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Davis’s Q&A for the NCLEX-RN®
Examination
Kathleen A. Ohman, RN, CCRN,
MS, EdD
Professor of Nursing
College of St. Benedict/St. John’s UniversitySt. Joseph, Minnesota2187_FM_i-xxiv.qxd 3/5/10 12:58 PM Page v After you answer the questions, be sure to read the ratio-
nales for the correct and incorrect options and the test-taking
tips. These provide you with significant information that willhelp you to understand the basis for the correct option andwhy the other options are incorrect. The test-taking tip pro-vides a method for selecting an option when you are unsureof the answer or a cue for remembering the information. As you study, use the CD-ROM to select additional
questions in a content area especially if you did poorly on apractice test. Each of the 48 practice tests has approximately100 questions between the book and the CD-ROM and theCD-ROM features will allow customizing the questions tomeet your needs. Using the CD-ROM intermittently through-out your review will also enhance your proficiency in readingand answering questions from the computer screen and pre-pare you to take the NCLEX-RN
®Exam on the computer.
Use the other features of the CD-ROM to take practice
tests of 265 questions. This number reflects the maximumnumber of questions that a student can take on theNCLEX-RN
®. Allow yourself 5 hours to complete 265 ques-
tions, which is the maximum amount of time allowed on theactual exam, and then evaluate your ability. Once you areconsistently answering 75-80% of the questions correctly,you can feel confident that you are well prepared. Preface xiii2187_FM_i-xxiv.qxd 3/5/10 12:58 PM Page xiii xxiii
Table of Contents SECTION I: PREPARING FOR THE NCLEX-RN® 1
Chapter 1: The NCLEX-RN®Licensure Examination 2
Information about the Licensing Examination 2
Computer Adaptive Testing 2NCLEX-RN
®Examination Structure 3
The 2010 NCLEX-RN®Test Plan 3
Content Dimensions 6
Changes in the NCLEX-RN®Test Plan 7
Changes in the NCLEX-RN®Passing Standard 7
NCLEX-RN®Structure Implementation within this Study Package 7 Chapter 2: NCLEX-RN®Items 9
Cognitive Level of Items 9
Types of Item Formats: Multiple-Choice and Alternate Items 9
Content of Items: The Client Needs Framework 10
Chapter 3: Test-Taking Tips and Strategies 23
Carefully Read the NCLEX-RN®Items and Focus on the Subject 23
The Nursing Process 23The ABCs 24Maslow’s Hierarchy of Needs 24Safety 28Therapeutic Communication 28Key Words 30Absolute Word Options 32Similar Options 32Options that are Opposites 33Global Options 33Duplicate Information among Option Items 34Delegation and Assignment Items 34Laboratory Values 34Mnemonics to Remember Key Information 37Medical Terminology 38Pharmacology Questions 38Visualization and Association 39Things to Avoid 39Difficult Questions are a Good Sign 41NCLEX-RN
®Preparation: General Tips 42Chapter 4: Tips for International and Repeat Test-Takers 46
The Licensing Requirements for Foreign Educated Nurses 46
NCLEX-RN®Preparation: Tips for Foreign-Educated Nurses 47 NCLEX-RN®Preparation: Tips for Repeat Test-Takers 48
SECTION II: PRACTICE TESTS 53
Chapter 5: Safe and Effective Care Environment: Management of Care 54
Test 1: Management of Care: Ethical,
Legal, and Safety Issues in Nursing 54
Test 2: Management of Care: Leadership and Management 69
Test 3: Management of Care: Prioritization and Delegation 84 Test 4: Management of Care: Teaching and Learning, Communication, and Cultural Diversity 101
Chapter 6: Safety and Infection Control:
Fundamental Concepts of Nursing 117
Test 5: Fundamentals: Basic Care and Comfort 117
Test 6: Fundamentals: Medication Administration 131Test 7: Fundamentals: Safety, Disaster Preparedness, and Infection Control 145
Chapter 7: Health Promotion and Maintenance: Care of Childbearing Families 163
Test 8: Childbearing Families:
Prenatal and Antepartal Management 163 Test 9: Childbearing Families:
Intrapartal Management 182
Test 10: Childbearing Families:
Postpartal Management 201
Test 11: Childbearing Families:
Neonatal and High-Risk Neonatal Management 218
Test 12: Childbearing Families:
Pharmacological and Parenteral Therapies 2402187_FM_i-xxiv.qxd 3/5/10 12:58 PM Page xxiii Chapter 8: Physiological Integrity: Care of Adults and Older Adults 255
Test 13: Adult Health: Developmental Needs 255
Test 14: Adult Health: Older Client Needs 265Test 15: Adult Health: Cardiac Management 278Test 16: Adult Health: Endocrine Management 295Test 17: Adult Health: Gastrointestinal Management 310
Test 18: Adult Health: Hematological and Oncological Management 333 Test 19: Adult Health: Integumentary Management and Other Health Alterations 355
Test 20: Adult Health: Musculoskeletal Management 371 Test 21: Adult Health: Neurological Management 385 Test 22: Adult Health: Perioperative Management 399 Test 23: Adult Health: Renal and Urinary Management 412 Test 24: Adult Health: Reproductive Management 427 Test 25: Adult Health: Respiratory Management 441Test 26: Adult Health: Vascular Management 455Test 27: Adult Health: Pharmacological and Parenteral Therapies 468
Chapter 9: Physiological Integrity: Care of Children and Families 489
Test 28: Child Health: Growth and Development 489
Test 29: Child Health: Cardiovascular Management 501Test 30: Child Health: Endocrine Management 515 Test 31: Child Health: Gastrointestinal Management 528 Test 32: Child Health: Hematological and Oncological Management 542
Test 33: Child Health: Integumentary Management and Other Health Alterations 557Test 34: Child Health: Neurological and Musculoskeletal Management 572
Test 35: Child Health: Renal and Urinary Management 584
Test 36: Child Health: Respiratory Management 596Test 37: Child Health: Pharmacological and Parenteral Therapies 611
Chapter 10: Psychosocial Integrity: Care of Adults and Children with Mental Health Disorders 627
Test 38: Mental Health: Anxiety and Mood Disorders 627
Test 39: Mental Health: Cognitive,
Schizophrenic, and Psychotic Disorders 641
Test 40: Mental Health: Crisis, Violence,
Eating and Sleep Disorders 654
Test 41: Mental Health: End-of-Life Care 668
Test 42: Mental Health: Personality Disorders 677Test 43: Mental Health: Substance Abuse 689Test 44: Mental Health: Pharmacological and Parenteral Therapies 702 Chapter 11: Reduction of Risk and Physiological Adaptation 715
Test 45: Altered Fluid and Electrolytes 715
Test 46: Infectious Disease 729 Test 47: Medical Emergencies 750 Test 48: Nutrition 765
Chapter 12: Comprehensive Tests 777
Comprehensive Exam One 777
Comprehensive Exam Two 806
Illustration Credits 833
Index 835xxiv Table of Contents2187_FM_i-xxiv.qxd 3/5/10 12:58 PM Page xxiv
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