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
Clinical Scenario: A practical nursing student is reviewing the
NGN-PN test design. The student asks the instructor how the
examination measures clinical judgment. The instructor
explains that clinical judgment is measured through specific
item types that require the student to do which of the
following?
,Options:
A. Memorize key facts about disease processes and treatments
B. Recognize cues, analyze information, and prioritize
hypotheses
C. Identify the legal scope of practice for the practical nurse
D. Recall the steps of the nursing process in chronological order
Correct Answer: B. Recognize cues, analyze information, and
prioritize hypotheses
Rationales:
Correct Answer (B): The NGN-PN measures clinical
judgment by assessing the candidate's ability to recognize cues,
analyze information, prioritize hypotheses, generate solutions,
take action, and evaluate outcomes. This reflects the clinical
judgment measurement model used in the NGN test design.
Incorrect Answers:
• (A) Memorization of facts is not the focus of clinical
judgment measurement; the NGN-PN evaluates the
application and analysis of nursing knowledge in clinical
scenarios.
• (C) While knowing the legal scope of practice is important,
it is not the primary measure of clinical judgment in the
NGN-PN test design.
, • (D) Although the nursing process is foundational, the NGN-
PN measures clinical judgment as a more complex
cognitive process that goes beyond simply recalling the
steps in order.
Teaching Point: The NGN-PN measures clinical judgment
through the candidate's ability to recognize cues, analyze
information, and prioritize hypotheses in clinical scenarios.
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders
Comprehensive Review for the NCLEX-PN® Examination (9th
ed.). Chapter 1: Clinical Judgment and the Next Generation
NCLEX (NGN)-PN® Examination.
Question 2
Reference: Clinical Judgment and the Next Generation NCLEX
(NGN)-PN® Examination
Clinical Scenario: A practical nursing student is preparing for
the NCLEX-PN® examination and is reviewing the test plan. The
student notes that the examination includes four major
categories of Client Needs. The student correctly identifies that
the largest percentage of questions on the examination is
assigned to which Client Needs category?
, Options:
A. Health Promotion and Maintenance
B. Psychosocial Integrity
C. Safe and Effective Care Environment
D. Physiological Integrity
Correct Answer: D. Physiological Integrity
Rationales:
Correct Answer (D): Physiological Integrity receives the
largest percentage of questions on the NCLEX-PN®
examination. This category focuses on the client's physiological
needs and includes subcategories such as Basic Care and
Comfort, Pharmacological and Parenteral Therapies, Reduction
of Risk Potential, and Physiological Adaptation.
Incorrect Answers:
• (A) Health Promotion and Maintenance is a Client Needs
category but does not receive the largest percentage of
questions compared to Physiological Integrity.
• (B) Psychosocial Integrity is an important Client Needs
category but accounts for a smaller percentage of
questions than Physiological Integrity.
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
Clinical Scenario: A practical nursing student is reviewing the
NGN-PN test design. The student asks the instructor how the
examination measures clinical judgment. The instructor
explains that clinical judgment is measured through specific
item types that require the student to do which of the
following?
,Options:
A. Memorize key facts about disease processes and treatments
B. Recognize cues, analyze information, and prioritize
hypotheses
C. Identify the legal scope of practice for the practical nurse
D. Recall the steps of the nursing process in chronological order
Correct Answer: B. Recognize cues, analyze information, and
prioritize hypotheses
Rationales:
Correct Answer (B): The NGN-PN measures clinical
judgment by assessing the candidate's ability to recognize cues,
analyze information, prioritize hypotheses, generate solutions,
take action, and evaluate outcomes. This reflects the clinical
judgment measurement model used in the NGN test design.
Incorrect Answers:
• (A) Memorization of facts is not the focus of clinical
judgment measurement; the NGN-PN evaluates the
application and analysis of nursing knowledge in clinical
scenarios.
• (C) While knowing the legal scope of practice is important,
it is not the primary measure of clinical judgment in the
NGN-PN test design.
, • (D) Although the nursing process is foundational, the NGN-
PN measures clinical judgment as a more complex
cognitive process that goes beyond simply recalling the
steps in order.
Teaching Point: The NGN-PN measures clinical judgment
through the candidate's ability to recognize cues, analyze
information, and prioritize hypotheses in clinical scenarios.
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders
Comprehensive Review for the NCLEX-PN® Examination (9th
ed.). Chapter 1: Clinical Judgment and the Next Generation
NCLEX (NGN)-PN® Examination.
Question 2
Reference: Clinical Judgment and the Next Generation NCLEX
(NGN)-PN® Examination
Clinical Scenario: A practical nursing student is preparing for
the NCLEX-PN® examination and is reviewing the test plan. The
student notes that the examination includes four major
categories of Client Needs. The student correctly identifies that
the largest percentage of questions on the examination is
assigned to which Client Needs category?
, Options:
A. Health Promotion and Maintenance
B. Psychosocial Integrity
C. Safe and Effective Care Environment
D. Physiological Integrity
Correct Answer: D. Physiological Integrity
Rationales:
Correct Answer (D): Physiological Integrity receives the
largest percentage of questions on the NCLEX-PN®
examination. This category focuses on the client's physiological
needs and includes subcategories such as Basic Care and
Comfort, Pharmacological and Parenteral Therapies, Reduction
of Risk Potential, and Physiological Adaptation.
Incorrect Answers:
• (A) Health Promotion and Maintenance is a Client Needs
category but does not receive the largest percentage of
questions compared to Physiological Integrity.
• (B) Psychosocial Integrity is an important Client Needs
category but accounts for a smaller percentage of
questions than Physiological Integrity.
