Complete Chapter‑Wise Test Bank & Clear
Rationales PDF Study Guide
TEST BANK
Chapter: Clinical Judgment and the Next Generation NCLEX
(NGN)-PN® Examination
Topic: Unit I — NCLEX-PN® Exam Preparation
Question 1
A candidate is reviewing the NCLEX-PN® Test Plan and asks
which statement best describes the purpose of the Test Plan.
A. It lists every question that will appear on the exam.
B. It defines content areas, their relative weight, and the
cognitive levels tested.
C. It gives the exact passing score for each content area.
D. It tells candidates which questions will be adaptive.
Correct Answer: B
Rationale:
, • A: Incorrect — the Test Plan does not list actual exam
questions.
• B: Correct — the Test Plan identifies content areas, their
percentages, and the cognitive skills tested (e.g., CJMM
levels).
• C: Incorrect — there is no fixed passing score per content
area; pass/fail is determined holistically.
• D: Incorrect — it describes test design but not which
specific questions are adaptive.
Domain: Safe & Effective Care Environment —
Management of Care
Bloom’s Level: Knowledge
Tag: [Pyramid Point: Foundation – Understand test
blueprint / Priority Concept: Exam Preparation / Clinical
Judgment Skill #1]
Question 2
Which description best defines computer adaptive testing (CAT)
for the NCLEX-PN® exam?
A. The computer randomly selects all questions from a fixed set.
B. Question difficulty adapts to the candidate’s performance in
real time.
C. Candidates choose which subject areas to be tested on.
D. The exam length is fixed for every candidate.
,Correct Answer: B
Rationale:
• A: Incorrect — questions are not selected randomly; the
algorithm adapts.
• B: Correct — CAT adjusts item difficulty based on earlier
responses to estimate ability.
• C: Incorrect — candidates cannot choose content
distribution; the Test Plan governs it.
• D: Incorrect — the number of items can vary depending on
stopping rules.
Domain: Safe & Effective Care Environment —
Management of Care
Bloom’s Level: Knowledge
Tag: [Pyramid Point: Foundation – Test mechanics / Priority
Concept: Exam Logistics / Clinical Judgment Skill #1]
Question 3
Which action should an internationally educated nurse
complete first when seeking licensure in a U.S. state?
A. Schedule the NCLEX-PN® exam.
B. Apply for licensure with the state board of nursing or
endorsement process.
C. Obtain a criminal background check.
D. Request official transcripts be sent to the board.
, Correct Answer: B
Rationale:
• A: Incorrect — scheduling occurs after the board issues
Authorization to Test (ATT).
• B: Correct — the first formal step is to apply to the state
board for licensure/endorsement.
• C: Incorrect — background checks are often required but
follow application instructions.
• D: Incorrect — transcripts are required but are part of the
application package, not the first procedural action in
many cases.
Domain: Safe & Effective Care Environment —
Legal/Ethical Practice
Bloom’s Level: Knowledge
Tag: [Pyramid Point: Foundation – Licensing steps / Priority
Concept: Regulation & Legalities / Clinical Judgment Skill
#1]
Question 4
What is the primary purpose of the Candidate Performance
Report (CPR) provided after NCLEX-PN® results?
A. To show the exact questions missed.
B. To identify content areas of relative strength and weakness.
C. To certify eligibility for interstate endorsement.
D. To provide a list of recommended review books.