LIPPINCOTT Q&A REVIEW FOR
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1
Reference: Ch. 1 — Exam Administration / Scheduling the
Examination
Stem: A nursing graduate has an Authorization to Test (ATT)
email but must travel out of state for work starting in 10 days.
The testing center near the graduate has available
appointments only 14 days after the ATT expiration. Which
action should the new graduate take first?
A. Contact the state board of nursing to request an extension of
the ATT.
,B. Schedule the exam at the testing center in the new state and
proceed with travel.
C. Wait 10 days and try to schedule at the local testing center
upon return.
D. Reapply for licensure and request a new ATT after returning.
Correct answer: A
Rationales
A — Correct: Contacting the state board first is the priority
because the ATT has a strict validity period; requesting an
extension or guidance preserves eligibility and prevents
unnecessary reapplication, aligning with safe exam
administration practices.
B — Incorrect: Scheduling in a different state may not be
allowed under the current ATT or jurisdictional rules and could
invalidate eligibility; the candidate must confirm with the board
before traveling.
C — Incorrect: Waiting risks ATT expiration without
confirmation of extension; this could require reapplication,
delaying licensure.
D — Incorrect: Reapplying is premature and may be avoidable;
first attempt to resolve ATT validity through the board.
Teaching point: Always verify ATT validity with the state board
before changing testing plans.
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 Plan
Details
Stem: During the NCLEX-RN, a candidate notices the computer
presents progressively more difficult items after a string of
correct answers. The candidate becomes anxious and considers
deliberately answering an easy item incorrectly to reduce
difficulty. What is the best nursing test-taking action the
candidate should take?
A. Intentionally answer an item incorrectly to receive easier
questions.
B. Continue answering each item to the best of their knowledge
without strategic guessing.
C. Skip to the next question and return later to change the
answer.
D. Exit the exam and reschedule when less anxious.
Correct answer: B
Rationales
B — Correct: CAT tailors item difficulty to estimate competency;
intentionally answering incorrectly compromises the validity of
the test. The appropriate action is to focus on each item, apply
clinical judgment, and answer to the best of one’s knowledge.
This preserves test integrity and aligns with exam
administration guidance.
A — Incorrect: Deliberately providing wrong answers
undermines test credibility and may invalidate results.
, C — Incorrect: The CAT interface typically does not permit
skipping and returning to items; furthermore, guessing
strategically is not supported.
D — Incorrect: Exiting the exam forfeits testing opportunity and
does not address immediate anxiety; candidates may use
permitted break procedures instead.
Teaching point: With CAT, answer each question honestly—do
not manipulate responses.
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 / Exam Confidentiality
Stem: A recently tested candidate texts a friend: “I had several
questions about hepatic failure—was that on your exam?”
Which response best reflects the candidate’s ethical and legal
obligation?
A. Ask the friend to compare recollections so both can study for
retake.
B. Remind the friend not to discuss exam content and delete
the message.
C. Share the question topics on social media but without
verbatim wording.
D. Encourage the friend to report any suspicious items to the
testing vendor.
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1
Reference: Ch. 1 — Exam Administration / Scheduling the
Examination
Stem: A nursing graduate has an Authorization to Test (ATT)
email but must travel out of state for work starting in 10 days.
The testing center near the graduate has available
appointments only 14 days after the ATT expiration. Which
action should the new graduate take first?
A. Contact the state board of nursing to request an extension of
the ATT.
,B. Schedule the exam at the testing center in the new state and
proceed with travel.
C. Wait 10 days and try to schedule at the local testing center
upon return.
D. Reapply for licensure and request a new ATT after returning.
Correct answer: A
Rationales
A — Correct: Contacting the state board first is the priority
because the ATT has a strict validity period; requesting an
extension or guidance preserves eligibility and prevents
unnecessary reapplication, aligning with safe exam
administration practices.
B — Incorrect: Scheduling in a different state may not be
allowed under the current ATT or jurisdictional rules and could
invalidate eligibility; the candidate must confirm with the board
before traveling.
C — Incorrect: Waiting risks ATT expiration without
confirmation of extension; this could require reapplication,
delaying licensure.
D — Incorrect: Reapplying is premature and may be avoidable;
first attempt to resolve ATT validity through the board.
Teaching point: Always verify ATT validity with the state board
before changing testing plans.
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 Plan
Details
Stem: During the NCLEX-RN, a candidate notices the computer
presents progressively more difficult items after a string of
correct answers. The candidate becomes anxious and considers
deliberately answering an easy item incorrectly to reduce
difficulty. What is the best nursing test-taking action the
candidate should take?
A. Intentionally answer an item incorrectly to receive easier
questions.
B. Continue answering each item to the best of their knowledge
without strategic guessing.
C. Skip to the next question and return later to change the
answer.
D. Exit the exam and reschedule when less anxious.
Correct answer: B
Rationales
B — Correct: CAT tailors item difficulty to estimate competency;
intentionally answering incorrectly compromises the validity of
the test. The appropriate action is to focus on each item, apply
clinical judgment, and answer to the best of one’s knowledge.
This preserves test integrity and aligns with exam
administration guidance.
A — Incorrect: Deliberately providing wrong answers
undermines test credibility and may invalidate results.
, C — Incorrect: The CAT interface typically does not permit
skipping and returning to items; furthermore, guessing
strategically is not supported.
D — Incorrect: Exiting the exam forfeits testing opportunity and
does not address immediate anxiety; candidates may use
permitted break procedures instead.
Teaching point: With CAT, answer each question honestly—do
not manipulate responses.
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 / Exam Confidentiality
Stem: A recently tested candidate texts a friend: “I had several
questions about hepatic failure—was that on your exam?”
Which response best reflects the candidate’s ethical and legal
obligation?
A. Ask the friend to compare recollections so both can study for
retake.
B. Remind the friend not to discuss exam content and delete
the message.
C. Share the question topics on social media but without
verbatim wording.
D. Encourage the friend to report any suspicious items to the
testing vendor.
