Kaplan NCLEX-RN Premier 2015 – 2016 with 2 Practice Tests eBook

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  • Published: 2015
  • ISBN-10: 1618658743
  • ISBN-13: 978-1618658746

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kaplan nclex-rn premier 2015 – 2016 with 2 practice tests ebook

The NCLEX-RN® exam is, among other things, an endurance test, like a marathon. If you

don’t prepare properly, or approach it with confidence and rigor, you’ll quickly lose your

composure. Here is a sample, test-like question:

A man had a permanent pacemaker implanted one year ago. He returns to the

outpatient clinic because he thinks the pacemaker battery is malfunctioning. It is

MOST important for the nurse to assess which of the following?

1. Abdominal pain, nausea, and vomiting

2. Wheezing on exertion, cyanosis, and orthopnea

3. Peripheral edema, shortness of breath, and dizziness

4. Chest pain radiating to the right arm, headache, and diaphoresis

As you can see, the style and content of the NCLEX-RN® exam is unique. It’s not like any

other exam you’ve ever taken, even in nursing school!

The content in this book was prepared by the experts on Kaplan’s Nursing team, the world’s

largest provider of test prep courses for the NCLEX-RN® exam. By using Kaplan’s proven

methods and strategies, you will be able to take control of the exam, just as you have taken

control of your nursing education and other preparations for your career in this incredibly

challenging and rewarding field. The first step is to learn everything you can about the exam.

What Is the NCLEX-RN® Exam?

NCLEX-RN® stands for National Council Licensure Examination-Registered Nurse. The

NCLEX-RN® examination is administered by the National Council of State Boards of Nursing

(NCSBN), whose members include the boards of nursing in each of the 50 states in the

United States, the District of Columbia, and four U.S. territories: American Samoa, Guam,

the Northern Mariana Islands, and the Virgin Islands. These boards have a mandate to

4

NCLEX-RN® Exam Overview and Test Taking Strategies

protect the public from unsafe and ineffective nursing care, and each board has been given

responsibility to regulate the practice of nursing in its respective state. In fact, the NCLEXRN

® exam is often referred to as “the Boards” or “State Boards.”

The NCLEX-RN® exam has only one purpose: to determine if it is safe for you to begin practice

as an entry-level nurse.

Why Must You Take the NCLEX-RN® Exam?

The NCLEX-RN® exam is prepared by the NCSBN. Each state requires that you pass this

exam to obtain a license to practice as a registered nurse. The designation registered nurse or

RN indicates that you have proven to your state board of nursing that you can deliver safe

and effective nursing care. The NCLEX-RN® exam is a test of minimum competency and is

based on the knowledge and behaviors that are needed for the entry-level practice of nursing.

This exam tests not only your knowledge, but also your ability to make competent nursing

judgments.

What Is Entry-Level Practice of Nursing?

In order to define entry-level practice of nursing, the National Council conducts a job analysis

study every three years to determine what entry-level nurses do on the job. The kinds of

questions they investigate include: In which clinical settings does the beginning nurse work?

What types of care do beginning nurses provide to their clients? What are their primary

duties and responsibilities? Based on the results of this study, the National Council adjusts

the content and level of difficulty of the test to accurately reflect what is happening in the

workplace.

What the NCLEX-RN® Exam Is NOT

It is not a test of achievement or intelligence. It is not designed for nurses who have years of

experience. The questions do not involve high-tech clinical nursing or equipment. It is not

predictive of your eventual success in the career of nursing. You will not be tested on all the

content that you were taught in nursing school.

What Is a CAT?

CAT stands for Computer Adaptive Test. Each test is assembled interactively based on the

accuracy of the candidate’s response to the questions. This ensures that the questions you

are answering are not “too hard” or “too easy” for your skill level. Your first question will be

relatively easy; that is, below the level of minimum competency. If you answer that question

correctly, the computer selects a slightly more difficult question. If you answer the first question

incorrectly, the computer selects a slightly easier question (Figure 1). By continuing to

do this as you answer questions, the computer is able to calculate your level of competence.

5

1: Overview of the NCLEX-RN® Exam

correct

(question 1)

# of questions

• wrong

Passing

level of

diculty

Easier

Harder

C A T

Figure 1

In a CAT, the questions are adapted to your ability level. The computer selects questions

that represent all areas of nursing, as defined by the NCLEX-RN® detailed test plan and by

the level of item difficulty. Each question is self-contained, so that all of the information you

need to answer a question is presented on the computer screen.

