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 & The Test Center
Stem
A candidate arrives at the test center with insulin pump tubing
visibly disconnected and blood glucose 58 mg/dL, feeling shaky
and diaphoretic. The proctor tells the candidate the pump
cannot be used during testing. What is the nurse-test-
candidate’s best immediate action?
,A Leave the test center and reschedule the exam.
B Notify the proctor of hypoglycemia, request medical
assistance, and accept a short delay.
C Reconnect the pump yourself and start testing immediately.
D Consume a sugary snack from your bag while staying at the
workstation and continue the exam.
Correct answer: B
Rationale — Correct (B)
The candidate is symptomatic with hypoglycemia (BG 58
mg/dL); safety requires immediate notification and medical
help. Test centers have procedures for medical emergencies and
short interruptions; protecting health takes priority over testing
continuity.
Rationale — Incorrect
A: Leaving unsupervised could worsen hypoglycemia and
violates test center security procedures.
C: Reconnecting the pump without proctor permission may
violate test center/device policy and delay appropriate medical
assessment.
D: Using personal food without notifying staff risks aspiration or
inadequate treatment and may breach security rules if
unsupervised.
Teaching point
Immediate safety > exam continuity; notify proctor and get
medical care for hypoglycemia.
,Citation
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
2
Reference
Ch. 1 — Special Accommodations & Scheduling the Examination
Stem
A candidate with documented severe generalized anxiety
disorder requests extended testing time and scheduled breaks.
She provides a recent psychological evaluation that documents
impairment. The testing center says documentation is
insufficient. What should the candidate do next?
A Accept the center decision and take the exam without
accommodations.
B Contact the state board/licensing authority or the exam
accommodations office to appeal and submit additional
documentation.
C Bring a family member to the test center to assist with breaks.
D Refuse to take the exam and demand a refund.
Correct answer: B
Rationale — Correct (B)
When a testing center finds documentation insufficient, the
candidate should appeal via the official accommodations
channel (state board/exam accommodations office) and provide
, the required documentation. This follows established
procedures for special accommodations.
Rationale — Incorrect
A: Accepting without documented accommodations risks unfair
testing conditions.
C: Non-authorized persons are not allowed to accompany test-
takers; this violates exam security.
D: Refusing and demanding a refund does not address the need
for accommodations and forfeits exam opportunity.
Teaching point
Use official accommodations channels and required
documentation to resolve denials.
Citation
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3
Reference
Ch. 1 — Computer Adaptive Testing — Test Termination &
Scoring
Stem
A candidate reaches the point where the computer reports the
testing session is over after 75 items. The candidate thinks she
could have answered more correctly and asks the proctor
NCLEX-RN
14TH EDITION
• AUTHOR(S)DIANE BILLINGS;
DESIREE HENSEL
TEST BANK
1
Reference
Ch. 1 — The NCLEX-RN® Licensing Examination — Computer
Adaptive Testing & The Test Center
Stem
A candidate arrives at the test center with insulin pump tubing
visibly disconnected and blood glucose 58 mg/dL, feeling shaky
and diaphoretic. The proctor tells the candidate the pump
cannot be used during testing. What is the nurse-test-
candidate’s best immediate action?
,A Leave the test center and reschedule the exam.
B Notify the proctor of hypoglycemia, request medical
assistance, and accept a short delay.
C Reconnect the pump yourself and start testing immediately.
D Consume a sugary snack from your bag while staying at the
workstation and continue the exam.
Correct answer: B
Rationale — Correct (B)
The candidate is symptomatic with hypoglycemia (BG 58
mg/dL); safety requires immediate notification and medical
help. Test centers have procedures for medical emergencies and
short interruptions; protecting health takes priority over testing
continuity.
Rationale — Incorrect
A: Leaving unsupervised could worsen hypoglycemia and
violates test center security procedures.
C: Reconnecting the pump without proctor permission may
violate test center/device policy and delay appropriate medical
assessment.
D: Using personal food without notifying staff risks aspiration or
inadequate treatment and may breach security rules if
unsupervised.
Teaching point
Immediate safety > exam continuity; notify proctor and get
medical care for hypoglycemia.
,Citation
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
2
Reference
Ch. 1 — Special Accommodations & Scheduling the Examination
Stem
A candidate with documented severe generalized anxiety
disorder requests extended testing time and scheduled breaks.
She provides a recent psychological evaluation that documents
impairment. The testing center says documentation is
insufficient. What should the candidate do next?
A Accept the center decision and take the exam without
accommodations.
B Contact the state board/licensing authority or the exam
accommodations office to appeal and submit additional
documentation.
C Bring a family member to the test center to assist with breaks.
D Refuse to take the exam and demand a refund.
Correct answer: B
Rationale — Correct (B)
When a testing center finds documentation insufficient, the
candidate should appeal via the official accommodations
channel (state board/exam accommodations office) and provide
, the required documentation. This follows established
procedures for special accommodations.
Rationale — Incorrect
A: Accepting without documented accommodations risks unfair
testing conditions.
C: Non-authorized persons are not allowed to accompany test-
takers; this violates exam security.
D: Refusing and demanding a refund does not address the need
for accommodations and forfeits exam opportunity.
Teaching point
Use official accommodations channels and required
documentation to resolve denials.
Citation
Billings, D. M., & Hensel, D. (2024). Lippincott Q&A Review for
NCLEX-RN (14th ed.). Wolters Kluwer. Ch. 1.
3
Reference
Ch. 1 — Computer Adaptive Testing — Test Termination &
Scoring
Stem
A candidate reaches the point where the computer reports the
testing session is over after 75 items. The candidate thinks she
could have answered more correctly and asks the proctor
