2025 NCLEX‑RN® STUDY VAULT (9TH ED.) –
COMPLETE CHAPTER‑WISE TEST BANK &
CLEAR RATIONALES PDF STUDY GUIDE
TEST BANK
Question 1
Which statement best describes the purpose of the Next
Generation NCLEX (NGN) for PN candidates?
A. To replace multiple-choice items with essay answers only.
B. To better measure a candidate’s clinical judgment and
decision making.
C. To lengthen the exam so all students answer the same
number of items.
D. To eliminate scoring and report pass/fail by percentile rank.
Correct Answer: B
Rationale:
• A: Incorrect — NGN uses new item types (case scenarios,
extended items) but does not convert exam to essays only.
• B: Correct — NGN was developed to increase the exam’s
ability to measure clinical judgment and decision making.
NCLEX+1
, • C: Incorrect — NGN does not require the same fixed
number of items for all candidates; CAT still adapts item
counts.
• D: Incorrect — The exam remains pass/fail; reporting is not
by percentile rank.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Knowledge
Tag: [Pyramid Point: Clinical Judgment Awareness / Priority
Concept: Decision Making / Clinical Judgment Skill #1]
Question 2
Which step is part of the NCSBN Clinical Judgment
Measurement Model (CJMM)?
A. Memorize protocols verbatim.
B. Recognize cues (identify important client data).
C. Randomly select interventions.
D. Report only subjective data.
Correct Answer: B
Rationale:
• A: Incorrect — CJMM focuses on clinical reasoning steps,
not rote memorization.
• B: Correct — Recognizing cues (identifying relevant client
data) is an initial CJMM step. NCLEX
, • C: Incorrect — CJMM requires analysis and deliberate
selection of interventions, not random choice.
• D: Incorrect — CJMM requires using both subjective and
objective data.
Domain: Health Promotion & Maintenance
Bloom’s: Knowledge
Tag: [Pyramid Point: Cue Recognition / Priority Concept:
Assessment / Clinical Judgment Skill #1]
Question 3
Which document does a PN candidate receive that gives
permission to schedule the exam at a testing center?
A. Authorization to Test (ATT) form.
B. Temporary nursing license.
C. Candidate Performance Report.
D. Interstate Endorsement letter.
Correct Answer: A
Rationale:
• A: Correct — The Authorization to Test (ATT) informs
candidates they may schedule a date/time with a testing
center.
• B: Incorrect — A temporary license is not the scheduling
authorization for the NCLEX.
• C: Incorrect — Candidate Performance Report is issued
after results, not before testing.
, • D: Incorrect — Interstate Endorsement relates to licensure
portability, not exam scheduling.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Knowledge
Tag: [Pyramid Point: Exam Logistics / Priority Concept:
Registration / Clinical Judgment Skill #1]
Question 4
Computer adaptive testing (CAT) for the NCLEX-PN means that:
A. Each candidate receives the same set of questions in the
same order.
B. The computer chooses questions based on the candidate’s
previous answers.
C. Candidates can return to previous items and change answers
any time.
D. The exam is scored by number of correct answers only.
Correct Answer: B
Rationale:
• A: Incorrect — In CAT, items are tailored; not everyone gets
the same items.
• B: Correct — CAT selects items based on prior responses to
estimate ability more precisely.
• C: Incorrect — Test designs commonly prevent returning to
previous items in a section.
COMPLETE CHAPTER‑WISE TEST BANK &
CLEAR RATIONALES PDF STUDY GUIDE
TEST BANK
Question 1
Which statement best describes the purpose of the Next
Generation NCLEX (NGN) for PN candidates?
A. To replace multiple-choice items with essay answers only.
B. To better measure a candidate’s clinical judgment and
decision making.
C. To lengthen the exam so all students answer the same
number of items.
D. To eliminate scoring and report pass/fail by percentile rank.
Correct Answer: B
Rationale:
• A: Incorrect — NGN uses new item types (case scenarios,
extended items) but does not convert exam to essays only.
• B: Correct — NGN was developed to increase the exam’s
ability to measure clinical judgment and decision making.
NCLEX+1
, • C: Incorrect — NGN does not require the same fixed
number of items for all candidates; CAT still adapts item
counts.
• D: Incorrect — The exam remains pass/fail; reporting is not
by percentile rank.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Knowledge
Tag: [Pyramid Point: Clinical Judgment Awareness / Priority
Concept: Decision Making / Clinical Judgment Skill #1]
Question 2
Which step is part of the NCSBN Clinical Judgment
Measurement Model (CJMM)?
A. Memorize protocols verbatim.
B. Recognize cues (identify important client data).
C. Randomly select interventions.
D. Report only subjective data.
Correct Answer: B
Rationale:
• A: Incorrect — CJMM focuses on clinical reasoning steps,
not rote memorization.
• B: Correct — Recognizing cues (identifying relevant client
data) is an initial CJMM step. NCLEX
, • C: Incorrect — CJMM requires analysis and deliberate
selection of interventions, not random choice.
• D: Incorrect — CJMM requires using both subjective and
objective data.
Domain: Health Promotion & Maintenance
Bloom’s: Knowledge
Tag: [Pyramid Point: Cue Recognition / Priority Concept:
Assessment / Clinical Judgment Skill #1]
Question 3
Which document does a PN candidate receive that gives
permission to schedule the exam at a testing center?
A. Authorization to Test (ATT) form.
B. Temporary nursing license.
C. Candidate Performance Report.
D. Interstate Endorsement letter.
Correct Answer: A
Rationale:
• A: Correct — The Authorization to Test (ATT) informs
candidates they may schedule a date/time with a testing
center.
• B: Incorrect — A temporary license is not the scheduling
authorization for the NCLEX.
• C: Incorrect — Candidate Performance Report is issued
after results, not before testing.
, • D: Incorrect — Interstate Endorsement relates to licensure
portability, not exam scheduling.
Domain: Safe & Effective Care Environment – Management
of Care
Bloom’s: Knowledge
Tag: [Pyramid Point: Exam Logistics / Priority Concept:
Registration / Clinical Judgment Skill #1]
Question 4
Computer adaptive testing (CAT) for the NCLEX-PN means that:
A. Each candidate receives the same set of questions in the
same order.
B. The computer chooses questions based on the candidate’s
previous answers.
C. Candidates can return to previous items and change answers
any time.
D. The exam is scored by number of correct answers only.
Correct Answer: B
Rationale:
• A: Incorrect — In CAT, items are tailored; not everyone gets
the same items.
• B: Correct — CAT selects items based on prior responses to
estimate ability more precisely.
• C: Incorrect — Test designs commonly prevent returning to
previous items in a section.