Taking the Exam

There is no time limit for each individual question. You have a maximum of six hours to complete

the exam, but that includes the beginning tutorial, an optional 10-minute break after

the first two hours of testing, and an optional break after an additional 90 minutes of testing.

Everyone answers a minimum of 75 questions to a maximum of 265 questions. Regardless of

the number of questions you answer, you are given 15 questions that are experimental. These

questions, which are indistinguishable from the other questions on the test, are being tested

for future use in NCLEX-RN® exams, and your answers do not count for or against you. Your

test ends when one of the following occurs:

• You have demonstrated minimum competency and answered the minimum number of

questions (75) (Figure 2)

• You have demonstrated a lack of minimum competency and answered the minimum

number of questions (75) (Figure 3)

• You have answered the maximum number of questions (265)

• You have used the maximum time allowed (six hours)

6

NCLEX-RN® Exam Overview and Test Taking Strategies

D: P

# of questions

passing

level of

diculty

0 10 20 30 40 50 60 70 75

Figure 2

Try not to be concerned with the length of your test. In fact, you should plan on testing

for six hours and seeing 265 questions. You are still in the game as long as the computer

continues to give you test questions, so focus on answering them to the best of your ability.

Remember, every question counts. There is no warm-up time, so it is important for you to be

ready to answer questions correctly from the very beginning. Concentration is also key. You need

to give your best to each question because you do not know which one will put you over the top.

D: F

# of questions

passing

level of

diculty

0 10 20 30 40 50 60 70 75

Figure 3

kaplan nclex-rn premier 2015 – 2016 with 2 practice tests ebook

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Table of Contents

PART 1: NCLEX-RN® Exam Overview and Test Taking Strategies

CHAPTER 1: Overview of the NCLEX-RN® Exam �.3 What Is the NCLEX-RN® Exam? �.3 Content of the NCLEX-RN® Exam �.7

CHAPTER 2: General and Computer Adaptive Test Strategies �.21 Standardized Exams �.21 What Behaviors Does the NCLEX-RN® Exam Test? �.22 Strategies That Don’t Work on the NCLEX-RN® Exam �.27 Becoming a Better Test Taker �.27 NCLEX-RN® Exam Question Types �.30 Alternate Format Test Questions �.31 Multiple-Choice Test Questions �.37 Critical Thinking Strategies �.40 Reword the Question �.41 Eliminate Incorrect Answer Choices �.43 Don’t Predict Answers �.47 Recognize Expected Outcomes �.49 Read Answer Choices to Obtain Clues �.51

CHAPTER 3: NCLEX-RN® Exam Strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 The NCLEX-RN® Exam Versus Real-World Nursing. . . . . . . . . . . . . . . . . . . . . . . . 57 Strategies for Priority Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Strategies for Management of Care Questions. . . . . . . . . . . . . . . . . . . . . . . . . . 85 Strategies for Positioning Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 Strategies for Communication Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94 Your NCLEX-RN® Exam Study Plan �.99

Chapter 4: Safe and Effective Care Environment: Management of Care . . . . . . . 107 Advance Directives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108 Advocacy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Case Management. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Client Rights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Collaboration with Interdisciplinary Teams. . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Concepts of Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Confidentiality/Information Security. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Consultation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Continuity of Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Delegation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 Establishing Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 Ethical Practice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 Information Technology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 Informed Consent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 Legal Rights and Responsibilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 Performance Improvement (Quality Improvement). . . . . . . . . . . . . . . . . . . . . . 115 Referrals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116 Supervision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116 Chapter Quiz. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 Chapter Quiz Answers and Explanations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122

Chapter 5: Safe and Effective Care Environment: Safety and Infection Control. . . 129 Safety Background. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130 Infection Control Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130 Accident/Injury Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131 Emergency Response Plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131 Ergonomic Principles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132 Error Prevention. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132 Handling Hazardous and Infectious Materials. . . . . . . . . . . . . . . . . . . . . . . . . 132 Home Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 Reporting of Incident/Event/Irregular Occurrence/Variance. . . . . . . . . . . . . . 133 Safe Use of Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 Security Plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Standard Precautions/Transmission-Based Precautions/Surgical Asepsis . . 134 Use of Restraints/Safety Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136 vii Contents Chapter Quiz. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 Chapter Quiz Answers and Explanations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142

