How do you determine level of questions in NCLEX

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Specializes in Operating Room, Ophthalmic Nursing.

Hi! I just took the NCLEX last June 16 and during the test I thought I was doing well until I stopped at 75. Now I am waiting for the results and I feel more and more convinced that I failed. I don’t know if there are cues to tell if you did well on the exam just by the type of questions you get. I saw some says SATAs are heigh level questions. I think I got some but mine mostly says “what patient response needs immediate attention” or “what response made by the patient/LPN indicates understanding” something like that. I am really getting anxious. Some said that to fail at 75 you must have really messed up.

Specializes in NICU.

The best predictor of pass/fail at 75 questions is your performance in nursing school. If you did very well (high nursing GPA), went to a school with an 85% or higher first time NCLEX pass rate and did not take any mind altering substances or opiate pain medicine prior to the test, then you passed at 75 questions.

NCLEX is a Computer Adaptive Test (CAT). It looks at the last 60 questions to determine your competency with a high probability. If for the last 60 questions, you were answering questions correctly and incorrectly within a narrow band and you were continuously above the pass line throughout those 60 questions, the test will stop and you passed.

It is extremely unlikely that a graduate that did very well in nursing school would do so terribly on the first 75 questions that the computer determined that you had zero probability to pass the test.

Specializes in Medical-Surgical.
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