2025 NCLEX‑RN® STUDY VAULT (9TH ED.) –
COMPLETE CHAPTER‑WISE TEST BANK &
CLEAR RATIONALES PDF STUDY GUIDE
TEST BANK
Question 1
A newly graduated PN is studying the NGN (Next Generation
NCLEX) and asks what the primary purpose of NGN-style items
is. Which statement is the best response?
A. NGN items focus only on memory recall of facts.
B. NGN items measure clinical judgment and decision-making in
realistic scenarios.
C. NGN items shorten test time by reducing the number of
questions.
D. NGN items replace the licensure pass/fail decision with a
numeric grade.
Correct Answer: B
Rationale:
• A: Incorrect — NGN items go beyond recall to evaluate
reasoning and clinical judgment.
• B: Correct — NGN was developed to assess candidates’
ability to make safe, evidence-based clinical decisions.
, • C: Incorrect — NGN does not principally exist to shorten
the exam; length is governed by CAT algorithms.
• D: Incorrect — NGN still supports a pass/fail licensure
decision, not a numeric grade.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Knowledge
Tag: [Pyramid Point 1 / Priority Concept: Clinical Judgment
Overview / Clinical Judgment Skill 1]
Question 2
Which description best defines Computer Adaptive Testing
(CAT) used in NCLEX-PN?
A. A fixed set of questions delivered to every candidate.
B. Questions adjust in difficulty based on previous responses in
real time.
C. Candidates can choose which items to answer.
D. Scores are returned on a numeric scale immediately after
testing.
Correct Answer: B
Rationale:
• A: Incorrect — CAT is not fixed; it adapts per candidate.
• B: Correct — CAT presents items tailored to a candidate’s
estimated ability using prior responses.
, • C: Incorrect — Candidates cannot select items; the
algorithm selects them.
• D: Incorrect — The NCLEX gives pass/fail outcomes;
numeric scores are not immediately provided.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Knowledge
Tag: [Pyramid Point 1 / Priority Concept: Testing Mechanics
/ Clinical Judgment Skill 2]
Question 3
A candidate plans to test and needs an Authorization to Test
(ATT) form. Which action is required to receive the ATT?
A. Register with Pearson VUE and pay the NCLEX fee after
application is approved by the board.
B. Arrive at the testing center without preregistration; ATT will
be issued on arrival.
C. Contact NCSBN directly to request a paper ATT.
D. Complete the exam without an ATT and request retroactive
authorization.
Correct Answer: A
Rationale:
• A: Correct — Applicants register and pay once the
regulatory board authorizes eligibility; board then issues
ATT.
, • B: Incorrect — ATT must be obtained before scheduling the
test.
• C: Incorrect — The state board/authority issues
authorization; NCSBN provides policy but not individual
ATT issuance to candidates.
• D: Incorrect — Retroactive authorization is not permitted.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Knowledge
Tag: [Pyramid Point 2 / Priority Concept: Registration &
Authorization / Clinical Judgment Skill 2]
Question 4
Which item on the day of the NCLEX-PN testing is the candidate
required to present at the testing center?
A. A copy of course transcripts.
B. Two forms of ID including one government-issued photo ID.
C. Printed study materials.
D. A certification of employment.
Correct Answer: B
Rationale:
• A: Incorrect — Transcripts are not required at the testing
center.
COMPLETE CHAPTER‑WISE TEST BANK &
CLEAR RATIONALES PDF STUDY GUIDE
TEST BANK
Question 1
A newly graduated PN is studying the NGN (Next Generation
NCLEX) and asks what the primary purpose of NGN-style items
is. Which statement is the best response?
A. NGN items focus only on memory recall of facts.
B. NGN items measure clinical judgment and decision-making in
realistic scenarios.
C. NGN items shorten test time by reducing the number of
questions.
D. NGN items replace the licensure pass/fail decision with a
numeric grade.
Correct Answer: B
Rationale:
• A: Incorrect — NGN items go beyond recall to evaluate
reasoning and clinical judgment.
• B: Correct — NGN was developed to assess candidates’
ability to make safe, evidence-based clinical decisions.
, • C: Incorrect — NGN does not principally exist to shorten
the exam; length is governed by CAT algorithms.
• D: Incorrect — NGN still supports a pass/fail licensure
decision, not a numeric grade.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Knowledge
Tag: [Pyramid Point 1 / Priority Concept: Clinical Judgment
Overview / Clinical Judgment Skill 1]
Question 2
Which description best defines Computer Adaptive Testing
(CAT) used in NCLEX-PN?
A. A fixed set of questions delivered to every candidate.
B. Questions adjust in difficulty based on previous responses in
real time.
C. Candidates can choose which items to answer.
D. Scores are returned on a numeric scale immediately after
testing.
Correct Answer: B
Rationale:
• A: Incorrect — CAT is not fixed; it adapts per candidate.
• B: Correct — CAT presents items tailored to a candidate’s
estimated ability using prior responses.
, • C: Incorrect — Candidates cannot select items; the
algorithm selects them.
• D: Incorrect — The NCLEX gives pass/fail outcomes;
numeric scores are not immediately provided.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Knowledge
Tag: [Pyramid Point 1 / Priority Concept: Testing Mechanics
/ Clinical Judgment Skill 2]
Question 3
A candidate plans to test and needs an Authorization to Test
(ATT) form. Which action is required to receive the ATT?
A. Register with Pearson VUE and pay the NCLEX fee after
application is approved by the board.
B. Arrive at the testing center without preregistration; ATT will
be issued on arrival.
C. Contact NCSBN directly to request a paper ATT.
D. Complete the exam without an ATT and request retroactive
authorization.
Correct Answer: A
Rationale:
• A: Correct — Applicants register and pay once the
regulatory board authorizes eligibility; board then issues
ATT.
, • B: Incorrect — ATT must be obtained before scheduling the
test.
• C: Incorrect — The state board/authority issues
authorization; NCSBN provides policy but not individual
ATT issuance to candidates.
• D: Incorrect — Retroactive authorization is not permitted.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Knowledge
Tag: [Pyramid Point 2 / Priority Concept: Registration &
Authorization / Clinical Judgment Skill 2]
Question 4
Which item on the day of the NCLEX-PN testing is the candidate
required to present at the testing center?
A. A copy of course transcripts.
B. Two forms of ID including one government-issued photo ID.
C. Printed study materials.
D. A certification of employment.
Correct Answer: B
Rationale:
• A: Incorrect — Transcripts are not required at the testing
center.
