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 —
The Test Plan
Stem: A 24-year-old new graduate nurse preparing to sit for the
NCLEX reviews the Test Plan and notes that questions include
client needs, integrated processes, and cognitive levels. She
asks which element defines the content areas and the relative
emphasis for the exam. Which response by the educator is most
accurate?
,A. The Test Plan determines the pass/fail score for each
question.
B. The Test Plan lists content categories and allocates item
percentages across client needs.
C. The Test Plan prescribes the exact number of items for each
disease.
D. The Test Plan is updated only when a new edition of the
NCLEX is published.
Correct Answer: B
Rationale — Correct: The Test Plan identifies content categories
(client needs) and the percentage distribution of items across
those areas, guiding what content will be emphasized on the
exam. This helps candidates focus study and aligns items with
entry-level competencies.
Rationale — Incorrect A: The Test Plan does not determine
pass/fail scoring at the item level; scoring is handled by the
examination’s psychometric model.
Rationale — Incorrect C: The Test Plan provides percentages,
not exact item counts for specific diseases.
Rationale — Incorrect D: The Test Plan is updated periodically
based on practice analysis, not only with a new test edition.
Teaching Point: The Test Plan maps content areas and item
weightings — study by percentages.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
,2.
Reference: Ch. 1 — The NCLEX-RN® Licensing Examination —
Practice Analysis
Stem: A newly graduated nurse is surprised to learn that the
NCLEX Test Plan is based on practice analysis. Which scenario
best illustrates why practice analysis is essential to test
construction?
A. A panel of faculty members writes questions about topics
they remember from school.
B. Item writers select questions exclusively from popular review
books.
C. Surveys of practicing RNs identify current entry-level tasks
and priority client needs.
D. Test content is chosen randomly to avoid bias.
Correct Answer: C
Rationale — Correct: Practice analysis surveys working RNs to
determine the frequency and importance of entry-level tasks;
results drive Test Plan content to ensure the exam reflects
current practice.
Rationale — Incorrect A: Faculty memory alone is subjective
and not representative of practicing RN duties.
Rationale — Incorrect B: Reliance on review books would not
ensure content validity across current practice.
Rationale — Incorrect D: Random selection would not align
with profession-defined competencies.
, Teaching Point: Practice analysis grounds the Test Plan in real
RN practice and validity.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3.
Reference: Ch. 1 — The NCLEX-RN® Licensing Examination —
Exam Administration
Stem: A candidate arrives at the testing center with two forms
of ID; one is a current government photo ID and the other is a
student ID without an expiration date. The test center
administrator tells them only one valid ID is required. The
candidate is anxious and asks what the testing center policy
requires. What is the correct action?
A. Allow the candidate to test with either ID; student IDs are
acceptable.
B. Deny testing because the candidate lacks any ID.
C. Verify the accepted government–issued photo ID and
proceed only if it matches the registration name.
D. Let the candidate sign an affidavit instead of ID verification.
Correct Answer: C
Rationale — Correct: Test centers require a current,
government-issued photo ID that matches the registration
name; verifying that ID is mandatory before testing. Proceeding
when the official ID matches follows test security and
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1.
Reference: Ch. 1 — The NCLEX-RN® Licensing Examination —
The Test Plan
Stem: A 24-year-old new graduate nurse preparing to sit for the
NCLEX reviews the Test Plan and notes that questions include
client needs, integrated processes, and cognitive levels. She
asks which element defines the content areas and the relative
emphasis for the exam. Which response by the educator is most
accurate?
,A. The Test Plan determines the pass/fail score for each
question.
B. The Test Plan lists content categories and allocates item
percentages across client needs.
C. The Test Plan prescribes the exact number of items for each
disease.
D. The Test Plan is updated only when a new edition of the
NCLEX is published.
Correct Answer: B
Rationale — Correct: The Test Plan identifies content categories
(client needs) and the percentage distribution of items across
those areas, guiding what content will be emphasized on the
exam. This helps candidates focus study and aligns items with
entry-level competencies.
Rationale — Incorrect A: The Test Plan does not determine
pass/fail scoring at the item level; scoring is handled by the
examination’s psychometric model.
Rationale — Incorrect C: The Test Plan provides percentages,
not exact item counts for specific diseases.
Rationale — Incorrect D: The Test Plan is updated periodically
based on practice analysis, not only with a new test edition.
Teaching Point: The Test Plan maps content areas and item
weightings — study by percentages.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
,2.
Reference: Ch. 1 — The NCLEX-RN® Licensing Examination —
Practice Analysis
Stem: A newly graduated nurse is surprised to learn that the
NCLEX Test Plan is based on practice analysis. Which scenario
best illustrates why practice analysis is essential to test
construction?
A. A panel of faculty members writes questions about topics
they remember from school.
B. Item writers select questions exclusively from popular review
books.
C. Surveys of practicing RNs identify current entry-level tasks
and priority client needs.
D. Test content is chosen randomly to avoid bias.
Correct Answer: C
Rationale — Correct: Practice analysis surveys working RNs to
determine the frequency and importance of entry-level tasks;
results drive Test Plan content to ensure the exam reflects
current practice.
Rationale — Incorrect A: Faculty memory alone is subjective
and not representative of practicing RN duties.
Rationale — Incorrect B: Reliance on review books would not
ensure content validity across current practice.
Rationale — Incorrect D: Random selection would not align
with profession-defined competencies.
, Teaching Point: Practice analysis grounds the Test Plan in real
RN practice and validity.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3.
Reference: Ch. 1 — The NCLEX-RN® Licensing Examination —
Exam Administration
Stem: A candidate arrives at the testing center with two forms
of ID; one is a current government photo ID and the other is a
student ID without an expiration date. The test center
administrator tells them only one valid ID is required. The
candidate is anxious and asks what the testing center policy
requires. What is the correct action?
A. Allow the candidate to test with either ID; student IDs are
acceptable.
B. Deny testing because the candidate lacks any ID.
C. Verify the accepted government–issued photo ID and
proceed only if it matches the registration name.
D. Let the candidate sign an affidavit instead of ID verification.
Correct Answer: C
Rationale — Correct: Test centers require a current,
government-issued photo ID that matches the registration
name; verifying that ID is mandatory before testing. Proceeding
when the official ID matches follows test security and
