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I 8 HESI COMPREHENSIVE REVIEW FOR THE NCLEX-RN® EXAMINATION G H The number of the item the candidate is currently answering will appear on the upper right area of the screen. When the candidate has answered enough items to determine a definite pass or fail score, a message will appear on the screen notifying the candidate that he or she has completed the exam. The most number of items a candidate can answer is 265, and the longest amount of time the candidate can take to complete the exam is 6 hours. Candidates will have up to 6 hours to complete the NCLEX-RN examination; total examination time includes a short tutorial, two preprogrammed optional breaks, and any unscheduled breaks they may take. The first optional break is offered after 2 hours of testing. The second optional break is offered after 3.5 hours of testing. The computer will automatically tell candidates when these scheduled breaks begin. 1. All breaks count against testing time. 2. When candidates take breaks, they must leave the testing room, and they will be required to provide a palm vein scan before and after the breaks. If a candidate has not obtained a pass/fail score at the end of the 6 hours and has not completed all 265 items in the 6-hour limit but has answered all of the last 60 questions presented correctly, he or she will pass the exam. If a candidate has not obtained a pass/fail score at the end of the 6 hours, has not completed all 265 items in the 6-hour limit, and has not answered correctly all of the last 60 questions presented, he or she will fail the exam. . A specific passing score is recommended by the Coun- cil. All states require the same score to pass, so that if you pass in one state, you are eligible to practice nurs- ing in any other state. However, states do differ in their requirements regarding the number of times a candi- date can take the NCLEX-RN. . Although the Council has the ability to determine a candidate’s score at the time of completion of the exam, it has been decided that it would be best for candidates to receive their scores from their individual Board of Nurse Examiners. The Council does not want the testing center to be in a position of having to deal with candidates’ reactions to scores, nor does the Coun- cil want those waiting to take their exams to be influ- enced by such reactions. . You must answer each question in order to proceed. You cannot omit a question or return to an item pre- sented earlier. There is no going back; this works in your Q. There is no penalty for guessing; with four choices, you have a 25% chance of guessing the correct answer. HESI Hint * One or more of the choices are likely to be very wrong.You usually will be able to rule out two of the four choices rather quickly. Reread the question and choices again if necessary. Ask yourself which choice answers the question being asked. Even if you have absolutely no idea what the correct answer is, you will have a 50/50 chance of guessing the right answer if you follow this process. Your first response will provide an educated guess and will usually be the correct answer. Go with your gut response! Pace yourself from the beginning of the test. Allow approximately 1.5 minutes per question. HESI Hint * The NCSBN Candidate Bulletin is available at http://www.ncsbn.org. Then select: Examinations/Candidates/Basic Information/Bulletin. Exam Item Formats A. There are a number of different types of exam items presented on the NCLEX-RN examination. The majority of the questions are multiple-choice items with four answers from which the candidate is asked to choose one correct answer. Other format (item types): 1. Multiple-response items require the candidate to select one or more responses. The item will instruct the candidate to choose/select all that apply. 2. Fill-in-the-blank questions require the candidate to calculate the answer and type in numbers. A drop down calculator is provided. 3. Hot-spot items require the candidate to identify an area on a picture or graph and click on the area. 4. Chart or exhibit formats present a chart or exhibit that the candidate must read to be able to solve the problem. 5. Drag-and-drop items require a candidate to rank order or move options to provide the correct order of actions or events. 6. Audio format items require the candidate to listen to an audio clip using headphones and then select the correct option that applies to the audio clip. 7. Graphic format items require the candidate to choose the correct graphic option in response to the question. B. There is no set percentage of alternative items on the