ALL STUDENTS PLEASE READ. I teach a semester long course to prep our grads for NCLEX. Please read this entire post carefully.
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The NCLEX adapts to your skill level. The first questions that are presented are determining your ability level. Once that ability level is determined, the questions are presented in increasing level of difficulty/decreasing difficulty until you have answered enough questions for the computer to determine (with 95% statistical certainty) that you have met the passing standard.
The minimum number of questions you will have is 75 (60 questions plus 15 pilot items). You will not be able to distinguish pilot items from "real" items. SO, if you get 265 items, that means the computer has not yet determined that you have met the passing standard at the 95% confidence level. There is no random number of candidates that get the exam with 265 questions- that is a myth.
You will not be able to tell whether you have passed by the number of questions you get!
The test is 6 hours long, and you should take your time. You have paid $200 for that test seat- USE IT!
Rushing through the questions or rapid guessing will most likely lead to failure, because each one you get wrong due to guessing means the next question is easier, and then on and on, until you fail because you are guessing at them all. Take your time to think each question through.
You will not leave the exam feeling good- the test challenges every bit of you, so you will feel tired and unsure of yourself. The way you feel does not equate into passing or failing. You cannot judge. Wait for your results.
NCLEX is given throughout the US and its territories, so the same format is used and the same question bank is used across the US. You do not have to take the exam in the same state where you are applying for licensure.
These are some resources for NCLEX prep that I like (no monetary incentive for sharing).
I am impressed with the strategy that is taught in the Kaplan course.
Lastly, you must manage anxiety. Pay attention to strategies to reduce anxiety. Approach each question as a new patient- one at a time, and focus completely on that question (patient).
Do not get distracted by thoughts of passing or failing, or by focusing on the number of questions you have had. Just keep going, one at a time, until the test ends. Then- be good to yourself while you wait for results. Remember you will not be able to accurately judge whether you passed by the way you feel. The test challenges you and you will not feel great when it is over.
