SAUNDERS COMPREHENSIVE REVIEW
FOR THE NCLEX-PN® EXAMINATION
9TH EDITION
• AUTHOR(S)LINDA ANNE SILVESTRI;
ANGELA SILVESTRI
TEST BANK
1
Reference: Ch. 1 — Clinical Judgment & NGN-PN Examination
— The Pyramid to Success
Stem: A practical nursing student preparing for the NGN-PN
decides to prioritize study time. Which study focus best aligns
with the Pyramid to Success for NGN items?
A. Memorizing pharmacology dose charts.
B. Practicing clinical-judgment case scenarios and reflection.
C. Rewriting every chapter verbatim for recall.
D. Completing only low-difficulty practice questions repeatedly.
Correct Answer: B
Rationale — Correct (B): The Pyramid emphasizes development
,of clinical judgment through case-based practice and reflection;
NGN items measure applied judgment, so practicing scenarios
builds those skills.
Rationale — Incorrect:
A. Memorization alone doesn’t build clinical judgment and
won’t address NGN case analysis.
C. Verbatim rewriting supports recall but not
application/analysis required by NGN.
D. Repeating low-difficulty items may increase speed but not
higher-order clinical reasoning.
Teaching Point: Prioritize case practice and reflective clinical-
judgment exercises.
Citation: Silvestri, L. A., & Silvestri, A. (2025). Saunders
Comprehensive Review for the NCLEX-PN® Examination (9th
ed.). Ch. 1.
2
Reference: Ch. 1 — Clinical Judgment & NGN-PN Examination
— Clinical Judgment and NGN Items
Stem: During an NGN-style case, a nurse recognizes subtle cue
patterns indicating early shock. Which action best demonstrates
the practical nurse's clinical judgment?
A. Continue routine tasks and report findings at shift change.
B. Immediately obtain vital signs, notify the RN, and prepare for
interventions.
C. Document the single abnormal finding and wait 2 hours for
,reassessment.
D. Reassure the client and encourage oral fluids to improve
perfusion.
Correct Answer: B
Rationale — Correct (B): PN scope includes assessment and
timely reporting; obtaining vitals, notifying the RN, and
preparing for interventions addresses safety and escalation of
care.
Rationale — Incorrect:
A. Delaying reporting risks deterioration—unsafe.
C. Waiting 2 hours is inappropriate for possible shock;
reassessment should be prompt.
D. Encouraging fluids may be contraindicated in shock and
misses urgent escalation.
Teaching Point: Assess, report quickly, and prepare for RN-led
interventions for deterioration.
Citation: Silvestri & Silvestri (2025). Ch. 1.
3
Reference: Ch. 1 — Examination Process — Registering to Take
the Examination
Stem: A PN student asks what essential information they must
provide when registering for the NCLEX-PN. Which requirement
should be emphasized?
A. Preferred testing center snacks.
B. Legal name exactly as on government ID.
, C. Expected test score goal.
D. Names of family members attending the exam.
Correct Answer: B
Rationale — Correct (B): Registration requires the candidate’s
legal name matching government ID to verify identity at the
testing center.
Rationale — Incorrect:
A. Snacks are irrelevant to registration.
C. Test score goals are personal and not required.
D. Family attendance is not a registration requirement.
Teaching Point: Register using your legal name exactly as on
photo ID.
Citation: Silvestri & Silvestri (2025). Ch. 1.
4
Reference: Ch. 1 — Examination Process — Authorization to
Test (ATT) Form and Scheduling
Stem: A graduate receives an Authorization to Test (ATT) email.
What is the most appropriate next step for the PN candidate?
A. Schedule the exam immediately within the ATT validity
window.
B. Ignore it and schedule after studying more.
C. Share the ATT on social media for verification.
D. Mail the ATT to the testing center the day of testing.
Correct Answer: A
Rationale — Correct (A): The ATT has a limited validity period;
FOR THE NCLEX-PN® EXAMINATION
9TH EDITION
• AUTHOR(S)LINDA ANNE SILVESTRI;
ANGELA SILVESTRI
TEST BANK
1
Reference: Ch. 1 — Clinical Judgment & NGN-PN Examination
— The Pyramid to Success
Stem: A practical nursing student preparing for the NGN-PN
decides to prioritize study time. Which study focus best aligns
with the Pyramid to Success for NGN items?
A. Memorizing pharmacology dose charts.
B. Practicing clinical-judgment case scenarios and reflection.
C. Rewriting every chapter verbatim for recall.
D. Completing only low-difficulty practice questions repeatedly.
Correct Answer: B
Rationale — Correct (B): The Pyramid emphasizes development
,of clinical judgment through case-based practice and reflection;
NGN items measure applied judgment, so practicing scenarios
builds those skills.
Rationale — Incorrect:
A. Memorization alone doesn’t build clinical judgment and
won’t address NGN case analysis.
C. Verbatim rewriting supports recall but not
application/analysis required by NGN.
D. Repeating low-difficulty items may increase speed but not
higher-order clinical reasoning.
Teaching Point: Prioritize case practice and reflective clinical-
judgment exercises.
Citation: Silvestri, L. A., & Silvestri, A. (2025). Saunders
Comprehensive Review for the NCLEX-PN® Examination (9th
ed.). Ch. 1.
2
Reference: Ch. 1 — Clinical Judgment & NGN-PN Examination
— Clinical Judgment and NGN Items
Stem: During an NGN-style case, a nurse recognizes subtle cue
patterns indicating early shock. Which action best demonstrates
the practical nurse's clinical judgment?
A. Continue routine tasks and report findings at shift change.
B. Immediately obtain vital signs, notify the RN, and prepare for
interventions.
C. Document the single abnormal finding and wait 2 hours for
,reassessment.
D. Reassure the client and encourage oral fluids to improve
perfusion.
Correct Answer: B
Rationale — Correct (B): PN scope includes assessment and
timely reporting; obtaining vitals, notifying the RN, and
preparing for interventions addresses safety and escalation of
care.
Rationale — Incorrect:
A. Delaying reporting risks deterioration—unsafe.
C. Waiting 2 hours is inappropriate for possible shock;
reassessment should be prompt.
D. Encouraging fluids may be contraindicated in shock and
misses urgent escalation.
Teaching Point: Assess, report quickly, and prepare for RN-led
interventions for deterioration.
Citation: Silvestri & Silvestri (2025). Ch. 1.
3
Reference: Ch. 1 — Examination Process — Registering to Take
the Examination
Stem: A PN student asks what essential information they must
provide when registering for the NCLEX-PN. Which requirement
should be emphasized?
A. Preferred testing center snacks.
B. Legal name exactly as on government ID.
, C. Expected test score goal.
D. Names of family members attending the exam.
Correct Answer: B
Rationale — Correct (B): Registration requires the candidate’s
legal name matching government ID to verify identity at the
testing center.
Rationale — Incorrect:
A. Snacks are irrelevant to registration.
C. Test score goals are personal and not required.
D. Family attendance is not a registration requirement.
Teaching Point: Register using your legal name exactly as on
photo ID.
Citation: Silvestri & Silvestri (2025). Ch. 1.
4
Reference: Ch. 1 — Examination Process — Authorization to
Test (ATT) Form and Scheduling
Stem: A graduate receives an Authorization to Test (ATT) email.
What is the most appropriate next step for the PN candidate?
A. Schedule the exam immediately within the ATT validity
window.
B. Ignore it and schedule after studying more.
C. Share the ATT on social media for verification.
D. Mail the ATT to the testing center the day of testing.
Correct Answer: A
Rationale — Correct (A): The ATT has a limited validity period;
