SAUNDERS COMPREHENSIVE REVIEW
FOR THE NCLEX-PN® EXAMINATION
9TH EDITION
• AUTHOR(S)LINDA ANNE SILVESTRI;
ANGELA SILVESTRI
TEST BANK
Reference
Ch. 1 — Clinical Judgment & NGN — The Pyramid to Success
Stem
A PN candidate scheduled for the NGN-PN exam reports high
anxiety and asks what study focus best supports clinical
judgment under the Pyramid to Success model. Which study
strategy should the candidate prioritize?
A. Memorizing medication dosages and lab value normals.
B. Practicing clinical scenarios that require identifying patient
cues and making prioritized decisions.
C. Reviewing historical development of nursing theories.
D. Repeating definitions of assessment terminology.
,Correct Answer: B
Rationale — Correct
Practicing clinical scenarios targets recognition of cues and
prioritization—skills central to the Pyramid to Success and NGN
clinical judgment. This active application aligns with NCLEX-PN
expectations.
Rationale — Incorrect
A. Memorization of facts is helpful but insufficient; NGN
emphasizes application/decision making.
C. Nursing theory history is low priority for exam clinical
judgment tasks.
D. Repeating definitions is recall-level; NGN requires applying
those terms in context.
Teaching Point
Practice scenario-based decision-making—focus on cues and
priorities.
Citation
Silvestri, L. A., & Silvestri, A. (2025). Saunders Comprehensive
Review for the NCLEX-PN® Examination (9th ed.). Ch. 1.
2.
Reference
Ch. 1 — Clinical Judgment & NGN — Clinical Judgment and Next
Generation NCLEX® Items
,Stem
During NGN practice, a practical nurse student is given a case
with multiple patient cues. The instructor asks which immediate
action demonstrates recognition of the most critical cue. Which
action best reflects that priority?
A. Document all patient cues then notify the instructor.
B. Address the cue indicating compromised airway or breathing
first.
C. Ask the patient for their complete medical history.
D. Call for a nursing assistive personnel (NAP) to bring water.
Correct Answer: B
Rationale — Correct
Airway/breathing compromise is the highest priority (ABCs).
Immediate intervention or escalation is required and aligns with
NGN prioritization.
Rationale — Incorrect
A. Documentation is important but not the immediate life-
saving action.
C. Collecting full history delays urgent management of critical
cues.
D. Delegating nonessential tasks is inappropriate when patient
safety is threatened.
Teaching Point
Prioritize airway and breathing cues—ABCs guide immediate
actions.
, Citation
Silvestri, L. A., & Silvestri, A. (2025). Saunders Comprehensive
Review for the NCLEX-PN® Examination (9th ed.). Ch. 1.
3.
Reference
Ch. 1 — Examination Process — Registering to Take the
Examination
Stem
A PN candidate calls the board office to register but is unsure
which documentation is required to complete registration.
Which response by the nurse educator best guides the
candidate?
A. “You only need the application; the testing center will verify
eligibility.”
B. “Confirm your eligibility documentation (education and fees)
and follow the board’s registration steps before receiving
authorization.”
C. “Bring identification on test day — that’s sufficient to
register.”
D. “Wait until the Authorization to Test (ATT) arrives before
completing application paperwork.”
Correct Answer: B
Rationale — Correct
Registration requires verifying eligibility, submitting fees, and
FOR THE NCLEX-PN® EXAMINATION
9TH EDITION
• AUTHOR(S)LINDA ANNE SILVESTRI;
ANGELA SILVESTRI
TEST BANK
Reference
Ch. 1 — Clinical Judgment & NGN — The Pyramid to Success
Stem
A PN candidate scheduled for the NGN-PN exam reports high
anxiety and asks what study focus best supports clinical
judgment under the Pyramid to Success model. Which study
strategy should the candidate prioritize?
A. Memorizing medication dosages and lab value normals.
B. Practicing clinical scenarios that require identifying patient
cues and making prioritized decisions.
C. Reviewing historical development of nursing theories.
D. Repeating definitions of assessment terminology.
,Correct Answer: B
Rationale — Correct
Practicing clinical scenarios targets recognition of cues and
prioritization—skills central to the Pyramid to Success and NGN
clinical judgment. This active application aligns with NCLEX-PN
expectations.
Rationale — Incorrect
A. Memorization of facts is helpful but insufficient; NGN
emphasizes application/decision making.
C. Nursing theory history is low priority for exam clinical
judgment tasks.
D. Repeating definitions is recall-level; NGN requires applying
those terms in context.
Teaching Point
Practice scenario-based decision-making—focus on cues and
priorities.
Citation
Silvestri, L. A., & Silvestri, A. (2025). Saunders Comprehensive
Review for the NCLEX-PN® Examination (9th ed.). Ch. 1.
2.
Reference
Ch. 1 — Clinical Judgment & NGN — Clinical Judgment and Next
Generation NCLEX® Items
,Stem
During NGN practice, a practical nurse student is given a case
with multiple patient cues. The instructor asks which immediate
action demonstrates recognition of the most critical cue. Which
action best reflects that priority?
A. Document all patient cues then notify the instructor.
B. Address the cue indicating compromised airway or breathing
first.
C. Ask the patient for their complete medical history.
D. Call for a nursing assistive personnel (NAP) to bring water.
Correct Answer: B
Rationale — Correct
Airway/breathing compromise is the highest priority (ABCs).
Immediate intervention or escalation is required and aligns with
NGN prioritization.
Rationale — Incorrect
A. Documentation is important but not the immediate life-
saving action.
C. Collecting full history delays urgent management of critical
cues.
D. Delegating nonessential tasks is inappropriate when patient
safety is threatened.
Teaching Point
Prioritize airway and breathing cues—ABCs guide immediate
actions.
, Citation
Silvestri, L. A., & Silvestri, A. (2025). Saunders Comprehensive
Review for the NCLEX-PN® Examination (9th ed.). Ch. 1.
3.
Reference
Ch. 1 — Examination Process — Registering to Take the
Examination
Stem
A PN candidate calls the board office to register but is unsure
which documentation is required to complete registration.
Which response by the nurse educator best guides the
candidate?
A. “You only need the application; the testing center will verify
eligibility.”
B. “Confirm your eligibility documentation (education and fees)
and follow the board’s registration steps before receiving
authorization.”
C. “Bring identification on test day — that’s sufficient to
register.”
D. “Wait until the Authorization to Test (ATT) arrives before
completing application paperwork.”
Correct Answer: B
Rationale — Correct
Registration requires verifying eligibility, submitting fees, and
