NCLEX-RN Notes

281 Pages·2008·4.68 MB·English

by  Barbara A. Vitale

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Bonus CD-ROM Includes—
• 1000⫹ plus NCLEX-style questions
• Rationales for correct and incorrect responses
• Alternate format questions
• Strategic tips for successfully answering questions
All questions coded for—
• Client Need
• Content Area
• Cognitive Domain
• Difficulty Level
All combined to promote success on NCLEX examinations
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Minimum System Requirements
PC
CPU:Pentium III or higher
64 MB Ram; 128 MB Ram preferred
800 x 600 monitor with thousands of colors
OS: Windows/2000/XP
8x CD-ROM drive
135 MB hard disk space
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NCLEX-RN®
Notes
Core Review & Exam Prep
Barbara A. Vitale, RN, MA
Purchase additional copies of this book at
your health science bookstore or directly
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A Davis’s Notes Book
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Content Development Manager: Darlene Pedersen
Contributing Author: Mary Ann Hellmer-Saul, RN, AAS, BS, MS, PhD, ANP
Consultants: Paula A. Olesen, RN, MSN; Daryl Boucher, MSN, RN, CCEMTP; Golden
Tradewell, PhD, RN; Kathy Whitley, RN, MSN, FNP; Leesa A. McBroom, MSN, APRN,
FNP-C; Lindsey L. Carlson, MSN, RN; Eileen Kaslatas, MSN, RN; Joanne Vitale, RPA-
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LPN Notes: Nurse’s Clinical Pocket Guide
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1
®
NCLEX-RN
■ The National Council Licensure Examination for registered nurses
(NCLEX-RN®) measures the knowledge and abilities necessary for entry-
level nurses.
■ It is administered by Computer Adaptive Testing (CAT), which
individualizes tests to match the unique competencies of each test taker.
■ Each exam adheres to the NCLEX-RN® Test Plan, which describes the
content and scope of RN competencies.
■ Practices basic to nursing (e.g., nursing process, caring, teaching,
learning, communication, documentation) are integrated throughout,
and most questions require application and analysis of information.
®
NCLEX-RN Test Plan—Distribution of Content
Patient Needs and % of Items
Safe and Effective Care Environment
■ Management of Care 13%–19%
■ Safety/Infection Control 8%–14%
Health Promotion and Maintenance 6%–12%
Psychosocial Integrity 6%–12%
Physiological Integrity
■ Basic Care/Comfort 6%–12%
■ Pharmacological/Parenteral gfd Therapies 13%–19%
■ Reduction of Risk Potential 13%–19%
■ Physiological Adaptation 11%–17%
Taking the NCLEX-RN® Test on a Computer
■ First: You will receive general information about the exam and the testing
center. Your time spent on this will not count.
■ Second: You will take a tutorial on how to use the computer to answer the
questions on NCLEX-RN®. Your answers will not count toward your score,
but the time you take will be subtracted from the total 6 hours you have
for the exam.
■ Third: You will then be presented with real NCLEX-RN® items; there will
be between 75 and 265 items. The test ends when it is 95% certain your
ability is ↑ or ↓ the passing standard.
TIPS
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TIPS
■ Answers may be selected or deleted several times if desired before
confirming a final answer. You must answer every question. You cannot
return to a previous question.
■ A time-remaining clock is in the screen’s upper right-hand corner.
■ A calculator on the computer is available for calculations.
Go to www.NCSBN.org to access an NCLEX tutorial to practice multiple
choice and alternate format items on the computer.
Critical Thinking
Definition, Influences, and Uses of Critical Thinking
■ Definition of critical thinking: Cognitive technique by which you reflect on
and analyze your thoughts, actions, decisions
■ Intellectual standards that influence critical thinking: Focused, methodical,
clear, deliberate, logical, relevant, accurate, precise
■ Processes that require critical thinking:Test taking, nursing process,
problem solving, decision making, diagnostic reasoning
Maximize Your Critical Thinking Abilities
Action Benefit
Be positive: Be optimistic
■ Maintain positive mental ■ ↑Positive thinking and ↓negative
attitude: Replace negative thinking that can interfere with
thoughts with positive ones learning
Be calm: Control anxious feelings
■ Use relaxation techniques: ■ ↓Anxiety
Practice breathing exercises and ■ ↑Control in relation to intellectual
guided imagery tasks
Be inquisitive: Question and investigate
■ Ask the questions how, why, ■ ↑Ability to determine significance
what: e.g., How does Colace of information
promote a bowel movement? Why ■ ↑Understanding/retention of
does BP drop with hemorrhage? information
■ ↑Ability to apply information
Be persistent: Follow a course of action
■ ↑Control over variables
■ Develop self-discipline: Be
associated with thinking
logical and organized
2