A graduate nurse is reviewing information about the NCLEX exam on the National Council of State Boards of Nursing (NCSBN) website. Which of the following information should the nurse identify about the NCLEX exam?
The minimum number of items on the exam is 65.
The maximum number of items on the exam is 165.
All 50 states have the same criteria for passing the exam.
An 80% confidence rule is used for passing the exam.
None
None
The Correct Answer is C
Choice A reason: The minimum number of items on the exam is 65 is not an information that the nurse should identify about the NCLEX exam. This is a false statement that does not reflect the current format of the exam. According to the NCSBN website, the minimum number of items on the NCLEXRN exam is 75, and the minimum number of items on the NCLEXPN exam is 85.
Choice B reason: The maximum number of items on the exam is 165 is not information that the nurse should identify about the NCLEX exam. This is a false statement that does not reflect the current format of the exam. According to the NCSBN website, the maximum number of items on the NCLEXRN exam is 145, and the maximum number of items on the NCLEXPN exam is 205.
Choice C reason: All U.S. jurisdictions use the NCLEX passing standard set by NCSBN, expressed in logits (0.2700 for RN and 0.1800 for PN). No matter which state you test in, the computer-adaptive testing model applies the same cut-score to determine pass or fail.
Choice D reason:The CAT model actually uses a 95% confidence criterion: once the system is 95% certain your ability estimate is above (pass) or below (fail) the cut-score, the exam ends, regardless of how many items you’ve answered up to the 150-item maximum
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Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect because right documentation is not one of the five rights of delegation. Right documentation is a responsibility of the nurse and the AP, but it is not a criterion for deciding what tasks to delegate and to whom. The five rights of delegation are right task, right circumstance, right person, right direction, and right supervision.
Choice B reason: This statement is correct because right communication is one of the five rights of delegation. Right communication means that the nurse provides clear, concise, and specific instructions to the AP, and that the AP acknowledges and understands the instructions. Right communication also involves feedback, reporting, and documentation between the nurse and the AP.
Choice C reason: This statement is incorrect because right time is not one of the five rights of delegation. Right time is a factor that affects the delegation process, but it is not a criterion for deciding what tasks to delegate and to whom. The five rights of delegation are right task, right circumstance, right person, right direction, and right supervision.
Choice D reason: This statement is incorrect because right room is not one of the five rights of delegation. Right room is a factor that affects the delegation process, but it is not a criterion for deciding what tasks to delegate and to whom. The five rights of delegation are right task, right circumstance, right person, right direction, and right supervision.
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect because a rigid abdomen is not a common finding for a client who has had diarrhea for several days. A rigid abdomen may indicate peritonitis, which is an inflammation of the abdominal lining, usually caused by an infection or a perforation of an organ. A client with peritonitis may also have severe abdominal pain, fever, nausea, and vomiting.
Choice B reason: This statement is correct because dehydration is a common finding for a client who has had diarrhea for several days. Dehydration occurs when the body loses more fluid than it takes in, which can happen with frequent and watery stools. A client with dehydration may also have dry mouth, thirst, decreased urine output, dark urine, low blood pressure, increased heart rate, and confusion.
Choice C reason: This statement is incorrect because hypothermia is not a common finding for a client who has had diarrhea for several days. Hypothermia occurs when the body temperature drops below 35°C (95°F), usually due to exposure to cold environments or inadequate clothing. A client with hypothermia may also have shivering, slow breathing, slow pulse, drowsiness, and loss of consciousness.
Choice D reason: This statement is incorrect because decreased bowel sounds are not a common finding for a client who has had diarrhea for several days. Decreased bowel sounds may indicate ileus, which is a temporary paralysis of the intestinal movement, usually caused by surgery, medication, or inflammation. A client with ileus may also have abdominal distension, constipation, nausea, and vomiting.
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