LIPPINCOTT Q&A REVIEW FOR
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1
Reference
Ch. 1 — Overview — Eligibility & Scheduling
Stem
A new ADN graduate (age 24) plans to schedule the NCLEX. She
finished clinical requirements on June 1 and the state board
sent eligibility confirmation June 10. Her last vital signs are
stable and she reports no acute illness. Considering exam
registration and board authorization policies, what is the nurse-
,educator’s best recommendation about when she should
schedule the exam?
A. Schedule immediately for the earliest available slot;
authorization receipt suffices.
B. Wait until the state board posts the Authorization to Test
(ATT) before scheduling.
C. Schedule and pay now; email the ATT to Pearson VUE later if
required.
D. Delay scheduling until 90 days after graduation to allow
study.
Correct answer: B
Rationale — Correct (B)
ATT (Authorization to Test) from the state board is required
before Pearson VUE will allow official scheduling; advising the
graduate to wait prevents invalid reservations and possible
forfeiture of fees. This aligns with exam administration and
scheduling procedures designed to verify eligibility.
Rationale — Incorrect
A: Scheduling without ATT risks cancellation because test
centers require confirmation of authorization.
C: Pearson VUE does not accept ATT after payment to
retroactively authorize a previously scheduled exam; this can
lead to exam denial.
D: Arbitrary delays reduce momentum and can be unnecessary
if ATT and readiness are present.
,Teaching point:
Do not schedule NCLEX until you receive your state's
Authorization to Test (ATT).
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 Test Plan — Client Needs & Content Distribution
Stem
A graduate preparing an individualized study plan notes that
Client Needs categories are weighted differently on the Test
Plan. If the student has limited study time and wants highest
yield, which study priority is most supported by the Test Plan
distribution?
A. Prioritize only pharmacology items because medications are
most tested.
B. Focus on the Client Needs categories according to their
percentage distribution on the Test Plan.
C. Study less-tested specialty topics because they are more
difficult.
D. Concentrate on memorizing lab normal values exclusively.
Correct answer: B
, Rationale — Correct (B)
The Test Plan provides percentage distributions for categories
(Client Needs, Integrated Processes). Prioritizing study time by
those percentages ensures alignment with the exam blueprint
and maximizes likelihood of encountering similar content on
test day.
Rationale — Incorrect
A: Pharmacology is important but not the sole highest-weighted
area across all Test Plan categories.
C: Focusing on low-yield specialty topics is inefficient given
limited time.
D: Memorizing labs alone is insufficient—NCLEX tests clinical
judgment and application, not isolated recall.
Teaching point:
Use Test Plan percentage distributions to prioritize study topics
for highest-yield preparation.
Citation:
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3
Reference
Ch. 1 — Practice Analysis: Foundation of the Test Plan
Stem
The NCLEX Test Plan was updated after a national practice
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1
Reference
Ch. 1 — Overview — Eligibility & Scheduling
Stem
A new ADN graduate (age 24) plans to schedule the NCLEX. She
finished clinical requirements on June 1 and the state board
sent eligibility confirmation June 10. Her last vital signs are
stable and she reports no acute illness. Considering exam
registration and board authorization policies, what is the nurse-
,educator’s best recommendation about when she should
schedule the exam?
A. Schedule immediately for the earliest available slot;
authorization receipt suffices.
B. Wait until the state board posts the Authorization to Test
(ATT) before scheduling.
C. Schedule and pay now; email the ATT to Pearson VUE later if
required.
D. Delay scheduling until 90 days after graduation to allow
study.
Correct answer: B
Rationale — Correct (B)
ATT (Authorization to Test) from the state board is required
before Pearson VUE will allow official scheduling; advising the
graduate to wait prevents invalid reservations and possible
forfeiture of fees. This aligns with exam administration and
scheduling procedures designed to verify eligibility.
Rationale — Incorrect
A: Scheduling without ATT risks cancellation because test
centers require confirmation of authorization.
C: Pearson VUE does not accept ATT after payment to
retroactively authorize a previously scheduled exam; this can
lead to exam denial.
D: Arbitrary delays reduce momentum and can be unnecessary
if ATT and readiness are present.
,Teaching point:
Do not schedule NCLEX until you receive your state's
Authorization to Test (ATT).
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 Test Plan — Client Needs & Content Distribution
Stem
A graduate preparing an individualized study plan notes that
Client Needs categories are weighted differently on the Test
Plan. If the student has limited study time and wants highest
yield, which study priority is most supported by the Test Plan
distribution?
A. Prioritize only pharmacology items because medications are
most tested.
B. Focus on the Client Needs categories according to their
percentage distribution on the Test Plan.
C. Study less-tested specialty topics because they are more
difficult.
D. Concentrate on memorizing lab normal values exclusively.
Correct answer: B
, Rationale — Correct (B)
The Test Plan provides percentage distributions for categories
(Client Needs, Integrated Processes). Prioritizing study time by
those percentages ensures alignment with the exam blueprint
and maximizes likelihood of encountering similar content on
test day.
Rationale — Incorrect
A: Pharmacology is important but not the sole highest-weighted
area across all Test Plan categories.
C: Focusing on low-yield specialty topics is inefficient given
limited time.
D: Memorizing labs alone is insufficient—NCLEX tests clinical
judgment and application, not isolated recall.
Teaching point:
Use Test Plan percentage distributions to prioritize study topics
for highest-yield preparation.
Citation:
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3
Reference
Ch. 1 — Practice Analysis: Foundation of the Test Plan
Stem
The NCLEX Test Plan was updated after a national practice
