LIPPINCOTT Q&A REVIEW FOR
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1
Reference: Ch. 1 — Exam Administration & Identification
Requirements
Stem: A nursing graduate arrives at the test center for the
NCLEX appointment and presents a government photo ID that
expired three days ago. The candidate reports driving from
another city and insists they can’t return today. As the test
center proctor, what is the most appropriate immediate action?
,A. Allow the candidate to test provisionally while they call a
family member to verify identity.
B. Deny entry and instruct the candidate to reschedule per
testing agency policy.
C. Accept the expired ID because the photo clearly matches and
proceed with testing.
D. Allow the candidate to take the exam but flag the session for
later review by the board.
Correct Answer: B
Rationale — Correct (B): Testing centers require a valid
(unexpired) form of identification per administration policy.
Denying entry protects exam security and fairness and avoids
invalidation or confidentiality breaches. The candidate must
reschedule and present acceptable ID at the next appointment.
Rationale — Incorrect:
A. Allowing provisional testing without valid ID violates security
protocols and risks invalidation.
C. Accepting an expired ID compromises standardized
identification requirements.
D. Allowing testing despite invalid ID still breaches policy;
retrospective flagging does not correct the initial security
breach.
Teaching Point: Valid, unexpired ID is mandatory—no
provisional testing permitted.
,Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
2
Reference: Ch. 1 — Computer Adaptive Testing (CAT) & Test
Termination
Stem: During a computer adaptive NCLEX session, a candidate’s
exam abruptly ends after 70 items and displays a message that
testing is complete. The candidate is uncertain why the exam
ended and asks the proctor whether they passed. What is the
best response and immediate action by the proctor?
A. Tell the candidate they passed because the exam stopped
early.
B. Explain that the exam stops when performance meets a
statistical decision; direct them to official results reporting.
C. Reassure the candidate the exam will be rerun if they did not
pass and schedule a retest.
D. Provide the candidate with a passing certificate since the
exam ended.
Correct Answer: B
Rationale — Correct (B): CAT terminates when the testing
algorithm determines, with sufficient statistical confidence, the
candidate’s ability relative to the passing standard. Proctors
should explain the mechanism and instruct the candidate about
, official result reporting channels; proctors cannot disclose
pass/fail.
Rationale — Incorrect:
A. Proctors cannot declare pass/fail based on termination alone.
C. Proctors should not promise a rerun; retest scheduling is
candidate’s responsibility per board policies.
D. No certificate is issued by the proctor at the test center;
official results come from the regulatory body.
Teaching Point: CAT stops when ability is statistically
determined; pass/fail is reported officially.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3
Reference: Ch. 1 — Exam Security & Confidentiality
Stem: A candidate finishes the NCLEX and leaves the testing
room. Seconds later they receive a phone call and start
discussing specific exam question content in a public waiting
area. As the test center proctor, what is the most appropriate
intervention?
A. Ignore the conversation because the candidate already
completed testing.
B. Politely inform the candidate that discussing exam content
violates confidentiality and ask them to stop.
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1
Reference: Ch. 1 — Exam Administration & Identification
Requirements
Stem: A nursing graduate arrives at the test center for the
NCLEX appointment and presents a government photo ID that
expired three days ago. The candidate reports driving from
another city and insists they can’t return today. As the test
center proctor, what is the most appropriate immediate action?
,A. Allow the candidate to test provisionally while they call a
family member to verify identity.
B. Deny entry and instruct the candidate to reschedule per
testing agency policy.
C. Accept the expired ID because the photo clearly matches and
proceed with testing.
D. Allow the candidate to take the exam but flag the session for
later review by the board.
Correct Answer: B
Rationale — Correct (B): Testing centers require a valid
(unexpired) form of identification per administration policy.
Denying entry protects exam security and fairness and avoids
invalidation or confidentiality breaches. The candidate must
reschedule and present acceptable ID at the next appointment.
Rationale — Incorrect:
A. Allowing provisional testing without valid ID violates security
protocols and risks invalidation.
C. Accepting an expired ID compromises standardized
identification requirements.
D. Allowing testing despite invalid ID still breaches policy;
retrospective flagging does not correct the initial security
breach.
Teaching Point: Valid, unexpired ID is mandatory—no
provisional testing permitted.
,Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
2
Reference: Ch. 1 — Computer Adaptive Testing (CAT) & Test
Termination
Stem: During a computer adaptive NCLEX session, a candidate’s
exam abruptly ends after 70 items and displays a message that
testing is complete. The candidate is uncertain why the exam
ended and asks the proctor whether they passed. What is the
best response and immediate action by the proctor?
A. Tell the candidate they passed because the exam stopped
early.
B. Explain that the exam stops when performance meets a
statistical decision; direct them to official results reporting.
C. Reassure the candidate the exam will be rerun if they did not
pass and schedule a retest.
D. Provide the candidate with a passing certificate since the
exam ended.
Correct Answer: B
Rationale — Correct (B): CAT terminates when the testing
algorithm determines, with sufficient statistical confidence, the
candidate’s ability relative to the passing standard. Proctors
should explain the mechanism and instruct the candidate about
, official result reporting channels; proctors cannot disclose
pass/fail.
Rationale — Incorrect:
A. Proctors cannot declare pass/fail based on termination alone.
C. Proctors should not promise a rerun; retest scheduling is
candidate’s responsibility per board policies.
D. No certificate is issued by the proctor at the test center;
official results come from the regulatory body.
Teaching Point: CAT stops when ability is statistically
determined; pass/fail is reported officially.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3
Reference: Ch. 1 — Exam Security & Confidentiality
Stem: A candidate finishes the NCLEX and leaves the testing
room. Seconds later they receive a phone call and start
discussing specific exam question content in a public waiting
area. As the test center proctor, what is the most appropriate
intervention?
A. Ignore the conversation because the candidate already
completed testing.
B. Politely inform the candidate that discussing exam content
violates confidentiality and ask them to stop.
