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 (Clinical
Judgment, Exam Process, Test Plan, NGN design, testing
logistics)
Question 1 (Knowledge) [Pyramid Point 1 / Priority Concept:
Test Plan basics / Clinical Judgment Skill 1]
A candidate is reviewing the NCLEX-PN® Test Plan. Which
statement best describes the purpose of the Test Plan?
A. To list specific questions that will appear on every
examination.
B. To describe the content areas and relative percentage of
items on the exam.
C. To certify each candidate’s competency immediately after
testing.
D. To provide step-by-step answers for Next Generation item
response formats.
Correct Answer: B
Rationale:
, • A: Incorrect — the Test Plan does not list specific items; it
sets content domains and the blueprint.
• B: Correct — the Test Plan outlines the content areas and
approximate test weightings used to build the exam.
• C: Incorrect — competency determination occurs after
candidate performance is processed; the Test Plan does
not certify individuals.
• D: Incorrect — the Test Plan does not provide item answer
keys or NGN response instructions.
Domain: Safe & Effective Care Environment —
Management of Care
Bloom’s: Knowledge
Question 2 (Knowledge) [Pyramid Point 2 / Priority Concept:
CJMM terms / Clinical Judgment Skill 2]
Which clinical judgment step in the Clinical Judgment
Measurement Model (CJMM) asks the nurse to determine what
must be done right away to protect the client?
A. Recognize cues.
B. Prioritize hypotheses.
C. Take action.
D. Evaluate outcomes.
Correct Answer: C
Rationale:
, • A: Incorrect — recognizing cues is the initial gathering of
data.
• B: Incorrect — prioritizing hypotheses focuses on probable
explanations, not immediate action.
• C: Correct — “take action” is the step where the nurse
implements interventions to address priority problems.
• D: Incorrect — evaluation happens after actions are taken
to assess effectiveness.
Domain: Physiological Integrity — Reduction of Risk
Potential
Bloom’s: Knowledge
Question 3 (Knowledge) [Pyramid Point 3 / Priority Concept:
Computer adaptive testing / Clinical Judgment Skill 3]
What is a key characteristic of the NCLEX computer adaptive
testing (CAT) model?
A. The test stops after 75 correct answers.
B. Item difficulty adapts based on the candidate’s prior
responses.
C. All candidates receive the exact same questions.
D. Candidates may return to previous items to change
responses.
Correct Answer: B
Rationale:
, • A: Incorrect — CAT stops based on confidence intervals
and maximum-length rules, not a fixed number of correct
answers.
• B: Correct — CAT selects item difficulty dynamically based
on previous responses to estimate ability.
• C: Incorrect — CAT personalizes question selection; items
vary between candidates.
• D: Incorrect — Candidates cannot go back to change
responses in NCLEX CAT.
Domain: Safe & Effective Care Environment —
Management of Care
Bloom’s: Knowledge
Question 4 (Knowledge) [Pyramid Point 4 / Priority Concept:
Registration steps / Clinical Judgment Skill 4]
Which document does a candidate receive after Pearson VUE
confirms eligibility that must be presented at the test center?
A. NCLEX score report.
B. Authorization to Test (ATT) email.
C. Candidate Performance Report (CPR).
D. Nurse licensure compact membership card.
Correct Answer: B
Rationale:
• A: Incorrect — score reports are processed after testing,
not used at check-in.
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 (Clinical
Judgment, Exam Process, Test Plan, NGN design, testing
logistics)
Question 1 (Knowledge) [Pyramid Point 1 / Priority Concept:
Test Plan basics / Clinical Judgment Skill 1]
A candidate is reviewing the NCLEX-PN® Test Plan. Which
statement best describes the purpose of the Test Plan?
A. To list specific questions that will appear on every
examination.
B. To describe the content areas and relative percentage of
items on the exam.
C. To certify each candidate’s competency immediately after
testing.
D. To provide step-by-step answers for Next Generation item
response formats.
Correct Answer: B
Rationale:
, • A: Incorrect — the Test Plan does not list specific items; it
sets content domains and the blueprint.
• B: Correct — the Test Plan outlines the content areas and
approximate test weightings used to build the exam.
• C: Incorrect — competency determination occurs after
candidate performance is processed; the Test Plan does
not certify individuals.
• D: Incorrect — the Test Plan does not provide item answer
keys or NGN response instructions.
Domain: Safe & Effective Care Environment —
Management of Care
Bloom’s: Knowledge
Question 2 (Knowledge) [Pyramid Point 2 / Priority Concept:
CJMM terms / Clinical Judgment Skill 2]
Which clinical judgment step in the Clinical Judgment
Measurement Model (CJMM) asks the nurse to determine what
must be done right away to protect the client?
A. Recognize cues.
B. Prioritize hypotheses.
C. Take action.
D. Evaluate outcomes.
Correct Answer: C
Rationale:
, • A: Incorrect — recognizing cues is the initial gathering of
data.
• B: Incorrect — prioritizing hypotheses focuses on probable
explanations, not immediate action.
• C: Correct — “take action” is the step where the nurse
implements interventions to address priority problems.
• D: Incorrect — evaluation happens after actions are taken
to assess effectiveness.
Domain: Physiological Integrity — Reduction of Risk
Potential
Bloom’s: Knowledge
Question 3 (Knowledge) [Pyramid Point 3 / Priority Concept:
Computer adaptive testing / Clinical Judgment Skill 3]
What is a key characteristic of the NCLEX computer adaptive
testing (CAT) model?
A. The test stops after 75 correct answers.
B. Item difficulty adapts based on the candidate’s prior
responses.
C. All candidates receive the exact same questions.
D. Candidates may return to previous items to change
responses.
Correct Answer: B
Rationale:
, • A: Incorrect — CAT stops based on confidence intervals
and maximum-length rules, not a fixed number of correct
answers.
• B: Correct — CAT selects item difficulty dynamically based
on previous responses to estimate ability.
• C: Incorrect — CAT personalizes question selection; items
vary between candidates.
• D: Incorrect — Candidates cannot go back to change
responses in NCLEX CAT.
Domain: Safe & Effective Care Environment —
Management of Care
Bloom’s: Knowledge
Question 4 (Knowledge) [Pyramid Point 4 / Priority Concept:
Registration steps / Clinical Judgment Skill 4]
Which document does a candidate receive after Pearson VUE
confirms eligibility that must be presented at the test center?
A. NCLEX score report.
B. Authorization to Test (ATT) email.
C. Candidate Performance Report (CPR).
D. Nurse licensure compact membership card.
Correct Answer: B
Rationale:
• A: Incorrect — score reports are processed after testing,
not used at check-in.
