LIPPINCOTT Q&A REVIEW FOR
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1
Reference: Ch. 1 — The NCLEX-RN® Licensing Examination —
Computer Adaptive Testing (CAT) principles
Stem: During orientation at the test center, a nursing graduate
asks how the CAT determines when the exam is finished. Which
explanation by the nurse educator best describes the CAT
stopping rules?
,A. “The exam stops when you answer a fixed number of
questions correctly in a row.”
B. “The exam continues until your ability estimate is determined
with confidence or the test reaches maximum items/time.”
C. “The exam ends when you complete the minimum number
of items, regardless of responses.”
D. “The exam stops whenever you request to finish early after
meeting the minimum items.”
Correct Answer: B
Rationale — Correct (B): CAT stops when the algorithm can
classify the candidate’s ability above or below the passing
standard with statistical confidence, or when the maximum
number of items or testing time is reached. This explains the
adaptive nature and defined stopping criteria. It aligns with
CJMM tasks of analyzing cues and evaluating outcomes (exam
classification).
Rationale — Incorrect:
A. Incorrect — CAT does not use a simple “streak” of correct
answers; it uses item-response theory to estimate ability.
C. Incorrect — The exam may continue beyond the minimum if
confidence in classification is not achieved.
D. Incorrect — Candidates cannot voluntarily end the exam
early to receive a valid pass/fail classification.
Teaching Point: CAT stops when a confident pass/fail decision is
reached or when limits are reached.
,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 NCLEX-RN® Licensing Examination —
Exam confidentiality & security
Stem: A candidate receives a screenshot notification from
another test-taker describing items seen on the NCLEX and
sharing photographs of the testing screen. Which action should
the candidate take first?
A. Post the screenshot anonymously on a nursing forum to warn
others.
B. Ignore it; test content sharing is not the candidate’s
responsibility.
C. Report the incident immediately to the test center staff or
the licensing board.
D. Forward the screenshot to classmates so they can prepare
for similar items.
Correct Answer: C
Rationale — Correct (C): Reporting potential breaches of exam
security to test center staff or the credentialing body is
mandatory; it preserves confidentiality, maintains test validity,
and complies with testing rules. This action reflects taking
action in CJMM to protect patient safety and professional
standards (ethical/legal responsibility).
, Rationale — Incorrect:
A. Incorrect — Posting the content perpetuates the breach and
violates confidentiality rules.
B. Incorrect — Ignoring a security breach fails to meet
professional and legal obligations.
D. Incorrect — Sharing exam content is a violation and may
result in disciplinary action.
Teaching Point: Immediately report suspected test-security
breaches to the test center or licensing authority.
Citation: Billings & Hensel. Ch. 1.
3
Reference: Ch. 1 — The NCLEX-RN® Licensing Examination —
Special accommodations
Stem: An examinee with documented severe hearing loss
requests real-time captioning and extended testing time. What
is the nurse educator’s best guidance about special
accommodations?
A. “You can request accommodations the day of testing at the
test center.”
B. “Accommodations must be approved in advance by the
licensing authority with documentation.”
C. “Only extended time is allowed; captioning is not provided
during the NCLEX.”
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1
Reference: Ch. 1 — The NCLEX-RN® Licensing Examination —
Computer Adaptive Testing (CAT) principles
Stem: During orientation at the test center, a nursing graduate
asks how the CAT determines when the exam is finished. Which
explanation by the nurse educator best describes the CAT
stopping rules?
,A. “The exam stops when you answer a fixed number of
questions correctly in a row.”
B. “The exam continues until your ability estimate is determined
with confidence or the test reaches maximum items/time.”
C. “The exam ends when you complete the minimum number
of items, regardless of responses.”
D. “The exam stops whenever you request to finish early after
meeting the minimum items.”
Correct Answer: B
Rationale — Correct (B): CAT stops when the algorithm can
classify the candidate’s ability above or below the passing
standard with statistical confidence, or when the maximum
number of items or testing time is reached. This explains the
adaptive nature and defined stopping criteria. It aligns with
CJMM tasks of analyzing cues and evaluating outcomes (exam
classification).
Rationale — Incorrect:
A. Incorrect — CAT does not use a simple “streak” of correct
answers; it uses item-response theory to estimate ability.
C. Incorrect — The exam may continue beyond the minimum if
confidence in classification is not achieved.
D. Incorrect — Candidates cannot voluntarily end the exam
early to receive a valid pass/fail classification.
Teaching Point: CAT stops when a confident pass/fail decision is
reached or when limits are reached.
,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 NCLEX-RN® Licensing Examination —
Exam confidentiality & security
Stem: A candidate receives a screenshot notification from
another test-taker describing items seen on the NCLEX and
sharing photographs of the testing screen. Which action should
the candidate take first?
A. Post the screenshot anonymously on a nursing forum to warn
others.
B. Ignore it; test content sharing is not the candidate’s
responsibility.
C. Report the incident immediately to the test center staff or
the licensing board.
D. Forward the screenshot to classmates so they can prepare
for similar items.
Correct Answer: C
Rationale — Correct (C): Reporting potential breaches of exam
security to test center staff or the credentialing body is
mandatory; it preserves confidentiality, maintains test validity,
and complies with testing rules. This action reflects taking
action in CJMM to protect patient safety and professional
standards (ethical/legal responsibility).
, Rationale — Incorrect:
A. Incorrect — Posting the content perpetuates the breach and
violates confidentiality rules.
B. Incorrect — Ignoring a security breach fails to meet
professional and legal obligations.
D. Incorrect — Sharing exam content is a violation and may
result in disciplinary action.
Teaching Point: Immediately report suspected test-security
breaches to the test center or licensing authority.
Citation: Billings & Hensel. Ch. 1.
3
Reference: Ch. 1 — The NCLEX-RN® Licensing Examination —
Special accommodations
Stem: An examinee with documented severe hearing loss
requests real-time captioning and extended testing time. What
is the nurse educator’s best guidance about special
accommodations?
A. “You can request accommodations the day of testing at the
test center.”
B. “Accommodations must be approved in advance by the
licensing authority with documentation.”
C. “Only extended time is allowed; captioning is not provided
during the NCLEX.”
