COMPLETE TEST BANK FOR
SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-RN®
EXAMINATION, 9TH EDITION BY LINDA, ANGELA | COMPLETE GUIDE
100% VERIFIED ANSWERS
,Unit 1: Nclex-Rn Exam Preparation
1. A nursing student is preparing for the NCLEX-RN. Which statement indicates correct
understanding of the computerized adaptive testing (CAT) format?
A) All candidates answer the same number of questions.
B) Question difficulty adjusts based on the candidate's performance.
C) Candidates can skip questions and return to them later.
D) The exam has a fixed set of questions for every test-taker.
-ANSWER: B
Rationale: NCLEX-RN uses CAT, where the difficulty of each question is determined by
whether the previous question was answered correctly. Correct answers lead to harder questions;
incorrect answers lead to easier ones.
Test-Taking Strategy: NCLEX is adaptive, not fixed. Eliminate options suggesting "same
questions" or "skip and return."
PTS: 1 | DIF: Cognitive Ability: Understanding | REF: Silvestri & Silvestri (2023) | OBJ: Client
Needs: Safe and Effective Care Environment | TOP: Content Area: Exam Preparation
2. A nurse is answering a priority question. Using the ABC framework, which client should the
nurse assess first?
A) A client with a temperature of 100.4°F (38°C)
B) A client with an obstructed airway who is cyanotic
C) A client requesting pain medication
D) A client with a blood pressure of 90/60 mmHg
,-ANSWER: B
Rationale: Airway is always the first priority. An obstructed airway with cyanosis is a life-
threatening emergency. Fever, pain, and low-normal blood pressure are concerns but do not
immediately threaten airway, breathing, or circulation.
Test-Taking Strategy: Remember ABCs: Airway → Breathing → Circulation. Airway
emergencies supersede all other concerns.
PTS: 1 | DIF: Cognitive Ability: Applying | REF: Silvestri & Silvestri (2023) | OBJ: Client
Needs: Safe and Effective Care Environment | TOP: Content Area: Prioritization
3. Which task is appropriate for the nurse to delegate to an unlicensed assistive personnel
(UAP)?
A) Assessing a client's lung sounds after nebulizer treatment
B) Measuring and recording hourly urine output
C) Developing a plan of care for a client with a pressure ulcer
D) Teaching a client about a low-sodium diet
-ANSWER: B
Rationale: UAPs may measure and record intake and output for stable clients. Assessment, care
plan development, and client education require a licensed nurse's clinical judgment.
Test-Taking Strategy: Delegation questions: tasks requiring assessment, evaluation, teaching, or
nursing judgment cannot be delegated.
, PTS: 1 | DIF: Cognitive Ability: Understanding | REF: Silvestri & Silvestri (2023) | OBJ: Client
Needs: Safe and Effective Care Environment | TOP: Content Area: Delegation
4. The NCLEX-RN examination tests which cognitive levels? Select all that apply.
A) Recall
B) Understanding
C) Applying
D) Analyzing
E) Evaluating
-ANSWER: B, C, D
Rationale: The NCLEX-RN tests cognitive levels of understanding, applying, and analyzing.
Recall and evaluating are not the primary cognitive levels tested.
Test-Taking Strategy: NCLEX cognitive levels = Understanding, Applying, Analyzing.
PTS: 1 | DIF: Cognitive Ability: Understanding | REF: Silvestri & Silvestri (2023) | OBJ: Client
Needs: Safe and Effective Care Environment | TOP: Content Area: Exam Preparation
5. According to the NCLEX test plan, "Clinical Judgment" is measured using which framework?
A) Maslow's Hierarchy of Needs
B) The Nursing Process (ADPIE)
C) The Clinical Judgment Measurement Model (CJMM)
D) Erikson's Stages of Development
SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-RN®
EXAMINATION, 9TH EDITION BY LINDA, ANGELA | COMPLETE GUIDE
100% VERIFIED ANSWERS
,Unit 1: Nclex-Rn Exam Preparation
1. A nursing student is preparing for the NCLEX-RN. Which statement indicates correct
understanding of the computerized adaptive testing (CAT) format?
A) All candidates answer the same number of questions.
B) Question difficulty adjusts based on the candidate's performance.
C) Candidates can skip questions and return to them later.
D) The exam has a fixed set of questions for every test-taker.
-ANSWER: B
Rationale: NCLEX-RN uses CAT, where the difficulty of each question is determined by
whether the previous question was answered correctly. Correct answers lead to harder questions;
incorrect answers lead to easier ones.
Test-Taking Strategy: NCLEX is adaptive, not fixed. Eliminate options suggesting "same
questions" or "skip and return."
PTS: 1 | DIF: Cognitive Ability: Understanding | REF: Silvestri & Silvestri (2023) | OBJ: Client
Needs: Safe and Effective Care Environment | TOP: Content Area: Exam Preparation
2. A nurse is answering a priority question. Using the ABC framework, which client should the
nurse assess first?
A) A client with a temperature of 100.4°F (38°C)
B) A client with an obstructed airway who is cyanotic
C) A client requesting pain medication
D) A client with a blood pressure of 90/60 mmHg
,-ANSWER: B
Rationale: Airway is always the first priority. An obstructed airway with cyanosis is a life-
threatening emergency. Fever, pain, and low-normal blood pressure are concerns but do not
immediately threaten airway, breathing, or circulation.
Test-Taking Strategy: Remember ABCs: Airway → Breathing → Circulation. Airway
emergencies supersede all other concerns.
PTS: 1 | DIF: Cognitive Ability: Applying | REF: Silvestri & Silvestri (2023) | OBJ: Client
Needs: Safe and Effective Care Environment | TOP: Content Area: Prioritization
3. Which task is appropriate for the nurse to delegate to an unlicensed assistive personnel
(UAP)?
A) Assessing a client's lung sounds after nebulizer treatment
B) Measuring and recording hourly urine output
C) Developing a plan of care for a client with a pressure ulcer
D) Teaching a client about a low-sodium diet
-ANSWER: B
Rationale: UAPs may measure and record intake and output for stable clients. Assessment, care
plan development, and client education require a licensed nurse's clinical judgment.
Test-Taking Strategy: Delegation questions: tasks requiring assessment, evaluation, teaching, or
nursing judgment cannot be delegated.
, PTS: 1 | DIF: Cognitive Ability: Understanding | REF: Silvestri & Silvestri (2023) | OBJ: Client
Needs: Safe and Effective Care Environment | TOP: Content Area: Delegation
4. The NCLEX-RN examination tests which cognitive levels? Select all that apply.
A) Recall
B) Understanding
C) Applying
D) Analyzing
E) Evaluating
-ANSWER: B, C, D
Rationale: The NCLEX-RN tests cognitive levels of understanding, applying, and analyzing.
Recall and evaluating are not the primary cognitive levels tested.
Test-Taking Strategy: NCLEX cognitive levels = Understanding, Applying, Analyzing.
PTS: 1 | DIF: Cognitive Ability: Understanding | REF: Silvestri & Silvestri (2023) | OBJ: Client
Needs: Safe and Effective Care Environment | TOP: Content Area: Exam Preparation
5. According to the NCLEX test plan, "Clinical Judgment" is measured using which framework?
A) Maslow's Hierarchy of Needs
B) The Nursing Process (ADPIE)
C) The Clinical Judgment Measurement Model (CJMM)
D) Erikson's Stages of Development
