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NCLEX-PN® Practice Questions
Second Edition
1,000 Questions with Detailed Answers
Wilda Rinehart
Diann Sloan
Clara Hurd
“I studied nothing but your material for two weeks until I felt prepared to take the NCLEX®. Studying your material gave me the confidence I needed to pass!”
–Rayena Thorne, nursing student at Wallace State
Written by Three Leading Nursing Experts!
Wilda Rinehart has B.S. and M.S. degrees in nursing and more than 30 years of experience as a nurse, consultant, and educator for nursing students.
Diann Sloan has B.S. and M.S. degrees in nursing and a Ph.D. in counselor education and has worked as a nurse and educator for nearly 30 years.
Clara Hurd has B.S. and M.S. degrees in nursing and currently is a nurse educator at Northeast Mississippi Community College with 30 years of experience.
Score Higher on the NCLEX-PN®!
The CD features innovative Computer Adaptive Testing software by ExamForce, giving you an effective tool to assess your readiness for the NCLEX-PN® exam. Key features include the following:
NCLEX-PN® is a registered trademark of the National Council of State Boards of Nursing, Inc. (NCSBN), which does not sponsor or endorse this product.
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Welcome to the NCLEX-PN® 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 Will You Find in This Book? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Hints for Using This Book . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Need Further Study? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Contact the Authors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Chapter 1: Practice Exam 1 and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Quick Check Answer Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Answers and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Chapter 2: Practice Exam 2 and Rationales . . . . . . . . . . . . . . . . . . . . . . .. . . 73
Quick Check Answer Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Answers and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Chapter 3: Practice Exam 3 and Rationales . . . . . . . . . . . . . . . . . . . .. . . . . 145
Quick Check Answer Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
Answers and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190
Chapter 4: Practice Exam 4 and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . 209
Quick Check Answer Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251
Answers and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 254
Chapter 5: Practice Exam 5 and Rationales . . . . . . . . . . . . . . . . . . . . . . . . 275
Quick Check Answer Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318
Answers and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321
Appendix A: Things You Forgot. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . 341
Therapeutic Drug Levels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 341
Vital Signs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 341
Anticoagulant Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342
Intrapartal Normal Values. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342
Standard Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 343
Airborne Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 343
Droplet Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 344
Contact Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 344
Chemoprophylaxis After Occupational Exposure to HIV . . . . . 344
Revised Life Support Guidelines (American Heart Association) . . . . . 345
Defense Mechanisms Often Used by Clients During Stressful
Situations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345
Nutrition Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 346
Immunization Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 347
Appendix B: Need to Know More? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349
The National Council Exam for Licensed Practical Nurses . . . 349
Pharmacology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349
Care of the Client with Respiratory Disorders. . . . . . . . . . . . . . . 349
Care of the Client with Genitourinary Disorders . . . . . . . . . . . . 350
Care of the Client with Hematological Disorders . . . . . . . . . . . . 350
Fluid and Electrolytes and Acid/Base Balance . . . . . . . . . . . . . . . 351
Care of the Client with Burns. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 351
Care of the Client with Sensory Disorders . . . . . . . . . . . . . . . . . . 352
Care of the Client with Neoplastic Disorders . . . . . . . . . . . . . . . 352
Care of the Client with Gastrointestinal Disorders. . . . . . . . . . . 352
Care of the Client with Musculoskeletal and Connective
Tissue Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353
Care of the Client with Endocrine Disorders. . . . . . . . . . . . . . . . 353
Care of the Client with Cardiac Disorders . . . . . . . . . . . . . . . . . . 354
Care of the Client with Neurological Disorders . . . . . . . . . . . . . 355
Care of the Client with Psychiatric Disorders . . . . . . . . . . . . . . . 355
Maternal-Newborn Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355
Care of the Pediatric Client . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356
Cultural Practices Influencing Nursing Care . . . . . . . . . . . . . . . . 356
Legal Issues in Nursing Practice . . . . . . . . . . . . . . . . . . . . . . . . . . 356
Appendix C: Alphabetical Listing of Nursing Boards
in the United States and Protectorate . . . . . . . . . . . . . . . . . . . . . . . . . . . 357
Appendix D: What’s on the CD-ROM? . . . . . . . . . . . . . . . . . . . . . . . . . . . 373
The CramMaster Engine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 373
Multiple Test Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 373
Pretest Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 373
Adaptive Drill Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 374
Simulated Exam Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 374
Installing CramMaster for the NCLEX-RN® Exam . . . . . . . . . . . . . . 374
Using CramMaster for the NCLEX-RN® Exam . . . . . . . . . . . . . . . . . 375
Customer Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375