LIPPINCOTT Q&A REVIEW FOR
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1⃣
Reference
Ch. 1 — The NCLEX-RN® Licensing Examination — Scheduling
the Examination / Authorization to Test
Stem
A nursing graduate receives her Authorization to Test (ATT)
email but notices it expires in 30 days. She has a work obligation
that will prevent testing for 45 days. Which action should the
nurse take first?
,A. Schedule the exam immediately for a date within the 30-day
ATT window and request time off later.
B. Contact the state board of nursing to request an extension of
the ATT before it expires.
C. Wait until she is available in 45 days and then reapply for
authorization when ready.
D. Schedule a provisional appointment outside the ATT window
and plan to transfer if necessary.
Correct Answer: B
Rationale — Correct (B)
Contacting the licensing authority/state board to request an ATT
extension is the appropriate first action; it preserves eligibility
and avoids forfeiting exam fees. This aligns with exam
administration rules and protects the candidate’s testing
authorization. It reflects prioritizing regulatory requirements to
maintain the right to test.
Rationales — Incorrect
A. Scheduling within ATT then risking absence may result in
missed fees or invalid appointment; securing authorization first
is safer.
C. Waiting without action risks ATT expiration and may require
reapplication; proactive contact is preferred.
D. Scheduling outside the ATT window is invalid—testing
centers require a valid ATT; transfers aren’t a substitute for
authorization.
,Teaching Point
Contact your licensing board promptly to preserve or extend
your ATT.
Citation
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
2️⃣
Reference
Ch. 1 — Test Plan Details — Client Needs / Categories
Stem
During study planning, a student notices practice items grouped
by Client Needs rather than by disease names. How should the
student apply this information when preparing?
A. Focus only on memorizing disease facts because disease
knowledge maps directly to NCLEX items.
B. Organize study around Client Needs and nursing actions
rather than isolated disease details.
C. Study pharmacology separately and ignore Client Needs
categories for clinical questions.
D. Concentrate on test-taking strategies and ignore content
organization in the Test Plan.
Correct Answer: B
, Rationale — Correct (B)
The NCLEX Test Plan is organized by Client Needs and behaviors,
so studying around priority nursing actions, clinical judgment,
and outcome-focused care improves readiness. This approach
promotes cue recognition and prioritization per CJMM.
Rationales — Incorrect
A. Disease facts alone do not ensure application-level clinical
judgment required by the NCLEX.
C. Pharmacology is important but should be integrated with
Client Needs and nursing actions.
D. Test-taking strategies are helpful but cannot replace content
organized by the Test Plan.
Teaching Point
Align study with Client Needs categories and nursing actions to
build clinical judgment.
Citation
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3️⃣
Reference
Ch. 1 — Computer Adaptive Testing (CAT) — Exam Termination
Rules (Conceptual)
Stem
A candidate has answered 70 questions on the NCLEX and
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1⃣
Reference
Ch. 1 — The NCLEX-RN® Licensing Examination — Scheduling
the Examination / Authorization to Test
Stem
A nursing graduate receives her Authorization to Test (ATT)
email but notices it expires in 30 days. She has a work obligation
that will prevent testing for 45 days. Which action should the
nurse take first?
,A. Schedule the exam immediately for a date within the 30-day
ATT window and request time off later.
B. Contact the state board of nursing to request an extension of
the ATT before it expires.
C. Wait until she is available in 45 days and then reapply for
authorization when ready.
D. Schedule a provisional appointment outside the ATT window
and plan to transfer if necessary.
Correct Answer: B
Rationale — Correct (B)
Contacting the licensing authority/state board to request an ATT
extension is the appropriate first action; it preserves eligibility
and avoids forfeiting exam fees. This aligns with exam
administration rules and protects the candidate’s testing
authorization. It reflects prioritizing regulatory requirements to
maintain the right to test.
Rationales — Incorrect
A. Scheduling within ATT then risking absence may result in
missed fees or invalid appointment; securing authorization first
is safer.
C. Waiting without action risks ATT expiration and may require
reapplication; proactive contact is preferred.
D. Scheduling outside the ATT window is invalid—testing
centers require a valid ATT; transfers aren’t a substitute for
authorization.
,Teaching Point
Contact your licensing board promptly to preserve or extend
your ATT.
Citation
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
2️⃣
Reference
Ch. 1 — Test Plan Details — Client Needs / Categories
Stem
During study planning, a student notices practice items grouped
by Client Needs rather than by disease names. How should the
student apply this information when preparing?
A. Focus only on memorizing disease facts because disease
knowledge maps directly to NCLEX items.
B. Organize study around Client Needs and nursing actions
rather than isolated disease details.
C. Study pharmacology separately and ignore Client Needs
categories for clinical questions.
D. Concentrate on test-taking strategies and ignore content
organization in the Test Plan.
Correct Answer: B
, Rationale — Correct (B)
The NCLEX Test Plan is organized by Client Needs and behaviors,
so studying around priority nursing actions, clinical judgment,
and outcome-focused care improves readiness. This approach
promotes cue recognition and prioritization per CJMM.
Rationales — Incorrect
A. Disease facts alone do not ensure application-level clinical
judgment required by the NCLEX.
C. Pharmacology is important but should be integrated with
Client Needs and nursing actions.
D. Test-taking strategies are helpful but cannot replace content
organized by the Test Plan.
Teaching Point
Align study with Client Needs categories and nursing actions to
build clinical judgment.
Citation
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3️⃣
Reference
Ch. 1 — Computer Adaptive Testing (CAT) — Exam Termination
Rules (Conceptual)
Stem
A candidate has answered 70 questions on the NCLEX and
