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 is preparing to take the NCLEX-PN
examination. The student asks the instructor about computer
adaptive testing (CAT). Which statement by the instructor is
correct?
A. “Every candidate receives the same number of questions.”
B. “The examination becomes easier if you answer questions
incorrectly.”
C. “The computer selects questions based on your previous
answers.”
D. “You may skip difficult questions and return to them later.”
Correct Answer: C
Rationale:
CAT selects each question based on the candidate’s response to
the previous question. The examination adjusts to the
candidate’s ability level throughout the test.
Option A is incorrect because candidates may receive different
numbers of questions.
Option B is incorrect because the test adapts to ability level
rather than simply becoming easier.
Option D is incorrect because NCLEX-PN candidates cannot skip
questions and return later.
Client Needs Category:
Safe and Effective Care Environment
, Cognitive Level:
Recall
Source:
Saunders Comprehensive Review for the NCLEX-PN®
Examination, 9th Edition — Clinical Judgment and the Next
Generation NCLEX®-PN Examination
Question 2
A nurse is using the clinical judgment measurement model
when caring for a client with worsening shortness of breath.
Which action demonstrates the “recognize cues” step?
A. Administering prescribed oxygen therapy
B. Identifying the client’s oxygen saturation of 86%
C. Evaluating the client’s response to oxygen therapy
D. Prioritizing interventions for impaired oxygenation
Correct Answer: B
Rationale:
Recognizing cues involves identifying relevant clinical
information such as abnormal assessment findings. An oxygen
saturation of 86% is an important cue indicating impaired
oxygenation.
Option A reflects taking action.
Option C reflects evaluating outcomes.
Option D reflects prioritizing hypotheses or interventions.
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 is preparing to take the NCLEX-PN
examination. The student asks the instructor about computer
adaptive testing (CAT). Which statement by the instructor is
correct?
A. “Every candidate receives the same number of questions.”
B. “The examination becomes easier if you answer questions
incorrectly.”
C. “The computer selects questions based on your previous
answers.”
D. “You may skip difficult questions and return to them later.”
Correct Answer: C
Rationale:
CAT selects each question based on the candidate’s response to
the previous question. The examination adjusts to the
candidate’s ability level throughout the test.
Option A is incorrect because candidates may receive different
numbers of questions.
Option B is incorrect because the test adapts to ability level
rather than simply becoming easier.
Option D is incorrect because NCLEX-PN candidates cannot skip
questions and return later.
Client Needs Category:
Safe and Effective Care Environment
, Cognitive Level:
Recall
Source:
Saunders Comprehensive Review for the NCLEX-PN®
Examination, 9th Edition — Clinical Judgment and the Next
Generation NCLEX®-PN Examination
Question 2
A nurse is using the clinical judgment measurement model
when caring for a client with worsening shortness of breath.
Which action demonstrates the “recognize cues” step?
A. Administering prescribed oxygen therapy
B. Identifying the client’s oxygen saturation of 86%
C. Evaluating the client’s response to oxygen therapy
D. Prioritizing interventions for impaired oxygenation
Correct Answer: B
Rationale:
Recognizing cues involves identifying relevant clinical
information such as abnormal assessment findings. An oxygen
saturation of 86% is an important cue indicating impaired
oxygenation.
Option A reflects taking action.
Option C reflects evaluating outcomes.
Option D reflects prioritizing hypotheses or interventions.
