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 (candidate preparation)
Stem: A PN student preparing for NGN-PN notice practice case
studies place heavy emphasis on recognizing client cues and
prioritizing interventions. Which study strategy best aligns with
the NGN Pyramid to Success for improving clinical judgment
skills?
A. Memorize lists of disease symptoms and common
medication doses.
B. Practice analyzing short case scenarios to identify cues and
,prioritize actions.
C. Focus only on completing a high number of practice
questions for speed.
D. Re-read textbook chapters passively each evening without
practicing applications.
Correct Answer: B
Rationales:
Correct (B): Practicing analysis of short case scenarios builds
cue recognition and prioritization—core elements of the NGN
Pyramid to Success—improving application and clinical
judgment.
A: Memorization alone does not develop the ability to
synthesize cues into priorities or actions.
C: Speed is useful but without focused analysis practice may
reinforce poor judgment under pressure.
D: Passive reading rarely translates into improved clinical
decision-making for NGN style items.
Teaching Point: Active case analysis strengthens cue recognition
and prioritization for NGN items.
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-PN Examination
— Clinical Judgment and Next Generation NCLEX® Items
Stem: During NGN practice a PN candidate consistently
identifies cues but struggles to generate appropriate nursing
actions. Which targeted practice will most effectively address
this deficit?
A. Review medication doses for common conditions.
B. Complete practice case prompts that require selecting and
justifying one nursing action.
C. Time practice tests to improve completion rates.
D. Study pathophysiology texts to deepen disease
understanding.
Correct Answer: B
Rationales:
Correct (B): NGN items require not only recognizing cues but
selecting and justifying actions; practicing items that require
choosing and defending a single action builds that skill.
A: Medication dose review is important but doesn’t directly
train selection/justification of nursing actions.
C: Timing helps exam stamina but not the skill of translating
cues into actions.
D: Pathophysiology knowledge can inform decisions but must
be practiced within action-selection tasks to be useful.
Teaching Point: Practice selecting and justifying single nursing
actions to meet NGN demands.
, 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 graduate completed an online registration but the
Authorization to Test (ATT) email has not arrived two weeks
before the scheduled date. What is the PN’s most appropriate
next action?
A. Wait an additional week because processing can be slow.
B. Contact the examination service immediately to confirm
application status.
C. Change the appointment at the testing center without
contacting the service.
D. Show up at the testing center on the scheduled date and
explain the situation.
Correct Answer: B
Rationales:
Correct (B): Contacting the examination service promptly
ensures authorization status is verified and prevents missed
testing opportunities; administrative verification is the correct
chain.
A: Waiting risks being unable to resolve issues before the test
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 (candidate preparation)
Stem: A PN student preparing for NGN-PN notice practice case
studies place heavy emphasis on recognizing client cues and
prioritizing interventions. Which study strategy best aligns with
the NGN Pyramid to Success for improving clinical judgment
skills?
A. Memorize lists of disease symptoms and common
medication doses.
B. Practice analyzing short case scenarios to identify cues and
,prioritize actions.
C. Focus only on completing a high number of practice
questions for speed.
D. Re-read textbook chapters passively each evening without
practicing applications.
Correct Answer: B
Rationales:
Correct (B): Practicing analysis of short case scenarios builds
cue recognition and prioritization—core elements of the NGN
Pyramid to Success—improving application and clinical
judgment.
A: Memorization alone does not develop the ability to
synthesize cues into priorities or actions.
C: Speed is useful but without focused analysis practice may
reinforce poor judgment under pressure.
D: Passive reading rarely translates into improved clinical
decision-making for NGN style items.
Teaching Point: Active case analysis strengthens cue recognition
and prioritization for NGN items.
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-PN Examination
— Clinical Judgment and Next Generation NCLEX® Items
Stem: During NGN practice a PN candidate consistently
identifies cues but struggles to generate appropriate nursing
actions. Which targeted practice will most effectively address
this deficit?
A. Review medication doses for common conditions.
B. Complete practice case prompts that require selecting and
justifying one nursing action.
C. Time practice tests to improve completion rates.
D. Study pathophysiology texts to deepen disease
understanding.
Correct Answer: B
Rationales:
Correct (B): NGN items require not only recognizing cues but
selecting and justifying actions; practicing items that require
choosing and defending a single action builds that skill.
A: Medication dose review is important but doesn’t directly
train selection/justification of nursing actions.
C: Timing helps exam stamina but not the skill of translating
cues into actions.
D: Pathophysiology knowledge can inform decisions but must
be practiced within action-selection tasks to be useful.
Teaching Point: Practice selecting and justifying single nursing
actions to meet NGN demands.
, 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 graduate completed an online registration but the
Authorization to Test (ATT) email has not arrived two weeks
before the scheduled date. What is the PN’s most appropriate
next action?
A. Wait an additional week because processing can be slow.
B. Contact the examination service immediately to confirm
application status.
C. Change the appointment at the testing center without
contacting the service.
D. Show up at the testing center on the scheduled date and
explain the situation.
Correct Answer: B
Rationales:
Correct (B): Contacting the examination service promptly
ensures authorization status is verified and prevents missed
testing opportunities; administrative verification is the correct
chain.
A: Waiting risks being unable to resolve issues before the test
