Saunders QandA Review for the NCLEX-RN Examination (2021)
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SAUNDERS Q&A REVIEW FOR
THE NCLEX-RN® EXAMINATION
EDITION 8
Linda Anne Silvestri, PhD, RN, FAAN
Nursing Instructor
University of Nevada, Las Vegas
Las Vegas, Nevada
President
Nursing Reviews, Inc. and Professional Nursing Seminars, Inc.
Henderson, Nevada
Elsevier
Next Generation NCLEX® (NGN) Thought Leader
Angela Elizabeth Silvestri, PhD, APRN,
FNP-BC, CNE
Assistant Professor and BSN Program Director
University of Nevada, Las Vegas
Las Vegas, Nevada
THE NCLEX-RN® EXAMINATION
EDITION 8
Linda Anne Silvestri, PhD, RN, FAAN
Nursing Instructor
University of Nevada, Las Vegas
Las Vegas, Nevada
President
Nursing Reviews, Inc. and Professional Nursing Seminars, Inc.
Henderson, Nevada
Elsevier
Next Generation NCLEX® (NGN) Thought Leader
Angela Elizabeth Silvestri, PhD, APRN,
FNP-BC, CNE
Assistant Professor and BSN Program Director
University of Nevada, Las Vegas
Las Vegas, Nevada
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President
Nurse Prep, LLC
Henderson, Nevada
Associate Editor
Linda Turchin, RN, MSN, CNE
Professor Emeritus
Nursing, Fairmont State University
Fairmont, West Virginia
Nurse Prep, LLC
Henderson, Nevada
Associate Editor
Linda Turchin, RN, MSN, CNE
Professor Emeritus
Nursing, Fairmont State University
Fairmont, West Virginia
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Elsevier
3251 Riverport Lane
St. Louis, Missouri 63043
SAUNDERS Q&A REVIEW FOR THE NCLEX-RN® EXAMINATION, EIGHTH EDITION
ISBN: 978-0-323-67284-9
Copyright © 2021 by Elsevier, Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means,
electronic or mechanical, including photocopying, recording, or any information storage and
retrieval system, without permission in writing from the publisher. Details on how to seek
permission, further information about the Publisher’s permissions policies and our
arrangements with organizations such as the Copyright Clearance Center and the Copyright
Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by
the Publisher (other than as may be noted herein).
Notice
Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds or experiments described
herein. Because of rapid advances in the medical sciences, in particular, independent
verification of diagnoses and drug dosages should be made. To the fullest extent of the law,
no responsibility is assumed by Elsevier, authors, editors or contributors for any injury
and/or damage to persons or property as a matter of products liability, negligence or
otherwise, or from any use or operation of any methods, products, instructions, or ideas
contained in the material herein.
Previous editions copyrighted 2018, 2015, 2012, and 2009.
NCLEX®, NCLEX-RN®, and NCLEX-PN® are registered trademarks of the National Council
of State Boards of Nursing, Inc.
Library of Congress Control Number: 2020943684
Director of Content Strategy: Tamara Myers
Director of Content Development: Laurie Gower
Senior Content Development Specialist: Laura Goodrich
Publishing Services Manager: Julie Eddy
Senior Project Manager: Cindy Thoms
Senior Book Designer: Maggie Reid
3251 Riverport Lane
St. Louis, Missouri 63043
SAUNDERS Q&A REVIEW FOR THE NCLEX-RN® EXAMINATION, EIGHTH EDITION
ISBN: 978-0-323-67284-9
Copyright © 2021 by Elsevier, Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means,
electronic or mechanical, including photocopying, recording, or any information storage and
retrieval system, without permission in writing from the publisher. Details on how to seek
permission, further information about the Publisher’s permissions policies and our
arrangements with organizations such as the Copyright Clearance Center and the Copyright
Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by
the Publisher (other than as may be noted herein).
Notice
Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds or experiments described
herein. Because of rapid advances in the medical sciences, in particular, independent
verification of diagnoses and drug dosages should be made. To the fullest extent of the law,
no responsibility is assumed by Elsevier, authors, editors or contributors for any injury
and/or damage to persons or property as a matter of products liability, negligence or
otherwise, or from any use or operation of any methods, products, instructions, or ideas
contained in the material herein.
Previous editions copyrighted 2018, 2015, 2012, and 2009.
NCLEX®, NCLEX-RN®, and NCLEX-PN® are registered trademarks of the National Council
of State Boards of Nursing, Inc.
Library of Congress Control Number: 2020943684
Director of Content Strategy: Tamara Myers
Director of Content Development: Laurie Gower
Senior Content Development Specialist: Laura Goodrich
Publishing Services Manager: Julie Eddy
Senior Project Manager: Cindy Thoms
Senior Book Designer: Maggie Reid
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Printed in Canada
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Last digit is the print number: 9 8 7 6 5 4 3 2 1
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In loving memory of my parents and Angela’s grandparents
ARNOLD LAWRENCE AND FRANCES MARY
Our memories of their love, support, and words of encouragement will remain in our hearts
forever!
and
To our many brave, courageous, and strong fellow nurses across the world who are at the
frontlines caring for so many people suffering with COVID-19—we thank you for protecting all
of us and we wish you safety at every moment. May your never-ending hope, strength,
courage, and bravery be an inspiration to all of us.
ARNOLD LAWRENCE AND FRANCES MARY
Our memories of their love, support, and words of encouragement will remain in our hearts
forever!
and
To our many brave, courageous, and strong fellow nurses across the world who are at the
frontlines caring for so many people suffering with COVID-19—we thank you for protecting all
of us and we wish you safety at every moment. May your never-ending hope, strength,
courage, and bravery be an inspiration to all of us.
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About the Authors
Linda Anne Silvestri
(Photo by Laurent W. Valliere)
As a child, I always dreamed of becoming either a nurse or a teacher.
Initially I chose to become a nurse because I really wanted to help
others, especially those who were ill. Then I realized that both of my
Linda Anne Silvestri
(Photo by Laurent W. Valliere)
As a child, I always dreamed of becoming either a nurse or a teacher.
Initially I chose to become a nurse because I really wanted to help
others, especially those who were ill. Then I realized that both of my
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dreams could come true; I could be both a nurse and a teacher. So I
pursued my dreams.
I received my diploma in nursing at Cooley Dickinson Hospital
School of Nursing in Northampton, Massachusetts. Afterward, I
worked at Baystate Medical Center in Springfield, Massachusetts,
where I cared for clients in acute medical-surgical units, the intensive
care unit, the emergency department, pediatric units, and other acute
care units. Later, I received an associate degree from Holyoke
Community College in Holyoke, Massachusetts; my BSN from
American International College in Springfield, Massachusetts; and my
MSN from Anna Maria College in Paxton, Massachusetts, with a dual
major in Nursing Management and Patient Education. I received my
PhD in Nursing from the University of Nevada, Las Vegas (UNLV)
and conducted research on self-efficacy and the predictors of NCLEX
success. In 2012, I received the UNLV School of Nursing Alumna of
the Year Award. I am a member of the Honor Society of Nursing,
Sigma Theta Tau International, Phi Kappa Phi, the Western Institute
of Nursing, the Eastern Nursing Research Society, the Golden Key
International Honour Society, the National League for Nursing, and
the America Nurses Association. Additionally, I am a Fellow in the
American Academy of Nursing.
