SAUNDERS COMPREHENSIVE REVIEW FOR THE
NCLEX-PN® EXAMINATION
9TH EDITION
AUTHOR(S)LINDA ANNE SILVESTRI; ANGELA
SILVESTRI
TEST BANK
Question 1
Reference: Clinical Judgment and the Next Generation NCLEX (NGN)-PN® Examination
Scenario: A practical nursing student is reviewing the NCSBN Clinical Judgment Measurement
Model (NCJMM) to prepare for the NGN-PN. The student understands that this model is used to
measure a candidate's ability to make safe clinical decisions. Which statement by the student
indicates a correct understanding of the model's purpose?
Options:
A. "The model is designed to test my ability to memorize specific disease processes."
B. "The model focuses on evaluating my understanding of nursing theory and ethics."
C. "The model measures my capacity for clinical judgment when providing client care."
D. "The model assesses my knowledge of pharmacological interventions and drug calculations."
Correct Answer: C
Rationale for Correct Answer: The NCSBN Clinical Judgment Measurement Model (NCJMM)
provides the framework for the NGN-PN and is specifically designed to measure a candidate's
clinical judgment—the observed outcome of critical thinking and decision-making in nursing
,practice. It focuses on how nurses use knowledge to assess situations, identify client concerns,
and generate safe solutions .
Rationales for Incorrect Answers:
• A: The NGN-PN does not primarily test memorization; it focuses on the application of
clinical judgment and decision-making skills.
• B: While theory and ethics are important, the NCJMM is specifically designed to
measure the cognitive skills involved in clinical judgment, not just theoretical
knowledge.
• D: Pharmacology is one component of safe care, but the NCJMM measures the broader
process of clinical reasoning and decision-making, not isolated knowledge areas.
Teaching Point: The NGN-PN focuses on clinical judgment—the ability to think like a nurse and
make safe decisions, not just recall facts.
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders Comprehensive Review for the NCLEX-
PN® Examination (9th ed.). Clinical Judgment and the Next Generation NCLEX (NGN)-PN®
Examination.
Question 2
Reference: Clinical Judgment and the Next Generation NCLEX (NGN)-PN® Examination
Scenario: A nursing instructor is discussing the six cognitive skills of the NCSBN Clinical
Judgment Measurement Model with a class of practical nursing students. The instructor asks
the students to identify the first step in this model. Which response by a student is correct?
Options:
A. "Analyze Cues"
B. "Recognize Cues"
,C. "Generate Solutions"
D. "Evaluate Outcomes"
Correct Answer: B
Rationale for Correct Answer: Recognizing cues is the foundational first step in the clinical
judgment process. It involves identifying relevant and important information from various
sources, such as client history, vital signs, and assessment findings . This step answers the
question, "What matters most?" .
Rationales for Incorrect Answers:
• A: "Analyze Cues" is the second step, which involves interpreting the meaning of the
cues that have been recognized.
• C: "Generate Solutions" is the fourth step, which involves determining possible actions
to take.
• D: "Evaluate Outcomes" is the final step, which involves assessing if the actions taken
were effective.
Teaching Point: The first step in clinical judgment is to "Recognize Cues"—identifying what
matters most in the client's data.
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders Comprehensive Review for the NCLEX-
PN® Examination (9th ed.). Clinical Judgment and the Next Generation NCLEX (NGN)-PN®
Examination.
Question 3
Reference: Clinical Judgment and the Next Generation NCLEX (NGN)-PN® Examination
Scenario: A practical nurse is preparing to take the NCLEX-PN®. The nurse understands that the
examination uses Computer Adaptive Testing (CAT). What is the primary purpose of this testing
format?
, Options:
A. To ensure every candidate answers the same number of questions.
B. To adapt the difficulty of questions based on the candidate's ability.
C. To allow candidates to choose the topics they are tested on.
D. To provide immediate results to the candidate after each question.
Correct Answer: B
Rationale for Correct Answer: Computer Adaptive Testing (CAT) is designed to tailor the
examination to each individual candidate's ability level. The computer selects questions that are
most informative for determining the candidate's competency based on their responses to
previous questions. This allows for a more precise and efficient measurement of the candidate's
knowledge and skills.
Rationales for Incorrect Answers:
• A: The number of questions a candidate answers varies and is determined by the CAT
algorithm.
• C: Candidates do not choose the topics; the computer algorithm selects questions based
on the test plan and the candidate's performance.
• D: The exam does not provide immediate results during the test; results are processed
and released at a later time.
Teaching Point: Computer Adaptive Testing (CAT) tailors the NCLEX-PN® to your ability level,
making it a more precise measure of your competency.
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders Comprehensive Review for the NCLEX-
PN® Examination (9th ed.). Examination Process.
