Question 1

Preparation for the NCLEX-PN examination should include

Accepted Answer

Identifying areas of weakness and undertaking a systematic study program is a good strategy for preparing for the NCLEX-PN examination.Cramming is rarely effective.Rereading all texts is time-consuming and lacks focus.Relaxing is a good idea,but partying may lead to fatigue and lack of clarity in thinking the next day.

Question 2

The fundamental difference between holding licensure as an LPN/LVN and having a temporary permit is that a temporary permit

Accepted Answer

A temporary permit allows a graduate practical or vocational nurse to work until the results of the NCLEX-PN examination are in.The temporary permit is automatically revoked once these results are available.Passing the NCLEX-PN exam allows employment as a fully licensed practical or vocational nurse (LPN or LVN).If the examination is failed,the temporary permit is surrendered.

Question 3

The SP/VN reviewing for the NCLEX-PN examination should study based on an understanding that the category of patient need that is most heavily tested is

Accepted Answer

The physiological integrity category of client needs includes basic care and comfort,pharmacological therapies,reduction of risk potential,and physiological adaptation.It comprises 41% to 65% of the questions.Questions from the other three categories make up the remainder of the test.The clinical problem-solving process is not a category of patient needs.

Question 4

The requirement for taking the NCLEX-PN examination that is universal to every U.S.state and territory is

Accepted Answer

One cannot apply to any state board of nursing and receive permission to take the NCLEX-PN until program completion has been certified by the school of nursing.Taking the NCLEX-PN examination is not contingent on any of the other options.

Question 5

Which phrases accurately describe computerized adaptive testing (CAT)as used in the NCLEX-PN examination?

Accepted Answer

CAT varies the question difficulty based on previous responses,provides an individualized exam,and requires the tester to Answerwer a minimum of 85 questions.Client needs are not tested equally.The test plan calls for physiological integrity to be weighted more heavily than the other categories.Testing ends when a minimum of 85 questions have been Answerwered and when 50% of the more difficult questions have been Answerwered correctly.

Question 6

Prior to taking the NCLEX-PN examination,candidates sign a confidentiality clause.A candidate would be in violation of "terms of confidentiality" when doing which of the following?

Accepted Answer

Candidates signs an NCLEX-PN examination confidentiality clause prior to testing.Dr.Tom O'Neill,associate director,NCLEX-PN examination,states that,"technically if students were to discuss the exam with an instructor,they would be in violation of the 'terms of confidentiality' they must agree to before they take the exam.These terms include not disclosing the content of the examination items before,during,or after the examination.Legal action could be taken against candidates that break the NCLEX-PN confidentiality clause,including criminal prosecution and civil litigation as well as other administrative disciplinary action."

Question 7

The LPN/LVN tells a peer,"I want to be endorsed in state X.What step do you think I should take first?" The best response would be

Accepted Answer

Endorsement to practice in another state begins by contacting the state board of nursing in that state and asking for instructions about how to proceed.The board will send an application,instructions,fee schedules,and other materials.Asking the state board to send a copy of your NCLEX-PN examination score and photocopying your license and current registration are neither necessary nor priorities.Requesting the state board to inactivate your license is premature.Current licensure and registration are necessary to continue to work in your state while awaiting endorsement for state X.

Question 8

One practical/vocational nursing student tells another student,"I'm computer phobic! I never understand what keys I'm supposed to use to get the thing to work." The reply that shows the best understanding about NCLEX-PN examination testing is

Accepted Answer

Answerwering the practice questions provides orientation to the tester.Voice-activated computers are not used.Asking the test proctor for help if you get mixed up and using paper and pencil are not permitted.

Question 9

Which phrases describe the format of the NCLEX-PN examination?

Accepted Answer

The NCLEX-PN examination includes questions of varying levels of difficulty; it may have fill-in-the-blank questions,charts,tables,and graphics; and it tests the cognitive levels of knowledge,comprehension,application,and analysis.Using multiple choice questions exclusively is incorrect,because alternate types of questions are used in the examination.Requiring the tester to select a single best Answerwer for each question is inaccurate,because multiple Answerwers may be correct for some questions.Integrating three of the four steps of the nursing process used by LPN/LVNs is incorrect,because all four steps of the LPN/LVN nursing process are integrated into the examination.

Question 10

The content of the NCLEX-PN examination is divided into four Client Needs categories.The Safe,Effective Care Environment category includes

Accepted Answer

Advance directives are included in the Client Needs category Safe,Effective Care Environment.The aging process is included in the Client Needs category Health Promotion and Maintenance.Abuse and neglect are included in the Client Needs category Psychosocial Integrity.Medication administration is included in the Client Needs category Physiological Integrity.

