Complete Chapter‑Wise Test Bank & Clear
Rationales PDF Study Guide
TEST BANK
Chapter: Clinical Judgment and the Next Generation NCLEX
(NGN)-PN® Examination
Topic: Unit I — NCLEX-PN® Exam Preparation
Question 1
Which document is the primary official source describing the
content categories and test plan for the NCLEX-PN®
examination?
A. A national nursing textbook
B. The NCSBN NCLEX-PN® Test Plan
C. The candidate’s nursing school syllabus
D. A commercial NCLEX review book
Correct Answer: B
Rationale:
• A: Incorrect — Textbooks are useful study aids but not the
official test blueprint.
• B: Correct — The NCSBN NCLEX-PN® Test Plan is the official
guide to content distribution and item types. NCSBN
, • C: Incorrect — School syllabi vary and are not the licensing
exam blueprint.
• D: Incorrect — Commercial review books summarize
content but are not the official test plan.
Domain: Education/Preparation Resources (Safe &
Effective Care Environment).
Bloom: Knowledge.
[Pyramid Point / Priority Concept / Clinical Judgment Skill
1]: Pyramid: Test Plan — Priority: Exam Content Familiarity
— CJ Skill: Context
Question 2
Which one of the following best describes the primary aim of
the Next Generation NCLEX (NGN) items?
A. To lengthen the exam time
B. To measure memorization of facts only
C. To better measure clinical judgment and decision-making
D. To replace all multiple-choice items with essays
Correct Answer: C
Rationale:
• A: Incorrect — Exam length is regulated; NGN’s aim is not
simply to lengthen testing time.
• B: Incorrect — NGN emphasizes clinical judgment over rote
recall.
, • C: Correct — NGN was developed to better assess clinical
judgment and decision making. NCLEX+1
• D: Incorrect — NGN introduces new item types but does
not use essays as a replacement.
Domain: Safe & Effective Care Environment —
Management of Care.
Bloom: Comprehension.
[Pyramid Point / Priority Concept / Clinical Judgment Skill
1]: Pyramid: NGN Purpose — Priority: Clinical Judgment —
CJ Skill: Context
Question 3
Which of the following is a core cognitive skill in the Clinical
Judgment Measurement Model (CJMM)?
A. Memorize protocols
B. Recognize cues
C. Write case studies
D. Pass a skills check-off
Correct Answer: B
Rationale:
• A: Incorrect — Memorization is not a CJMM cognitive skill;
CJMM focuses on judgment processes.
• B: Correct — “Recognize cues” is the first CJMM cognitive
skill. NCLEX
, • C: Incorrect — Writing case studies is not a CJMM skill;
case studies are item formats.
• D: Incorrect — Skills check-offs test performance skills, not
CJMM cognitive skills.
Domain: Safe & Effective Care Environment — Safety &
Infection Control.
Bloom: Knowledge.
[Pyramid Point / Priority Concept / Clinical Judgment Skill
1]: Pyramid: CJMM Basics — Priority: Cue Recognition —
CJ Skill: Recognize Cues
Question 4
A candidate reads the NCLEX Candidate Bulletin to learn about
test day rules. Which action is the most appropriate after
reading it?
A. Ignore the rules because the testing center will explain them.
B. Keep a personal copy of the bulletin and follow the
instructions for ID and arrival times.
C. Assume policies vary by state and disregard the bulletin.
D. Rely exclusively on third-party test tips found online.
Correct Answer: B
Rationale:
• A: Incorrect — Relying on the testing center alone risks
missing important instructions.