Saunders Comprehensive Review for
the NCLEX-PN® Examination
9th Edition
Author(s)Linda Anne Silvestri; Angela
Silvestri.
TEST BANK
,Saunders Comprehensive Review for the NCLEX-PN® Examination — 9th Edition
Table of Contents
1. NCLEX-PN® Exam Preparation
2. Professional Standards in Nursing
3. Foundations of Care
4. Growth and Development Across the Life Span
5. Maternity Nursing
6. Pediatric Nursing
7. Adult Client — Integumentary Disorders
8. Adult Client — Oncological and Hematological Disorders
9. Adult Client — Metabolic and Endocrine Disorders
10.Adult Client — Gastrointestinal Disorders
11.Adult Client — Eye and Ear Disorders
12.Adult Client — Respiratory Disorders
13.Adult Client — Cardiovascular Disorders
14.Adult Client — Renal and Urinary Disorders
15.Adult Client — Neurological Disorders
16.Adult Client — Musculoskeletal Disorders
17.Adult Client — Immune and Infectious Disorders
18.Adult Client — Mental Health Disorders
19.Emergency Care
20. Pharmacology
Question 1
,A practical nursing student asks the instructor about the
primary purpose of clinical judgment on the NGN-PN
examination. Which response by the instructor is most
accurate?
A. “It measures memorization of nursing procedures.”
B. “It evaluates the ability to make safe nursing decisions using
client information.”
C. “It focuses only on medication administration skills.”
D. “It tests the ability to perform independent RN-level care
planning.”
Correct Answer: B
Rationale:
Clinical judgment on the NGN-PN examination measures the
ability to recognize cues, analyze information, prioritize
hypotheses, generate solutions, take action, and evaluate
outcomes to support safe client care. Memorization alone is
insufficient. Medication administration is only one component
of nursing care. Independent RN-level care planning exceeds PN
scope.
Client Needs Category:
Safe and Effective Care Environment
Cognitive Level:
Application
Source:
Saunders Comprehensive Review for the NCLEX-PN®
, Examination, 9th Edition — Clinical Judgment and the Next
Generation NCLEX® Items
Question 2
A practical nursing student preparing for the NCLEX-PN
examination asks about computer adaptive testing (CAT).
Which statement indicates understanding?
A. “Every candidate receives the same number of questions.”
B. “Questions become easier if the candidate answers
correctly.”
C. “The examination adjusts question difficulty based on the
candidate’s responses.”
D. “The examination score depends only on the number of
questions completed.”
Correct Answer: C
Rationale:
CAT adjusts the difficulty of items according to the candidate’s
performance. Correct answers generally lead to more difficult
questions, while incorrect answers lead to easier questions.
Candidates do not all receive the same number of questions,
and scoring is not based solely on the total number answered.
Client Needs Category:
Safe and Effective Care Environment
the NCLEX-PN® Examination
9th Edition
Author(s)Linda Anne Silvestri; Angela
Silvestri.
TEST BANK
,Saunders Comprehensive Review for the NCLEX-PN® Examination — 9th Edition
Table of Contents
1. NCLEX-PN® Exam Preparation
2. Professional Standards in Nursing
3. Foundations of Care
4. Growth and Development Across the Life Span
5. Maternity Nursing
6. Pediatric Nursing
7. Adult Client — Integumentary Disorders
8. Adult Client — Oncological and Hematological Disorders
9. Adult Client — Metabolic and Endocrine Disorders
10.Adult Client — Gastrointestinal Disorders
11.Adult Client — Eye and Ear Disorders
12.Adult Client — Respiratory Disorders
13.Adult Client — Cardiovascular Disorders
14.Adult Client — Renal and Urinary Disorders
15.Adult Client — Neurological Disorders
16.Adult Client — Musculoskeletal Disorders
17.Adult Client — Immune and Infectious Disorders
18.Adult Client — Mental Health Disorders
19.Emergency Care
20. Pharmacology
Question 1
,A practical nursing student asks the instructor about the
primary purpose of clinical judgment on the NGN-PN
examination. Which response by the instructor is most
accurate?
A. “It measures memorization of nursing procedures.”
B. “It evaluates the ability to make safe nursing decisions using
client information.”
C. “It focuses only on medication administration skills.”
D. “It tests the ability to perform independent RN-level care
planning.”
Correct Answer: B
Rationale:
Clinical judgment on the NGN-PN examination measures the
ability to recognize cues, analyze information, prioritize
hypotheses, generate solutions, take action, and evaluate
outcomes to support safe client care. Memorization alone is
insufficient. Medication administration is only one component
of nursing care. Independent RN-level care planning exceeds PN
scope.
Client Needs Category:
Safe and Effective Care Environment
Cognitive Level:
Application
Source:
Saunders Comprehensive Review for the NCLEX-PN®
, Examination, 9th Edition — Clinical Judgment and the Next
Generation NCLEX® Items
Question 2
A practical nursing student preparing for the NCLEX-PN
examination asks about computer adaptive testing (CAT).
Which statement indicates understanding?
A. “Every candidate receives the same number of questions.”
B. “Questions become easier if the candidate answers
correctly.”
C. “The examination adjusts question difficulty based on the
candidate’s responses.”
D. “The examination score depends only on the number of
questions completed.”
Correct Answer: C
Rationale:
CAT adjusts the difficulty of items according to the candidate’s
performance. Correct answers generally lead to more difficult
questions, while incorrect answers lead to easier questions.
Candidates do not all receive the same number of questions,
and scoring is not based solely on the total number answered.
Client Needs Category:
Safe and Effective Care Environment
