NCLEX RN EXAM
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Preparing for the Exam 
As you prepare to take the National Council Licensure Examination, you may feel over- whelmed and frustrated. There is so much material to review and so many decisions to make. Where do I begin? Most graduates feel that way. This chapter will help you to become aware of the NCLEX® test plan and to know the types of questions you will encounter on the exam. 
The NCLEX-PN® consists of questions from the cognitive levels of knowledge, compre- hension, application, and anal...
QUESTIONS 
Do you have key facts from this chapter on your NCLEX-RN® knowledge ring? Complete the worksheet below to help you check. 
1. Why is passing the NCLEX-RN® a requirement for being licensed as a registered nurse? 
2. At what level of practice is the NCLEX-RN® designed to measure competence? 
3. What are the two major considerations in the selection of content to be tested on the NCLEX-RN®? 4. Who are the writers of NCLEX-RN® test questions? 
5. What is the predominant type of quest...
Application-Level Item 
Application-level items test your ability to apply knowledge to a specific scenario. These questions draw on your ability to know and understand nursing content, and to then apply this information to a specific scenario or situation (see Fig. 2.10). 
Figure 2.10 Sample Application-Level Item 
Strategies for Answering Application- Level Questions 
Read the question and consider what information you already know and how that information should be used to answer this particu...
UNIT 1 
The Nursing Care of Adults with Medical-Surgical Disorders 
1 
 TEST 1 
The Nursing Care of Clients with Musculoskeletal Disorders 
 Nursing Care of Clients with Musculoskeletal Injuries Nursing Care of Clients with Fractures 
 Nursing Care of Clients with Casts 
 Nursing Care of Clients in Traction 
 Nursing Care of Clients with Inflammatory Joint Disorders Nursing Care of Clients with Degenerative Bone Disorders Nursing Care of Clients with Amputations 
 Nursing Care of Clients with...
he Nursi1ng Care of the Childbearing Family 
 
TEST 
1 
Antepartal Care 
■ The Preconception Client 
■ The Pregnant Client Receiving Prenatal Care 
■ The Pregnant Client in Childbirth Preparation Classes 
■ The Pregnant Client with Risk Factors 
■ Managing Care Quality and Safety 
■ Answers, Rationales, and Test Taking Strategies 
The Preconception Client 
1. A client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as emergency contraception. After unprotected intercourse, ...
Study groups are very helpful for some students but not for all students, so you need to think about whether they will be helpful to you. The type of learner that you are will guide you in deciding whether a study group will work for you. You may be the type of learner who requires quiet and alone time to absorb the material, or you may be the type of learner who learns best by reviewing content aloud with others. One strategy that you may want to consider is to do your quiet and alone studying,...
INTRODUCTION 
TO TESTING AND 
THE NCLEX-RN® EXAM 
1 
Three cheers for you! You have made the wise decision to prepare, in a structured way, for the NCLEX-RN. 
A. You have already successfully completed a basic nurs- 
ing program and are well acquainted with your ability to take and pass tests and to perform successfully in the clinical area. 
B. You have the basic knowledge required to pass the licensing exam. However, it is wise to: 
1. Organize your knowledge. 
2. Review content learned durin...
Chart/Exhibit Practice Item 
While performing a physical assessment on a client with a long- term history of tobacco use, a nurse notes changes in the client’s fingers (see illustration). 
Angle > 180 
The nurse should best document this assessment finding as: 1. vitiligo. 
2. clubbing. 
3. keratinized. 
4. poor capillary refill. 
ANSWER: 2 
In this question, the nurse should document the finding as clubbing. The picture shows swelling at the distal end of the finger and loss of the normal ...
No symptoms even with physical activity 
II Comfortable at rest with symptoms during ordinary physical activity 
III Comfortable at rest with symptoms during less than ordinary physical activity 
IV Symptoms at rest 
1. Obtain additional evening rest. 
2. Prevent and/or obtain early treatment of infections. 3. Anticipate vaginal delivery with regional block and 
forceps. 
1. Avoid strenuous exercise. 
2. Administer prophylactic penicillin, digitalis, diuretics. 3. Obtain frequent rest periods. 
...