SAUNDERS COMPREHENSIVE REVIEW
FOR THE NCLEX-PN® EXAMINATION
9TH EDITION
• AUTHOR(S)LINDA ANNE SILVESTRI;
ANGELA SILVESTRI
TEST BANK
1
Reference
Ch. 1 — The Pyramid to Success
Stem
A PN student preparing for the NGN-PN® reviews the "Pyramid
to Success" framework to prioritize study activities. Which
strategy best reflects the base (foundational) layer of the
Pyramid to Success for test preparation?
A. Memorizing key disease characteristics and medication
doses.
B. Practicing clinical judgment with case-based NGN items.
,C. Developing consistent study schedule and mastery of basic
nursing content.
D. Completing full, timed practice exams weekly.
Correct Answer: C
Rationales
Correct: Developing a consistent study schedule and mastering
basic nursing content establishes the foundational knowledge
and habits required before higher-order practice; this aligns
with the Pyramid's base.
A: Memorization alone is not foundational for clinical judgment
and may neglect application.
B: Practicing NGN items is important but is higher up the
Pyramid (application/analysis).
D: Timed practice exams are useful for testing stamina and
application but rely on a prior knowledge foundation.
Teaching Point: Build consistent study habits and core content
knowledge first.
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 and Next Generation NCLEX® Items
,Stem
A practical nurse is coaching a student on NGN items that
emphasize the Clinical Judgment Measurement Model (CJMM).
Which coaching focus will best help the student recognize client
cues during NGN scenarios?
A. Memorize textbook answers for each disorder.
B. Identify abnormal assessment findings and link them to likely
client problems.
C. Prioritize interventions before determining the client’s
immediate problem.
D. Always choose the most urgent medical test first.
Correct Answer: B
Rationales
Correct: Identifying abnormal assessment findings and linking
them to client problems teaches cue recognition, a key CJMM
skill required for NGN items.
A: Memorization does not teach cue interpretation or clinical
judgment.
C: Prioritizing interventions before recognizing the problem
undermines sound clinical reasoning.
D: Choosing tests reflexively may bypass nursing judgment and
is not always appropriate.
Teaching Point: Practice linking assessment cues to probable
client problems.
, 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
Stem
A PN candidate receives the Authorization to Test (ATT) and
schedules the exam. Two days before testing the candidate
develops a low-grade fever (100.6°F/38.1°C). According to
standard testing guidance, what should the candidate do first?
A. Arrive at the testing center and inform staff at check-in.
B. Cancel the appointment and forfeit fees.
C. Contact the test vendor/registration agency to inquire about
rescheduling.
D. Proceed as scheduled and take over-the-counter antipyretics.
Correct Answer: C
Rationales
Correct: The first action is to contact the test
vendor/registration agency to learn rescheduling/cancellation
policies and options; this follows exam protocol.
A: Informing staff at check-in is possible but contacting the
vendor earlier helps preserve options.
B: Forfeiting fees should not be assumed before checking
FOR THE NCLEX-PN® EXAMINATION
9TH EDITION
• AUTHOR(S)LINDA ANNE SILVESTRI;
ANGELA SILVESTRI
TEST BANK
1
Reference
Ch. 1 — The Pyramid to Success
Stem
A PN student preparing for the NGN-PN® reviews the "Pyramid
to Success" framework to prioritize study activities. Which
strategy best reflects the base (foundational) layer of the
Pyramid to Success for test preparation?
A. Memorizing key disease characteristics and medication
doses.
B. Practicing clinical judgment with case-based NGN items.
,C. Developing consistent study schedule and mastery of basic
nursing content.
D. Completing full, timed practice exams weekly.
Correct Answer: C
Rationales
Correct: Developing a consistent study schedule and mastering
basic nursing content establishes the foundational knowledge
and habits required before higher-order practice; this aligns
with the Pyramid's base.
A: Memorization alone is not foundational for clinical judgment
and may neglect application.
B: Practicing NGN items is important but is higher up the
Pyramid (application/analysis).
D: Timed practice exams are useful for testing stamina and
application but rely on a prior knowledge foundation.
Teaching Point: Build consistent study habits and core content
knowledge first.
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 and Next Generation NCLEX® Items
,Stem
A practical nurse is coaching a student on NGN items that
emphasize the Clinical Judgment Measurement Model (CJMM).
Which coaching focus will best help the student recognize client
cues during NGN scenarios?
A. Memorize textbook answers for each disorder.
B. Identify abnormal assessment findings and link them to likely
client problems.
C. Prioritize interventions before determining the client’s
immediate problem.
D. Always choose the most urgent medical test first.
Correct Answer: B
Rationales
Correct: Identifying abnormal assessment findings and linking
them to client problems teaches cue recognition, a key CJMM
skill required for NGN items.
A: Memorization does not teach cue interpretation or clinical
judgment.
C: Prioritizing interventions before recognizing the problem
undermines sound clinical reasoning.
D: Choosing tests reflexively may bypass nursing judgment and
is not always appropriate.
Teaching Point: Practice linking assessment cues to probable
client problems.
, 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
Stem
A PN candidate receives the Authorization to Test (ATT) and
schedules the exam. Two days before testing the candidate
develops a low-grade fever (100.6°F/38.1°C). According to
standard testing guidance, what should the candidate do first?
A. Arrive at the testing center and inform staff at check-in.
B. Cancel the appointment and forfeit fees.
C. Contact the test vendor/registration agency to inquire about
rescheduling.
D. Proceed as scheduled and take over-the-counter antipyretics.
Correct Answer: C
Rationales
Correct: The first action is to contact the test
vendor/registration agency to learn rescheduling/cancellation
policies and options; this follows exam protocol.
A: Informing staff at check-in is possible but contacting the
vendor earlier helps preserve options.
B: Forfeiting fees should not be assumed before checking
