NCLEX Computerized Adaptive Testing (CAT)

Computerized adaptive testing (CAT) is the cutting-edge manner in which NCLEX has been administered since the mid 1990s. CAT adapts to each test taker's unique ability level by selecting subsequent questions based on how well or poorly the individual has been answering previous questions. Due to CAT, no two NCLEX exams will be identical. Nurses Announcements Archive Article

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NCLEX, an acronym that stands for National Council Licensure Examination, is a crucial gatekeeper in the nursing profession because no one is granted a nursing license in the US without satisfactorily passing this test.

The 85 percent of US-educated candidates who pass NCLEX on the first attempt walk across the open gate to their new roles as licensed nurses, while the people who fail must contend with a closed gate until they manage to pass. Once these candidates pass, the gate swings wide open. Furthermore, nursing school graduates cannot legally secure employment as registered nurses (RNs) or licensed practical nurses (LPNs) without a license. So a nursing career cannot come to fruition unless NCLEX is conquered. Therefore, it would be prudent to unearth as much information as possible about this exam before visiting the Pearson Vue testing center. Preparation is the key to conquering the NCLEX.

Computerized adaptive testing (CAT) is the way in which NCLEX has been administered since the middle 1990s. CAT acclimates to each test taker's ability level by selecting subsequent questions based on how well or poorly the individual has been answering previous questions. Due to the cutting-edge uniqueness of CAT, no two NCLEX exams will be the same since candidates come to the testing center with different funds of knowledge and starkly different techniques of applying what they know.

All NCLEX test takers start with questions that are classified as possessing a lower level of difficulty. The candidate who does reasonably well on these low-level questions will soon begin to receive moderately difficult test questions. If the test taker continues to answer the moderately difficult questions correctly, the computer acclimates to the person's ability level and starts pulling questions from the test bank that are classified as having a high level of difficulty. But if the test taker answers too many of the moderately difficult questions incorrectly, the computer adapts by pulling low-difficulty questions from the massive test bank.

While the test taker is answering questions, CAT is constantly adapting to the ability level by determining how previous test questions are being answered. The test abruptly ends once CAT has determined the test taker's highest ability level. If a candidate continues to receive questions after having already answered 200+ questions, this is occurring because CAT has not yet determined the test taker's ability level. If the test shuts off after the test taker answered less than 100 questions, this happened because CAT determined the person's ability level relatively quickly.

Candidates can satisfactorily pass NCLEX after answering 200+ questions. These test-takers answered hundreds of questions because CAT took longer to determine a passing standard. Also, candidates fail NCLEX after answering less than 100 questions because CAT quickly established that a large number of moderate-level and higher-level questions were answered incorrectly during the session.

CAT is like a figurative balancing beam. The test taker who answers too many questions incorrectly is performing like a beam that tilts to the left (read: failing). The test taker who answers the majority of questions correctly is performing like a beam thay tilts to the right (read: passing). On the other hand, the candidate who answers some questions correctly and some questions incorrectly will perform like a beam that remains stuck in the same position during the exam, which may translate into being forced to answer 200+ questions before the test finally ends.

So here is my advice for the exam.Do not waste money on review courses,do not study material.I read first 100 pgs of Kaplan 11/12 on how to break down a question. I used the NCLEX 4000 cd and only did questions on review mode,not test. You get immediate correct answer with rationale.Also the best advice I recieved was not to look at the time and and what question number your on. Just take your time and read each question one at a time.I got 75? and took 1hr 20. I felt like I didnt pass. I used the pearson view trick 4 hrs after I took the test and it worked. I also looked on my state licensce check website, and my # popped up the next day.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
So here is my advice for the exam.Do not waste money on review courses,do not study material.
I absolutely needed a review course. I absolutely had to study the material.

Here's why. . .I graduated from a low-quality nursing program with a first time NCLEX pass rate of 59 percent. My former school has a reputation of failing to prepare graduates for NCLEX, so the review course and study time were my ways of tackling this issue.

Gawd. I miss the early 90's.

Two full days of NCLEX testing...proctors wandering up and down the aisle in a huge venue full of puking candidates. Sigh. It was a brutal right of passage.

Kids these days don't know how easy they have it. :)

My review course and the instructor helped me pass the PN and RN exam. It was the same review course and instructor for both and you would have thought she written the NCLEX herself. Both times I passed.

I took mines yesterday and received over 200 and still got the good pop up. don't go in there with a number in your head cause it will throw you off

Specializes in Public Health.

I passed! 75q and a whole lotta SATA!

