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 — Study and test-preparation
priorities
Stem
A practical nursing student has 2 weeks before the NCLEX-PN®
exam. She tells you she plans to memorize drug names and
spends all study time on pharmacology lists. Based on the
Pyramid to Success, what is the best recommendation you
should give to improve her study plan?
,Options
A. Continue memorizing drug names; pharmacology is the area
most frequently tested.
B. Focus on high-yield concepts: clinical judgment, safety, and
prioritized fundamentals, then targeted pharmacology.
C. Switch to passive review—re-read textbook chapters—
because breadth is more important than practice questions.
D. Study only alternate-format questions (SATA and NGN)
because they are highest weighted.
Correct answer
B
Rationales
Correct Option: Focusing first on high-yield clinical judgment,
safety, and fundamentals aligns with the Pyramid to Success
and builds the reasoning skills needed for NCLEX-PN questions;
targeted pharmacology follows.
Incorrect A: Memorizing drug names alone is lower on the
pyramid; rote memorization without clinical context is low
yield.
Incorrect C: Passive rereading has poor retention and does not
develop application/analysis skills required by the exam.
Incorrect D: Practicing alternate items is useful but should be
integrated after strengthening core clinical judgment and
fundamentals.
,Teaching point
Prioritize clinical judgment, safety, and fundamentals before
rote memorization.
Citation
Silvestri, L. A., & Silvestri, A. (2024). Saunders Comprehensive
Review for the NCLEX-PN® Examination (9th ed.). Ch. 1.
2.
Reference
Ch. 1 — Clinical Judgment and Next Generation NCLEX® Items
— CJMM skills
Stem
During an NGN practice case, a PN student identifies early signs
of hypotension in a simulated client (dizziness, thirst, rapid
pulse). Which clinical judgment skill from the CJMM is the
student demonstrating?
Options
A. Identify cues.
B. Take action.
C. Evaluate outcomes.
D. Prioritize alternatives.
Correct answer
A
, Rationales
Correct Option: Recognizing specific client cues (dizziness,
thirst, tachycardia) is the first CJMM step: identify cues.
Incorrect B: Taking action follows after cues are identified and
hypotheses formed.
Incorrect C: Evaluation occurs after interventions have been
implemented.
Incorrect D: Prioritizing alternatives requires generating and
comparing possible interventions, not just cue recognition.
Teaching point
NGN begins with accurate cue recognition — a foundation for
sound judgment.
Citation
Silvestri, L. A., & Silvestri, A. (2024). Saunders Comprehensive
Review for the NCLEX-PN® Examination (9th ed.). Ch. 1.
3.
Reference
Ch. 1 — Examination Process — Eligibility and exam-day
implications
Stem
A candidate arrives at the testing center without the required
identification listed on the ATT. The candidate insists the center
should still allow testing. As the PN educator, what is the correct
guidance you should give the candidate?
FOR THE NCLEX-PN® EXAMINATION
9TH EDITION
• AUTHOR(S)LINDA ANNE SILVESTRI;
ANGELA SILVESTRI
TEST BANK
1.
Reference
Ch. 1 — The Pyramid to Success — Study and test-preparation
priorities
Stem
A practical nursing student has 2 weeks before the NCLEX-PN®
exam. She tells you she plans to memorize drug names and
spends all study time on pharmacology lists. Based on the
Pyramid to Success, what is the best recommendation you
should give to improve her study plan?
,Options
A. Continue memorizing drug names; pharmacology is the area
most frequently tested.
B. Focus on high-yield concepts: clinical judgment, safety, and
prioritized fundamentals, then targeted pharmacology.
C. Switch to passive review—re-read textbook chapters—
because breadth is more important than practice questions.
D. Study only alternate-format questions (SATA and NGN)
because they are highest weighted.
Correct answer
B
Rationales
Correct Option: Focusing first on high-yield clinical judgment,
safety, and fundamentals aligns with the Pyramid to Success
and builds the reasoning skills needed for NCLEX-PN questions;
targeted pharmacology follows.
Incorrect A: Memorizing drug names alone is lower on the
pyramid; rote memorization without clinical context is low
yield.
Incorrect C: Passive rereading has poor retention and does not
develop application/analysis skills required by the exam.
Incorrect D: Practicing alternate items is useful but should be
integrated after strengthening core clinical judgment and
fundamentals.
,Teaching point
Prioritize clinical judgment, safety, and fundamentals before
rote memorization.
Citation
Silvestri, L. A., & Silvestri, A. (2024). Saunders Comprehensive
Review for the NCLEX-PN® Examination (9th ed.). Ch. 1.
2.
Reference
Ch. 1 — Clinical Judgment and Next Generation NCLEX® Items
— CJMM skills
Stem
During an NGN practice case, a PN student identifies early signs
of hypotension in a simulated client (dizziness, thirst, rapid
pulse). Which clinical judgment skill from the CJMM is the
student demonstrating?
Options
A. Identify cues.
B. Take action.
C. Evaluate outcomes.
D. Prioritize alternatives.
Correct answer
A
, Rationales
Correct Option: Recognizing specific client cues (dizziness,
thirst, tachycardia) is the first CJMM step: identify cues.
Incorrect B: Taking action follows after cues are identified and
hypotheses formed.
Incorrect C: Evaluation occurs after interventions have been
implemented.
Incorrect D: Prioritizing alternatives requires generating and
comparing possible interventions, not just cue recognition.
Teaching point
NGN begins with accurate cue recognition — a foundation for
sound judgment.
Citation
Silvestri, L. A., & Silvestri, A. (2024). Saunders Comprehensive
Review for the NCLEX-PN® Examination (9th ed.). Ch. 1.
3.
Reference
Ch. 1 — Examination Process — Eligibility and exam-day
implications
Stem
A candidate arrives at the testing center without the required
identification listed on the ATT. The candidate insists the center
should still allow testing. As the PN educator, what is the correct
guidance you should give the candidate?
