What happens if I get 150 questions on NCLEX?

Q: What happens if I get 150 questions on NCLEX?

A: If your NCLEX stops at 150 questions, it means you took the maximum length exam. This occurs when the computer adaptive testing (CAT) algorithm requires the full question pool to reach 95% confidence in determining whether your ability is 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 did my test go to the full 150 questions?

A: The exam extends to 150 questions when your performance consistently hovers very close to the passing standard throughout the test. The computer cannot reach the required 95% statistical certainty with fewer questions, so it continues asking questions up to the maximum to gather enough data to make a definitive pass/fail decision.

Q: What is the final scoring decision at 150 questions?

A: When the exam ends at 150, the computer makes a final calculation using all your responses. If your final ability estimate is at or above the passing standard, you pass. If it is below, you fail. There is no partial result; it is a final binary decision.

Q: Is getting 150 questions a bad sign?

A: Do not assume it is a bad sign. Many candidates who test to 150 questions pass. The adaptive nature means the test is seeking precision. You could have performed well on difficult questions but missed some easier ones, keeping your ability estimate near the passing line. Your focus should remain on answering each question to the best of your ability, not on the count.

Q: What is the best strategy during a long exam like this?

A: Mental stamina and pacing are critical.

1. Conserve Energy: Pace yourself from the start, assuming you might go the full distance. Use your optional breaks wisely.
2. Stay Focused: Do not become frustrated or anxious about the number of questions. Treat each one as a fresh opportunity to demonstrate your competence.
3. Use All Your Time: You have up to 5 hours. If you are at question 150, you likely have time left. Use it to review marked questions or to ensure you have given thoughtful answers to the final items.
4. Trust Your Preparation: Rely on the critical thinking and clinical judgment skills you developed during your studies and NCLEX review.

Q: What should I do while waiting for my results?

A: It is normal to feel anxious. Avoid the “trick” of trying to re-register for the NCLEX (the “Pearson VUE trick”), as it is unreliable and not endorsed by the NCSBN. The only way to know your result for sure is to wait for the official notification from your state board of nursing, which typically takes a few business days. Quick results services may be available after 48 hours for a fee.

For more context on the exam’s duration and structure, you can review details on the NCLEX testing time.