2025 NCLEX‑RN® STUDY VAULT (9TH ED.) –
COMPLETE CHAPTER‑WISE TEST BANK &
CLEAR RATIONALES PDF STUDY GUIDE
TEST BANK
Chapter: Clinical Judgment and the Next Generation NCLEX
(NGN)-PN Examination
Topic: Unit I — NCLEX-PN® Exam Preparation (Clinical
Judgment, NGN, Testing Process, Licensure)
Question 1 (Knowledge)
A nursing student asks what the Next Generation NCLEX® (NGN)
adds to the PN exam compared with previous versions. Which
statement is most accurate?
A. NGN adds more dosage-calculation items only.
B. NGN focuses on measuring clinical judgment through case-
based items.
C. NGN replaces multiple-choice items with essays.
D. NGN shortens the exam by removing adaptive testing.
Correct Answer: B
Rationale:
• A: Incorrect — NGN is not limited to dosage calculation; it
emphasizes clinical judgment.
, • B: Correct — NGN introduces case-based item types
designed to measure clinical judgment processes.
• C: Incorrect — NGN uses new item formats (case items,
extended formats) but does not replace with essays.
• D: Incorrect — The NCLEX-PN still uses computer adaptive
testing (CAT) principles; NGN complements, not removes,
adaptive methods.
Domain: Management of Care — Safe & Effective Care
Environment
Bloom: Knowledge
Tag: [Pyramid Point: Test Familiarity / Priority Concept:
Exam Content / Clinical Judgment Skill #1]
Question 2 (Knowledge)
Which document must a candidate receive before scheduling
their NCLEX-PN® exam?
A. Authorization to Test (ATT) form
B. Candidate Performance Report (CPR)
C. License compact agreement
D. Test Plan summary booklet
Correct Answer: A
Rationale:
• A: Correct — The Authorization to Test (ATT) is required to
schedule the exam.
, • B: Incorrect — The CPR is provided after results, not before
testing.
• C: Incorrect — Compact agreements are for licensure
portability, not exam scheduling.
• D: Incorrect — A Test Plan is public, but the ATT is the
required scheduling document.
Domain: Safety & Infection Control — Safe & Effective Care
Environment (Regulatory/Legal)
Bloom: Knowledge
Tag: [Pyramid Point: Exam Process / Priority Concept:
Registration / Clinical Judgment Skill #1]
Question 3 (Knowledge)
Which body develops the NCLEX-PN® Test Plan?
A. American Nurses Association (ANA)
B. National Council of State Boards of Nursing (NCSBN)
C. U.S. Department of Education
D. National League for Nursing (NLN)
Correct Answer: B
Rationale:
• A: Incorrect — ANA is a professional association but does
not create the NCLEX Test Plan.
• B: Correct — The NCSBN is responsible for developing and
maintaining the NCLEX Test Plan.
, • C: Incorrect — The Department of Education does not
develop the NCLEX.
• D: Incorrect — NLN influences education but does not
publish the NCLEX Test Plan.
Domain: Management of Care — Safe & Effective Care
Environment (Regulatory/Legal)
Bloom: Knowledge
Tag: [Pyramid Point: Test Plan / Priority Concept:
Regulatory Bodies / Clinical Judgment Skill #1]
Question 4 (Comprehension)
Which action best describes computer adaptive testing (CAT)
used for NCLEX-PN®?
A. Every candidate receives the same fixed set of questions.
B. The test adapts difficulty based on the candidate’s responses.
C. The exam penalizes candidates for slower response times.
D. The exam allows candidates to return to previous items.
Correct Answer: B
Rationale:
• A: Incorrect — CAT provides tailored items, not a fixed set
for all.
• B: Correct — CAT selects subsequent items based on prior
responses to estimate ability.
• C: Incorrect — Response time does not determine scoring;
correctness matters.
COMPLETE CHAPTER‑WISE TEST BANK &
CLEAR RATIONALES PDF STUDY GUIDE
TEST BANK
Chapter: Clinical Judgment and the Next Generation NCLEX
(NGN)-PN Examination
Topic: Unit I — NCLEX-PN® Exam Preparation (Clinical
Judgment, NGN, Testing Process, Licensure)
Question 1 (Knowledge)
A nursing student asks what the Next Generation NCLEX® (NGN)
adds to the PN exam compared with previous versions. Which
statement is most accurate?
A. NGN adds more dosage-calculation items only.
B. NGN focuses on measuring clinical judgment through case-
based items.
C. NGN replaces multiple-choice items with essays.
D. NGN shortens the exam by removing adaptive testing.
Correct Answer: B
Rationale:
• A: Incorrect — NGN is not limited to dosage calculation; it
emphasizes clinical judgment.
, • B: Correct — NGN introduces case-based item types
designed to measure clinical judgment processes.
• C: Incorrect — NGN uses new item formats (case items,
extended formats) but does not replace with essays.
• D: Incorrect — The NCLEX-PN still uses computer adaptive
testing (CAT) principles; NGN complements, not removes,
adaptive methods.
Domain: Management of Care — Safe & Effective Care
Environment
Bloom: Knowledge
Tag: [Pyramid Point: Test Familiarity / Priority Concept:
Exam Content / Clinical Judgment Skill #1]
Question 2 (Knowledge)
Which document must a candidate receive before scheduling
their NCLEX-PN® exam?
A. Authorization to Test (ATT) form
B. Candidate Performance Report (CPR)
C. License compact agreement
D. Test Plan summary booklet
Correct Answer: A
Rationale:
• A: Correct — The Authorization to Test (ATT) is required to
schedule the exam.
, • B: Incorrect — The CPR is provided after results, not before
testing.
• C: Incorrect — Compact agreements are for licensure
portability, not exam scheduling.
• D: Incorrect — A Test Plan is public, but the ATT is the
required scheduling document.
Domain: Safety & Infection Control — Safe & Effective Care
Environment (Regulatory/Legal)
Bloom: Knowledge
Tag: [Pyramid Point: Exam Process / Priority Concept:
Registration / Clinical Judgment Skill #1]
Question 3 (Knowledge)
Which body develops the NCLEX-PN® Test Plan?
A. American Nurses Association (ANA)
B. National Council of State Boards of Nursing (NCSBN)
C. U.S. Department of Education
D. National League for Nursing (NLN)
Correct Answer: B
Rationale:
• A: Incorrect — ANA is a professional association but does
not create the NCLEX Test Plan.
• B: Correct — The NCSBN is responsible for developing and
maintaining the NCLEX Test Plan.
, • C: Incorrect — The Department of Education does not
develop the NCLEX.
• D: Incorrect — NLN influences education but does not
publish the NCLEX Test Plan.
Domain: Management of Care — Safe & Effective Care
Environment (Regulatory/Legal)
Bloom: Knowledge
Tag: [Pyramid Point: Test Plan / Priority Concept:
Regulatory Bodies / Clinical Judgment Skill #1]
Question 4 (Comprehension)
Which action best describes computer adaptive testing (CAT)
used for NCLEX-PN®?
A. Every candidate receives the same fixed set of questions.
B. The test adapts difficulty based on the candidate’s responses.
C. The exam penalizes candidates for slower response times.
D. The exam allows candidates to return to previous items.
Correct Answer: B
Rationale:
• A: Incorrect — CAT provides tailored items, not a fixed set
for all.
• B: Correct — CAT selects subsequent items based on prior
responses to estimate ability.
• C: Incorrect — Response time does not determine scoring;
correctness matters.
