LIPPINCOTT Q&A REVIEW FOR
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1.
Reference: Ch. 1 — Overview / The Test Plan
Stem: A new graduate is preparing to schedule the NCLEX-RN.
They ask you whether the exam tests nursing tasks or entry-
level clinical judgment across the nursing process. Which
statement best explains the focus of the NCLEX-RN to guide
their study plan?
A. The NCLEX primarily tests isolated nursing tasks and
memorized procedures.
B. The NCLEX emphasizes entry-level clinical judgment and safe,
,effective nursing care across the nursing process.
C. The NCLEX only tests pharmacology and pathophysiology
knowledge.
D. The NCLEX focuses exclusively on written policies and facility
procedures.
Correct answer: B
Rationale — Correct: The NCLEX is designed to measure entry-
level competence, emphasizing clinical judgment
(recognizing/analyzing cues, prioritizing, taking action,
evaluating) within the nursing process and safety.
Rationale — A: Incorrect — The exam is not simply a checklist of
isolated tasks; items require application and judgment.
Rationale — C: Incorrect — Pharmacology and pathophysiology
are included but not the sole focus.
Rationale — D: Incorrect — Facility policies may inform care but
are not the exclusive content; the test is competency-based.
Teaching point: NCLEX measures clinical judgment and safe
entry-level nursing practice, not rote tasks.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
2.
Reference: Ch. 1 — Practice Analysis: The Foundation of the
Test Plan
Stem: The nursing program director asks you why the NCLEX
test plan is periodically updated. How should you explain the
,purpose of practice analysis that underlies test-plan revisions?
A. Practice analysis identifies which test center technologies are
preferred.
B. Practice analysis surveys current clinical practice to ensure
the test reflects entry-level practice.
C. Practice analysis focuses on student opinions about question
difficulty.
D. Practice analysis eliminates items about rare clinical events
to reduce exam length.
Correct answer: B
Rationale — Correct: Practice analysis systematically surveys
practicing nurses and educators to define entry-level tasks and
responsibilities; this data shapes the test plan to remain
relevant to current practice.
Rationale — A: Incorrect — Technology preferences are
operational, not the focus of practice analyses.
Rationale — C: Incorrect — While item difficulty is
psychometrically analyzed, practice analysis targets actual job
tasks rather than student perceptions.
Rationale — D: Incorrect — Practice analyses inform content
validity; removal of rare events is not their explicit goal.
Teaching point: Practice analysis ensures the NCLEX test plan
reflects current entry-level nursing practice.
Citation: Billings & Hensel (2024). Ch. 1.
3.
, Reference: Ch. 1 — Test Plan Details / Client Needs Categories
Stem: A recent graduate asks which framework organizes NCLEX
content and how that should shape their study. Which response
correctly describes the NCLEX test-plan content organization?
A. Content is organized by hospital policies only.
B. Content is organized within Client Needs categories and
integrated processes emphasizing safety and clinical judgment.
C. Content is random and not organized; each exam is unique
without structure.
D. Content is organized by textbook chapter numbers.
Correct answer: B
Rationale — Correct: The NCLEX test plan groups items by Client
Needs categories (e.g., Safe and Effective Care) and integrates
processes (nursing process, safety) to assess clinical judgment
across domains.
Rationale — A: Incorrect — Hospital policies are not the
organizing framework.
Rationale — C: Incorrect — Although each adaptive exam is
unique, the test plan provides structured content domains.
Rationale — D: Incorrect — Textbook chapter numbers are
irrelevant to test organization.
Teaching point: Study by Client Needs and integrated processes
(nursing process, safety, clinical judgment).
Citation: Billings & Hensel (2024). Ch. 1.
4.
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1.
Reference: Ch. 1 — Overview / The Test Plan
Stem: A new graduate is preparing to schedule the NCLEX-RN.
They ask you whether the exam tests nursing tasks or entry-
level clinical judgment across the nursing process. Which
statement best explains the focus of the NCLEX-RN to guide
their study plan?
A. The NCLEX primarily tests isolated nursing tasks and
memorized procedures.
B. The NCLEX emphasizes entry-level clinical judgment and safe,
,effective nursing care across the nursing process.
C. The NCLEX only tests pharmacology and pathophysiology
knowledge.
D. The NCLEX focuses exclusively on written policies and facility
procedures.
Correct answer: B
Rationale — Correct: The NCLEX is designed to measure entry-
level competence, emphasizing clinical judgment
(recognizing/analyzing cues, prioritizing, taking action,
evaluating) within the nursing process and safety.
Rationale — A: Incorrect — The exam is not simply a checklist of
isolated tasks; items require application and judgment.
Rationale — C: Incorrect — Pharmacology and pathophysiology
are included but not the sole focus.
Rationale — D: Incorrect — Facility policies may inform care but
are not the exclusive content; the test is competency-based.
Teaching point: NCLEX measures clinical judgment and safe
entry-level nursing practice, not rote tasks.
Citation: Billings, D. M., & Hensel, D. (2024). Lippincott Q&A
Review for NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
2.
Reference: Ch. 1 — Practice Analysis: The Foundation of the
Test Plan
Stem: The nursing program director asks you why the NCLEX
test plan is periodically updated. How should you explain the
,purpose of practice analysis that underlies test-plan revisions?
A. Practice analysis identifies which test center technologies are
preferred.
B. Practice analysis surveys current clinical practice to ensure
the test reflects entry-level practice.
C. Practice analysis focuses on student opinions about question
difficulty.
D. Practice analysis eliminates items about rare clinical events
to reduce exam length.
Correct answer: B
Rationale — Correct: Practice analysis systematically surveys
practicing nurses and educators to define entry-level tasks and
responsibilities; this data shapes the test plan to remain
relevant to current practice.
Rationale — A: Incorrect — Technology preferences are
operational, not the focus of practice analyses.
Rationale — C: Incorrect — While item difficulty is
psychometrically analyzed, practice analysis targets actual job
tasks rather than student perceptions.
Rationale — D: Incorrect — Practice analyses inform content
validity; removal of rare events is not their explicit goal.
Teaching point: Practice analysis ensures the NCLEX test plan
reflects current entry-level nursing practice.
Citation: Billings & Hensel (2024). Ch. 1.
3.
, Reference: Ch. 1 — Test Plan Details / Client Needs Categories
Stem: A recent graduate asks which framework organizes NCLEX
content and how that should shape their study. Which response
correctly describes the NCLEX test-plan content organization?
A. Content is organized by hospital policies only.
B. Content is organized within Client Needs categories and
integrated processes emphasizing safety and clinical judgment.
C. Content is random and not organized; each exam is unique
without structure.
D. Content is organized by textbook chapter numbers.
Correct answer: B
Rationale — Correct: The NCLEX test plan groups items by Client
Needs categories (e.g., Safe and Effective Care) and integrates
processes (nursing process, safety) to assess clinical judgment
across domains.
Rationale — A: Incorrect — Hospital policies are not the
organizing framework.
Rationale — C: Incorrect — Although each adaptive exam is
unique, the test plan provides structured content domains.
Rationale — D: Incorrect — Textbook chapter numbers are
irrelevant to test organization.
Teaching point: Study by Client Needs and integrated processes
(nursing process, safety, clinical judgment).
Citation: Billings & Hensel (2024). Ch. 1.
4.
