NCLEX PRACTICE Questions: Quick Facts…
NCLEX practice questions are a good way for exam readiness self assesment. Most of the questions on the NCLEX-RN® are multiple choice. The questions involve prioritizing client care, delegating staff tasks, and managing issues dealing with clients and staff. These questions may include interpreting medication administration records (MARs), knowing when notifying the primary healthcare provider (HCP) is priority, and knowing which tasks can be assigned to a licensed practical nurse (LPN) or unlicensed assistive personnel (UAP) and which must be performed by a registered nurse (RN).
Some questions on the NCLEX-RN® are termed alternate-format questions and including choosing more than one option that correctly answers a question, ranking procedures or actions in correct order, drop-and-drag questions, and fill-in-the-blank questions.
The nurse is assigning tasks to the UAP. Which is an appropriate delegation to the UAP? Select all that apply.
1. Check the area around an incisional wound for redness.
2. Help a client with an upper limb cast to eat.
3. Assist a patient recovering from a hysterectomy to walk to the bathroom.
4. Explain to a client being discharged how to empty and clean the colostomy.
5. Transport a client with a suspected fractured tibia to the x-ray department.
NCLEX-RN Questions Test taking tips:
Brilliant Nurse Review Package will help increase your confidence and knowledge as you prepare for the NCLEX questions during your exam. Doing your best involves more than answering questions; you must also be prepared physically and emotionally. Below are some tips that can help you during the exam:
- If a question topic is unfamiliar, don’t panic. Use your knowledge of similar problems and nursing principles to eliminate as many answer choices as possible. This increases your chance of choosing the correct answer.
- If the question involves a case study or a detailed scenario, carefully read it to pick out key pieces of information that will help you determine the correct answer.
- Key words in the stem can also help direct you to the right answer. Stay alert for such words as “most,” “best,” and “first.”
- While reading the stem, imagine the correct answer. Then, look at the listed options; if your answer is among them, it’s probably correct.
- Carefully read the question and the listed options before selecting your answer. If two answers seem correct, read the question and the options again. Check carefully for words that could provide clues to the right answer or differences among answers. After rereading, if you still don’t know the right answer, make your best guess. Remember, you can’t skip a question or go back to a previous question.
- Don’t become overly stressed by the new “alternate format” questions. Just use common sense and rely on your sound knowledge of nursing principles and practices.
– For multiple-response multiple-choice questions, you must select at least two answers and you must select all correct answers for the item to be counted as correct.
– For a multiple-response multiple-choice question that asks you to prioritize the events listed, you must list the numbers in the correct sequence of all answer options.
– For fill-in-the-blank questions, you must type in the answer yourself rather than select it from a list of options. Keep in mind that you may need to type in a very specific response (for example, “10” rather than “ten”) for the answer to be counted as correct.
– For so-called “Hot spot” questions, you may be asked to identify a particular area on an illustration or diagram. In such cases, try to be as precise as possible when locating your cursor before clicking the mouse to record your answer.
- Pace yourself and plan your time. Don’t spend too much time on a single question.
- Don’t let other candidates distract you. If they finish the test quickly, don’t worry; each person receives a different test so their performance isn’t a gauge of your own progress.
- During the break periods, stretch, eat a snack, or do relaxation exercises.
Strategies That Don’t Work on the NCLEX-RN® Examination
Whether you realize it or not, you developed a set of strategies in nursing school to answer teacher-generated test questions that are written at the knowledge/ comprehension level. These strategies include:
● “Cramming” hundreds of facts about disease processes and nursing care.
● Recognizing and recalling facts rather than understanding the pathophysiology and the needs of a client with an illness.
● Knowing who wrote the question and what is important to that instructor.
● Predicting answers based on what you remember.
● Selecting the response that is a different length compared with the other choices.
● Selecting the answer choice that is grammatically correct.
● When in doubt, choosing answer choice C.
Critical Thinking and Clinical judgment on The NCLEX-RN® Examination
The NCLEX-RN® exam is not a test about recognizing facts.
● You must be able to correctly identify what the question is asking.
● Only focus on background information that is necessary to answer the question.
Remember, the NCLEX-RN® exam is testing your ability to think critically.Critical thinking for the nurse involves:
● Deciding what is important
● Looking for patterns and relationships
● Identifying the problem
● Transferring knowledge from one situation to another
● Applying knowledge
● Discriminating between possible choices and/or courses of action
● Evaluating according to established criteria
The purpose of the exam
1. To determine if you are a safe and effective nurse
2. To safeguard the public
3. To test for minimum competency to practice nursing
The test content
4. Based on the knowledge and activities of an entry-level nurse
5. Written by nursing faculty and clinical specialists
6. Majority of questions are self-contained, multiple-choice questions, with four possible answer choices
7. Some questions may ask you to select all answers that apply, fill in the blank, listen to an audio item, or answer questions that include graphics.
8. Some questions may ask you to use the mouse to identify a location on a graphic, drag and drop answers from an unordered answer column to an ordered answer column, or click on an exhibit tab.
9. Based on integrated nursing content—not on the medical model of medical, surgical, obstetrics, pediatrics, and psychiatric nursing
10. Includes 15 experimental questions being tested for future exams. These questions do not count
Administration of the CAT
11. The CAT (Computer Adaptive Test) is adapted to your knowledge, skills, and ability level.
12. The question sequence is determined interactively.
13. The computer selects questions based on the item difficulty and the test plan.
14. You individually schedule a date and time to take the exam at a testing center.
15. You sit at an individual computer station.
Taking the exam
16. Computer knowledge is not required to take this exam.
17. You use a mouse to highlight and lock in your answer.
18. You receive instructions and a practice exercise before beginning the exam.
19. Any necessary background information appears on the screen with the question.
20. The computer selects a first question at or just below the passing level.
21. The next question is selected by the computer on the basis of your response to the first question. If you receive a question that is similar to a question already answered, do not assume that you answered the first question incorrectly. Select the BEST answer to every question.
22. If your answer is correct, the next question is slightly more difficult.
23. If your answer is incorrect, the next question is slightly easier.
24. Questions are selected to precisely measure your ability in each area of
the test plan.
25. There is no time limit for each individual question.
26. You will answer a minimum of 75 questions to a maximum of
27. The maximum time for the exam is 6 hours, including the practice exercise and all breaks.
28. A pop-up window appears offering an optional 10-minute break after 2 hours and 3.5 hours of testing. The exam will end
29. When the computer has determined your ability, or
30. When a maximum of 6 hours of testing is reached, or
31. When a maximum of 265 questions have been answered.
32. It is a pass/fail exam.
33. There is no penalty for guessing.
34. The 15 experimental questions are not counted.Concerns
35. You can’t change answers once you select NEXT. Questions are selected by the computer according to the accuracy of your previous responses.
36. You can’t scroll back.
37. You can’t skip a question. You must answer the question to go on.
38. Testing is available year-round, 15 hours a day, 6 days a week, in 6-hour time slots.
39. Results are released by the individual State Board; time will vary by State Board.
40. If you fail, your state will determine when you can re-test.