As a native of Springfield, Massachusetts, I began my teaching
career as an instructor of medical-surgical nursing and leadership-
management nursing in 1981 at Baystate Medical Center School of
Nursing. In 1989, I relocated to Rhode Island and began teaching
advanced medical-surgical nursing and psychiatric nursing to RN and
LPN students at the Community College of Rhode Island. While
teaching there, a group of students approached me for assistance in
preparing for the NCLEX examination. I have always had a very
special interest in test success for nursing students because of my own
personal experiences with testing. Taking tests was never easy for me,
and as a student I needed to find methods and strategies that would
bring success. My own difficult experiences, desire, and dedication to
assist nursing students to overcome the obstacles associated with
testing inspired me to develop and write the many products that
pursued my dreams.
I received my diploma in nursing at Cooley Dickinson Hospital
School of Nursing in Northampton, Massachusetts. Afterward, I
worked at Baystate Medical Center in Springfield, Massachusetts,
where I cared for clients in acute medical-surgical units, the intensive
care unit, the emergency department, pediatric units, and other acute
care units. Later, I received an associate degree from Holyoke
Community College in Holyoke, Massachusetts; my BSN from
American International College in Springfield, Massachusetts; and my
MSN from Anna Maria College in Paxton, Massachusetts, with a dual
major in Nursing Management and Patient Education. I received my
PhD in Nursing from the University of Nevada, Las Vegas (UNLV)
and conducted research on self-efficacy and the predictors of NCLEX
success. In 2012, I received the UNLV School of Nursing Alumna of
the Year Award. I am a member of the Honor Society of Nursing,
Sigma Theta Tau International, Phi Kappa Phi, the Western Institute
of Nursing, the Eastern Nursing Research Society, the Golden Key
International Honour Society, the National League for Nursing, and
the America Nurses Association. Additionally, I am a Fellow in the
American Academy of Nursing.
As a native of Springfield, Massachusetts, I began my teaching
career as an instructor of medical-surgical nursing and leadership-
management nursing in 1981 at Baystate Medical Center School of
Nursing. In 1989, I relocated to Rhode Island and began teaching
advanced medical-surgical nursing and psychiatric nursing to RN and
LPN students at the Community College of Rhode Island. While
teaching there, a group of students approached me for assistance in
preparing for the NCLEX examination. I have always had a very
special interest in test success for nursing students because of my own
personal experiences with testing. Taking tests was never easy for me,
and as a student I needed to find methods and strategies that would
bring success. My own difficult experiences, desire, and dedication to
assist nursing students to overcome the obstacles associated with
testing inspired me to develop and write the many products that
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would foster success with testing. My experiences as a student,
nursing educator, and item writer for the NCLEX exams aided me as I
developed a comprehensive review course to prepare nursing
graduates for the NCLEX examination.
Later, in 1994, I began teaching medical-surgical nursing at Salve
Regina University in Newport, Rhode Island. I also prepared nursing
students at Salve Regina University for the NCLEX-RN examination.
Currently, I am a part-time nursing instructor at UNLV. I am the
President of Nursing Reviews, Inc., established in 2000, and
Professional Nursing Seminars, Inc., established in 1991. Both
companies are located in Henderson, Nevada and are dedicated to
helping nursing graduates achieve their goals of becoming registered
nurses, licensed practical/vocational nurses, or both.
Today, I am the successful author of numerous NCLEX review
products published by Elsevier. And, I also work with Elsevier as a
Thought Leader for the Next Generation NCLEX® (NGN). I am so
pleased that you have decided to join me on your journey to success
in testing for nursing examinations and for the NCLEX-RN
examination!
nursing educator, and item writer for the NCLEX exams aided me as I
developed a comprehensive review course to prepare nursing
graduates for the NCLEX examination.
Later, in 1994, I began teaching medical-surgical nursing at Salve
Regina University in Newport, Rhode Island. I also prepared nursing
students at Salve Regina University for the NCLEX-RN examination.
Currently, I am a part-time nursing instructor at UNLV. I am the
President of Nursing Reviews, Inc., established in 2000, and
Professional Nursing Seminars, Inc., established in 1991. Both
companies are located in Henderson, Nevada and are dedicated to
helping nursing graduates achieve their goals of becoming registered
nurses, licensed practical/vocational nurses, or both.
Today, I am the successful author of numerous NCLEX review
products published by Elsevier. And, I also work with Elsevier as a
Thought Leader for the Next Generation NCLEX® (NGN). I am so
pleased that you have decided to join me on your journey to success
in testing for nursing examinations and for the NCLEX-RN
examination!
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Angela Elizabeth Silvestri
Being a nurse is one of the most enriching aspects of my life. It’s a
career that is multifaceted and complex and allows me to be
challenged scientifically, technically, and spiritually. As a nurse
educator, I feel honored to impart my knowledge and experience to
others who are hoping to serve in this selfless, caring profession. As a
nurse scientist, I aim to make an impact on health care delivery
methods, quality of care provided, and overall health care outcomes.
I earned my Baccalaureate of Science in Nursing at Salve Regina
University in Newport, Rhode Island. Upon graduation, I worked in
long-term care, subacute care, rehabilitation, and acute care settings. I
had the opportunity to serve as a preceptor for new graduate RNs
while working in these areas. With the desire to become an educator, I
pursued my Master of Science in Nursing with a focus in Education
from the University of Nevada, Las Vegas, during which I served as a
Being a nurse is one of the most enriching aspects of my life. It’s a
career that is multifaceted and complex and allows me to be
challenged scientifically, technically, and spiritually. As a nurse
educator, I feel honored to impart my knowledge and experience to
others who are hoping to serve in this selfless, caring profession. As a
nurse scientist, I aim to make an impact on health care delivery
methods, quality of care provided, and overall health care outcomes.
I earned my Baccalaureate of Science in Nursing at Salve Regina
University in Newport, Rhode Island. Upon graduation, I worked in
long-term care, subacute care, rehabilitation, and acute care settings. I
had the opportunity to serve as a preceptor for new graduate RNs
while working in these areas. With the desire to become an educator, I
pursued my Master of Science in Nursing with a focus in Education
from the University of Nevada, Las Vegas, during which I served as a
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Graduate Assistant and received formal training as a novice Nurse
Educator. I continued my studies in the Doctor of Philosophy
program and Family Nurse Practitioner (FNP) post-master’s certificate
program at the University of Nevada, Las Vegas. My short-term goals
include conducting research focused on nursing education and
finding the best student-centered teaching strategies to help students
transition to successful nurses in practice. I work as an FNP at the
Student Recreation and Wellness Center at UNLV and work with both
students and faculty. Working with students while having been a
student for quite some time helped me understand and realize the
individual needs of each student. This experience, in addition to my
experience in item writing and other contributions to nursing
textbooks, has helped me coauthor this text. I am very excited to be a
part of this opportunity to further assist nursing students in their
journey toward becoming professional nurses! I hope you find this
resource useful as you move forward in your journey in becoming an
RN.
Educator. I continued my studies in the Doctor of Philosophy
program and Family Nurse Practitioner (FNP) post-master’s certificate
program at the University of Nevada, Las Vegas. My short-term goals
include conducting research focused on nursing education and
finding the best student-centered teaching strategies to help students
transition to successful nurses in practice. I work as an FNP at the
Student Recreation and Wellness Center at UNLV and work with both
students and faculty. Working with students while having been a
student for quite some time helped me understand and realize the
individual needs of each student. This experience, in addition to my
experience in item writing and other contributions to nursing
textbooks, has helped me coauthor this text. I am very excited to be a
part of this opportunity to further assist nursing students in their
journey toward becoming professional nurses! I hope you find this
resource useful as you move forward in your journey in becoming an
RN.