Chapter 6: Health Promotion and Maintenance �.149 Aging Process �.150 Ante/Intra/Postpartum and Newborn Care �.150 Developmental Stages and Transitions �.154 Health and Wellness �.157 Health Promotion/Disease Prevention �.157 Health Screening �.160 High-Risk Behaviors �.160 Lifestyle Choices �.161 Principles of Teaching/Learning �.161 Self-Care �.162 Techniques of Physical Assessment �.162 Chapter Quiz. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163 Chapter Quiz Answers and Explanations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168

Chapter 7: Psychosocial Integrity �.175 Abuse/Neglect �.176 Behavioral Interventions �.177 Chemical and Other Dependencies �.178 Coping Mechanisms �.178 Crisis Intervention �.180 Cultural Diversity �.180 End of Life Care �.181 Family Dynamics �.181 Grief and Loss �.182 Mental Health Concepts �.182 Religious and Spiritual Influences on Health �.183 Sensory/Perceptual Alterations �.183 Stress Management �.184 Support Systems �.184 Therapeutic Communications �.184 Therapeutic Environment �.186 The Nursing Process and Psychosocial Integrity. . . . . . . . . . . . . . . . . . . . . . . . 186 Chapter Quiz. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187 Chapter Quiz Answers and Explanations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193 viii NCLEX-RN® Premier with 2 Practice Tests

Chapter 8: Physiological Integrity: Basic Care and Comfort �.201 Assistive Devices �.201 Elimination �.202 Mobility/Immobility �.204 Nonpharmacological Comfort Interventions �.205 Nutrition and Oral Hydration �.205 Personal Hygiene �.207 Rest and Sleep �.207 Chapter Quiz �.208 Chapter Quiz Answers and Explanations �.214

Chapter 9: Physiological Integrity: Pharmacological and Parenteral Therapies. . . . 221 Adverse Effects/Contraindications/Side Effects/Interactions �.221 Blood and Blood Products �.222 Central Venous Access Devices �.223 Dosage Calculation �.224 Expected Actions/Outcomes �.226 Medication Administration �.226 Parenteral/Intravenous Therapies �.228 Pharmacological Pain Management �.228 Total Parenteral Nutrition �.229 Chapter Quiz �.230 Chapter Quiz Answers and Explanations �.234

Chapter 10: Physiological Integrity: Reduction of Risk Potential �.241 Changes/Abnormalities in Vital Signs �.241 Diagnostic Tests �.242 Laboratory Values �.244 Potential for Alterations in Body Systems �.246 Potential for Complications of Diagnostic Tests/Treatments/Procedures �.246 Potential for Complications from Surgical Procedures and Health Alterations�.247 System-Specific Assessments �.247 Therapeutic Procedures �.247 Chapter Quiz �.248 Chapter Quiz Answers and Explanations �.253

Chapter 11: Physiological Integrity: Physiological Adaptation �.261 Alterations in Body Systems �.262 Fluid and Electrolyte Imbalances �.263 ix Contents Hemodynamics �.264 Illness Management �.264 Medical Emergencies �.265 Pathophysiology �.265 Unexpected Response to Therapies �.265 Chapter Quiz �.266 Chapter Quiz Answers and Explanations �.272 Part 3: The Practice Test Practice Test �.283 Your Practice Test Scores �.329 Answer Key �.331 Practice Test Answers and Explanations �.333 Part 4: The Licensure Process

Chapter 12: Application, Registration, and Scheduling �.435 How to Apply for the NCLEX-RN® Exam �.435 Taking the Exam �.440

Chapter 13: Taking the Test More Than Once �.447 You Are Not Alone �.447 How to Interpret Unsuccessful Test Results . . . . . . . . . . . . . . . . . . . . . . . . . . . 447 Should You Test Again?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 449 How Should You Begin?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 449

Chapter 14: Essentials for International Nurses �.453 NCLEX-RN® Exam Administration Abroad �.453 The CGFNS® Certificate �.454 Work Visas �.455 Nursing Practice in the United States �.455 U.S.-Style Nursing Communication �.456 Sample Questions �.459 Answers to Sample Questions �.464 Language �.467 Kaplan Programs for International Nurses �.468 Part 5: NCLEX-RN® Exam Resources Appendix A: Summary of Critical Thinking Paths �.473 Appendix B: Nursing Terminology �.475 x NCLEX-RN® Premier with 2 Practice Tests Appendix C: Common Medical Abbreviations �.479 Appendix D: State Boards of Nursing �.485 Appendix E: Pearson Professional Centers Offering NCLEX-RN® Examinations�.489 Index �.501

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