigue, irritability, and feelings of helplessness are all early signs of burnout. Anger
regarding care may be very appropriate; how the anger is directed is important.
Overscheduling oneself is something that may promote early burnout, as are
disorganization and poor time management.
Which of the following statements indicate the nurses understanding of the content of
the NCLEX® Exam?
a.
"The exam is based on a practice analysis conducted by the National Council of State
Boards of Nursing."
