Q: What happens if I got all 150 questions on NCLEX?
A: If your NCLEX exam went to the full 150 questions, it means the computer's adaptive algorithm required the maximum number of items to reach 95% statistical certainty in determining whether your ability was above or below the passing standard. Going to 150 questions does NOT mean you failed. You can still pass or fail; the final result is based on your performance across all 150 questions.
Q: Why would the test go to the full 150 questions?
A: The test extends to 150 questions when your ability estimate is very close to the passing standard throughout the exam. The computer needs more data to be 95% confident in its final decision. This often indicates your performance was consistently near the borderline between passing and failing competency levels.
Q: How is my result determined at 150 questions?
A: At the maximum, the computer stops and makes a final calculation. It uses all your responses to compute a final ability estimate. If this final estimate is at or above the passing standard (-0.18 logits for NCLEX-RN), you pass. If it is below, you fail. There is no partial credit; it's a final pass/fail decision based on this complex calculation.
Q: Should I be worried if I had 150 questions?
A: Do not assume failure. Many candidates who test to 150 questions pass. Anxiety about the length can negatively impact your focus. The best mindset during the exam is to treat every question as an opportunity to demonstrate your competence, regardless of count.
Q: Does getting 150 questions mean I did poorly on the early questions?
Not necessarily. The adaptive nature means the test continually adjusts. You could have performed well on difficult questions but then missed some easier ones, keeping your ability estimate oscillating near the passing line. The algorithm's need for more data points is the sole reason for the longer test.
Q: What is the best strategy if I realize I'm going to 150 questions?
A:
- Conserve Mental Energy: Pace yourself from the start, assuming you'll go the full distance.
- Stay Focused: Do not let frustration or fatigue set in. Each question still matters equally.
- Use All Your Time: You have up to 5 hours. Take brief mental pauses if needed during breaks.
- Trust Your Preparation: Rely on the critical thinking and clinical judgment skills you've built.
Q: How can I prepare to perform consistently and avoid a borderline result?
A: The goal is to demonstrate clear competency early. This requires:
- Strong Foundation: Master core content (pharmacology, fundamentals, management of care).
- Clinical Judgment Practice: Focus on Next Generation NCLEX (NGN) item types and case studies.
- Full-Length Simulated Exams: Build the stamina for 150 questions and learn to maintain focus.
- Performance Analysis: Use practice exam feedback to eliminate recurring weaknesses that could keep you near the passing standard.
For complete official information on the NCLEX CAT process, visit the National Council of State Boards of Nursing (NCSBN) at www.ncsbn.org.