Exam (elaborations) SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-PN EXAMINATION 7TH EDITION LINDA ANNE SILVESTRI, ANGELA ELIZABETH SILVESTRI

SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-PN EXAMINATION 7TH EDITION LINDA ANNE SILVESTRI, ANGELA ELIZABETH SILVESTRI SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-PN EXAMINATION 7TH EDITION By LINDA ANNE SILVESTRI and ANGELA ELIZABETH SILVESTRI ISBN: 978-0-323-48488-6 3146 PAGES Saunders Comprehensive Review for the NCLEX-PN® Examination SEVENTH EDITION Authors Linda Anne Silvestri, PhD, RN Instructor of Nursing, Salve Regina University, Newport, Rhode Island President, Nursing Reviews, Inc., Henderson, Nevada Elsevier Consultant, HESI NCLEX-RN® and NCLEX-PN® Live Review Courses Angela Elizabeth Silvestri, PhD, RN, CNE Assistant Professor, School of Nursing, University of Nevada, Las Vegas, Las Vegas, Nevada Associate Editor Mary Dowell, PhD, RN Graduate Nursing Faculty, University of Phoenix, Phoenix, Arizona 2 Disclaimer This title includes additional digital media when purchased in print format. For this digital book edition, media content may not be included. 3 Table of Contents Instructions for online access Cover image Title page Copyright Dedication About the Authors Contributors Preface Welcome to Saunders Pyramid to Success! Special Features of the Book Special Features Found on Evolve Pharmacology and Medication Calculations Review How to Use This Book Climbing the Pyramid to Success Acknowledgments Unit I: NCLEX-PN® Examination Preparation Chapter 1: The NCLEX-PN® Examination 4 The Pyramid to Success Examination Process Computer Adaptive Testing Development of the Test Plan Test Plan Types of Questions on the Examination Registering to Take the Examination Authorization to Test Form and Scheduling an Appointment Changing Your Appointment Day of the Examination Testing Accommodations Testing Center Testing Time Length of the Examination Pass-or-Fail Decisions Completing the Examination Processing Results Candidate Performance Report Interstate Endorsement Nurse Licensure Compact The Foreign-Educated Nurse Chapter 2: Pathways to Success Pyramid to Success Pathways to Success (Box 2-1) Positive Pampering Final Preparation This Is Not a Test Final Result Chapter 3: The NCLEX-PN® Examination: From a Graduate’s Perspective 5 Chapter 4: Test-Taking Strategies Introduction Unit II: Professional Standards in Nursing Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 5: Cultural Awareness and Health Practices Practice Questions Answers Chapter 6: Ethical and Legal Issues Practice Questions Answers Chapter 7: Prioritizing Client Care: Leadership, Delegation, and Emergency Response Planning Practice Questions Answers Unit III: Nursing Sciences Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 8: Fluids and Electrolytes 6 Practice Questions Answers Chapter 9: Acid–Base Balance Practice Questions Answers Chapter 10: Vital Signs and Laboratory Reference Intervals Practice Questions Answers Chapter 11: Nutritional Components of Care Practice Questions Answers Chapter 12: Intravenous Therapy and Blood Administration Practice Questions Answers Unit IV: Foundations of Care Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 13: Health and Physical Assessment of the Adult Client Practice Questions Answers Chapter 14: Hygiene and Safety Practice Questions Answers 7 Chapter 15: Calculation of Medication and Intravenous Dosages Practice Questions Answers Chapter 16: Perioperative Nursing Care Practice Questions Answers Chapter 17: Positioning Clients Practice Questions Answers Chapter 18: Care of a Client with a Tube Practice Questions Answers Unit V: Growth and Development Across the Life Span Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 19: Theories of Growth and Development Practice Questions Answers Chapter 20: Developmental Stages Practice Questions Answers 8 Chapter 21: Care of the Older Client Practice Questions Answers Unit VI: Maternity Nursing Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 22: Reproductive System Practice Questions Answers Chapter 23: Prenatal Period and Risk Conditions Practice Questions Answers Chapter 24: Labor and Delivery and Associated Complications Practice Questions Answers Chapter 25: The Postpartum Period and Associated Complications Practice Questions Answers Chapter 26: Care of the Newborn Practice Questions Answers Chapter 27: Maternity and Newborn Medications 9 Practice Questions Answers Unit VII: Pediatric Nursing Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 28: Integumentary Disorders Practice Questions Answers Chapter 29: Hematological and Oncological Disorders Practice Questions Answers Chapter 30: Metabolic and Endocrine Disorders Practice Questions Answers Chapter 31: Gastrointestinal Disorders Practice Questions Answers Chapter 32: Eye, Ear, Throat, and