2025 NCLEX‑RN® Study Vault (9th Ed.) –
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 (The Pyramid to
Success, NGN, Exam Process, Test Plan, Registration, Testing,
Scoring, Licensure)
Question 1
Which document outlines the content areas and percentage
allocations used to build the NCLEX-PN® exam and guides item
development?
A. Candidate Performance Report (CPR)
B. NCLEX-PN Test Plan
C. Authorization to Test form (ATT)
D. Nurse Licensure Compact (NLC)
Correct Answer: B
Rationale:
, • A: Incorrect — The CPR reports a candidate’s
strengths/weaknesses after testing; it does not guide item
development.
• B: Correct — The Test Plan specifies content domains,
client need categories, and percentage ranges used to
construct the exam.
• C: Incorrect — The ATT authorizes scheduling the exam; it’s
not a content blueprint.
• D: Incorrect — The NLC concerns interstate licensure
agreements, not exam content.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Knowledge
CJMM Cognitive Focus: Recognize Cues
[Pyramid Point 1 / Priority Concept: Exam Foundations /
Clinical Judgment Skill 1]
Question 2
Which testing accommodation should a candidate request
before receiving the Authorization to Test (ATT)?
A. Extra breaks requested at the testing center on the exam day
B. Large-print test materials due to visual impairment
C. Permission to bring study notes into the testing room
D. Rescheduling because of a last-minute illness
,Correct Answer: B
Rationale:
• A: Incorrect — Breaks are allowed per testing center policy
but specific accommodations (e.g., extended break time)
require prior approval.
• B: Correct — Large-print materials are an approved testing
accommodation that must be requested and documented
before testing and typically before ATT.
• C: Incorrect — Study notes are never allowed in the testing
room.
• D: Incorrect — Rescheduling for acute illness is handled
after ATT but is not an accommodation request.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Comprehension
CJMM Cognitive Focus: Recognize Cues
[Pyramid Point 2 / Priority Concept: Testing
Accommodations / Clinical Judgment Skill 2]
Question 3
Computer adaptive testing (CAT) for the NCLEX-PN® primarily
adjusts which element during the exam?
A. Time allowed per item
B. Difficulty level of subsequent items
C. Number of breaks offered
, D. Candidate’s final score weighting
Correct Answer: B
Rationale:
• A: Incorrect — Time per item is standard; CAT does not
change per-item time.
• B: Correct — CAT selects subsequent items based on the
candidate’s performance, adjusting difficulty to estimate
ability.
• C: Incorrect — Breaks follow the testing center policy, not
CAT.
• D: Incorrect — The scoring algorithm uses item difficulty
and responses, but CAT’s main operational change is item
difficulty selection.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Knowledge
CJMM Cognitive Focus: Recognize Cues
[Pyramid Point 1 / Priority Concept: Exam Mechanics /
Clinical Judgment Skill 1]
Question 4
A candidate from another country wants to apply for PN
licensure in a U.S. state. Which body evaluates their education
and credentials for exam eligibility?
A. The testing center where they plan to test
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 (The Pyramid to
Success, NGN, Exam Process, Test Plan, Registration, Testing,
Scoring, Licensure)
Question 1
Which document outlines the content areas and percentage
allocations used to build the NCLEX-PN® exam and guides item
development?
A. Candidate Performance Report (CPR)
B. NCLEX-PN Test Plan
C. Authorization to Test form (ATT)
D. Nurse Licensure Compact (NLC)
Correct Answer: B
Rationale:
, • A: Incorrect — The CPR reports a candidate’s
strengths/weaknesses after testing; it does not guide item
development.
• B: Correct — The Test Plan specifies content domains,
client need categories, and percentage ranges used to
construct the exam.
• C: Incorrect — The ATT authorizes scheduling the exam; it’s
not a content blueprint.
• D: Incorrect — The NLC concerns interstate licensure
agreements, not exam content.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Knowledge
CJMM Cognitive Focus: Recognize Cues
[Pyramid Point 1 / Priority Concept: Exam Foundations /
Clinical Judgment Skill 1]
Question 2
Which testing accommodation should a candidate request
before receiving the Authorization to Test (ATT)?
A. Extra breaks requested at the testing center on the exam day
B. Large-print test materials due to visual impairment
C. Permission to bring study notes into the testing room
D. Rescheduling because of a last-minute illness
,Correct Answer: B
Rationale:
• A: Incorrect — Breaks are allowed per testing center policy
but specific accommodations (e.g., extended break time)
require prior approval.
• B: Correct — Large-print materials are an approved testing
accommodation that must be requested and documented
before testing and typically before ATT.
• C: Incorrect — Study notes are never allowed in the testing
room.
• D: Incorrect — Rescheduling for acute illness is handled
after ATT but is not an accommodation request.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Comprehension
CJMM Cognitive Focus: Recognize Cues
[Pyramid Point 2 / Priority Concept: Testing
Accommodations / Clinical Judgment Skill 2]
Question 3
Computer adaptive testing (CAT) for the NCLEX-PN® primarily
adjusts which element during the exam?
A. Time allowed per item
B. Difficulty level of subsequent items
C. Number of breaks offered
, D. Candidate’s final score weighting
Correct Answer: B
Rationale:
• A: Incorrect — Time per item is standard; CAT does not
change per-item time.
• B: Correct — CAT selects subsequent items based on the
candidate’s performance, adjusting difficulty to estimate
ability.
• C: Incorrect — Breaks follow the testing center policy, not
CAT.
• D: Incorrect — The scoring algorithm uses item difficulty
and responses, but CAT’s main operational change is item
difficulty selection.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Knowledge
CJMM Cognitive Focus: Recognize Cues
[Pyramid Point 1 / Priority Concept: Exam Mechanics /
Clinical Judgment Skill 1]
Question 4
A candidate from another country wants to apply for PN
licensure in a U.S. state. Which body evaluates their education
and credentials for exam eligibility?
A. The testing center where they plan to test
