1. Graduates from approved schools of nursing cannot sign their charting as registered nurses
(RNs) 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 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.
DIF: Comprehension REF: p. 486
2. Which statement concerning the National Council Licensure Examination for Registered
Nurses (NCLEX-RN) examination 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
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.
DIF: Knowledge REF: p. 487
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
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.
DIF: Comprehension REF: pp. 487-488
4. 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:
a. assessment.
, b. planning.
c. analysis.
d. implementation. - ANS B
Setting goals is one of the first steps in the planning process.
DIF: Application REF: p. 493
5. The length of the National Council Licensure Examination for Registered Nurses
(NCLEX-RN) examination is based on the:
a. last four numbers of the candidate's social security number.
b. location of testing.
c. candidate's educational preparation.
d. performance of the candidate. - ANS D
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.
DIF: Application REF: pp. 487-488
6. The primary purpose of the National Council Licensure Examination for Registered Nurses
(NCLEX-RN) examination is to:
a. ensure that practitioners have the minimum skills and knowledge needed to provide care that
will produce the best patient care outcomes.
b. regulate nursing education.
c. determine the mandatory educational level required for nurses to practice.
d. accredit schools of nursing. - ANS A
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.
DIF: Comprehension REF: p. 487
7. 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?
a. All candidates wishing to take the licensure examination must pass a drug screen.
b. Candidates must not have a felony conviction.
c. To practice as an RN, the nurse must be licensed as an RN.
d. An impaired nurse must sign a legal document to acknowledge limitations on his or her
practice. - ANS C
Licensure is a prerequisite for practice to ensure public safety.
DIF: Knowledge REF: p. 486