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Contributors
CONSULTANTS
Dianne E. Fiorentino
Research Coordinator, Nursing Reviews, Inc.
Henderson, Nevada
James Guibault Jr. BS, PharmD
Clinical Pharmacist, Wilbraham, Massachusetts,
Pharmacology Consultant, Nursing Reviews, Inc.
Henderson, Nevada
CONTRIBUTORS
Kristen Hickey, RN, BSN
Graduate, Salve Regina University
Newport, Rhode Island
Lisa Nicholas, MSN, RN
Clinical Instructor/Lecturer, School of Nursing
University of Nevada, Las Vegas
Katherine M. Silvestri, BSN, RN
Editorial and Reviewer Consultant, Nursing Reviews, Inc.
Henderson, Nevada
CONSULTANTS
Dianne E. Fiorentino
Research Coordinator, Nursing Reviews, Inc.
Henderson, Nevada
James Guibault Jr. BS, PharmD
Clinical Pharmacist, Wilbraham, Massachusetts,
Pharmacology Consultant, Nursing Reviews, Inc.
Henderson, Nevada
CONTRIBUTORS
Kristen Hickey, RN, BSN
Graduate, Salve Regina University
Newport, Rhode Island
Lisa Nicholas, MSN, RN
Clinical Instructor/Lecturer, School of Nursing
University of Nevada, Las Vegas
Katherine M. Silvestri, BSN, RN
Editorial and Reviewer Consultant, Nursing Reviews, Inc.
Henderson, Nevada
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Preface
“Success is climbing a mountain, facing the challenge of obstacles, and
reaching the top of the mountain.”
Linda Anne Silvestri, PhD, RN, FAAN
“Success is never an accident. To be successful is to have been perseverate, to
have sacrificed, and to have loved what you are cultivating to become
successful.”
Angela Elizabeth Silvestri, PhD, APRN, FNP-BC, CNE
Welcome to Saunders Pyramid to Success!
An Essential Resource for Test Success
Saunders Q&A Review for the NCLEX-RN® Examination is one in a
series of products designed to assist you in achieving your goal of
becoming a registered nurse. This text and Evolve site package
provide you with more than 6000 practice NCLEX-RN test questions
based on the current NCLEX-RN test plan.
The current test plan for the NCLEX-RN identifies a framework
based on Client Needs. The Client Needs categories include
Physiological Integrity, Safe and Effective Care Environment, Health
Promotion and Maintenance, and Psychosocial Integrity. Integrated
Processes are also identified as a component of the test plan. These
include Caring, Communication and Documentation, Culture and
Spirituality, Nursing Process, and Teaching and Learning. This book
has been uniquely designed and includes chapters that describe each
“Success is climbing a mountain, facing the challenge of obstacles, and
reaching the top of the mountain.”
Linda Anne Silvestri, PhD, RN, FAAN
“Success is never an accident. To be successful is to have been perseverate, to
have sacrificed, and to have loved what you are cultivating to become
successful.”
Angela Elizabeth Silvestri, PhD, APRN, FNP-BC, CNE
Welcome to Saunders Pyramid to Success!
An Essential Resource for Test Success
Saunders Q&A Review for the NCLEX-RN® Examination is one in a
series of products designed to assist you in achieving your goal of
becoming a registered nurse. This text and Evolve site package
provide you with more than 6000 practice NCLEX-RN test questions
based on the current NCLEX-RN test plan.
The current test plan for the NCLEX-RN identifies a framework
based on Client Needs. The Client Needs categories include
Physiological Integrity, Safe and Effective Care Environment, Health
Promotion and Maintenance, and Psychosocial Integrity. Integrated
Processes are also identified as a component of the test plan. These
include Caring, Communication and Documentation, Culture and
Spirituality, Nursing Process, and Teaching and Learning. This book
has been uniquely designed and includes chapters that describe each
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specific component of the NCLEX-RN test plan framework and six
practice tests that contain NCLEX-style questions specific to each
component.
NCLEX-RN® Test Preparation
This book begins with information regarding NCLEX-RN preparation.
Chapter 1 is titled Clinical Judgment and the NCLEX-RN® Examination.
It addresses information about clinical judgment and the related
cognitive processes/skills as defined by the National Council of State
Boards of Nursing (NCSBN) and all of the information related to the
NCLEX-RN test plan and the examination testing procedures. This
chapter answers all of the questions that you may have regarding this
information.
Chapter 2, Profiles to Success, discusses the NCLEX-RN from a
nonacademic viewpoint and emphasizes a holistic approach for your
individual test preparation. This chapter identifies the components of
a structured study plan, anxiety-reducing techniques, and personal
focus issues. Nursing students also want to hear what other students
have to say about their experiences with the NCLEX-RN and what it is
really like to take this examination. Chapter 3, The NCLEX-RN®
Examination: From a Graduate’s Perspective, is a story of success written
by a nursing graduate who recently took the NCLEX-RN and
addresses the issue of what the examination is all about.
Chapter 4, Clinical Judgment and Test-Taking Strategies, includes
information about using clinical judgment and the six cognitive
processes/skills to answer questions and all of the strategies that will
assist in teaching you how to read a question, how not to read into a
question, and how to use the process of elimination and various other
strategies to select the correct response from the options presented.
Client Needs
Chapters 5 through 9 address the NCLEX-RN test plan component,
Client Needs. Chapter 5, Client Needs and the NCLEX-RN® Test Plan
describes each category of Client Needs as identified by the test plan
practice tests that contain NCLEX-style questions specific to each
component.
NCLEX-RN® Test Preparation
This book begins with information regarding NCLEX-RN preparation.
Chapter 1 is titled Clinical Judgment and the NCLEX-RN® Examination.
It addresses information about clinical judgment and the related
cognitive processes/skills as defined by the National Council of State
Boards of Nursing (NCSBN) and all of the information related to the
NCLEX-RN test plan and the examination testing procedures. This
chapter answers all of the questions that you may have regarding this
information.
Chapter 2, Profiles to Success, discusses the NCLEX-RN from a
nonacademic viewpoint and emphasizes a holistic approach for your
individual test preparation. This chapter identifies the components of
a structured study plan, anxiety-reducing techniques, and personal
focus issues. Nursing students also want to hear what other students
have to say about their experiences with the NCLEX-RN and what it is
really like to take this examination. Chapter 3, The NCLEX-RN®
Examination: From a Graduate’s Perspective, is a story of success written
by a nursing graduate who recently took the NCLEX-RN and
addresses the issue of what the examination is all about.
Chapter 4, Clinical Judgment and Test-Taking Strategies, includes
information about using clinical judgment and the six cognitive
processes/skills to answer questions and all of the strategies that will
assist in teaching you how to read a question, how not to read into a
question, and how to use the process of elimination and various other
strategies to select the correct response from the options presented.
Client Needs
Chapters 5 through 9 address the NCLEX-RN test plan component,
Client Needs. Chapter 5, Client Needs and the NCLEX-RN® Test Plan
describes each category of Client Needs as identified by the test plan
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and lists any subcategories, the percentage of test questions for each
category, and some of the content included on the NCLEX-RN.