Question 4
Reference: Level of Cognitive Ability
NCLEX-PN® EXAMINATION
9TH EDITION
AUTHOR(S)LINDA ANNE SILVESTRI; ANGELA
SILVESTRI
TEST BANK
Question 1
Reference: Clinical Judgment and the Next Generation NCLEX (NGN)-PN® Examination
Scenario: A practical nursing student is reviewing the NCSBN Clinical Judgment Measurement
Model (NCJMM) to prepare for the NGN-PN. The student understands that this model is used to
measure a candidate's ability to make safe clinical decisions. Which statement by the student
indicates a correct understanding of the model's purpose?
Options:
A. "The model is designed to test my ability to memorize specific disease processes."
B. "The model focuses on evaluating my understanding of nursing theory and ethics."
C. "The model measures my capacity for clinical judgment when providing client care."
D. "The model assesses my knowledge of pharmacological interventions and drug calculations."
Correct Answer: C
Rationale for Correct Answer: The NCSBN Clinical Judgment Measurement Model (NCJMM)
provides the framework for the NGN-PN and is specifically designed to measure a candidate's
clinical judgment—the observed outcome of critical thinking and decision-making in nursing
,practice. It focuses on how nurses use knowledge to assess situations, identify client concerns,
and generate safe solutions .
Rationales for Incorrect Answers:
• A: The NGN-PN does not primarily test memorization; it focuses on the application of
clinical judgment and decision-making skills.
• B: While theory and ethics are important, the NCJMM is specifically designed to
measure the cognitive skills involved in clinical judgment, not just theoretical
knowledge.
• D: Pharmacology is one component of safe care, but the NCJMM measures the broader
process of clinical reasoning and decision-making, not isolated knowledge areas.
Teaching Point: The NGN-PN focuses on clinical judgment—the ability to think like a nurse and
make safe decisions, not just recall facts.
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders Comprehensive Review for the NCLEX-
PN® Examination (9th ed.). Clinical Judgment and the Next Generation NCLEX (NGN)-PN®
Examination.
Question 2
Reference: Clinical Judgment and the Next Generation NCLEX (NGN)-PN® Examination
Scenario: A nursing instructor is discussing the six cognitive skills of the NCSBN Clinical
Judgment Measurement Model with a class of practical nursing students. The instructor asks
the students to identify the first step in this model. Which response by a student is correct?
Options:
A. "Analyze Cues"
B. "Recognize Cues"
,C. "Generate Solutions"
D. "Evaluate Outcomes"
Correct Answer: B
Rationale for Correct Answer: Recognizing cues is the foundational first step in the clinical
judgment process. It involves identifying relevant and important information from various
sources, such as client history, vital signs, and assessment findings . This step answers the
question, "What matters most?" .
Rationales for Incorrect Answers:
• A: "Analyze Cues" is the second step, which involves interpreting the meaning of the
cues that have been recognized.
• C: "Generate Solutions" is the fourth step, which involves determining possible actions
to take.
• D: "Evaluate Outcomes" is the final step, which involves assessing if the actions taken
were effective.
Teaching Point: The first step in clinical judgment is to "Recognize Cues"—identifying what
matters most in the client's data.
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders Comprehensive Review for the NCLEX-
PN® Examination (9th ed.). Clinical Judgment and the Next Generation NCLEX (NGN)-PN®
Examination.
Question 3
Reference: Clinical Judgment and the Next Generation NCLEX (NGN)-PN® Examination
Scenario: A practical nurse is preparing to take the NCLEX-PN®. The nurse understands that the
examination uses Computer Adaptive Testing (CAT). What is the primary purpose of this testing
format?
, Options:
A. To ensure every candidate answers the same number of questions.
B. To adapt the difficulty of questions based on the candidate's ability.
C. To allow candidates to choose the topics they are tested on.
D. To provide immediate results to the candidate after each question.
Correct Answer: B
Rationale for Correct Answer: Computer Adaptive Testing (CAT) is designed to tailor the
examination to each individual candidate's ability level. The computer selects questions that are
most informative for determining the candidate's competency based on their responses to
previous questions. This allows for a more precise and efficient measurement of the candidate's
knowledge and skills.
Rationales for Incorrect Answers:
• A: The number of questions a candidate answers varies and is determined by the CAT
algorithm.
• C: Candidates do not choose the topics; the computer algorithm selects questions based
on the test plan and the candidate's performance.
• D: The exam does not provide immediate results during the test; results are processed
and released at a later time.
Teaching Point: Computer Adaptive Testing (CAT) tailors the NCLEX-PN® to your ability level,
making it a more precise measure of your competency.
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders Comprehensive Review for the NCLEX-
PN® Examination (9th ed.). Examination Process.
Question 4
Reference: Level of Cognitive Ability
