NCLEX-PN Content Review Guide: Preparation for the NCLEX-PN Examination (Kaplan Test Prep) (2020)

Name: NCLEX-PN Content Review Guide: Preparation for the NCLEX-PN Examination (Kaplan Test Prep) (2020)
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Author: Ethan Howard

NCLEX-PN Content Review Guide: Preparation for the NCLEX-PN Examination (Kaplan Test Prep) (2020) challenges you with exam-style questions, ensuring you're fully prepared.

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Table of Contents
Introduction
Chapter 1: The NCLEX-PN® Examination
Section 1: The NCLEX-PN® Examination
Chapter 2: Kaplan’s Review for the NCLEX-PN® Examination
Section 1: Kaplan’s NCLEX-PN® Course Materials
Section 2: How to Use Kaplan’s NCLEX-PN® Review Course
Section 3: Kaplan’s PN Decision Tree®
Section 4: Guide for Test-Takers Repeating the NCLEX-PN®
Examination
Chapter 3: Safe and Effective Care Environment
Section 1: Coordination of Care
Section 2: Safety and Infection Control
Chapter 4: Health Promotion and Maintenance
Section 1: Growth and Development
Section 2: Childbearing—Normal
Section 3: Childbearing—Maternal Complications
Section 4: Childbearing—Neonatal Normal
Section 5: Neonatal Complications
Section 6: Reproduction
Section 7: Prevention and Early Detection of Disease
Chapter 5: Physiological Integrity 1: Basic Care and Comfort
Section 1: Mobility and Immobility
Section 2: Conditions Limiting Mobility
Section 3: Interventions to Promote Comfort
Section 4: Musculoskeletal Trauma
Section 5: Rest and Sleep Disturbances
Section 6: Nutrition
Section 7: Elimination
Chapter 6: Psychosocial Integrity
Section 1: Coping and Adaptation
Section 2: Psychosocial Adaptation
Section 3: Psychopathology
Section 4: Chemical Dependency

Section 5: Abuse and Neglect
Chapter 7: Physiological Integrity 2: Physiological Adaptation
Section 1: Medical Emergencies
Section 2: Fluid and Electrolyte Imbalances
Section 3: Alterations in Body Systems
Section 4: Cancer
Chapter 8: Physiological Integrity 3: Reduction of Risk Potential
Section 1: Sensory and Perceptual Alterations
Section 2: Alterations in Body Systems
Section 3: Perioperative Care
Section 4: Diagnostic Tests
Section 5: Therapeutic Procedures
Chapter 9: Physiological Integrity 4: Pharmacological and Parenteral
Therapies
Section 1: Blood Component Therapy
Section 2: Intravenous Therapy
Section 3: Medications
Section 4: Adverse Effects of Medications

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NCLEX-PN® is a registered trademark of the National Council of State Boards of Nursing, Inc., which
neither sponsors nor endorses this book.
This book is solely intended for use as preparation for the Nursing Licensure Examination,
NCLEX-PN® examination. It is not a guide to the clinical treatment of clients. Neither the authors nor
the publisher shall be responsible for any harm caused by the use of this book other than for its
intended purpose. This book is just a small portion of the Kaplan materials available for you to
prepare for the NCLEX-PN® exam.
This publication is designed to provide accurate information in regard to the subject matter covered
as of its publication date, with the understanding that knowledge and best practice constantly
evolve. The publisher is not engaged in rendering medical, legal, accounting, or other professional
service. If medical or legal advice or other expert assistance is required, the services of a competent
professional should be sought. This publication is not intended for use in clinical practice or the
delivery of medical care. To the fullest extent of the law, neither the Publisher nor the Editors
assume any liability for any injury and/or damage to persons or property arising out of or related to
any use of the material contained in this book.
© 2020 by Kaplan, Inc.
Published by Kaplan Publishing, a division of Kaplan, Inc.
750 Third Avenue,
New York, NY 10017
All rights reserved. The text of this publication, or any part thereof, may not be reproduced in any
manner whatsoever without written permission from the publisher. This book may not be
duplicated or resold, pursuant to the terms of your Kaplan Enrollment Agreement.
10 9 8 7 6 5 4 3 2 1
ISBN: 978-1-5062-6295-6
Kaplan Publishing print books are available at special quantity discounts to use for sales
promotions, employee premiums, or educational purposes. For more information or to purchase
books, please call the Simon & Schuster special sales department at 866-506-1949.

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Introduction
Welcome! By using Kaplan Nursing resources, you’ve taken an important
step toward passing the National Council Licensure Examination for
Practical Nurses (NCLEX-PN®).
Our many years of experience indicate that your success on the NCLEX-PN®
examination is keyed to two specific factors: your educational background
and your exam preparation. The amount and intensity of study you devote
will bring about the greatest benefits from these resources. The best
results come to those who actively participate in exam preparation. We
will show you how the NCLEX-PN® examination works, what you do and
don’t need to know, and the smartest way to take the NCLEX-PN®
examination. We provide you with data to help you analyze your practice
performance and determine where you need to make improvements. We
will give you all the help, advice, and encouragement we can—but only you
can do the work. Get to know all the benefits that Kaplan Nursing has to
offer so you can make the most of your study time.
After you complete your resources and take the NCLEX-PN® examination,
please tell us how you did. Kaplan’s Research and Curriculum
Development Team works hard to ensure that our course materials
employ the most effective and innovative teaching methods. In order to
evolve and improve, we need your help. Please take a few moments to
share your thoughts on how the materials helped you. Thank you in
advance for choosing Kaplan for your studies.

