EXAM/CRAMM
NCLEX-RN
Practice Exam and
Rationales
Fourth Edition
(1340 questions with
detailed answers)
,Contents at a Glance
Introduction 1
CHAPTER 1 Practice Exam 1 and Rationales 5
CHAPTER 2 Practice Exam 2 and Rationales 87
CHAPTER 3 Practice Exam 3 and Rationales 169
CHAPTER 4 Practice Exam 4 and Rationales 251
CHAPTER 5 Practice Exam 5 and Rationales 335
CHAPTER 6 Alternative Items: Questions and Rationales 419
APPENDIX A Need to Know More? 465
APPENDIX B Things You Forgot 475
APPENDIX C Alphabetical Listing of Nursing Boards in the United States 483
and Protectorates
,Table of Contents
Introduction ................................................................................................. 1
Welcome to the NCLEX-RN® Practice Questions Exam Cram............... 1
Taking the Computerized Adaptive Test...................................................... 2
The Cost of the Exam .................................................................................. 2
How to Prepare for the Exam...................................................................... 3
What You Will Find in This Book .............................................................. 3
Hints for Using This Book........................................................................... 4
Need Further Study? .................................................................................... 4
Contact the Author ...................................................................................... 4
Chapter 1:
Practice Exam 1 and Rationales ....................................................................... 5
Quick Answers ........................................................................................... 59
Answers and Rationales................................................................................ 61
Chapter 2:
Practice Exam 2 and Rationales ..................................................................... 87
Quick Answers ......................................................................................... 141
Answers and Rationales.............................................................................. 143
Chapter 3:
Practice Exam 3 and Rationales ................................................................... 169
Quick Answers ......................................................................................... 223
Answers and Rationales.............................................................................. 225
Chapter 4:
Practice Exam 4 and Rationales ................................................................... 251
Quick Answers ......................................................................................... 306
Answers and Rationales.............................................................................. 308
Chapter 5:
Practice Exam 5 and Rationales ................................................................... 335
Quick Answers ......................................................................................... 392
Answers and Rationales .............................................................................. 394
, vi NCLEX-RN® Practice Questions
Chapter 6:
Alternative Items: Questions and Rationales .................................................. 419
Quick Answers ........................................................................................ 450
Alternative Items Answers and Rationales ............................................... 451
Appendix A:
Need to Know More? ................................................................................... 465
Pharmacology ................................................................................ 465
Care of the Client with Respiratory Disorders ............................ 465
Care of the Client with Genitourinary Disorders ........................ 466
Care of the Client with Hematological Disorders ....................... 466
Fluid and Electrolytes and Acid/Base Balance .............................. 467
Care of the Client with Burns ....................................................... 467
Care of the Client with Sensory Disorders .................................. 468
Care of the Client with Neoplastic Disorders.............................. 468
Care of the Client with Gastrointestinal Disorders ..................... 469
Care of the Client with Musculoskeletal and Connective
Tissue Disorder ............................................................................ 469
Care of the Client with Endocrine Disorders .............................. 470
Care of the Client with Cardiac Disorders .................................. 470
Care of the Client with Neurological Disorders ......................... 471
Care of the Client with Psychiatric Disorders ............................. 471
Maternal-Newborn Care ................................................................ 472
Care of the Pediatric Client ........................................................... 472
Cultural Practices Influencing Nursing Care ............................... 472
Legal Issues in Nursing Practice.................................................... 473
Appendix B:
Things You Forgot ....................................................................................... 475
Therapeutic Drug Levels ........................................................................ 475
Vital Signs ................................................................................................ 475
Anticoagulant Therapy ............................................................................. 476
Intrapartal Normal Values....................................................................... 476
Standard Precautions............................................................................... 477
Airborne Precautions ..................................................................... 478
Droplet Precautions ....................................................................... 478
Contact Precautions....................................................................... 478
NCLEX-RN
Practice Exam and
Rationales
Fourth Edition
(1340 questions with
detailed answers)
,Contents at a Glance
Introduction 1
CHAPTER 1 Practice Exam 1 and Rationales 5
CHAPTER 2 Practice Exam 2 and Rationales 87
CHAPTER 3 Practice Exam 3 and Rationales 169
CHAPTER 4 Practice Exam 4 and Rationales 251
CHAPTER 5 Practice Exam 5 and Rationales 335
CHAPTER 6 Alternative Items: Questions and Rationales 419
APPENDIX A Need to Know More? 465
APPENDIX B Things You Forgot 475
APPENDIX C Alphabetical Listing of Nursing Boards in the United States 483
and Protectorates
,Table of Contents
Introduction ................................................................................................. 1
Welcome to the NCLEX-RN® Practice Questions Exam Cram............... 1
Taking the Computerized Adaptive Test...................................................... 2
The Cost of the Exam .................................................................................. 2
How to Prepare for the Exam...................................................................... 3
What You Will Find in This Book .............................................................. 3
Hints for Using This Book........................................................................... 4
Need Further Study? .................................................................................... 4
Contact the Author ...................................................................................... 4
Chapter 1:
Practice Exam 1 and Rationales ....................................................................... 5
Quick Answers ........................................................................................... 59
Answers and Rationales................................................................................ 61
Chapter 2:
Practice Exam 2 and Rationales ..................................................................... 87
Quick Answers ......................................................................................... 141
Answers and Rationales.............................................................................. 143
Chapter 3:
Practice Exam 3 and Rationales ................................................................... 169
Quick Answers ......................................................................................... 223
Answers and Rationales.............................................................................. 225
Chapter 4:
Practice Exam 4 and Rationales ................................................................... 251
Quick Answers ......................................................................................... 306
Answers and Rationales.............................................................................. 308
Chapter 5:
Practice Exam 5 and Rationales ................................................................... 335
Quick Answers ......................................................................................... 392
Answers and Rationales .............................................................................. 394
, vi NCLEX-RN® Practice Questions
Chapter 6:
Alternative Items: Questions and Rationales .................................................. 419
Quick Answers ........................................................................................ 450
Alternative Items Answers and Rationales ............................................... 451
Appendix A:
Need to Know More? ................................................................................... 465
Pharmacology ................................................................................ 465
Care of the Client with Respiratory Disorders ............................ 465
Care of the Client with Genitourinary Disorders ........................ 466
Care of the Client with Hematological Disorders ....................... 466
Fluid and Electrolytes and Acid/Base Balance .............................. 467
Care of the Client with Burns ....................................................... 467
Care of the Client with Sensory Disorders .................................. 468
Care of the Client with Neoplastic Disorders.............................. 468
Care of the Client with Gastrointestinal Disorders ..................... 469
Care of the Client with Musculoskeletal and Connective
Tissue Disorder ............................................................................ 469
Care of the Client with Endocrine Disorders .............................. 470
Care of the Client with Cardiac Disorders .................................. 470
Care of the Client with Neurological Disorders ......................... 471
Care of the Client with Psychiatric Disorders ............................. 471
Maternal-Newborn Care ................................................................ 472
Care of the Pediatric Client ........................................................... 472
Cultural Practices Influencing Nursing Care ............................... 472
Legal Issues in Nursing Practice.................................................... 473
Appendix B:
Things You Forgot ....................................................................................... 475
Therapeutic Drug Levels ........................................................................ 475
Vital Signs ................................................................................................ 475
Anticoagulant Therapy ............................................................................. 476
Intrapartal Normal Values....................................................................... 476
Standard Precautions............................................................................... 477
Airborne Precautions ..................................................................... 478
Droplet Precautions ....................................................................... 478
Contact Precautions....................................................................... 478
