SAUNDERS COMPREHENSIVE REVIEW
FOR THE NCLEX-PN® EXAMINATION
9TH EDITION
• AUTHOR(S)LINDA ANNE SILVESTRI;
ANGELA SILVESTRI
TEST BANK
1.
Reference: Ch. 1 — Clinical Judgment & NGN-PN® Examination
— The Pyramid to Success / Study Preparation
Stem: A PN student who is preparing for the NGN-PN exam tells
you they’ve only memorized facts from the review book. Which
study strategy should you recommend to best prepare for NGN
items measuring clinical judgment?
A. Continue memorizing facts; the NGN mainly tests knowledge
recall.
B. Practice case-based clinical scenarios and stepwise decision
making.
,C. Focus exclusively on test-taking tricks and eliminating
answers.
D. Study only the exam’s test plan headings without working
through cases.
Correct answer: B
Rationales — Correct: B
Practicing case-based scenarios develops cue recognition,
prioritization, and clinical reasoning aligned with the NGN and
CJMM; this prepares the PN for application and analysis items.
Rationales — Incorrect:
A. Memorization alone does not build the clinical judgment
skills NGN items require.
C. Test-taking strategies help, but alone they don’t develop
clinical reasoning.
D. Reading test plan headings without applied practice won’t
develop decision-making skills.
Teaching point: Practice case-based clinical reasoning; NGN
emphasizes application over memorization.
Citation: Silvestri, L. A., & Silvestri, A. (2023). Saunders
Comprehensive Review for the NCLEX-PN® Examination (9th
ed.). Ch. 1.
2.
Reference: Ch. 1 — NGN Test Design — Clinical Judgment
Measurement Model (CJMM)
,Stem: During a study group, a PN student asks what the CJMM
emphasizes when answering NGN items. Which statement best
describes CJMM’s focus for nurse decision making?
A. Memorizing disease definitions to choose textbook answers.
B. Recognizing patient cues, analyzing relationships, and taking
prioritized actions.
C. Selecting the longest answer because it contains more
information.
D. Reporting clinical data only to the physician without taking
nursing actions.
Correct answer: B
Rationales — Correct: B
CJMM emphasizes identifying cues, analyzing them, generating
hypotheses, and selecting prioritized nursing actions — core
clinical judgment processes expected on the NGN.
Rationales — Incorrect:
A. CJMM is about reasoning, not recall of definitions.
C. Option length is a test-taking myth and not a CJMM principle.
D. CJMM expects the nurse to take appropriate nursing actions,
not only report.
Teaching point: CJMM = cue recognition → analysis →
prioritized nursing actions.
Citation: Silvestri, L. A., & Silvestri, A. (2023). Ch. 1.
3.
, Reference: Ch. 1 — Examination Process — Computer Adaptive
Testing (CAT)
Stem: A PN candidate asks how computer adaptive testing (CAT)
affects their exam experience. Which explanation should you
provide?
A. CAT gives the same questions to all candidates regardless of
answers.
B. CAT adjusts question difficulty based on the candidate’s
previous answers.
C. CAT allows candidates to return to earlier questions and
change answers.
D. CAT assigns a fixed pass/fail score before the test begins.
Correct answer: B
Rationales — Correct: B
CAT tailors question difficulty to the candidate’s demonstrated
ability, which affects test length and the estimation of
competency.
Rationales — Incorrect:
A. CAT does not present identical items to all candidates; it
adapts.
C. Most CAT exams do not permit returning to earlier items
during the adaptive portion.
D. No fixed pass/fail score is assigned before the test;
competency is estimated during testing.
FOR THE NCLEX-PN® EXAMINATION
9TH EDITION
• AUTHOR(S)LINDA ANNE SILVESTRI;
ANGELA SILVESTRI
TEST BANK
1.
Reference: Ch. 1 — Clinical Judgment & NGN-PN® Examination
— The Pyramid to Success / Study Preparation
Stem: A PN student who is preparing for the NGN-PN exam tells
you they’ve only memorized facts from the review book. Which
study strategy should you recommend to best prepare for NGN
items measuring clinical judgment?
A. Continue memorizing facts; the NGN mainly tests knowledge
recall.
B. Practice case-based clinical scenarios and stepwise decision
making.
,C. Focus exclusively on test-taking tricks and eliminating
answers.
D. Study only the exam’s test plan headings without working
through cases.
Correct answer: B
Rationales — Correct: B
Practicing case-based scenarios develops cue recognition,
prioritization, and clinical reasoning aligned with the NGN and
CJMM; this prepares the PN for application and analysis items.
Rationales — Incorrect:
A. Memorization alone does not build the clinical judgment
skills NGN items require.
C. Test-taking strategies help, but alone they don’t develop
clinical reasoning.
D. Reading test plan headings without applied practice won’t
develop decision-making skills.
Teaching point: Practice case-based clinical reasoning; NGN
emphasizes application over memorization.
Citation: Silvestri, L. A., & Silvestri, A. (2023). Saunders
Comprehensive Review for the NCLEX-PN® Examination (9th
ed.). Ch. 1.
2.
Reference: Ch. 1 — NGN Test Design — Clinical Judgment
Measurement Model (CJMM)
,Stem: During a study group, a PN student asks what the CJMM
emphasizes when answering NGN items. Which statement best
describes CJMM’s focus for nurse decision making?
A. Memorizing disease definitions to choose textbook answers.
B. Recognizing patient cues, analyzing relationships, and taking
prioritized actions.
C. Selecting the longest answer because it contains more
information.
D. Reporting clinical data only to the physician without taking
nursing actions.
Correct answer: B
Rationales — Correct: B
CJMM emphasizes identifying cues, analyzing them, generating
hypotheses, and selecting prioritized nursing actions — core
clinical judgment processes expected on the NGN.
Rationales — Incorrect:
A. CJMM is about reasoning, not recall of definitions.
C. Option length is a test-taking myth and not a CJMM principle.
D. CJMM expects the nurse to take appropriate nursing actions,
not only report.
Teaching point: CJMM = cue recognition → analysis →
prioritized nursing actions.
Citation: Silvestri, L. A., & Silvestri, A. (2023). Ch. 1.
3.
, Reference: Ch. 1 — Examination Process — Computer Adaptive
Testing (CAT)
Stem: A PN candidate asks how computer adaptive testing (CAT)
affects their exam experience. Which explanation should you
provide?
A. CAT gives the same questions to all candidates regardless of
answers.
B. CAT adjusts question difficulty based on the candidate’s
previous answers.
C. CAT allows candidates to return to earlier questions and
change answers.
D. CAT assigns a fixed pass/fail score before the test begins.
Correct answer: B
Rationales — Correct: B
CAT tailors question difficulty to the candidate’s demonstrated
ability, which affects test length and the estimation of
competency.
Rationales — Incorrect:
A. CAT does not present identical items to all candidates; it
adapts.
C. Most CAT exams do not permit returning to earlier items
during the adaptive portion.
D. No fixed pass/fail score is assigned before the test;
competency is estimated during testing.
