NCLEX-PN® 250 New-Format Questions: Preparing for the Revised NCLEX-PN® (Nursing Review Practice)

145 Pages·2005·72.14 MB·English

134796_Cov.QXD 2008.5.27 4:34 AM Page 1
NNCCLLEEXX--PPNN
N ®
The only NCLEX-PN®review book C
L
devoted to “alternate item” formats
E
X
- 225500
P
Just when you thought you were adequately prepared to take the
N
NCLEX, the National Council of State Boards of Nursing introduced
®
:
so-called “alternate item” formats into the exam. But don’t worry!
2
NCLEX-PN: 250 New-Format Questions, Second Edition, has hun-
5
dreds of review questions written in the new formats, so you’ll be
0
NNeeww--FFoorrmmaatt
fully prepared for every type of question you may encounter on the
N
NCLEX.
e
w
250 questions in the new formats!
-
F QQuueessttiioonnss
◆ Multiple-response questions
o
◆ Fill-in-the-blanks r
◆ Hot spot questions m
◆ Drag-and-drop questions a
t
◆ Chart/Exhibit questions SSeeccoonndd EEddiittiioonn
Q
Content and features to help you get u
e
“NCLEX-ready”
s
t Preparing for the revised NCLEX-PN ®
◆ Coverage of all topics on the exam (fundamentals of nursing, i
o
medical-surgical nursing, maternal-infant nursing, pediatric
n
nursing, and psychiatric and mental health nursing) s
◆ Clear, concise rationales for correct and incorrect answers ◆ Multiple-response questions
◆
◆ Applicable nursing process step, client needs category and
◆
subcategory, and cognitive level for every question S Fill-in-the-blanks
e
◆ Convenient two-column format (questions on the left, answers c ◆
o Hot spot questions
n
on the right) that gives you instant feedback
d
◆
Drag-and-drop questions
E
d
i ◆
t Chart/Exhibit questions
LWW.com io
n
Nursing Category:
Test Preparation & Reviews
ISBN-13: 978-1-58255-534-8
ISBN-10: 1-58255-534-6

5346 FM.qxd 11/14/05 8:01 PM Page i
NCLEX-PN(cid:1)
250 New-Format
Questions
Second Edition
Philadelphia (cid:127) Baltimore (cid:127) New York (cid:127) London
Buenos Aires (cid:127) Hong Kong (cid:127) Sydney (cid:127) Tokyo
134796_pii_p71.qxd 2008.5.21 3:14 PM Page ii
STAFF The clinical treatments described and recommended in this
publication are based on research and consultation with
Executive Publisher
nursing, medical, and legal authorities. To the best of our
Judith A. Schilling McCann, RN, MSN knowledge, these procedures reflect currently accepted
Senior Acquisitions Editor practice. Nevertheless, they can’t be considered absolute
and universal recommendations. For individual applications,
Elizabeth Nieginski
all recommendations must be considered in light of the
Editorial Director patient’s clinical condition and, before administration of new
David Moreau or infrequently used drugs, in light of the latest package-
insert information. The authors and publisher disclaim any
Clinical Director
responsibility for any adverse effects resulting from the
Joan M. Robinson, RN, MSN suggested procedures, from any undetected errors, or from
the reader’s misunderstanding of the text.
Senior Art Director
Arlene Putterman
© 2007 by Lippincott Williams & Wilkins. All rights reserved.
Editorial Project Manager This book is protected by copyright. No part of it may be
Tracy S. Diehl reproduced, stored in a retrieval system, or transmitted, in
any form or by any means—electronic, mechanical,
Clinical Project Manager photocopy, recording, or otherwise—without prior written
Carol A. Saunderson, RN, BA, BS permission of the publisher, except for brief quotations
embodied in critical articles and reviews and testing and
Editors
evaluation materials provided by publisher to instructors
Karen C. Comerford, Josephine Donofrio
whose schools have adopted its accompanying textbook.
Clinical Editors Printed in China. For information, write Lippincott Williams &
Wilkins, 323 Norristown Road, Suite 200, Ambler, PA 19002-
Tamara Kear, RN, MSN, CNN; Carol Knauff, RN, MSN,
2756.
