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

Name: NCLEX-RN Content Review Guide: Preparation for the NCLEX-RN Examination (Kaplan Test Prep) (2020)
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Track your progress with NCLEX-RN Content Review Guide: Preparation for the NCLEX-RN Examination (Kaplan Test Prep) (2020), an exam paper designed to identify areas for improvement.

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Table of Contents
Introduction
Chapter 1: The NCLEX-RN® Examination
Section 1: The NCLEX-RN® Examination
Chapter 2: Kaplan’s Review for the NCLEX-RN® Examination
Section 1: Kaplan’s NCLEX-RN® Course Materials
Section 2: How to Use Kaplan’s NCLEX-RN® Online Study
Center Resources
Section 3: Kaplan’s RN Decision Tree
Section 4: Guide for Test-Takers Repeating the NCLEX-RN®
Examination
Chapter 3: Physiological Integrity: Pharmacological and Parenteral
Therapies
Section 1: Blood Component Therapy
Section 2: Intravenous Therapy
Section 3: Medications
Section 4: Adverse Effects of Medications
Chapter 4: Physiological Integrity: 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 5: Physiological Integrity: Physiological Adaptation
Section 1: Medical Emergencies
Section 2: Fluid and Electrolyte Imbalances
Section 3: Alterations in Body Systems
Section 4: Cancer
Chapter 6: Physiological Integrity: 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 7: Safe and Effective Care Environment
Section 1: Management of Care
Section 2: Safety and Infection Control
Chapter 8: 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 9: Psychosocial Integrity
Section 1: Coping and Adaptation
Section 2: Psychosocial Adaptation
Section 3: Psychopathology
Section 4: Chemical Dependency
Section 5: Abuse and Neglect

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NCLEX-RN® 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-
RN® exam. 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-RN® 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.
ISBN: 978-1-5062-6292-5
10 9 8 7 6 5 4 3 2 1
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
Registered Nurses (NCLEX-RN®* examination).
Our many years of experience indicate that your success on the NCLEX-RN®
examination is keyed to two specific factors: your educational background
and your preparation for the exam. It is the amount and intensity of study
you devote that will earn you the greatest benefit from the resources. The
best results come to those who actively participate in exam preparation.
We will show you how the NCLEX-RN® examination works, what you do and
don’t need to know, and the smartest way to take the NCLEX-RN®
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-RN® 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-RN® Examination
Have you talked to graduate nurses about their experiences taking the
NCLEX-RN® exam? They probably told you that the test wasn’t like any
nursing test they had ever taken. How can that be? The NCLEX-RN® exam is
primarily multiple-choice test questions, and as a nursing student you are
used to taking multiple-choice tests. In fact, you’ve taken so many tests by
the time you graduate from nursing school that you probably believe there
can’t be any surprises on a nursing test. Yet there is one more surprise
waiting for you, and it is called the NCLEX-RN® exam.
The NCLEX-RN® exam is similar to other standardized exams in some ways,
yet different in others:
The NCLEX-RN® exam is written by nurse specialists who are experts in a
content area of nursing.
All content is selected to allow the beginning practitioner to prove
minimum competency on all areas of the test plan.
NCLEX-RN® questions are written at 4 different levels based on Bloom’s
Taxonomy for the Cognitive Domain: knowledge, understanding,
application, and analysis.

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What does this mean for you?
WHAT BEHAVIORS DOES THE NCLEX-RN®
EXAMINATION TEST?
The NCLEX-RN® exam does not want to test your body of nursing
knowledge; it assumes you have a body of knowledge because you have
graduated from nursing school. Likewise, it does not want to test your
Minimum competency questions are the passing level questions. They
are asked at the application level, not the knowledge level. All the
responses to a question are similar in length and subject matter and are
grammatically correct.
All test items have been extensively tested. National Council knows that
the questions are valid; all correct responses are documented in two
different sources.
National Council defines what is minimum-competency, entry-level
nursing.
Questions and answers are written in such a way that you will not be
able to predict or recognize the correct answer.
National Council is knowledgeable about the strategies regarding
length of answers, grammar, etc. They make sure you can’t use these
strategies to select correct answers. English majors have no advantage!
The answer choices have been extensively tested. The people who write
the test questions make the incorrect answer choices look attractive to
the unwary test-taker.

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understanding of the material; it assumes you understand the nursing
knowledge you learned in nursing school. So what does this exam test?
The NCLEX-RN® 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 LPNs/LVNs and nursing assistants to provide care to a group of
clients. As the leader 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. This 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-RN® 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-RN® 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-RN® exam.
STRATEGIES THAT DON’T WORK ON THE NCLEX-RN®
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 CLINICAL JUDGMENT ON
THE NCLEX-RN® EXAMINATION
Remember, the NCLEX-RN® exam tests your ability to think critically.
Critical thinking for the nurse involves:
FACTS ABOUT THE NCLEX-RN® 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-RN® 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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