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 — The Pyramid to Success
(study prioritization)
Stem
A practical nursing candidate has 8 weeks before the NGN-PN®
exam and is weak in pharmacology and safe dosage calculation
but proficient in fundamentals. Which study plan best reflects
the Pyramid to Success principle for efficient remediation?
A. Spend equal time on all content areas every day to avoid
gaps.
,B. Focus primarily on pharmacology and dosage calculation
while maintaining brief review of fundamentals.
C. Study only pharmacology until mastery, then begin practice
questions in other areas.
D. Use the final two weeks for intense pharmacology study and
practice tests the rest of the time.
Correct answer: B
Rationale — Correct
B is correct because the Pyramid to Success recommends
prioritizing weaker, high-risk areas (pharmacology/dosage)
while maintaining ongoing, lower-intensity review of stronger
areas to prevent decay. This balances remediation with breadth.
Rationale — Incorrect
A is incorrect because equal time ignores the need to prioritize
high-risk weaknesses.
C is incorrect because exclusive focus delays necessary
reinforcement in other content areas and risks neglect.
D is incorrect because delaying focused study on weaknesses
until late reduces time for mastery and remediation.
Teaching point
Prioritize high-risk weak areas while maintaining low-intensity
review of strengths.
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 — NGN item purpose
Stem
During a review session, a PN candidate asks why the NGN-PN®
includes case-based items rather than only single-step recall
questions. What is the best faculty response?
A. Case-based items allow testing of isolated facts across many
topics.
B. Case-based items evaluate clinical judgment by requiring
recognition, analysis, and prioritization of cues.
C. Case-based items make the test shorter by combining
questions into one case.
D. Case-based items are used mainly to test computerized skills,
not nursing judgment.
Correct answer: B
Rationale — Correct
B is correct because NGN case-based items are designed to
assess clinical judgment processes—recognizing cues, analyzing,
prioritizing, and taking appropriate actions—rather than rote
recall.
Rationale — Incorrect
A is incorrect because NGN focuses on integrated judgment, not
isolated fact recall.
, C is incorrect because case length is not the primary reason; it’s
about assessing higher-order skills.
D is incorrect because NGN explicitly measures nursing clinical
judgment, not computer skills.
Teaching point
NGN case items assess integrated clinical judgment, not simple
recall.
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 — Authorization to Test &
Scheduling
Stem
A candidate receives an Authorization to Test (ATT) e-mail but
cannot test on the scheduled date due to illness. Which action
best follows testing policy and protects the candidate’s
eligibility?
A. Go to the test center anyway; explain illness to the proctor
on arrival.
B. Cancel the appointment the morning of testing and hope for
a refund.
C. Contact the testing vendor to reschedule per ATT instructions
FOR THE NCLEX-PN® EXAMINATION
9TH EDITION
• AUTHOR(S)LINDA ANNE SILVESTRI;
ANGELA SILVESTRI
TEST BANK
1.
Reference
Ch. 1 — Clinical Judgment & NGN-PN — The Pyramid to Success
(study prioritization)
Stem
A practical nursing candidate has 8 weeks before the NGN-PN®
exam and is weak in pharmacology and safe dosage calculation
but proficient in fundamentals. Which study plan best reflects
the Pyramid to Success principle for efficient remediation?
A. Spend equal time on all content areas every day to avoid
gaps.
,B. Focus primarily on pharmacology and dosage calculation
while maintaining brief review of fundamentals.
C. Study only pharmacology until mastery, then begin practice
questions in other areas.
D. Use the final two weeks for intense pharmacology study and
practice tests the rest of the time.
Correct answer: B
Rationale — Correct
B is correct because the Pyramid to Success recommends
prioritizing weaker, high-risk areas (pharmacology/dosage)
while maintaining ongoing, lower-intensity review of stronger
areas to prevent decay. This balances remediation with breadth.
Rationale — Incorrect
A is incorrect because equal time ignores the need to prioritize
high-risk weaknesses.
C is incorrect because exclusive focus delays necessary
reinforcement in other content areas and risks neglect.
D is incorrect because delaying focused study on weaknesses
until late reduces time for mastery and remediation.
Teaching point
Prioritize high-risk weak areas while maintaining low-intensity
review of strengths.
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 — NGN item purpose
Stem
During a review session, a PN candidate asks why the NGN-PN®
includes case-based items rather than only single-step recall
questions. What is the best faculty response?
A. Case-based items allow testing of isolated facts across many
topics.
B. Case-based items evaluate clinical judgment by requiring
recognition, analysis, and prioritization of cues.
C. Case-based items make the test shorter by combining
questions into one case.
D. Case-based items are used mainly to test computerized skills,
not nursing judgment.
Correct answer: B
Rationale — Correct
B is correct because NGN case-based items are designed to
assess clinical judgment processes—recognizing cues, analyzing,
prioritizing, and taking appropriate actions—rather than rote
recall.
Rationale — Incorrect
A is incorrect because NGN focuses on integrated judgment, not
isolated fact recall.
, C is incorrect because case length is not the primary reason; it’s
about assessing higher-order skills.
D is incorrect because NGN explicitly measures nursing clinical
judgment, not computer skills.
Teaching point
NGN case items assess integrated clinical judgment, not simple
recall.
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 — Authorization to Test &
Scheduling
Stem
A candidate receives an Authorization to Test (ATT) e-mail but
cannot test on the scheduled date due to illness. Which action
best follows testing policy and protects the candidate’s
eligibility?
A. Go to the test center anyway; explain illness to the proctor
on arrival.
B. Cancel the appointment the morning of testing and hope for
a refund.
C. Contact the testing vendor to reschedule per ATT instructions
