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 — Overview /
Practice Analysis
Stem
A nursing faculty member is preparing a presentation for ADN
students about why the NCLEX-RN test plan is updated
periodically. She notes that the test plan is based on a practice
analysis and requests a succinct explanation to give students.
,Which statement best explains the role of the practice analysis
in the NCLEX-RN test plan?
A. It prescribes the exact items that will appear on each
candidate’s exam.
B. It identifies entry-level nursing tasks and frequency/severity
to inform test content.
C. It sets the passing standard for every candidate regardless of
content area.
D. It determines each examinee’s testing time and number of
items.
Correct answer
B
Rationale — Correct
The practice analysis surveys current nursing practice to identify
entry-level activities and their frequency/severity; these data
shape the test plan content distribution and ensure the exam
reflects actual practice. This links examination content to real-
world RN responsibilities and patient safety priorities.
Rationale — Incorrect
A. Incorrect — The practice analysis informs content domains
but does not prescribe individual exam items.
C. Incorrect — The passing standard is a psychometric criterion
set separately, not directly “set” by the practice analysis.
D. Incorrect — Test length and administration are
operational/psychometric decisions, not the practice analysis
outcome.
,Teaching point
Practice analysis defines what RNs do — it drives content
domains, not individual items.
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
A student is comparing two study guides and wants to prioritize
review using the NCLEX-RN client needs categories. Which study
strategy aligns best with how the NCLEX test plan organizes
content?
A. Study by body system only, ignoring psychosocial and safety
topics.
B. Focus on client needs categories (e.g., Safe and Effective Care
Environment, Health Promotion).
C. Memorize drug names alphabetically because the exam lists
pharmacology separately.
D. Study only high-frequency disease states and ignore
delegation/management content.
Correct answer
B
, Rationale — Correct
The NCLEX test plan is organized by client needs (e.g., Safe and
Effective Care Environment; Physiological Integrity), so studying
by these categories ensures alignment with the exam’s
blueprint and fosters clinical judgment across domains.
Rationale — Incorrect
A. Incorrect — Body system study is useful but incomplete;
client needs include safety, psychosocial, and management.
C. Incorrect — Pharmacology is integrated across client needs;
alphabetical memorization is low-utility for clinical judgment.
D. Incorrect — Delegation/management and other domains are
tested and essential for safe RN practice.
Teaching point
Study using client needs categories — it mirrors the NCLEX
blueprint and prioritizes judgment.
Citation
Billings & Hensel. Ch. 1.
3️⃣
Reference
Ch. 1 — Computer Adaptive Testing (CAT)
Stem
A candidate completes an NCLEX-RN application and asks how
the computer adaptive testing model determines when the
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1⃣
Reference
Ch. 1 — The NCLEX-RN® Licensing Examination — Overview /
Practice Analysis
Stem
A nursing faculty member is preparing a presentation for ADN
students about why the NCLEX-RN test plan is updated
periodically. She notes that the test plan is based on a practice
analysis and requests a succinct explanation to give students.
,Which statement best explains the role of the practice analysis
in the NCLEX-RN test plan?
A. It prescribes the exact items that will appear on each
candidate’s exam.
B. It identifies entry-level nursing tasks and frequency/severity
to inform test content.
C. It sets the passing standard for every candidate regardless of
content area.
D. It determines each examinee’s testing time and number of
items.
Correct answer
B
Rationale — Correct
The practice analysis surveys current nursing practice to identify
entry-level activities and their frequency/severity; these data
shape the test plan content distribution and ensure the exam
reflects actual practice. This links examination content to real-
world RN responsibilities and patient safety priorities.
Rationale — Incorrect
A. Incorrect — The practice analysis informs content domains
but does not prescribe individual exam items.
C. Incorrect — The passing standard is a psychometric criterion
set separately, not directly “set” by the practice analysis.
D. Incorrect — Test length and administration are
operational/psychometric decisions, not the practice analysis
outcome.
,Teaching point
Practice analysis defines what RNs do — it drives content
domains, not individual items.
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
A student is comparing two study guides and wants to prioritize
review using the NCLEX-RN client needs categories. Which study
strategy aligns best with how the NCLEX test plan organizes
content?
A. Study by body system only, ignoring psychosocial and safety
topics.
B. Focus on client needs categories (e.g., Safe and Effective Care
Environment, Health Promotion).
C. Memorize drug names alphabetically because the exam lists
pharmacology separately.
D. Study only high-frequency disease states and ignore
delegation/management content.
Correct answer
B
, Rationale — Correct
The NCLEX test plan is organized by client needs (e.g., Safe and
Effective Care Environment; Physiological Integrity), so studying
by these categories ensures alignment with the exam’s
blueprint and fosters clinical judgment across domains.
Rationale — Incorrect
A. Incorrect — Body system study is useful but incomplete;
client needs include safety, psychosocial, and management.
C. Incorrect — Pharmacology is integrated across client needs;
alphabetical memorization is low-utility for clinical judgment.
D. Incorrect — Delegation/management and other domains are
tested and essential for safe RN practice.
Teaching point
Study using client needs categories — it mirrors the NCLEX
blueprint and prioritizes judgment.
Citation
Billings & Hensel. Ch. 1.
3️⃣
Reference
Ch. 1 — Computer Adaptive Testing (CAT)
Stem
A candidate completes an NCLEX-RN application and asks how
the computer adaptive testing model determines when the
