Question 1

Which action would help a student successfully prepare for the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination?

Accepted Answer

Practicing helps the student learn how questions are presented and what level of difficulty should be anticipated. Reviewing rationales for the answers is a teaching/learning opportunity that enables the student to judge whether the rationale used to answer the question is valid.

Question 2

A student nurse who is preparing to graduate and take the licensure examination asks, "What is compulsory licensure?" The appropriate response of the nursing advisor is which of the following?

Accepted Answer

Licensure is a prerequisite for practice to ensure public safety.

Question 3

The length of the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination is based on the:

Accepted Answer

The length of the examination is based on the ability of candidates to provide 95% confidence that they are safe practitioners and have acquired a minimal level of knowledge about the nursing process. The length of the examination ranges from 75 to 265 questions, and it takes up to 6 hours to complete.

Question 4

A patient is brought to the unit with mediastinal chest tubes with no fluctuation in the water seal chamber; arterial blood gas results reveal pH, 7.55; CO?, 55; HCO, 28 mEq/L, and O?, 98%. Carotid artery pulsation is visible with the head of the bed elevated and the use of tangential lighting. The first action of the nurse is to: The above question represents which level of Bloom's taxonomy?

Accepted Answer

In analysis, the candidate must make a judgment call after determining relationships among data.

Question 5

Graduates from approved schools of nursing cannot sign their charting as registered nurses (RNs) until they:

Accepted Answer

A compulsory license requirement must be met to legally practice or work as a registered nurse in any state or U.S. territory. Licenses are granted only after an applicant has successfully passed the NCLEX-RN examination.

Question 6

On the basis of changes effective with the April 2010 test plan, candidates who take the NCLEX-RN examination:

Accepted Answer

In April 2007, the difficulty of the examination was increased, which would require higher cognitive level questions at the application and analysis level.

Question 7

The primary purpose of the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination is to:

Accepted Answer

The purpose of the NCLEX-RN examination is twofold: (1) to safeguard the public from unsafe practitioners and (2) to determine whether candidates can perform entry level skills.

Question 8

"A patient with end-stage renal disease has a potassium level of 7.5 mEq/L. Based on this laboratory result, the nurse interprets which symptom as significant prompting which action?

Accepted Answer

It is important to remember that candidates have specified laboratory values for which they must know the normal range and clinical manifestations when values are high, low, or critical. This question addresses an alteration in body system homeostasis. The student must know the normal lab value for potassium and common symptoms, as well as the correct nursing action.

Question 9

When delegating care, the RN assigns one nurse to care for a patient with shingles and a different nurse to care for a patient with human immunodeficiency virus/acquired immunodeficiency disease syndrome (HIV/AIDS). This represents which category of nursing care?

Accepted Answer

The nurse is safeguarding the patient with immunosuppression from the possible transmission of an infection.

Question 10

On the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination, when the candidate is asked to set goals in collaboration with other members of the health care team, the nurse is being tested in the area of:

Accepted Answer

Setting goals is one of the first steps in the planning process.

Question 11

Which statement concerning the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination is correct?

Accepted Answer

The purpose of the NCLEX-RN examination is to determine safe practice and the ability of candidates to perform at the entry level. Candidates from all three types of nursing programs must demonstrate the same competencies.

Question 12

Which strategy would promote a high rate of success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination?

Accepted Answer

Candidates should carefully read the entire question and all answers before making a selection.

Question 13

A graduate is preparing for the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination. Based on the latest practice survey, the candidate would focus the most amount of time on which content?

Accepted Answer

The current NLN test blueprint indicates that pharmacologic and parental therapies account for between 12% and 18% of the examination.

Question 14

Although the NCLEX-RN examination has new formats for questions, the most common format is the:

Accepted Answer

Most NCLEX-RN examination questions have three distracters and one correct answer, but the examination allows all four levels of Bloom's taxonomy to be tested.

Question 15

In the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination test plan, client needs form the organizing framework of the examination with questions in four categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiologic integrity. Certain processes are then integrated throughout the categories of client needs. Which process is integrated into all client need categories?

Accepted Answer

Teaching and learning are the processes that are integrated, along with the nursing process, caring, communication, and documentation.

Question 16

The National Council of State Boards of Nursing determines acceptable National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination questions on the basis of:

Accepted Answer

Periodically, the National Council of State Boards of Nursing surveys health care providers to identify nursing care activities of entry level nurses.

Question 17

A candidate is taking the NCLEX-RN examination when the computer turns off. The candidate was aware they had reached the 6-hour time limit. A count of completed questions had been recorded on the note pad, and 100 questions were answered. How will the examination be scored?

Accepted Answer

Run-out-of-time rule: if the candidate has answered the minimum number of questions, the computer analyzes the last 60 questions to determine if these questions were above or below the passing standard

Question 18

A candidate who is taking the NCLEX-RN examination received only 75 questions before the test was stopped. She called her professor and stated, "I passed. I had to answer only 75 questions." The professor correctly responds by saying:

Accepted Answer

Seventy-five questions is the minimum number of questions that can determine 95% competency of the candidate; however, receiving 75 questions can indicate that the candidate passed and was able to answer a broad range of questions covering the nursing process at higher cognitive levels, or it can mean that the candidate failed, answered even the lowest cognitive level questions incorrectly, and was unprepared in area/s of the nursing process.

Question 19

Computerized adaptive testing implies that:

Accepted Answer

Computerized adaptive testing is based on the measurement theory, by which the candidate must prove with a score of 95% that he or she is safe and knowledgeable at entry into the practice level.

Question 20

The nurse prepares to apply sterile gloves needed for a procedure. After introducing self and verifying patient information, the nurse performs hand hygiene. The nurse should open the outer package and then perform the following steps in order: (items on left will be moved in correct order on the right) Open inner package, taking care not to touch inner surface.
Put the glove on the nondominant hand using the sterile gloved hand.
Put glove on dominant hand by grasping folded cuff edge, touching only inside of cuff.
Adjust each glove carefully by sliding finders under the cuffs.
The above question represents which type of alternate-format question written at which level of Bloom's taxonomy?

Accepted Answer

The drag-and-drop format questions require the candidate to place options in a specific order, moving them from left to right using the mouse. The level is comprehension because it requires the student to have a fundamental level of understanding and summarize the material.

Quiz 28: The NCLEX-RN Examination