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KAPLAN
750 Third Avenue,
New York, NY 10017
Attn: NCLEX Curriculum
customer.care@kaplan.com (kaptest.com)
integrated.support@kaplan.com (nursing.kaplan.com)
Our best wishes for an interesting and satisfying nursing career.
*NCLEX is a trademark of N.C.S.B.N., Inc.
Please note: All Kaplan lectures, web content, and printed and electronic
media are the property of Kaplan Nursing and are copyrighted under law.

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Section 1
The NCLEX-PN® Examination
Have you talked to LPN/LVNs about their experiences taking the NCLEX-
PN® examination? If so, they probably told you it was unlike any nursing
test they have ever taken. How can that be? Let’s talk in detail about the
NCLEX-PN® examination.
NCLEX-PN® stands for National Council Licensure Examination for Practical
Nurses and is prepared by the National Council of State Boards of Nursing
(NCSBN). The purpose of the exam is to determine if you are safe to begin
practice as an entry-level practical/vocational nurse. The NCLEX-PN®
examination is a test of minimum competency, and is based on the
required knowledge and behavior for the entry-level practice of
practical/vocational nursing. This exam tests not only your knowledge, but
also your ability to make decisions.
The NCLEX-PN® examination is a computer adaptive test, which means
each test is assembled interactively based on the accuracy of the
candidate’s responses to the questions. This ensures that the question you
are answering will not be “too hard” or “too easy” for your skill level. The
first question will be near the level of minimum competency (also referred

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to as the passing line). If you answer the question correctly, the next
question will be slightly higher in critical thinking. If you miss the question,
the next question will be slightly lower. As you answer questions, the
computer is able to calculate your level of competence, as well as select
questions that represent all areas of practical/vocational nursing as
defined by the NCLEX-PN® test plan.
TAKING THE EXAM
You have a maximum of 5 hours to complete the exam, which includes the
beginning tutorial, a break reminder after the first two hours of testing, a
break reminder after an additional 90 minutes of testing, and any
additional breaks you may take.
There is no time limit for each question. The NCLEX-PN® examination is a
variable-length adaptive test, which means that your test will be anywhere
from 85 questions to 205 questions. Of the first 85 questions, 25 are
experimental items that are not scored. Your test will end when the
computer has determined your ability and you have taken at least 85
questions, or when you have reached the maximum testing time of 5
hours, or when you have answered 205 questions.
WHAT BEHAVIORS DOES THE NCLEX-PN®
EXAMINATION TEST?
The NCLEX-PN® exam does not want to test your body of nursing
knowledge; it assumes you have a body of knowledge because you have

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graduated from nursing school. Likewise, it does not want to test your
understanding of the material; it assumes you understand the nursing
knowledge you learned in nursing school. So what does this exam test?
The NCLEX-PN® exam primarily tests your nursing judgment and
discretion. It tests your ability to think critically and solve problems. The
test writers recognize that as a beginning practitioner, you will be
managing nursing assistants to provide care to a group of clients. As a
member of the nursing team, you are expected to make safe and
competent judgments about client care.
CRITICAL THINKING AND CLINICAL JUDGMENT
What does the term critical thinking mean? Critical thinking is problem
solving that involves thinking creatively.
Using clinical judgment, you successfully solve problems every day in the
clinical area. You are probably comfortable with this concept when
actually caring for clients. Although you’ve had lots of practice critically
thinking in the clinical area, you may have had less practice thinking
critically and using clinical judgment on test questions. Why is that?
During nursing school, you take exams developed by nursing faculty to test
a specific body of content. Many of these questions are at the knowledge
level, which involves recognition and recall of ideas or material that you
read in your nursing textbooks and discussed in class. This is the most
basic level of testing.

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In nursing school, you are also given test questions written at the
comprehension level. These questions require you to understand the
meaning of the material. If you are answering minimum competency
questions on the NCLEX-PN® exam, you will not see many comprehension-
level questions. The test writers assume you know and understand the
facts you learned in nursing school.
Minimum competency questions on the NCLEX-PN® exam are written at
the application and/or analysis level. Remember, the exam tests your
ability to make safe judgments about client care. Your ability to solve
problems is not tested with knowledge- or comprehension-level questions.
Application involves taking the facts that you know and using them to
make a nursing judgment. You must be able to answer questions at the
application level to prove your competence on the NCLEX-PN® exam.
STRATEGIES THAT DON’T WORK ON THE NCLEX-PN®
EXAMINATION
Whether you realize it or not, you developed a set of strategies in nursing
school to answer teacher-generated test questions that are written at the
knowledge/comprehension level. These strategies include:
“Cramming” hundreds of facts about disease processes and nursing
care
Recognizing and recalling facts rather than understanding the
pathophysiology and the needs of a client with an illness
Knowing who wrote the question and what is important to that faculty

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CRITICAL THINKING AND CLINCIAL JUDGMENT ON
THE NCLEX-PN® EXAMINATION
Remember, the NCLEX-PN® exam is testing your ability to think critically.
Critical thinking for the nurse involves:
FACTS ABOUT THE NCLEX-PN® EXAMINATION
Predicting answers based on what you remember
Selecting the response that is a different length compared with the
other choices
Selecting the answer choice that is grammatically correct
When in doubt, choosing answer choice C
The NCLEX-PN® exam is not a test about recognizing facts.
You must be able to correctly identify what the question is asking.
Only focus on background information that is necessary to answer the
question.
Observation
Deciding what is important
Looking for patterns and relationships
Identifying the problem
Transferring knowledge from one situation to another
Applying knowledge
Discriminating between possible choices and/or courses of action
Evaluating according to established criteria

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