CCRN;Anita Lockhart, RNC, MSN; Anne Marie Palatnik,
MSN, APN, BC; Barbara Steibling, BSN, MSN
Designers PN2502010106—030708
Susan Hopkins Rodzewich (book design),
Stephanie Biddle (project manager)
Library of Congress Cataloging-in-Publication Data
Digital Composition Services NCLEX-PN 250 new-format questions : preparing for the revised
Diane Paluba (manager), Joyce Rossi Biletz, NCLEX-PN.—2nd ed.
p. ; cm.
Donna S. Morris
Includes bibliographical references and index.
1. Practical nursing—Examinations, questions, etc. 2. Practical nurs-
Manufacturing
ing—Outlines, syllabi, etc. 3. Practical nurses—Licenses—United
Patricia K. Dorshaw (director), Beth J. Welsh States—Examinations—Study guides. I. Lippincott Williams & Wilkins.
II. Title: NCLEX-PN two hundred fifty new-format questions.
Editorial Assistants [DNLM: 1. Nursing, Practical—Examination Questions. 2. Nursing
Megan L. Aldinger, Karen J. Kirk, Linda K. Ruhf Care—Examination Questions. WY 18.2 N3368 2006]
RT55.N415 2006
Design Assistant 610.7306'93076—dc22
ISBN13: 978-1-58255-534-8
Georg W. Purvis, IV ISBN10: 1-58255-534-6 (alk. paper) 2005029301
5346 FM.qxd 11/14/05 8:01 PM Page iii
Contents
Contributors v
How to use this book vii
P A R T O N E
Fundamentals of nursing 1
P A R T T W O
Medical-surgical nursing 27
P A R T T H R E E
Maternal-infant nursing 75
P A R T F O U R
Pediatric nursing 97
P A R T F I V E
Psychiatric and mental
health nursing 119
iii
5346 FM.qxd 11/14/05 8:01 PM Page iv
5346 FM.qxd 11/14/05 8:01 PM Page v
Contributors
Katrina Davis Allen, RN, MSN, CCRN Noel C. Piano, RN, MS
Nursing Faculty (ADN) Nursing Instructor
Faulkner State Community College Lafayette School of Practical Nursing
Bay Minette, Ala. Williamsburg, Va.
Kathy Cochran, RN, MSN Theresa Pulvano, RN, BSN
Director of Practical Nursing/Nursing Instructor Nursing Educator
Coosa Valley Technical College Ocean County Vocational Technical School
Rome, Ga. Toms River, N.J.
Kristi Robinia, RNC, MSN
Diane J. Lane, RN, MSN, BSN Program Coordinator for Practical Nursing
HST Instructor, Vocational Nursing Northern Michigan University
Silva Health Magnet High School WPISD Marquette
El Paso, Texas
Sheryl Thomas, RN, MSN
Nurse Instructor
Shirley MacNeill, RN, BSN Wayne County Community College
Vocational Nursing Faculty Detroit
Lamar State College
Port Arthur, Texas
Ose G. Martinez, RN, BSN
Nursing Faculty
Central Georgia Technical College
Macon
Tracy Jo Pekar, RN, MSN, MBA
Nursing Instructor
Westmoreland County Community College
Greene County Vocational Technical School
Waynesburg, Pa.
v
5346 FM.qxd 11/14/05 8:01 PM Page vi
5346 FM.qxd 11/14/05 8:01 PM Page vii
How to use this book
You’ve worked hard to earn your degree. You’re in-the-blank. These questions require you to provide
ready to move ahead in your career and begin the answer yourself, rather than select it from a list of
your nursing practice. Only one thing stands in your options. For these questions, write your answer in the
way—the National Council Licensure Examination for blank space provided after the question. Keep in mind
Practical Nurses®(NCLEX-PN®). that these questions are based on calculation prob-
lems and require only a numerical answer. Include a
Alternate-format questions
decimal point if appropriate and, if necessary, perform
Every nursing student is familiar with the pressure and
rounding at the end of the calculation. Do not put
anxiety involved with taking the NCLEX-PN. As if the
measurements after or commas within the numerical
stress of the standard test questions weren’t enough,
answer.
however, the National Council of State Boards of Nurs-
ing (NCSBN) added five types of alternate-format Hot spot
questions to the NCLEX. But don’t worry, NCLEX-PN: The third type of alternate-format question is a ques-
250 New-Format Questions, Second Edition, is a tion in which you will be asked to identify an area on
cutting-edge review book that will help you become an illustration or graphic. For these so-called “hot spot”
fully prepared for every type of question you may questions, the computerized exam will ask you to
encounter on the NCLEX. place your cursor over the correct area on an illustra-
tion and click.
