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What is the format of the NCLEX test?




The NCLEX exam is administered in a computerized adaptive testing (CAT) format. This means that the exam adapts to the candidate's performance and tailors the difficulty level of the questions based on their answers. The format of the NCLEX exam consists of multiple-choice questions, as well as alternate format questions.




Multiple-Choice Questions: These are traditional multiple-choice questions with a stem and four answer options. The candidate selects the best answer from the options provided.




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Alternate Format Questions: The NCLEX exam includes various types of alternate format questions to assess the candidate's critical thinking and clinical judgment skills. These questions may include:




Select-All-That-Apply (SATA): Candidates select all the correct options from a list of possible answers.

Fill-in-the-Blank: Candidates enter the correct answer in a blank space provided.

Ordered-Response: Candidates arrange the options in a specific order.

Hot Spot: Candidates identify a specific area on an image.




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Exhibit/Graphic: Candidates interpret information presented in a chart, graph, or other visual representation.

The CAT format of the NCLEX exam means that the computer selects each subsequent question based on the candidate's performance on the previous question. If a candidate answers a question correctly, the next question may be slightly more difficult. Conversely, if a candidate answers a question incorrectly, the next question may be slightly easier. This adaptive process continues throughout the exam, allowing the computer to assess the candidate's ability accurately.




The exam continues until the computer determines with a high level of confidence that the candidate's ability is either above the passing standard (in which case the candidate passes) or below the passing standard (in which case the candidate fails).




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It is important to note that the specific number of questions presented to each candidate may vary, as the exam is individualized based on their performance. The minimum number of questions is 75, and the maximum is 265. The exam is administered within a maximum time limit of six hours.