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 — Scheduling &
Authorization to Test (ATT)
Stem
A graduate received an Authorization to Test (ATT) email listing
test center appointment dates but the candidate’s passport (the
only ID) shows the middle name in the registration as an initial
rather than the full name listed on the ATT. The candidate calls
you the night before the exam asking whether this will be
,acceptable at check-in. What is the most appropriate action you
advise?
A. Encourage the candidate to bring the passport and a printed
copy of the ATT — name mismatch is acceptable if the ATT is
shown.
B. Advise the candidate to contact the testing center in the
morning and bring any photo ID they have; minor name
differences are allowed.
C. Instruct the candidate to contact their nursing regulatory
body (NRB) immediately to update the ATT name to exactly
match the passport.
D. Recommend proceeding to the test center and explain the
situation to the test administrator upon arrival; discretion is
allowed.
Correct answer: C
Rationale — Correct (C)
Identification must match the ATT exactly; if names do not
match the candidate will be turned away and must reregister
and pay again. Contacting the NRB to correct the ATT is required
before attempting to schedule or test. This prevents forfeiture
of fees and ensures admission.
Rationale — Incorrect
A: False — showing ATT with a different name does not override
the exact-match rule; candidates can be denied.
B: False — test centers require exact name match per policy;
calling the center cannot correct the ATT.
,D: False — test administrators cannot override identification
rules; discretion is not permitted.
Teaching point
Your ATT name must match your ID exactly to gain admission.
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 — Computerized
Adaptive Testing (CAT) Decision Rules
Stem
During a practice discussion, a student asks why the NCLEX can
stop before all questions are answered. You explain the CAT
decision rules. Which statement best describes when the NCLEX
usually stops administering items?
A. It stops after a fixed number of items chosen at random to
measure reliability.
B. It stops when the algorithm is 95% confident the candidate is
above or below the passing standard.
C. It stops only when a candidate answers every operational
item in the item bank.
D. It stops when the candidate tells the test administrator they
are finished.
, Correct answer: B
Rationale — Correct (B)
CAT continually estimates ability; the exam commonly ends
when the computer is 95% certain the candidate’s ability is
clearly above or below the passing standard (95% Confidence
Interval Rule). This is the primary stopping rule.
Rationale — Incorrect
A: Incorrect — the exam is not a fixed-length random sample; it
targets items to the candidate’s ability.
C: Incorrect — candidates are not required to answer all items
in the bank; only until decision rules are met or maximum
length is reached.
D: Incorrect — candidates cannot terminate the exam at will;
test termination is governed by program rules.
Teaching point
CAT stops when it reaches statistical confidence about your
ability relative to the passing standard.
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 — Number of
Items & Time Limits
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1
Reference
Ch. 1 — The NCLEX-RN® Licensing Examination — Scheduling &
Authorization to Test (ATT)
Stem
A graduate received an Authorization to Test (ATT) email listing
test center appointment dates but the candidate’s passport (the
only ID) shows the middle name in the registration as an initial
rather than the full name listed on the ATT. The candidate calls
you the night before the exam asking whether this will be
,acceptable at check-in. What is the most appropriate action you
advise?
A. Encourage the candidate to bring the passport and a printed
copy of the ATT — name mismatch is acceptable if the ATT is
shown.
B. Advise the candidate to contact the testing center in the
morning and bring any photo ID they have; minor name
differences are allowed.
C. Instruct the candidate to contact their nursing regulatory
body (NRB) immediately to update the ATT name to exactly
match the passport.
D. Recommend proceeding to the test center and explain the
situation to the test administrator upon arrival; discretion is
allowed.
Correct answer: C
Rationale — Correct (C)
Identification must match the ATT exactly; if names do not
match the candidate will be turned away and must reregister
and pay again. Contacting the NRB to correct the ATT is required
before attempting to schedule or test. This prevents forfeiture
of fees and ensures admission.
Rationale — Incorrect
A: False — showing ATT with a different name does not override
the exact-match rule; candidates can be denied.
B: False — test centers require exact name match per policy;
calling the center cannot correct the ATT.
,D: False — test administrators cannot override identification
rules; discretion is not permitted.
Teaching point
Your ATT name must match your ID exactly to gain admission.
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 — Computerized
Adaptive Testing (CAT) Decision Rules
Stem
During a practice discussion, a student asks why the NCLEX can
stop before all questions are answered. You explain the CAT
decision rules. Which statement best describes when the NCLEX
usually stops administering items?
A. It stops after a fixed number of items chosen at random to
measure reliability.
B. It stops when the algorithm is 95% confident the candidate is
above or below the passing standard.
C. It stops only when a candidate answers every operational
item in the item bank.
D. It stops when the candidate tells the test administrator they
are finished.
, Correct answer: B
Rationale — Correct (B)
CAT continually estimates ability; the exam commonly ends
when the computer is 95% certain the candidate’s ability is
clearly above or below the passing standard (95% Confidence
Interval Rule). This is the primary stopping rule.
Rationale — Incorrect
A: Incorrect — the exam is not a fixed-length random sample; it
targets items to the candidate’s ability.
C: Incorrect — candidates are not required to answer all items
in the bank; only until decision rules are met or maximum
length is reached.
D: Incorrect — candidates cannot terminate the exam at will;
test termination is governed by program rules.
Teaching point
CAT stops when it reaches statistical confidence about your
ability relative to the passing standard.
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 — Number of
Items & Time Limits