Respiratory Disorders Practice Questions Answers Chapter 33: Cardiovascular Disorders Practice Questions Answers 10 Chapter 34: Renal and Urinary Disorders Practice Questions Answers Chapter 35: Neurological and Cognitive Disorders Practice Questions Answers Chapter 36: Musculoskeletal Disorders Practice Questions Answers Chapter 37: Infectious and Communicable Diseases Practice Questions Answers Chapter 38: Pediatric Medication Administration and Calculations Practice Questions Answers Unit VIII: Integumentary Disorders of the Adult Client Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 39: Integumentary System Practice Questions Answers 11 Chapter 40: Integumentary Medications Practice Questions Answers Unit IX: Oncological and Hematological Disorders of the Adult Client Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 41: Oncological and Hematological Disorders Practice Questions Answers Chapter 42: Oncological and Hematological Medications Practice Questions Answers Unit X: Endocrine Disorders of the Adult Client Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 43: Endocrine System Practice Questions Answers 12 Chapter 44: Endocrine Medications Practice Questions Answers Unit XI: Gastrointestinal Disorders of the Adult Client Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 45: Gastrointestinal System Practice Questions Answers Chapter 46: Gastrointestinal Medications Practice Questions Answers Unit XII: Respiratory Disorders of the Adult Client Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 47: Respiratory System Practice Questions Answers Chapter 48: Respiratory Medications 13 Practice Questions Answers Unit XIII: Cardiovascular Disorders of the Adult Client Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 49: Cardiovascular Disorders Practice Questions Answers Chapter 50: Cardiovascular Medications Practice Questions Answers Unit XIV: Renal and Urinary Disorders of the Adult Client Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 51: Renal System Practice Questions Answers 14 Chapter 52: Renal and Urinary Medications Practice Questions Answers Unit XV: Eye and Ear Disorders of the Adult Client Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 53: The Eye and the Ear Practice Questions Answers Chapter 54: Eye and Ear Medications Practice Questions Answers Unit XVI: Neurological Disorders of the Adult Client Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 55: Neurological System Practice Questions Answers Chapter 56: Neurological Medications 15 Practice Questions Answers Unit XVII: Musculoskeletal Disorders of the Adult Client Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 57: Musculoskeletal System Practice Questions Answers Chapter 58: Musculoskeletal Medications Practice Questions Answers Unit XVIII: Immune Disorders of the Adult Client Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 59: Immune Disorders Practice Questions Answers Chapter 60: Immunological Medications 16 Practice Questions Answers Unit XIX: Mental Health Disorders of the Adult Client Introduction Pyramid to Success Client Needs: Learning Objectives Chapter 61: Foundations of Psychiatric Mental Health Nursing Practice Questions Answers Chapter 62: Mental Health Disorders Practice Questions Answers Chapter 63: Addictions Practice Questions Answers Chapter 64: Crisis Theory and Intervention Practice Questions Answers Chapter 65: Psychiatric Medications Practice Questions Answers Unit XX: Comprehensive Test Introduction 17 PN Comprehensive Test: Answers and Rationales References Glossary Index 18 Copyright 3251 Riverport Lane St. Louis, Missouri 63043 SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-PN® EXAMINATION, SEVENTH EDITION ISBN: 978-0-323-48488-6 Copyright © 2019 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: This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices 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. NCLEX®, NCLEX-RN®, and NCLEX-PN® are registered trademarks of the National Council of State Boards of Nursing, Inc. 19 Previous editions copyrighted 2016, 2013, 2010, 2008, 2005, 2002, and 1999. International Standard Book Number: 978-0-323-48488-6 Senior Content Strategist: Jamie Blum Senior Content Development Specialist: Laura Goodrich Publishing Services Manager: Jeff Patterson Book Production Specialist: Bill Drone Design Direction: Amy Buxton Printed in Canada Last digit is the print number: 9 8 7 6 5 4 3 2 1 20 Dedication In loving memory of my parents— To my mother, Frances Mary, and my father, Arnold Lawrence, who taught me to always love, care, and be the best I could be. They will forever be in my heart. Linda Anne Silvestri To my husband—Brent Alan—and my children—Scarlett Noel and Addison Mary—thank you for giving me the motivation and support in everything I do. To my parents—Mary Elizabeth and Lawrence Peter—who have