Chapters 6 through 9 contain practice test questions related
specifically to each category of Client Needs. Chapter 6 comprises
questions related to Physiological Integrity; Chapter 7 contains
questions dealing with Safe and Effective Care Environment; Chapter
8 is made up of questions concerned with Health Promotion and
Maintenance; and Chapter 9 contains Psychosocial Integrity
questions.
Integrated Processes
Chapters 10 and 11 address the Integrated Processes as identified in the
NCLEX-RN test plan. Chapter 10, Integrated Processes and the NCLEX-
RN® Test Plan, describes each Integrated Process. Chapter 11 contains
practice test questions related specifically to each Integrated Process,
including Caring, Communication and Documentation, Culture and
Spirituality, Nursing Process, and Teaching and Learning.
Comprehensive Test
A comprehensive test, Chapter 12, is included at the end of this book.
It consists of 265 practice questions representative of the components
of the test plan framework for the NCLEX-RN.
Special Features of the Book
Book Design
The book is designed with a unique two-column format. The left
column presents the practice questions, answer options, and coding
areas while the right column provides the corresponding answers,
rationales, priority nursing tips, test-taking strategies, and references.
The two-column format makes the review easier because you do not
have to flip through pages in search of answers and rationales. A
bookmark accompanies this book and you can use it to hide the right
column with the answer section as you are practicing questions.
category, and some of the content included on the NCLEX-RN.
Chapters 6 through 9 contain practice test questions related
specifically to each category of Client Needs. Chapter 6 comprises
questions related to Physiological Integrity; Chapter 7 contains
questions dealing with Safe and Effective Care Environment; Chapter
8 is made up of questions concerned with Health Promotion and
Maintenance; and Chapter 9 contains Psychosocial Integrity
questions.
Integrated Processes
Chapters 10 and 11 address the Integrated Processes as identified in the
NCLEX-RN test plan. Chapter 10, Integrated Processes and the NCLEX-
RN® Test Plan, describes each Integrated Process. Chapter 11 contains
practice test questions related specifically to each Integrated Process,
including Caring, Communication and Documentation, Culture and
Spirituality, Nursing Process, and Teaching and Learning.
Comprehensive Test
A comprehensive test, Chapter 12, is included at the end of this book.
It consists of 265 practice questions representative of the components
of the test plan framework for the NCLEX-RN.
Special Features of the Book
Book Design
The book is designed with a unique two-column format. The left
column presents the practice questions, answer options, and coding
areas while the right column provides the corresponding answers,
rationales, priority nursing tips, test-taking strategies, and references.
The two-column format makes the review easier because you do not
have to flip through pages in search of answers and rationales. A
bookmark accompanies this book and you can use it to hide the right
column with the answer section as you are practicing questions.
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Special Features Found on Evolve
Pretest and Study Calendar
The accompanying Evolve site contains a 75-question pretest that
provides you with feedback on your strengths and weaknesses. The
results of your pretest will generate an individualized study calendar
to guide you in your preparation for the NCLEX examination.
Heart, Lung, and Bowel Sound Questions
The accompanying Evolve site contains Audio Questions representative
of content addressed in the current test plan for the NCLEX-RN exam.
These questions are in NCLEX-style format, and each question
presents an audio sound as a component of the question.
Audio Review Summaries
The companion Evolve site includes three Audio Review Summaries that
cover challenging subject areas under the current NCLEX-RN test
plan, including Pharmacology, Acid-Base Balance, and Fluids and
Electrolytes.
Next Generation NCLEX® (NGN) Case Studies and NGN
Test Questions
The accompanying Evolve site contains single-episode case studies
and unfolding case studies. These case studies are accompanied by
NGN test questions representative of the NGN testing format. The
single episode case studies are accompanied by one NGN test
question that measures one of the cognitive processes/skills of the
NCSBN Clinical Judgment Measurement Model (NCJMM). The
unfolding case studies are accompanied by six NGN test questions
and the questions measure all six cognitive processes/skills of the
NCJMM. These cognitive processes/skills include Recognize Cue,
Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take
Action, and Evaluate Outcomes.
Pretest and Study Calendar
The accompanying Evolve site contains a 75-question pretest that
provides you with feedback on your strengths and weaknesses. The
results of your pretest will generate an individualized study calendar
to guide you in your preparation for the NCLEX examination.
Heart, Lung, and Bowel Sound Questions
The accompanying Evolve site contains Audio Questions representative
of content addressed in the current test plan for the NCLEX-RN exam.
These questions are in NCLEX-style format, and each question
presents an audio sound as a component of the question.
Audio Review Summaries
The companion Evolve site includes three Audio Review Summaries that
cover challenging subject areas under the current NCLEX-RN test
plan, including Pharmacology, Acid-Base Balance, and Fluids and
Electrolytes.
Next Generation NCLEX® (NGN) Case Studies and NGN
Test Questions
The accompanying Evolve site contains single-episode case studies
and unfolding case studies. These case studies are accompanied by
NGN test questions representative of the NGN testing format. The
single episode case studies are accompanied by one NGN test
question that measures one of the cognitive processes/skills of the
NCSBN Clinical Judgment Measurement Model (NCJMM). The
unfolding case studies are accompanied by six NGN test questions
and the questions measure all six cognitive processes/skills of the
NCJMM. These cognitive processes/skills include Recognize Cue,
Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take
Action, and Evaluate Outcomes.
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Practice Questions
Multiple Choice and Alternate Item Format Questions
While preparing for the NCLEX-RN, students have a strong need to
review practice test questions. This book contains practice questions
that are in the multiple-choice format or in alternate item test question
formats used in the NCLEX-RN examination.
The accompanying Evolve site contains more than 6000 questions:
all the questions from the book, plus new questions, including all
types of alternate item formats. The alternate item format questions in
the book and on the accompanying Evolve site may be presented as
one of the following:
Fill-in-the-blank question
Multiple response question
Prioritizing (ordered response) question, also known as a drag-
and-drop question
Figure/illustration question, also known as a hot spot question
Graphic options question, in which each option contains a figure
or illustration
Chart/exhibit question
Audio question that includes a heart, lung, or bowel sound
NGN® Case Studies and NGN test questions
These questions provide you with practice in prioritizing, decision-
making and critical thinking, and strengthening your clinical
judgment skills. In addition, each practice question provides a review
button that links you to common laboratory values for your reference
while studying on the Evolve site.
Answer Sections for Practice Questions
Each practice question is accompanied by the correct answer,
rationale, priority nursing tip, test-taking strategy, question
categories, and reference source. The structure of the answer section is
unique and provides the following information for every question:
Multiple Choice and Alternate Item Format Questions
While preparing for the NCLEX-RN, students have a strong need to
review practice test questions. This book contains practice questions
that are in the multiple-choice format or in alternate item test question
formats used in the NCLEX-RN examination.
The accompanying Evolve site contains more than 6000 questions:
all the questions from the book, plus new questions, including all
types of alternate item formats. The alternate item format questions in
the book and on the accompanying Evolve site may be presented as
one of the following:
Fill-in-the-blank question
Multiple response question
Prioritizing (ordered response) question, also known as a drag-
and-drop question
Figure/illustration question, also known as a hot spot question
Graphic options question, in which each option contains a figure
or illustration
Chart/exhibit question
Audio question that includes a heart, lung, or bowel sound
NGN® Case Studies and NGN test questions
These questions provide you with practice in prioritizing, decision-
making and critical thinking, and strengthening your clinical
judgment skills. In addition, each practice question provides a review
button that links you to common laboratory values for your reference
while studying on the Evolve site.
