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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Correct Answer is B
Explanation
Choice A reason: Requiring the nurse to reapply for a new license is not the purpose of renewal. Renewal is a process of updating the existing license and verifying the nurse's qualifications and competencies. Reapplying for a new license is a different process that involves submitting a new application and meeting the initial requirements.
Choice B reason: Maintaining the nurse's right to practice nursing is the purpose of renewal. Renewal ensures that the nurse meets the standards of practice and the continuing education requirements. Renewal also protects the public from unqualified or incompetent nurses.
Choice C reason: Granting the nurse permission to practice in more than one state is not the purpose of renewal. Renewal applies to the license issued by the state where the nurse practices. To practice in more than one state, the nurse needs to obtain a multistate license or a license by endorsement from another state.
Choice D reason: Providing the nurse a new license in another state is not the purpose of renewal. Renewal does not change the state of licensure or the license number. To obtain a new license in another state, the nurse needs to apply for a license by endorsement or examination from that state.
Correct Answer is A
Explanation
Choice A: This is the correct answer. An electronic health record (EHR) is a digital version of a client's medical history and other health information that can be accessed by authorized providers and the client. A personal health record (PHR) is a subset of an EHR that allows the client to view and manage their own health information, such as medications, allergies, test results, and appointments. A PHR can enhance the client's satisfaction, engagement, and empowerment in their health care.
Choice B: This is incorrect. Provides providers client information to track for research studies is not a benefit of an electronic health record, but a potential use of it. EHRs can facilitate health research by providing large and diverse data sets that can be analyzed for various purposes, such as clinical trials, epidemiology, and quality improvement. However, this use of EHRs must comply with ethical and legal standards, such as informed consent, privacy, and confidentiality.
Choice C: This is incorrect. Grants significant other access to client information is not a benefit of an electronic health record, but a matter of the client's preference and consent. EHRs must protect the client's privacy and confidentiality rights, and only disclose their information to authorized parties, such as health care providers, insurers, or public health agencies. The client can choose to share their information with their significant other or anyone else, but they must give explicit permission to do so.
Choice D: This is incorrect. Coordinates all healthcare client has received into one platform is not a benefit of an electronic health record, but a goal of it. EHRs aim to improve the coordination and continuity of care by allowing multiple providers to access and update the same information, enabling real-time collaboration, and providing decision support tools. However, this goal is not fully achieved yet, as there are still challenges and barriers to the interoperability and integration of EHRs across different settings and systems.
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