I passed the NCLEX and I received 235 questions. Actually all of my friends who took the nclex got 200+ as well. I also did the trick immediately after and it worked. Since I took the test on a Friday i got my results on Tuesday. I used the Hurst Review which was provided for free by the university. I highly recommend Hurst because I passed. But I will say that you can feel the questions get harder and then easier if you get them wrong. Just be aware as you take the test. Good Luck!!!

Specializes in LTC.

I strongly suggest that people that are going to take the NCLEX review, don't get caught up in the number of questions that you have to answer. Just answer them to the best of your ability. I know there were some people that are very sharp and passed with 75 questions and some that passed with this number of questions and I still wonder how they did. I was very prepared and felt confident for the test. But I am not the norm. Not that I have any special powers, I consider myself a good student, but I tend to look at things a little different. My instructors would consistently say that they liked my decision skills and that was something that could not be taught at school. With that being said, I passed the NCLEX for the first time with 265 questions. I did not panic. Just kept answering the questions and was so engrossed that I was ready for more. The point is, is that your objective is to pass the test. Regardless if it takes 75 questions or 265 at the end of the day, you are a RN!

Specializes in Cardiac.

I took my boards yesterday and got 193 questions and didn't pass. This was for my RN. I have been an LPN for 7 years and don't remember how many questions I got back then. I did the Kaplan review and not so sure that it really helped me when I was reading the questions. Any suggestions to help me prepare to take it again?? I have the Saunders nclex RN review book. Have looked at Hurst but not gotten too much into it yet to see if it something I want to do bc I have to renew my LPN license now and repay for the boards. Thanks

Specializes in PACU, presurgical testing.

One person out of the 27 in my class got all 265 questions; apparently some percentage of applicants are randomly assigned to get all the questions to test for internal reliability of the questions (i.e., people who answer these 10 questions right will also be likely to answer these other 10 questions right). I had read that the test gets you to where you are answering about half the questions right (like the tipping point/balance analogy someone made above) and looks at what level those questions are.

I don't know. I am glad I didn't have to take 2 days of exams on paper, but I do think it's weird that the tests are different for everyone. On the other hand, the longer I work as a nurse (coming up on 1 1/2 years), the more I think that the NCLEX tests whether you can be trusted to even be in the room with patients, and you actually become a good, knowledgeable nurse by being a nurse! :)

Specializes in Public Health.
One person out of the 27 in my class got all 265 questions; apparently some percentage of applicants are randomly assigned to get all the questions to test for internal reliability of the questions (i.e. people who answer these 10 questions right will also be likely to answer these other 10 questions right). I had read that the test gets you to where you are answering about half the questions right (like the tipping point/balance analogy someone made above) and looks at what level those questions are. I don't know. I am glad I didn't have to take 2 days of exams on paper, but I do think it's weird that the tests are different for everyone. On the other hand, the longer I work as a nurse (coming up on 1 1/2 years), the more I think that the NCLEX tests whether you can be trusted to even be in the room with patients, and you actually become a good, knowledgeable nurse by being a nurse! :)[/quote']

STOP SPREADING THIS RUMOUR! The NCLEX does not randomly give people the whole 265 Q's!

If you get 75Q and pass, then that means you answered most questions right INCLUDING the 15Q they use to ensure exam validity.

If you get 75Q and fail, that means the computer determined that you got too many wrong to ever get back above the passing level.

If you get, say, 265, you rode the line and you better hope the last 60Qs were correct and above the passing level.

Specializes in Complex pedi to LTC/SA & now a manager.
One person out of the 27 in my class got all 265 questions; apparently some percentage of applicants are randomly assigned to get all the questions to test for internal reliability of the questions (i.e. people who answer these 10 questions right will also be likely to answer these other 10 questions right). I had read that the test gets you to where you are answering about half the questions right (like the tipping point/balance analogy someone made above) and looks at what level those questions are. I don't know. I am glad I didn't have to take 2 days of exams on paper, but I do think it's weird that the tests are different for everyone. [/quote']

This is absolutely false. Read the NCSBN FAQ's rather than spread rumors.

Source: https://www.ncsbn.org/1201.htm

Are candidates randomly selected to receive maximum length examinations?

Items are administered following the principles of CAT. Candidates are NOT randomly selected to receive a designated number of examination items. As a candidate takes the examination, items are selected based on the candidate's response to previous items. The exam ends when it can be determined with 95% confidence that a candidate's performance is either above or below the passing standard, regardless of the number of items answered or the amount of testing time elapsed (six-hour maximum time period for the NCLEX-RN examination and five hour maximum time period for the NCLEX-PN examination).