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 (NGN)-PN® Examination
Clinical Scenario: A nursing student is reviewing the components of the NCSBN Clinical
Judgment Measurement Model (NCJMM) to prepare for the NGN-PN. The student understands
that this model is designed to measure clinical judgment as an observed outcome of which
cognitive processes?
Options:
A. Critical thinking and decision-making
B. Memorization and recall of facts
C. Intuition and past experience
D. Theory application only
Correct Answer: A. Critical thinking and decision-making
Rationale:
Correct Answer: Clinical judgment is defined as the observed outcome of critical thinking
and decision-making. It is an iterative process that uses nursing knowledge to observe and
,assess presenting situations, identify a prioritized client concern, and generate the best possible
evidence-based solutions to deliver safe client care . The NGN is designed to measure this
cognitive skill set.
Incorrect Answers:
• B: Memorization alone does not constitute clinical judgment; the NGN measures
application and analysis, not simple recall.
• C: While experience can inform judgment, clinical judgment relies on a structured
thinking process rather than intuition alone.
• D: Theory application is only one component; clinical judgment requires integrating
multiple cognitive skills beyond theory.
Teaching Point: Clinical judgment requires critical thinking and decision-making through an
iterative process using nursing knowledge .
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders Comprehensive Review for the NCLEX-
PN® Examination (9th ed.). Clinical Judgment and the Next Generation NCLEX (NGN)-PN®
Examination.
Question 2
Reference: Clinical Judgment and the Next Generation NCLEX (NGN)-PN® Examination
Clinical Scenario: A practical nursing student is learning about the six cognitive skills of the
NCSBN Clinical Judgment Measurement Model. The student correctly identifies that the first
step in the clinical judgment process requires the nurse to perform which action?
Options:
A. Generate potential solutions to the client's problem
B. Recognize cues from the client's assessment data
,C. Evaluate the outcomes of implemented interventions
D. Prioritize the hypotheses about the client's condition
Correct Answer: B. Recognize cues from the client's assessment data
Rationale:
Correct Answer: The six cognitive skills of the NCJMM occur in a specific sequence:
Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Actions, and
Evaluate Outcomes. "Recognize Cues" is the first cognitive skill and involves identifying what
matters most from the assessment data .
Incorrect Answers:
• A: Generating solutions occurs later in the sequence, after hypotheses have been
prioritized.
• C: Evaluating outcomes is the final step in the clinical judgment process.
• D: Prioritizing hypotheses occurs after analyzing cues, not as the first step.
Teaching Point: The first cognitive skill in the NCJMM is to recognize cues—identifying relevant
and important information .
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders Comprehensive Review for the NCLEX-
PN® Examination (9th ed.). Clinical Judgment and the Next Generation NCLEX (NGN)-PN®
Examination.
Question 3
Reference: Clinical Judgment and the Next Generation NCLEX (NGN)-PN® Examination
Clinical Scenario: A practical nurse is reviewing the NGN test design. The nurse understands
that compared to the traditional NCLEX-PN, the NGN emphasizes the measurement of clinical
judgment through which type of test items?
, Options:
A. Items that require simple recall of nursing facts
B. Case-based clustered items requiring multi-step reasoning
C. Items that test only pharmacology knowledge
D. Traditional multiple-choice questions with one correct answer
Correct Answer: B. Case-based clustered items requiring multi-step reasoning
Rationale:
Correct Answer: The NGN emphasizes case-based clustered items that measure multi-step
clinical judgment. These items require candidates to apply the clinical judgment cognitive skills
to realistic clinical scenarios, testing their ability to think through complex patient situations .
Incorrect Answers:
• A: The NGN moves beyond simple recall to measure higher-level cognitive skills such as
application and analysis.
• C: The NGN tests multiple content areas and integrated processes, not pharmacology
alone.
• D: While traditional multiple-choice questions still appear, the NGN introduces new item
types that more effectively measure clinical judgment.
Teaching Point: NGN emphasizes case-based clustered items that require multi-step clinical
judgment reasoning .
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders Comprehensive Review for the NCLEX-
PN® Examination (9th ed.). Clinical Judgment and the Next Generation NCLEX (NGN)-PN®
Examination.