Answer Sections for Practice Questions
Each practice question is accompanied by the correct answer,
rationale, priority nursing tip, test-taking strategy, question
categories, and reference source. The structure of the answer section is
unique and provides the following information for every question:
Loading page 19...
Rationale: The rationale provides you significant information
regarding both correct and incorrect options.
Priority Nursing Tip: The priority nursing tip provides you with
an important piece of information that will be helpful to you
when answering practice questions and questions on the NCLEX.
Test-Taking Strategy: The test-taking strategy provides a logical
path for selecting the correct option and helps you select an
answer to a question on which you might have to guess. In each
practice question, the specific strategy that will assist in
answering the question correctly is highlighted in bold blue type.
The highlighting of the specific test-taking strategies in the
practice questions will provide you with guidance on what topics
to review for further remediation in Saunders Strategies for Test
Success: Passing Nursing School and the NCLEX® Exam, Saunders
Comprehensive Review for the NCLEX-RN® Exam, and the
Saunders/HESI Online Review for the NCLEX-RN® Exam.
Question Categories: Each question in the book and on the
accompanying Evolve site is identified based on the categories
used by the NCLEX-RN test plan. Both Content Area and Health
Problem categories are also provided with each question to assist
you in identifying areas in need of review. In addition, Priority
Concepts codes are included, which provides you with the
specific concept related to nursing practice. The categories
identified with each question include Level of Cognitive Ability,
Client Needs, Clinical Judgment/Cognitive Skill, Integrated
Process, Content Area, Health Problem, and Priority Concepts.
All categories are identified by their full names so that you do not
need to memorize codes or abbreviations.
Reference: The reference source and page number are listed for
you so that you can easily find the information you need to
review in your undergraduate nursing textbooks.
How to Use this Book
Saunders Q&A Review for the NCLEX-RN® Examination is specially
designed to help you with your successful journey to the peak of the
regarding both correct and incorrect options.
Priority Nursing Tip: The priority nursing tip provides you with
an important piece of information that will be helpful to you
when answering practice questions and questions on the NCLEX.
Test-Taking Strategy: The test-taking strategy provides a logical
path for selecting the correct option and helps you select an
answer to a question on which you might have to guess. In each
practice question, the specific strategy that will assist in
answering the question correctly is highlighted in bold blue type.
The highlighting of the specific test-taking strategies in the
practice questions will provide you with guidance on what topics
to review for further remediation in Saunders Strategies for Test
Success: Passing Nursing School and the NCLEX® Exam, Saunders
Comprehensive Review for the NCLEX-RN® Exam, and the
Saunders/HESI Online Review for the NCLEX-RN® Exam.
Question Categories: Each question in the book and on the
accompanying Evolve site is identified based on the categories
used by the NCLEX-RN test plan. Both Content Area and Health
Problem categories are also provided with each question to assist
you in identifying areas in need of review. In addition, Priority
Concepts codes are included, which provides you with the
specific concept related to nursing practice. The categories
identified with each question include Level of Cognitive Ability,
Client Needs, Clinical Judgment/Cognitive Skill, Integrated
Process, Content Area, Health Problem, and Priority Concepts.
All categories are identified by their full names so that you do not
need to memorize codes or abbreviations.
Reference: The reference source and page number are listed for
you so that you can easily find the information you need to
review in your undergraduate nursing textbooks.
How to Use this Book
Saunders Q&A Review for the NCLEX-RN® Examination is specially
designed to help you with your successful journey to the peak of the
Loading page 20...
Pyramid to Success: becoming a registered nurse. As you begin your
journey through this book, you will be introduced to all of the
important points regarding the NCLEX-RN examination, the process
of testing, and the unique and special tips regarding how to prepare
yourself both academically and nonacademically for this important
examination. Read the chapter from the nursing graduate who
recently passed the NCLEX-RN and consider what the graduate had
to say about the examination. The test-taking strategy chapter will
provide you with important strategies that will guide you in selecting
the correct option or assist you in guessing the answer. Read this
chapter and practice these strategies as you proceed through your
journey with this book.
Once you have read the introductory components of this book, it is
time to begin the practice questions. As you read through each
question and select an answer, be sure to read the rationale, the
priority nursing tip, and the test-taking strategy. The rationale
provides you with significant information regarding both the correct
and incorrect options. The priority nursing tip provides you with a
piece of important information to remember that will help answer
questions on the NCLEX, and the test-taking strategy provides you
with the logic for selecting the correct option. Use the reference source
provided so that you can easily find the information you need to
review.
Climbing the Pyramid to Success
This step on the Pyramid to Success is to get additional practice with a
Q&A review product. Saunders Q&A Review for the NCLEX-RN®
Examination offers more than 6000 unique practice questions in the
book and on the companion Evolve site. The questions are focused on
the Client Needs and Integrated Processes of the NCLEX test plan,
making it easy to access your study area of choice. For on-the-go Q&A
review, you can pick up Saunders Q&A Review Cards for the NCLEX-
RN® Examination.
journey through this book, you will be introduced to all of the
important points regarding the NCLEX-RN examination, the process
of testing, and the unique and special tips regarding how to prepare
yourself both academically and nonacademically for this important
examination. Read the chapter from the nursing graduate who
recently passed the NCLEX-RN and consider what the graduate had
to say about the examination. The test-taking strategy chapter will
provide you with important strategies that will guide you in selecting
the correct option or assist you in guessing the answer. Read this
chapter and practice these strategies as you proceed through your
journey with this book.
Once you have read the introductory components of this book, it is
time to begin the practice questions. As you read through each
question and select an answer, be sure to read the rationale, the
priority nursing tip, and the test-taking strategy. The rationale
provides you with significant information regarding both the correct
and incorrect options. The priority nursing tip provides you with a
piece of important information to remember that will help answer
questions on the NCLEX, and the test-taking strategy provides you
with the logic for selecting the correct option. Use the reference source
provided so that you can easily find the information you need to
review.
Climbing the Pyramid to Success
This step on the Pyramid to Success is to get additional practice with a
Q&A review product. Saunders Q&A Review for the NCLEX-RN®
Examination offers more than 6000 unique practice questions in the
book and on the companion Evolve site. The questions are focused on
the Client Needs and Integrated Processes of the NCLEX test plan,
making it easy to access your study area of choice. For on-the-go Q&A
review, you can pick up Saunders Q&A Review Cards for the NCLEX-
RN® Examination.
Loading page 21...
As you work your way through Saunders Q&A Review for the
NCLEX-RN® Examination and identify your areas of strength and
weakness, you can return to the companion book, Saunders
Comprehensive Review for the NCLEX-RN® Examination, to focus your
study on these areas. The purpose of the Saunders Comprehensive
Review for the NCLEX-RN® Examination is to provide a comprehensive
review of the nursing content you will be tested on during the
NCLEX-RN examination. However, Saunders Comprehensive Review for
the NCLEX-RN® Examination is intended to do more than simply
prepare you for the rigors of the NCLEX; this book is also meant to
serve as a valuable study tool that you can refer to throughout your
nursing program, with customizable Evolve site selections to help
identify and reinforce key content and health problem areas. Your
final step on the Pyramid to Success is to master the online review.
