Chapter 5. NCLEX-RN Examination and the New Graduate questions and answers latest top score.

Chapter 5. NCLEX-RN Examination and the New Graduate questions and answers latest top score. 1. The graduate nurse understands the purpose of the NCLEX-RN exam when stating which of the following? a. "The exam provides feedback to the candidate regarding areas of weakness in nursing practice." b. "The exam determines the candidate's ability or inability to meet minimum standards for safe practice." c. "The exam gives employers an opportunity to hire graduates who have scored highest among first-time licensure candidates." d. "The exam prepares new graduates as efficient, effective staff nurses." - correct answers.ANS: B The purpose of the NCLEX-RN® Exam is to determine whether a candidate is competent to perform safe, effective, entry-level nursing care. It does not prepare nurses but rather measures their performance on a test. Candidates who are unsuccessful receive information about their weak areas on the test, but this is not the purpose of it. Employers want to know if the person has passed because there is no specific score given other than pass or fail 2. Which statement by the nursing professor is accurate about the NCLEX-RN exam? The purpose of the NCLEX-RN® test plan is to ensure that all a. "test takers answer items of comparable difficulty." b. "test takers answer approximately the same number of items." c. "test items are job related." d. "clinical specialties will be equally represented." - correct answers.ANS: C The content of the NCLEX® Exam is based on a test plan that is determined by the National Council. The test plan reflects entry-level nursing practice as identified by research and the job analysis study of newly licensed registered nurses. Each candidate will receive different levels of questions in a computer adaptive format. The focus of the exam is not on clinical specialties. The test has a minimum of 75 questions and a maximum of 265 questions, so a test taker can answer any number of questions between these two numbers until they either reaches a passing standard or fails. 3. In trends class, a student tells the instructor, "I don't think I can possibly pass the NCLEX-RN. I hated psych nursing, but now I've heard that a huge amount of the NCLEX is psych related." What is the best response from the instructor? a. "Perhaps you should consider retaking the psychiatric nursing course." b. "There are equal numbers of questions related to each aspect of client needs." c. "Psychosocial integrity is the basis for 6% to 12% of the examination." d. "You will need to take a review course in which they teach psychiatric nursing principles." - correct answers.ANS: C The last detailed test plan (2013) from the National Council designated from 6% to 12% of the total questions to be from the area of psychosocial integrity. The student may not be able to retake nursing courses or a review course. Stating that content area has the same amount of questions would be inaccurate. Each of the categories of client needs has a different percentage, so questions are based on that percentage from the detailed test plan, not on equal numbers from each area. Students often hear incorrect information and rumors about NCLEX. 4. Which statement indicates the graduate nurses understanding of the process at the NCLEX testing site? a. "I will be thumb-printed and photographed." b. "I will be placed in a locked testing cubicle." c. "I will answer 300 test questions." d. "I will be given some questions as a paper-and-pencil test." - correct answers.ANS: A Read the Candidate Bulletin and the instruction packet carefully. An Authorization to Test (ATT) will be required for admission into the testing center; however, after January 1, 2014, the NCLEX will be going paperless, so the ATT will not have to be brought to the testing center. All candidates will be thumb-printed and photographed and will have a palm vein reader as part of the identification process at the testing location. Candidates are not locked in a testing cubicle or given a paper-and-pencil test. The number of questions on each candidates test may vary with a minimum of 75 questions and a maximum of 265 questions 5. Which statement made by the graduate nurse indicates understanding of the NCLEX-RN exam passing score? a. "Candidates seeking licensure in California and New York must score higher." b. "The passing score is the same for licensure in all states." c. "Candidates from BSN programs must score one standard deviation higher than the ADN graduates." d. "ADN graduates must answer 80% of the 265 questions correctly to pass." - correct answers.ANS: B Every state has the same passing criteria. There is no percentage identified as to the number to get correct. The test has a minimum of 75 questions and a maximum of 265 questions. When the student reaches a passing level of competency or has not reached the passing competency, the test turns off. There is no differentiation in education level or state requirements. 6. What type of nursing position would most likely provide experience in the type of nursing situations upon which the NCLEX Exam questions are based? a. Home care nurse b. Psychiatric staff nurse c. Staff nurse in an ambulatory pediatric clinic d. Staff nurse in a medical-surgical inpatient unit - correct answers.ANS: D The largest percentage of content on the test plan is based on physiologic integrity, which includes basic care and comfort (6%-12%), pharmacologic and parenteral therapies (12%-18%), reduction of risk potential (9%-15%), and physiologic adaptation (11%-17%). Research also shows that the majority of new graduates begin their first job in a hospital medical-surgical environment caring for adult clients. 7. What is the best review strategy to use to prepare for the NCLEX-RN Exam? a. Spend about 8 hours a day on your days off until you take the examination. b. Study for 4 hours a night while taking a 2-week review course. c. Review basic nursing content 2 to 3 hours a day 3 days a week for 5 to 6 weeks. d. Study 10 hours on the day and evening before the examination. - correct answers.ANS: C Studying 2 to 3 hours a day for 2 or 3 days a week is realistic with frequent breaks during the studying. The new graduate should consider taking the exam within 2 to 3 weeks of obtaining your Authorization to Test. Cramming before the examination will not improve your pass rate. Studying for 8 hours a day is fatiguing and does not necessarily promote retention of the information. 8. What are helpful strategies for dealing with test anxiety? a. Put as much time as possible into studying. b. Practice relaxation techniques and positive thinking. c. Use review books and tapes. d. Focus on test-taking skills and emphasize facts less. - correct answers.ANS: B Put yourself in charge of your feelings. Replace those negative thoughts and ideas with positive ones. Practice relaxation and positive thinking and picture yourself succeeding. Picture yourself succeeding. Give yourself permission to take some breaks; studying all of the time will increase anxiety. Review books and tapes assist with the review of important content and do not necessarily deal with test anxiety directly. They may discuss the concept and provide strategies to use, such as the two mentioned in the correct response. Test-taking skills are important for success on NCLEX but do not directly reduce test anxiety. 9. Which of the following statements indicate the nurses understanding of the content of the NCLEX Exam? a. "The exam is based on a practice analysis conducted by the National Council of State Boards of Nursing." b. "The exam is a survey of nursing faculty regarding areas of importance for testing." c. "The exam includes questions based on the National League of Nursing survey reports." d. "The exam includes contributions from all of the member boards of the National Council." - correct answers.ANS: A The National Council of State Boards of Nursing conducts a practice analysis to determine what is being required of new graduates in their place of employment. The test plan for the NCLEX is based on this research. The test plan is not based on a survey of nursing faculty, survey reports from the National League of Nursing, or contributions from member boards of the National Council State Boards of Nursing. 10. The graduate nurse is preparing to take the NCLEX-RN Exam. Which blueprint category is interpreted as having the highest percentage of test items? a. Safe, effective care environment