Question 4
Reference: Types of Questions on the Examination and Scoring
NCLEX-PN® EXAMINATION
9TH EDITION
AUTHOR(S)LINDA ANNE SILVESTRI; ANGELA
SILVESTRI
TEST BANK
Question 1
Reference: Clinical Judgment and the Next Generation NCLEX (NGN)-PN® Examination
Clinical Scenario: A nursing student is reviewing the components of the NCSBN Clinical
Judgment Measurement Model (NCJMM) to prepare for the NGN-PN. The student understands
that this model is designed to measure clinical judgment as an observed outcome of which
cognitive processes?
Options:
A. Critical thinking and decision-making
B. Memorization and recall of facts
C. Intuition and past experience
D. Theory application only
Correct Answer: A. Critical thinking and decision-making
Rationale:
Correct Answer: Clinical judgment is defined as the observed outcome of critical thinking
and decision-making. It is an iterative process that uses nursing knowledge to observe and
,assess presenting situations, identify a prioritized client concern, and generate the best possible
evidence-based solutions to deliver safe client care . The NGN is designed to measure this
cognitive skill set.
Incorrect Answers:
• B: Memorization alone does not constitute clinical judgment; the NGN measures
application and analysis, not simple recall.
• C: While experience can inform judgment, clinical judgment relies on a structured
thinking process rather than intuition alone.
• D: Theory application is only one component; clinical judgment requires integrating
multiple cognitive skills beyond theory.
Teaching Point: Clinical judgment requires critical thinking and decision-making through an
iterative process using nursing knowledge .
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders Comprehensive Review for the NCLEX-
PN® Examination (9th ed.). Clinical Judgment and the Next Generation NCLEX (NGN)-PN®
Examination.
Question 2
Reference: Clinical Judgment and the Next Generation NCLEX (NGN)-PN® Examination
Clinical Scenario: A practical nursing student is learning about the six cognitive skills of the
NCSBN Clinical Judgment Measurement Model. The student correctly identifies that the first
step in the clinical judgment process requires the nurse to perform which action?
Options:
A. Generate potential solutions to the client's problem
B. Recognize cues from the client's assessment data
,C. Evaluate the outcomes of implemented interventions
D. Prioritize the hypotheses about the client's condition
Correct Answer: B. Recognize cues from the client's assessment data
Rationale:
Correct Answer: The six cognitive skills of the NCJMM occur in a specific sequence:
Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Actions, and
Evaluate Outcomes. "Recognize Cues" is the first cognitive skill and involves identifying what
matters most from the assessment data .
Incorrect Answers:
• A: Generating solutions occurs later in the sequence, after hypotheses have been
prioritized.
• C: Evaluating outcomes is the final step in the clinical judgment process.
• D: Prioritizing hypotheses occurs after analyzing cues, not as the first step.
Teaching Point: The first cognitive skill in the NCJMM is to recognize cues—identifying relevant
and important information .
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders Comprehensive Review for the NCLEX-
PN® Examination (9th ed.). Clinical Judgment and the Next Generation NCLEX (NGN)-PN®
Examination.
Question 3
Reference: Clinical Judgment and the Next Generation NCLEX (NGN)-PN® Examination
Clinical Scenario: A practical nurse is reviewing the NGN test design. The nurse understands
that compared to the traditional NCLEX-PN, the NGN emphasizes the measurement of clinical
judgment through which type of test items?
, Options:
A. Items that require simple recall of nursing facts
B. Case-based clustered items requiring multi-step reasoning
C. Items that test only pharmacology knowledge
D. Traditional multiple-choice questions with one correct answer
Correct Answer: B. Case-based clustered items requiring multi-step reasoning
Rationale:
Correct Answer: The NGN emphasizes case-based clustered items that measure multi-step
clinical judgment. These items require candidates to apply the clinical judgment cognitive skills
to realistic clinical scenarios, testing their ability to think through complex patient situations .
Incorrect Answers:
• A: The NGN moves beyond simple recall to measure higher-level cognitive skills such as
application and analysis.
• C: The NGN tests multiple content areas and integrated processes, not pharmacology
alone.
• D: While traditional multiple-choice questions still appear, the NGN introduces new item
types that more effectively measure clinical judgment.
Teaching Point: NGN emphasizes case-based clustered items that require multi-step clinical
judgment reasoning .
Citation: Silvestri, L. A., & Silvestri, A. (2026). Saunders Comprehensive Review for the NCLEX-
PN® Examination (9th ed.). Clinical Judgment and the Next Generation NCLEX (NGN)-PN®
Examination.
Question 4
Reference: Types of Questions on the Examination and Scoring
