SAUNDERS COMPREHENSIVE REVIEW

SAUNDERS COMPREHENSIVE REVIEW

FOR THE NCLEX-PN® EXAMINATION

9TH EDITION

• AUTHOR(S)LINDA ANNE SILVESTRI;

ANGELA SILVESTRI

TEST BANK

Reference Ch. 1 — Clinical Judgment & NGN — The Pyramid to Success Stem A PN candidate scheduled for the NGN-PN exam reports high anxiety and asks what study focus best supports clinical judgment under the Pyramid to Success model. Which study strategy should the candidate prioritize?

• Memorizing medication dosages and lab value normals.
• Practicing clinical scenarios that require identifying patient

cues and making prioritized decisions.

• Reviewing historical development of nursing theories.
• Repeating definitions of assessment terminology.

Correct Answer: B

Rationale — Correct Practicing clinical scenarios targets recognition of cues and prioritization—skills central to the Pyramid to Success and NGN clinical judgment. This active application aligns with NCLEX-PN expectations.Rationale — Incorrect

• Memorization of facts is helpful but insufficient; NGN

emphasizes application/decision making.

• Nursing theory history is low priority for exam clinical

judgment tasks.

• Repeating definitions is recall-level; NGN requires applying

those terms in context.Teaching Point Practice scenario-based decision-making—focus on cues and priorities.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 — Clinical Judgment and Next Generation NCLEX® Items

Stem During NGN practice, a practical nurse student is given a case with multiple patient cues. The instructor asks which immediate action demonstrates recognition of the most critical cue. Which action best reflects that priority?

• Document all patient cues then notify the instructor.
• Address the cue indicating compromised airway or breathing

first.

• Ask the patient for their complete medical history.
• Call for a nursing assistive personnel (NAP) to bring water.

Correct Answer: B

Rationale — Correct Airway/breathing compromise is the highest priority (ABCs).Immediate intervention or escalation is required and aligns with NGN prioritization.Rationale — Incorrect

• Documentation is important but not the immediate life-

saving action.

• Collecting full history delays urgent management of critical

cues.

• Delegating nonessential tasks is inappropriate when patient

safety is threatened.Teaching Point Prioritize airway and breathing cues—ABCs guide immediate actions.

Citation Silvestri, L. A., & Silvestri, A. (2025). Saunders Comprehensive Review for the NCLEX-PN® Examination (9th ed.). Ch. 1.

3.Reference Ch. 1 — Examination Process — Registering to Take the Examination Stem A PN candidate calls the board office to register but is unsure which documentation is required to complete registration.Which response by the nurse educator best guides the candidate?

• “You only need the application; the testing center will verify

eligibility.”

• “Confirm your eligibility documentation (education and fees)

and follow the board’s registration steps before receiving authorization.”

• “Bring identification on test day — that’s sufficient to

register.”

• “Wait until the Authorization to Test (ATT) arrives before

completing application paperwork.”

Correct Answer: B

Rationale — Correct Registration requires verifying eligibility, submitting fees, and