HESI/Saunders Online Review for the NCLEX-RN® Examination provides
an interactive and individualized platform to get you ready for your
final licensure exam. This online course provides 10 high-level content
NCLEX-RN® Examination and identify your areas of strength and
weakness, you can return to the companion book, Saunders
Comprehensive Review for the NCLEX-RN® Examination, to focus your
study on these areas. The purpose of the Saunders Comprehensive
Review for the NCLEX-RN® Examination is to provide a comprehensive
review of the nursing content you will be tested on during the
NCLEX-RN examination. However, Saunders Comprehensive Review for
the NCLEX-RN® Examination is intended to do more than simply
prepare you for the rigors of the NCLEX; this book is also meant to
serve as a valuable study tool that you can refer to throughout your
nursing program, with customizable Evolve site selections to help
identify and reinforce key content and health problem areas. Your
final step on the Pyramid to Success is to master the online review.
HESI/Saunders Online Review for the NCLEX-RN® Examination provides
an interactive and individualized platform to get you ready for your
final licensure exam. This online course provides 10 high-level content
Loading page 22...
modules, supplemented with instructional videos, animations, audio,
illustrations, case studies, and several subject matter exams. End of
module practice tests are provided along with several Crossing the
Finish Line: Practice Tests and two Test Yourself Quizzes. In addition,
you can assess your progress with a pre-test and comprehensive exam
in a computerized environment that prepares you for the actual
NCLEX-RN exam.
At the base of the Pyramid to Success are our test-taking strategies,
which provide a foundation for understanding and unpacking the
complexities of NCLEX exam questions, including alternate item
formats. Saunders Strategies for Test Success: Passing Nursing School and
the NCLEX® Exam takes a detailed look at all the test-taking strategies
you will need to know in order to pass any nursing examination,
including the NCLEX. Special tips are integrated for nursing students,
and there are 1200 practice questions included so you can apply the
testing strategies.
To obtain any of these resources that will prepare you for your
nursing exams and the NCLEX-RN exam, visit the Elsevier Health
Sciences Web site at elsevierhealth.com. You can also visit the Apple
App Store and Google Play to locate the App for both this resource
and the Saunders Comprehensive Review for the NCLEX-RN®
Examination.
Good Luck with your journey through the Saunders Pyramid to
Success. We wish you continued success throughout your new career
as a Registered Nurse!
Linda Anne Silvestri, PhD, RN, FAAN
Angela Elizabeth Silvestri, PhD, APRN, FNP-BC, CNE
illustrations, case studies, and several subject matter exams. End of
module practice tests are provided along with several Crossing the
Finish Line: Practice Tests and two Test Yourself Quizzes. In addition,
you can assess your progress with a pre-test and comprehensive exam
in a computerized environment that prepares you for the actual
NCLEX-RN exam.
At the base of the Pyramid to Success are our test-taking strategies,
which provide a foundation for understanding and unpacking the
complexities of NCLEX exam questions, including alternate item
formats. Saunders Strategies for Test Success: Passing Nursing School and
the NCLEX® Exam takes a detailed look at all the test-taking strategies
you will need to know in order to pass any nursing examination,
including the NCLEX. Special tips are integrated for nursing students,
and there are 1200 practice questions included so you can apply the
testing strategies.
To obtain any of these resources that will prepare you for your
nursing exams and the NCLEX-RN exam, visit the Elsevier Health
Sciences Web site at elsevierhealth.com. You can also visit the Apple
App Store and Google Play to locate the App for both this resource
and the Saunders Comprehensive Review for the NCLEX-RN®
Examination.
Good Luck with your journey through the Saunders Pyramid to
Success. We wish you continued success throughout your new career
as a Registered Nurse!
Linda Anne Silvestri, PhD, RN, FAAN
Angela Elizabeth Silvestri, PhD, APRN, FNP-BC, CNE
Loading page 23...
To All Future Registered Nurses,
Congratulations to you!
You should be very proud and pleased with yourself on your
accomplishments in nursing, as well as your well-deserved
success in completing your nursing program to become a
registered nurse. We know you have worked very hard to be
successful and that you have proven to yourself that indeed you
can achieve your goals.
In our opinion, you are about to enter the most wonderful and
rewarding profession that exists. Your willingness, desire, and
ability to assist those who need nursing care will bring great
satisfaction to your life. In the profession of nursing, learning is a
lifelong process, which makes the profession stimulating and
dynamic and ensures that your learning will continue to expand
and grow as the profession continues to evolve. Your next very
important endeavor will be the learning process needed to
achieve success in your examination to become a registered
nurse.
We are excited and pleased to be able to provide you with the
Saunders Pyramid to Success products, which will help you
prepare for your next important professional goal: becoming a
registered nurse. We want to thank all of our former nursing
students whom we have assisted in their studies for the NCLEX-
RN exam for their willingness to offer ideas regarding their needs
in preparing for licensure. Student ideas have certainly added a
special uniqueness to all of the products available in the Saunders
Pyramid to Success.
Saunders Pyramid to Success products provide you with
everything that you need to ready yourself for the NCLEX-RN
exam. These products include material that is required for the
NCLEX-RN exam for all nursing students regardless of
educational background, specific strengths, areas in need of
Congratulations to you!
You should be very proud and pleased with yourself on your
accomplishments in nursing, as well as your well-deserved
success in completing your nursing program to become a
registered nurse. We know you have worked very hard to be
successful and that you have proven to yourself that indeed you
can achieve your goals.
In our opinion, you are about to enter the most wonderful and
rewarding profession that exists. Your willingness, desire, and
ability to assist those who need nursing care will bring great
satisfaction to your life. In the profession of nursing, learning is a
lifelong process, which makes the profession stimulating and
dynamic and ensures that your learning will continue to expand
and grow as the profession continues to evolve. Your next very
important endeavor will be the learning process needed to
achieve success in your examination to become a registered
nurse.
We are excited and pleased to be able to provide you with the
Saunders Pyramid to Success products, which will help you
prepare for your next important professional goal: becoming a
registered nurse. We want to thank all of our former nursing
students whom we have assisted in their studies for the NCLEX-
RN exam for their willingness to offer ideas regarding their needs
in preparing for licensure. Student ideas have certainly added a
special uniqueness to all of the products available in the Saunders
Pyramid to Success.
Saunders Pyramid to Success products provide you with
everything that you need to ready yourself for the NCLEX-RN
exam. These products include material that is required for the
NCLEX-RN exam for all nursing students regardless of
educational background, specific strengths, areas in need of
Loading page 24...
improvement, or clinical experience during the nursing program.
So let’s get started and begin our journey through the Saunders
Pyramid to Success, and welcome to the wonderful profession of
nursing!
Sincerely,
Linda Anne Silvestri, PhD, RN, FAAN
Angela Silvestri, PhD, APRN, FNP-BC, CNE
So let’s get started and begin our journey through the Saunders
Pyramid to Success, and welcome to the wonderful profession of
nursing!
Sincerely,
Linda Anne Silvestri, PhD, RN, FAAN
Angela Silvestri, PhD, APRN, FNP-BC, CNE
Loading page 25...