Multiple-response
When reviewing such questions in this book, read
The first type of alternate-format question is the
the question and then mark an X on the illustration in
multiple-response question. Unlike a traditional
the left-hand column to indicate your answer. In the
multiple-choice question, each multiple-response
right-hand column, correct answers are similarly indi-
question has one or morecorrect answers, and it may
cated by an X on the duplicate illustration. Try to be as
contain more than four possible answer options. You’ll
precise as possible when marking the location. As
recognize this type of question because you’ll be
with the fill-in-the-blanks, the identification questions
asked to select allthe answers that apply—not just
on the computerized exam may require extremely
the bestanswer (as may be requested in the more
precise answers in order for them to be considered
traditional multiple-choice questions).
correct.
When you encounter one of these questions in
this review book, read the question and all possible Drag-and-drop
answers carefully. Place a check mark in the box next The fourth type of alternate-format question is the
to all options that correctly answer the question. Keep “drag-and-drop,” which requires you to use the mouse
in mind that, for each multiple-response question, to drag and drop the answers into the correct ascend-
you must select all correct answersfor the item to be ing sequential order. You may also highlight the option
counted as correct (one or more choices make up and then click the arrow key to move the option to the
the correct answer). On the NCLEX, there is no partial answer box.
credit in the scoring of these items. When reviewing such questions in this book, you’ll
see a list of unordered options followed by a series of
Fill-in-the-blank
blank answer boxes for you to fill in, in the correct
The second type of alternate-format question is the fill-
order.
vii
5346 FM.qxd 11/14/05 8:01 PM Page viii
Chart/Exhibit Remember that the process of testing and intro-
The fifth type of alternate-format question is the ducing new alternate-format questions into the
chart/exhibit. Although it’s a multiple-choice question, NCLEX is ongoing. Because the test format is subject
this type of question requires you to base your answer to change, be sure to consult the “Testing services”
on a chart or exhibit. Read the question and look at section of the NCSBN Web site (www.ncsbn.org) as
the chart or exhibit provided, and then choose from your exam date nears for the most up-to-date infor-
the correct answer options. mation on the NCLEX.
You’ve been diligently preparing for this all-
Preparing for the exam
important exam for years. NCLEX-PN: 250 New-Format
These new alternate-format questions are sure to
Questions, Second Edition, is the next logical exten-
make the NCLEX exam even more challenging than it
sion of that sound preparation, the final resource you
has been in the past. Luckily, NCLEX-PN: 250 New-
need to meet the challenge of passing NCLEX and
Format Questions, Second Edition, was specifically de-
moving on to the rewards of your nursing career.
veloped to help you prepare for and excel at each of
Good luck!
these types of questions. This helpful review book will
boost your confidence and ease your anxiety.
Topics and nursing steps
A useful supplementary study guide, this book in-
cludes 250 alternate-format questions that cover all of
the topics tested on the exam—including fundamen-
tals of nursing, medical-surgical nursing, maternal-
infant nursing, pediatric nursing, and psychiatric and
mental health nursing. For each type of question, you’ll
find the correct answer as well as clear, concise ratio-
nales for correct and incorrect answers. You’ll also find
the associated nursing process step, client needs cate-
gory and subcategory, and cognitive level.
The convenient two-column format (with ques-
tions on the left and answers on the right) enhances
your preparation process by giving you instant feed-
back and saves you the time of flipping to the back of
the book to find the correct answer.
The review questions provided in this book will
test your knowledge base and improve your test-
taking skills as well as help you become familiar with
the format of the new questions. All of the questions
were written by nurses and approximate the real
questions you’ll find on the NCLEX.
NCLEX examination
Even if your examination contains only a few alternate-
format questions, you can be confident that the ques-
tions in this book cover relevant information in a chal-
lenging format that can be useful even if your NCLEX
examination does not include all of these new-format
questions. Also, in your rush to prepare for the new-
format questions, don’t forget to review practice ques-
tions that follow the standard four-option, multiple-
choice format. These questions will still compose the
bulk of the test.
viii HOW TO USE THIS BOOK