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 and the Next Generation NCLEX
(NGN)-PN® Examination — Pyramid to Success / NGN Test
Design
Stem
A PN candidate preparing for the NGN-PN uses the Pyramid to
Success framework and allocates study time to case-based
practice items emphasizing clinical judgment. Which single
study action best reflects application of the Pyramid approach
to maximize NGN readiness?
,A. Memorize lists of disease signs and practice rote recall
questions.
B. Work through multiple case scenarios, identifying cues and
writing brief action plans.
C. Complete only practice questions that use traditional single-
sentence stems.
D. Focus on reviewing only pharmacology tables because
medications are frequently tested.
Correct answer: B
Rationale — Correct (B)
Working through case scenarios to identify cues and create
action plans practices clinical judgment skills targeted by NGN
and aligns with the Pyramid focus on application. This approach
develops recognizing cues, analysis, and prioritized actions
expected on NGN-style cases.
Rationale — Incorrect
A. Rote memorization neglects application and clinical-
judgment practice required for NGN.
C. Only traditional single-sentence stems fail to simulate NGN
case-based testing demands.
D. Medication review is important but insufficient alone for
NGN clinical-judgment tasks.
Teaching point
Practice NGN-style cases; identify cues and write prioritized
action steps.
,Citation
Silvestri, L. A., & Silvestri, A. (2025). Saunders Comprehensive
Review for the NCLEX-PN® Examination (9th ed.). Ch. 1.
2
Reference
Ch. 1 — Examination Process — Authorization to Test Form and
Scheduling an Appointment
Stem
A candidate receives the Authorization to Test (ATT) but needs
to reschedule the testing appointment. Which PN-appropriate
action should the candidate take first?
A. Go to the testing center without rescheduling; hope there is
an opening.
B. Call the licensing board to request a new ATT.
C. Log into the testing vendor’s website and reschedule using
the ATT details before the ATT expiration.
D. Wait until the day before the planned test and then contact
the testing center.
Correct answer: C
Rationale — Correct (C)
The ATT contains scheduling instructions and expiration;
candidates should use the testing vendor’s scheduling system to
reschedule before ATT expiration to retain authorization. This is
the appropriate, timely action within the exam process.
, Rationale — Incorrect
A. Arriving without reservation risks denial of testing and
wasted travel.
B. The licensing board issues ATT but rescheduling is managed
through the testing vendor, not the board.
D. Waiting risks missing ATT validity and reduces scheduling
options.
Teaching point
Reschedule through the testing vendor promptly using ATT
information.
Citation
Silvestri, L. A., & Silvestri, A. (2025). Saunders Comprehensive
Review for the NCLEX-PN® Examination (9th ed.). Ch. 1.
3
Reference
Ch. 1 — Day of the Examination — Testing Center
Stem
A candidate arrives 45 minutes late to the testing center on the
exam day. The PN-level expectation is to assess what will most
likely occur. What should the candidate anticipate?
A. The candidate will be admitted and given a full extra testing
time.
B. The candidate will be denied entry and must contact the
licensing board to reapply.
FOR THE NCLEX-PN® EXAMINATION
9TH EDITION
• AUTHOR(S)LINDA ANNE SILVESTRI;
ANGELA SILVESTRI
TEST BANK
1
Reference
Ch. 1 — Clinical Judgment and the Next Generation NCLEX
(NGN)-PN® Examination — Pyramid to Success / NGN Test
Design
Stem
A PN candidate preparing for the NGN-PN uses the Pyramid to
Success framework and allocates study time to case-based
practice items emphasizing clinical judgment. Which single
study action best reflects application of the Pyramid approach
to maximize NGN readiness?
,A. Memorize lists of disease signs and practice rote recall
questions.
B. Work through multiple case scenarios, identifying cues and
writing brief action plans.
C. Complete only practice questions that use traditional single-
sentence stems.
D. Focus on reviewing only pharmacology tables because
medications are frequently tested.
Correct answer: B
Rationale — Correct (B)
Working through case scenarios to identify cues and create
action plans practices clinical judgment skills targeted by NGN
and aligns with the Pyramid focus on application. This approach
develops recognizing cues, analysis, and prioritized actions
expected on NGN-style cases.
Rationale — Incorrect
A. Rote memorization neglects application and clinical-
judgment practice required for NGN.
C. Only traditional single-sentence stems fail to simulate NGN
case-based testing demands.
D. Medication review is important but insufficient alone for
NGN clinical-judgment tasks.
Teaching point
Practice NGN-style cases; identify cues and write prioritized
action steps.
,Citation
Silvestri, L. A., & Silvestri, A. (2025). Saunders Comprehensive
Review for the NCLEX-PN® Examination (9th ed.). Ch. 1.
2
Reference
Ch. 1 — Examination Process — Authorization to Test Form and
Scheduling an Appointment
Stem
A candidate receives the Authorization to Test (ATT) but needs
to reschedule the testing appointment. Which PN-appropriate
action should the candidate take first?
A. Go to the testing center without rescheduling; hope there is
an opening.
B. Call the licensing board to request a new ATT.
C. Log into the testing vendor’s website and reschedule using
the ATT details before the ATT expiration.
D. Wait until the day before the planned test and then contact
the testing center.
Correct answer: C
Rationale — Correct (C)
The ATT contains scheduling instructions and expiration;
candidates should use the testing vendor’s scheduling system to
reschedule before ATT expiration to retain authorization. This is
the appropriate, timely action within the exam process.
, Rationale — Incorrect
A. Arriving without reservation risks denial of testing and
wasted travel.
B. The licensing board issues ATT but rescheduling is managed
through the testing vendor, not the board.
D. Waiting risks missing ATT validity and reduces scheduling
options.
Teaching point
Reschedule through the testing vendor promptly using ATT
information.
Citation
Silvestri, L. A., & Silvestri, A. (2025). Saunders Comprehensive
Review for the NCLEX-PN® Examination (9th ed.). Ch. 1.
3
Reference
Ch. 1 — Day of the Examination — Testing Center
Stem
A candidate arrives 45 minutes late to the testing center on the
exam day. The PN-level expectation is to assess what will most
likely occur. What should the candidate anticipate?
A. The candidate will be admitted and given a full extra testing
time.
B. The candidate will be denied entry and must contact the
licensing board to reapply.
