Chapter 26 NCLEX-RN® Examination

Chapter 26  NCLEX-RN® Examination

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Graduates from approved schools of nursing cannot begin their careers and practice as registered nurses until they
A.
pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN).
B.
provide evidence of mental competency.
C.
supply written proof of physical fitness.
D.
have signed an employment contract with a health care facility.

ANS: A
(A) is correct because of the compulsory license requirement that 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. (B) is incorrect because licensure is designed to protect the public by providing safe practitioners, but it does not evaluate the individual candidate’s mental competency. (C) is incorrect because preadmission/preemployment physicals are part of the employment process; however, nurses with physical limitations may attain employment. (D) is incorrect because graduates cannot practice as registered nurses until they pass the NCLEX-RN exam even if they have signed an employment contract. Some graduates may not seek employment until after they have successfully completed the NCLEX-RN and have become licensed.

DIF: Comprehension REF: Page 575

2. Which of the following statements concerning the NCLEX-RN is correct?
A.
Graduates from all three types of nursing programs (diploma, associate degree, and baccalaureate degree) take the same examination.
B.
The examination is scored on an interval scale rather than on a pass-fail basis.
C.
The examination is offered twice a year in major urban areas.
D.
The candidate has the option of choosing a pencil-and-paper format.

ANS: A
(A) is correct because the purpose of the NCLEX-RN 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. (B) is incorrect because the examination is adapted according to the candidate’s ability to answer questions on the basis of degree of difficulty and area of the nursing process. (C) is incorrect because the examination is offered at more than 3400 Pearson Professional Centers at the candidates’ convenience. (D) is incorrect because the examination is computerized; however, special accommodations are available for qualifying candidates.

DIF: Knowledge REF: Page 575

3. Computerized adaptive testing implies that
A.
the candidate must be computer literate.
B.
competency is determined on the basis of difficulty of questions, knowledge of the nursing process, and the number of questions answered correctly.
C.
testing facilities have been adapted for the physically challenged candidate.
D.
questions cannot be adapted to the needs of the student.

ANS: B
(B) is correct because 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. (A) is incorrect because candidates are required only to click to record an answer or to type in numbers 1 through 5 when prioritizing; they may also ask for assistance at any time during the testing process. Fill-in-the-blank questions at present are limited to entry of numeric values for dosage calculations. (C) is incorrect because although accommodations are available for qualified candidates, computerized adaptive testing is based on how the examination is scored, not on accommodations made for the individual candidate. (D) is incorrect because as a candidate answers questions on the examination, the computer adaptive testing adapts to the level of the candidate’s knowledge and skills.

DIF: Comprehension REF: Page 576

4. On the NCLEX-RN, 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
A.
assessment.
B.
planning.
C.
analysis.
D.
implementation.

ANS: B
(B) is correct because setting goals is one of the first steps in the planning process. (A) is incorrect because assessment involves data collection, as is achieved through diagnostic tests and physical assessment. (C) is incorrect because analysis is the “breakdown” of data to establish a nursing diagnosis. (D) is incorrect because implementation is carrying out the plan of care.

DIF: Application REF: Page 582