SAUNDERS COMPREHENSIVE REVIEW
FOR THE NCLEX-PN® EXAMINATION
9TH EDITION
AUTHOR(S)LINDA ANNE SILVESTRI;
ANGELA SILVESTRI
TEST BANK
Question 1
Reference: Clinical Judgment and the Next Generation NCLEX®
Items
Clinical Scenario: A practical nursing student is preparing for
the NCLEX-PN® examination and reviewing the test plan
structure. The student asks the instructor about the primary
focus of the examination. The instructor explains that the
NCLEX-PN® examination is designed to evaluate which essential
component of nursing practice?
Options:
,A. The ability to memorize medication dosages and side effects
B. The capability to perform technical skills without supervision
C. The measurement of clinical judgment and safe nursing
practice
D. The knowledge of nursing theories and historical nursing
figures
Correct Answer: C. The measurement of clinical judgment and
safe nursing practice
Rationale for Correct Answer: The NCLEX-PN® examination is
specifically designed to measure clinical judgment and the safe
and effective practice of nursing. The test plan focuses on
evaluating the candidate's ability to make sound clinical
decisions, prioritize care, and apply nursing knowledge in
realistic scenarios to ensure patient safety.
Rationale for Incorrect Answers:
A. The NCLEX-PN® does not solely test memorization of
medication dosages; it evaluates the application of
pharmacological knowledge in clinical contexts and safe
medication administration.
B. The examination does not test technical skill performance
directly; it assesses clinical judgment, decision-making, and the
ability to provide safe nursing care.
,D. The test plan is not focused on nursing theories or historical
nursing figures; it emphasizes practical application of nursing
knowledge in patient care situations.
Teaching Point: NCLEX-PN® evaluates clinical judgment and
safe practice, not memorization—focus on applying knowledge
to protect patients.
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders
Comprehensive Review for the NCLEX-PN® Examination (9th
ed.). Chapter 1.
Question 2
Reference: Clinical Judgment and the Next Generation NCLEX®
Items
Clinical Scenario: A nursing student is reviewing the NCLEX-PN®
test plan and notes that the examination content is organized
under "Client Needs." The student is trying to understand how
questions are distributed across these categories. Which
statement accurately describes the organization of the NCLEX-
PN® test plan?
Options:
, A. Questions are evenly distributed across all Client Needs
categories with equal weighting
B. The test plan organizes questions primarily by medical
diagnosis and disease process
C. The Client Needs categories reflect the knowledge and skills
necessary for safe entry-level PN practice
D. All questions focus exclusively on physiological adaptation
and pharmacological therapies
Correct Answer: C. The Client Needs categories reflect the
knowledge and skills necessary for safe entry-level PN practice
Rationale for Correct Answer: The NCLEX-PN® test plan
organizes questions into Client Needs categories that represent
the knowledge, skills, and abilities required for safe and
effective entry-level practical nursing practice. These categories
include Safe and Effective Care Environment, Health Promotion
and Maintenance, and Psychosocial Integrity, among others.
Rationale for Incorrect Answers:
A. Questions are not evenly distributed; they are weighted
based on the frequency and importance of nursing activities in
entry-level practice.
B. The test plan does not organize questions primarily by
medical diagnosis; it focuses on nursing actions and client
FOR THE NCLEX-PN® EXAMINATION
9TH EDITION
AUTHOR(S)LINDA ANNE SILVESTRI;
ANGELA SILVESTRI
TEST BANK
Question 1
Reference: Clinical Judgment and the Next Generation NCLEX®
Items
Clinical Scenario: A practical nursing student is preparing for
the NCLEX-PN® examination and reviewing the test plan
structure. The student asks the instructor about the primary
focus of the examination. The instructor explains that the
NCLEX-PN® examination is designed to evaluate which essential
component of nursing practice?
Options:
,A. The ability to memorize medication dosages and side effects
B. The capability to perform technical skills without supervision
C. The measurement of clinical judgment and safe nursing
practice
D. The knowledge of nursing theories and historical nursing
figures
Correct Answer: C. The measurement of clinical judgment and
safe nursing practice
Rationale for Correct Answer: The NCLEX-PN® examination is
specifically designed to measure clinical judgment and the safe
and effective practice of nursing. The test plan focuses on
evaluating the candidate's ability to make sound clinical
decisions, prioritize care, and apply nursing knowledge in
realistic scenarios to ensure patient safety.
Rationale for Incorrect Answers:
A. The NCLEX-PN® does not solely test memorization of
medication dosages; it evaluates the application of
pharmacological knowledge in clinical contexts and safe
medication administration.
B. The examination does not test technical skill performance
directly; it assesses clinical judgment, decision-making, and the
ability to provide safe nursing care.
,D. The test plan is not focused on nursing theories or historical
nursing figures; it emphasizes practical application of nursing
knowledge in patient care situations.
Teaching Point: NCLEX-PN® evaluates clinical judgment and
safe practice, not memorization—focus on applying knowledge
to protect patients.
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders
Comprehensive Review for the NCLEX-PN® Examination (9th
ed.). Chapter 1.
Question 2
Reference: Clinical Judgment and the Next Generation NCLEX®
Items
Clinical Scenario: A nursing student is reviewing the NCLEX-PN®
test plan and notes that the examination content is organized
under "Client Needs." The student is trying to understand how
questions are distributed across these categories. Which
statement accurately describes the organization of the NCLEX-
PN® test plan?
Options:
, A. Questions are evenly distributed across all Client Needs
categories with equal weighting
B. The test plan organizes questions primarily by medical
diagnosis and disease process
C. The Client Needs categories reflect the knowledge and skills
necessary for safe entry-level PN practice
D. All questions focus exclusively on physiological adaptation
and pharmacological therapies
Correct Answer: C. The Client Needs categories reflect the
knowledge and skills necessary for safe entry-level PN practice
Rationale for Correct Answer: The NCLEX-PN® test plan
organizes questions into Client Needs categories that represent
the knowledge, skills, and abilities required for safe and
effective entry-level practical nursing practice. These categories
include Safe and Effective Care Environment, Health Promotion
and Maintenance, and Psychosocial Integrity, among others.
Rationale for Incorrect Answers:
A. Questions are not evenly distributed; they are weighted
based on the frequency and importance of nursing activities in
entry-level practice.
B. The test plan does not organize questions primarily by
medical diagnosis; it focuses on nursing actions and client