Acknowledgments
A Few Words From Linda
There are many individuals who in their own ways have contributed
to my success in making my professional dreams become a reality. My
sincere appreciation and warmest thanks are extended to all of them.
First, I want to acknowledge my parents, who opened my door of
opportunity in education and encouraged and supported me through
my profession to work hard to reach my goals. I thank my mother,
Frances Mary, for all of her love, support, and assistance as I
continuously worked to achieve my professional goals. I thank my
father, Arnold Lawrence, who always provided insightful words of
encouragement. I miss you both so dearly, and my memories of your
love and support will always remain in my heart. I also thank my best
friend and love of my life, my husband Larry, for always being there
for me for whatever I needed; my sister, Dianne Elodia and her
husband Lawrence, and my brother, Lawrence Peter, and my sister-in-
law, Mary Elizabeth, for all their love and support. And I thank my
nieces and nephews: Gina, Karen, Angela, Katie, Gabrielle, Brianna,
Nicholas, Anthony, and Nathan, who were continuously supportive,
giving, and helpful during my research and preparation of this
publication. They were always there and by my side whenever I
needed them.
I want to thank my nursing students at the Community College of
Rhode Island who approached me in 1991 and persuaded me to assist
them in preparing to take the NCLEX-RN examination. Their
enthusiasm and inspiration led to the commencement of my
A Few Words From Linda
There are many individuals who in their own ways have contributed
to my success in making my professional dreams become a reality. My
sincere appreciation and warmest thanks are extended to all of them.
First, I want to acknowledge my parents, who opened my door of
opportunity in education and encouraged and supported me through
my profession to work hard to reach my goals. I thank my mother,
Frances Mary, for all of her love, support, and assistance as I
continuously worked to achieve my professional goals. I thank my
father, Arnold Lawrence, who always provided insightful words of
encouragement. I miss you both so dearly, and my memories of your
love and support will always remain in my heart. I also thank my best
friend and love of my life, my husband Larry, for always being there
for me for whatever I needed; my sister, Dianne Elodia and her
husband Lawrence, and my brother, Lawrence Peter, and my sister-in-
law, Mary Elizabeth, for all their love and support. And I thank my
nieces and nephews: Gina, Karen, Angela, Katie, Gabrielle, Brianna,
Nicholas, Anthony, and Nathan, who were continuously supportive,
giving, and helpful during my research and preparation of this
publication. They were always there and by my side whenever I
needed them.
I want to thank my nursing students at the Community College of
Rhode Island who approached me in 1991 and persuaded me to assist
them in preparing to take the NCLEX-RN examination. Their
enthusiasm and inspiration led to the commencement of my
Loading page 26...
professional endeavors in conducting review courses for the NCLEX-
RN exam for nursing students. I also thank the numerous nursing
students who have attended my review courses for their willingness
to share their needs and ideas. Their input has certainly added a
special uniqueness to this publication.
I wish to acknowledge all of the nursing faculty who taught in my
review courses for the NCLEX-RN exam. Their commitment,
dedication, and expertise have certainly assisted nursing students in
achieving success with the NCLEX-RN exam. Additionally, I want to
especially acknowledge my husband, Laurent W. Valliere, for his
contribution to this publication, for teaching in my review courses for
the NCLEX-RN exam, and for his commitment and dedication in
assisting my nursing students to prepare for the exam from a
nonacademic point of view. I also want to extend a very special thank
you to my niece, Angela, for joining me in preparing and authoring
these NCLEX resources. Angela is so wonderful to work with. Her
ideas and her expertise has certainly added to the content of this
publication and all of our NCLEX publications. She is very dedicated
to promoting and ensuring student success. Thank you, Angela! And
finally, I again want to thank my husband Larry for all of his
continuous support as I moved through my personal challenges and
professional endeavors; he has been my rock of support!
A Few Words From Angela
There are many people that contributed to my success in my work on
this product. I am very grateful for their continued support in all of
my endeavors.
First and foremost, I would like to thank my husband, Brent, for his
light-hearted and positive attitude. He always knows how to make me
laugh, especially when I’m stressed. All of this would not be possible
without him!
I would also like to thank my parents, Mary and Larry, for their
continued support throughout the years. Their words of
encouragement and wisdom have been tremendously important to
my success. I also don’t know what I would do without their support
RN exam for nursing students. I also thank the numerous nursing
students who have attended my review courses for their willingness
to share their needs and ideas. Their input has certainly added a
special uniqueness to this publication.
I wish to acknowledge all of the nursing faculty who taught in my
review courses for the NCLEX-RN exam. Their commitment,
dedication, and expertise have certainly assisted nursing students in
achieving success with the NCLEX-RN exam. Additionally, I want to
especially acknowledge my husband, Laurent W. Valliere, for his
contribution to this publication, for teaching in my review courses for
the NCLEX-RN exam, and for his commitment and dedication in
assisting my nursing students to prepare for the exam from a
nonacademic point of view. I also want to extend a very special thank
you to my niece, Angela, for joining me in preparing and authoring
these NCLEX resources. Angela is so wonderful to work with. Her
ideas and her expertise has certainly added to the content of this
publication and all of our NCLEX publications. She is very dedicated
to promoting and ensuring student success. Thank you, Angela! And
finally, I again want to thank my husband Larry for all of his
continuous support as I moved through my personal challenges and
professional endeavors; he has been my rock of support!
A Few Words From Angela
There are many people that contributed to my success in my work on
this product. I am very grateful for their continued support in all of
my endeavors.
First and foremost, I would like to thank my husband, Brent, for his
light-hearted and positive attitude. He always knows how to make me
laugh, especially when I’m stressed. All of this would not be possible
without him!
I would also like to thank my parents, Mary and Larry, for their
continued support throughout the years. Their words of
encouragement and wisdom have been tremendously important to
my success. I also don’t know what I would do without their support
Loading page 27...
in caring for my kids!
I would like to thank my sister, Katie, who is a wonderful nurse
herself. Her ambitions as a nursing student are inspiring and remind
me every day about why I’m so passionate about being an educator.
Thank you to my brother Nick, who always is positive and
encouraging about my work. His wit and sarcasm is always a great
way to lift your mood at the end of the day.
I want to extend a special thank you to Linda for her collaboration,
guidance, and expertise. Without her, I would not be where I am
today. Thank you, Linda!
A Few Words From Both Linda and Angela
First and foremost, we want to thank our Associate Editor, Linda
Turchin, for all of her dedicated and hard work in editing and
preparing the entire manuscript for this edition. We also want to
thank Lisa Nicholas for her many contributions. Their expertise and
close attention to details has certainly added to the quality of this
resource. Linda and Lisa, thank you so much!
We also want to acknowledge and thank Laurent W. Valliere for
writing a chapter addressing those important nonacademic test
preparation issues.
A very special thank you goes to Katherine Silvestri, BSN, RN, for
her work in reviewing, editing, and coding practice questions. In
addition, we also sincerely thank Kristen Hickey, RN, BSN, for writing
a chapter for this book about her experiences with preparing for and
taking the NCLEX-RN examination and for her assistance with coding
the practice questions.
A special thank you and acknowledgment also goes to all of the
contributors and item writers who updated and provided many of the
practice questions and all of the previous contributors who provided
contributions to this book. A very special thank you to all of you!