Question 11

The content of the NCLEX-PN examination is divided into four Client Needs categories.The Psychosocial Integrity category includes

Accepted Answer

Therapeutic communication is included in the Client Needs category Psychosocial Integrity.Surgical asepsis is included in the Client Needs category Safe,Effective Care Environment.Human sexuality is included in the Client Needs category Health Promotion and Maintenance.Nutrition and oral hydration are included in the Client Needs category Physiological Integrity.

Question 12

LPN/LVN licensure by endorsement in the United States and its territories is possible because

Accepted Answer

When the same examination is used,the boards of nursing can be assured that those who pass have the knowledge to practice practical/vocational nursing at a minimally safe and effective level.

Question 13

Endorsement for an LPN/LVN taking the NCLEX-PN examination means that the LPN/LVN

Accepted Answer

The NCLEX-PN examination is given in the United States,American Samoa,the District of Columbia,Guam,the Northern Mariana Islands,Puerto Rico,and the Virgin Islands.This makes it possible to provide licensure by endorsement from one board of nursing to another.Endorsement meAnswer that an LPN/LVN may apply for licensure in a different state or territory without retesting.Taking the same examination in the United States and its territories facilitates endorsement from one nursing board to another.

Question 14

Which statement pertains to a temporary work permit?

Accepted Answer

One must apply for the permit on program completion if wishing to work.One works as a GP/VN,not as a fully licensed LPN/LVN.The temporary work permit and the application to take the examination are not dependent on one another.The temporary permit is revoked once the NCLEX-PN examination is reported.If the examination is passed,the individual works as a fully licensed LPN/LVN.If the examination is failed,the individual must surrender the permit and work as a nursing assistant.

Question 15

What advice should the testing candidate consider the best method for preparing to take the NCLEX-PN examination?

Accepted Answer

Studying for each nursing examination and passing it provides a firm foundation for the NCLEX-PN examination.Systematic review over a number of weeks prior to the NCLEX-PN examination will refresh one's knowledge.Cramming is usually counterproductive,because it results in fatigue and lowers the ability to think clearly during the examination.Better advice is to rule out wrong Answerwers and consider clues and key words found in the stem of the question.With CAT,the topics covered in the questions Answerwered by one person may be quite different from those selected for another person.

Question 16

Which statement best explains the purpose of the NCLEX-PN examination?

Accepted Answer

The NCLEX-PN examination measures the minimum competencies required to safely and effectively practice as a newly licensed practical/vocational nurse.The NCLEX-PN examination is administered by a testing agency.The NCLEX-PN does not confer eligibility to enter an ADN program.The NCLEX-RN examination tests information based on its own test plan.

Question 17

The content of the NCLEX-PN examination is divided into four Client Needs categories.The Physiological Integrity category includes

Accepted Answer

Medical emergencies are included in the Client Needs category Physiological Integrity.Newborn care is included in the Client Needs category Health Promotion and Maintenance.Stress management is included in the Client Needs category Psychosocial Integrity.Accident/error prevention is included in the Client Needs category Safe,Effective Care Environment.

Question 18

When an SP/VN asks for advice about how to "reduce anxiety before the NCLEX-PN examination," the LPN/LVN should respond,"An effective strategy for reducing test anxiety prior to the NCLEX-PN examination is to

Accepted Answer

Positive thinking reduces anxiety.Testing with mild anxiety is more productive than testing with moderate to high anxiety.Drinking alcohol will interfere with critical thinking.Preparing yourself for the worst by picturing yourself having to reply is negative thinking and raises anxiety.Using scrap paper to keep track of the number of questions you think you Answerwered correctly and incorrectly takes the focus away from thinking critically about the questions and wastes time that could better be used to consider question options.

Question 19

The content of the NCLEX-PN examination is divided into four Client Needs categories.The Health Promotion and Maintenance category includes

Accepted Answer

Family planning is included in the Client Needs category Health Promotion and Maintenance.Ethical practice is included in the Client Needs category Safe,Effective Care Environment.Crisis intervention is included in the Client Needs category Psychosocial Integrity.Basic pathophysiology is included in the Client Needs category Physiological Integrity.

Question 20

The practical/vocational nursing student tells a colleague,"I know I'm going to fail the NCLEX-PN examination.I've heard that a huge amount of the examination is psychology related,and I hated psychology!" The reply that shows the best understanding of the NCLEX-PN examination is

Accepted Answer

Psychosocial integrity is the basis for 8% to 14% of the questions of the NCLEX-PN examination test plan.The other options do not show understanding of the current test plan.

Quiz 23: The NCLEX-PN Examination