COMPLETE CHAPTER‑WISE TEST BANK &
CLEAR RATIONALES PDF STUDY GUIDE
TEST BANK
Chapter: Clinical Judgment and the NGN-PN® Examination
Topic: NCLEX-PN® Exam Preparation, CJMM, Testing Process,
and NGN Test Design
Question 1
Which document grants a candidate permission to schedule
and take the NCLEX-PN® exam?
A. Candidate Performance Report (CPR)
B. Authorization to Test (ATT) form
C. Registration confirmation email only
D. Nursing license verification letter
Correct Answer: B
Rationale:
• A: Incorrect — The CPR is issued after testing to report
performance, not for scheduling.
• B: Correct — The ATT is the official authorization sent after
application approval; it is required to schedule the
appointment.
, • C: Incorrect — A confirmation email may accompany
registration but is not the formal document required for
scheduling.
• D: Incorrect — License verification is part of
endorsement/licensure but is not the scheduling
authorization.
Domain: Safe & Effective Care Environment —
Management of Care
Bloom’s: Knowledge
Tag: [Pyramid Point 1 / Priority: Exam Logistics / CJ Skill 1]
Question 2
What feature describes computer adaptive testing (CAT) used
by the NCLEX-PN®?
A. All candidates receive the same test items in the same order.
B. Item difficulty adapts to the test taker’s demonstrated ability.
C. The exam length is fixed at 75 items for all candidates.
D. Scores are reported as a raw number of correct answers.
Correct Answer: B
Rationale:
• A: Incorrect — CAT presents items based on performance,
not a fixed, identical form.
• B: Correct — CAT adjusts item difficulty upward or
downward based on responses to estimate ability.
, • C: Incorrect — Exam length is variable within
minimum/maximum limits depending on performance and
stopping rules.
• D: Incorrect — CAT uses an estimate of ability against a
passing standard, not raw correct counts.
Domain: Safe & Effective Care Environment —
Management of Care
Bloom’s: Comprehension
Tag: [Pyramid Point 1 / Priority: Test Mechanics / CJ Skill 1]
Question 3
Which entity develops the NCLEX-PN® Test Plan used to build
the exam content?
A. Individual state boards of nursing
B. The National Council of State Boards of Nursing (NCSBN)
C. Nursing schools consortiums
D. The U.S. Department of Education
Correct Answer: B
Rationale:
• A: Incorrect — State boards regulate licensure but do not
write the Test Plan itself.
• B: Correct — NCSBN organizes job analysis, psychometric
work, and publishes the Test Plan.
• C: Incorrect — Nursing programs contribute stakeholder
feedback but do not develop the official Test Plan.
, • D: Incorrect — The Department of Education does not
create the NCLEX Test Plan.
Domain: Safe & Effective Care Environment —
Management of Care
Bloom’s: Knowledge
Tag: [Pyramid Point 2 / Priority: Regulatory Foundations /
CJ Skill 1]
Question 4
Which statement best describes the Candidate Performance
Report (CPR)?
A. It lists every item the candidate answered incorrectly.
B. It shows performance by client need category and
subcategories.
C. It provides the pass/fail decision rationale used that day.
D. It is used as the authorization to retake the exam.
Correct Answer: B
Rationale:
• A: Incorrect — The CPR summarizes performance by
content area; it does not list individual item responses.
• B: Correct — The CPR displays strengths and weaknesses
by client needs categories and subcategories.
• C: Incorrect — The CPR does not disclose the detailed
psychometric rationale for the pass/fail decision.