We especially thank Dianne E. Fiorentino for her continuous
support and dedication to our work and in her reference support and
other secretarial responsibilities for the eighth edition of this book. We
thank Jimmy Guibault for reviewing the medication questions and
I would like to thank my sister, Katie, who is a wonderful nurse
herself. Her ambitions as a nursing student are inspiring and remind
me every day about why I’m so passionate about being an educator.
Thank you to my brother Nick, who always is positive and
encouraging about my work. His wit and sarcasm is always a great
way to lift your mood at the end of the day.
I want to extend a special thank you to Linda for her collaboration,
guidance, and expertise. Without her, I would not be where I am
today. Thank you, Linda!
A Few Words From Both Linda and Angela
First and foremost, we want to thank our Associate Editor, Linda
Turchin, for all of her dedicated and hard work in editing and
preparing the entire manuscript for this edition. We also want to
thank Lisa Nicholas for her many contributions. Their expertise and
close attention to details has certainly added to the quality of this
resource. Linda and Lisa, thank you so much!
We also want to acknowledge and thank Laurent W. Valliere for
writing a chapter addressing those important nonacademic test
preparation issues.
A very special thank you goes to Katherine Silvestri, BSN, RN, for
her work in reviewing, editing, and coding practice questions. In
addition, we also sincerely thank Kristen Hickey, RN, BSN, for writing
a chapter for this book about her experiences with preparing for and
taking the NCLEX-RN examination and for her assistance with coding
the practice questions.
A special thank you and acknowledgment also goes to all of the
contributors and item writers who updated and provided many of the
practice questions and all of the previous contributors who provided
contributions to this book. A very special thank you to all of you!
We especially thank Dianne E. Fiorentino for her continuous
support and dedication to our work and in her reference support and
other secretarial responsibilities for the eighth edition of this book. We
thank Jimmy Guibault for reviewing the medication questions and
Loading page 28...
providing medication research support. And, we both thank Dr.
Eileen Gray and Allison Bowser for their tremendous assistance
whenever we ask for their help.
We sincerely acknowledge and thank some very important and
special people from Elsevier. We thank Jamie Blum, our former Senior
Content Strategist, our Director of Content Strategy Tamara Myers,
and Laurie Gower, Director of Content Development, for their
continuous support, enthusiasm, and expert professional guidance
throughout the preparation of this edition. A very special thank you
goes to Cindy Thoms, Senior Project Manager, for her expert work
and for anticipating our needs as we prepared this publication. We
worked so closely with Cindy throughout the preparation and
publication and could not have done it without her expert help and
her support and patience with us. Thank you, Cindy! And a very
special thank you goes to Laura Goodrich, Senior Content
Development Specialist, who provided us with consistent and a
tremendous amount of support throughout this publication. Laura
generated creative ideas for the book and was outstanding in
strategizing and maintaining order for all of the work that we
submitted for manuscript production and all of the work submitted
by contributors. Thank you, Laura—you are the best! We could not
have completed this publication without you!
We want to acknowledge all of the staff at Elsevier for their
tremendous help throughout the preparation and production of this
publication. A special thanks to all of them. We thank Julie Eddy,
Publishing Services Manager; Cindy Thoms, Senior Project Manager;
and Maggie Reid, Design Direction. You have all played such
significant roles in finalizing this publication.
Lastly, a very special thank you to all our nursing students: past,
present, and future. All of you light up our life! Your love and
dedication to the profession of nursing and your commitment to
provide health care will bring never-ending rewards!
Eileen Gray and Allison Bowser for their tremendous assistance
whenever we ask for their help.
We sincerely acknowledge and thank some very important and
special people from Elsevier. We thank Jamie Blum, our former Senior
Content Strategist, our Director of Content Strategy Tamara Myers,
and Laurie Gower, Director of Content Development, for their
continuous support, enthusiasm, and expert professional guidance
throughout the preparation of this edition. A very special thank you
goes to Cindy Thoms, Senior Project Manager, for her expert work
and for anticipating our needs as we prepared this publication. We
worked so closely with Cindy throughout the preparation and
publication and could not have done it without her expert help and
her support and patience with us. Thank you, Cindy! And a very
special thank you goes to Laura Goodrich, Senior Content
Development Specialist, who provided us with consistent and a
tremendous amount of support throughout this publication. Laura
generated creative ideas for the book and was outstanding in
strategizing and maintaining order for all of the work that we
submitted for manuscript production and all of the work submitted
by contributors. Thank you, Laura—you are the best! We could not
have completed this publication without you!
We want to acknowledge all of the staff at Elsevier for their
tremendous help throughout the preparation and production of this
publication. A special thanks to all of them. We thank Julie Eddy,
Publishing Services Manager; Cindy Thoms, Senior Project Manager;
and Maggie Reid, Design Direction. You have all played such
significant roles in finalizing this publication.
Lastly, a very special thank you to all our nursing students: past,
present, and future. All of you light up our life! Your love and
dedication to the profession of nursing and your commitment to
provide health care will bring never-ending rewards!
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Contents
Unit I NCLEX-RN® PREPARATION
Chapter 1 Clinical Judgment and the NCLEX-RN® Examination
Chapter 2 Profiles to Success
Chapter 3 The NCLEX-RN® Examination: A Graduate’s Perspective
Chapter 4 Clinical Judgment and Test-Taking Strategies
Unit II CLIENT NEEDS
Chapter 5 Client Needs and the NCLEX-RN® Test Plan
Chapter 6 Physiological Integrity Practice Questions
Chapter 7 Safe and Effective Care Environment Practice Questions
Chapter 8 Health Promotion and Maintenance Practice Questions
Chapter 9 Psychosocial Integrity Practice Questions
Unit III INTEGRATED PROCESSES
Chapter 10 Integrated Processes and the NCLEX-RN® Test Plan
Chapter 11 Integrated Processes Practice Questions
Unit IV COMPREHENSIVE TEST
Chapter 12 Comprehensive Test
References
Unit I NCLEX-RN® PREPARATION
Chapter 1 Clinical Judgment and the NCLEX-RN® Examination
Chapter 2 Profiles to Success
Chapter 3 The NCLEX-RN® Examination: A Graduate’s Perspective
Chapter 4 Clinical Judgment and Test-Taking Strategies
Unit II CLIENT NEEDS
Chapter 5 Client Needs and the NCLEX-RN® Test Plan
Chapter 6 Physiological Integrity Practice Questions
Chapter 7 Safe and Effective Care Environment Practice Questions
Chapter 8 Health Promotion and Maintenance Practice Questions
Chapter 9 Psychosocial Integrity Practice Questions
Unit III INTEGRATED PROCESSES
Chapter 10 Integrated Processes and the NCLEX-RN® Test Plan
Chapter 11 Integrated Processes Practice Questions
Unit IV COMPREHENSIVE TEST
Chapter 12 Comprehensive Test
References
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UNIT I
NCLEX-RN® Preparation
Chapter 1 Clinical Judgment and the NCLEX-RN® Examination
Chapter 2 Profiles to Success
Chapter 3 The NCLEX-RN® Examination: A Graduate’s
Perspective
Chapter 4 Clinical Judgment and Test-Taking Strategies
NCLEX-RN® Preparation
Chapter 1 Clinical Judgment and the NCLEX-RN® Examination
Chapter 2 Profiles to Success
Chapter 3 The NCLEX-RN® Examination: A Graduate’s
Perspective
Chapter 4 Clinical Judgment and Test-Taking Strategies
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Subject
National Council Licensure Examination