NCLEX-RN Exam Prep

NCLEX-RN Exam Prep

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COMPREHENSIVE Succeed with comprehensive learning and practice tests



Master the NCLEX-RN (R) exam materials in all tested subject areas
Prepare with four comprehensive practice tests
Analyze your test readiness and areas for further study with topic-focused chapter tests
CD-ROM-based practice exam includes an interactive Computer Adaptive Test (CAT) engine for a meaningful exam experience with approximately 400 questions
Learn important test-taking strategies to maximize your score and diminish your anxiety

Score Higher on the NCLEX (R)-RN Exam!


We provide you with the proven study tools and expert insight that will help you score higher on your exam.



Study Tips like the advice and instruction that a personal tutor might provide.
Notes, Tips, and Cautions provide you with hints and strategies that will help you reduce your mistakes on the exam.
Comprehensive discussion of all subject areas covered on RN Exam.
Practice Questions that include detailed explanations of correct and incorrect answers-so you can learn the material from your success and mistakes.

Rinehart and Associates is a leading provider of classroom training for students studying for the NCLEX (R) RN Exam.


CD Features Nearly 400 Questions!


The CD-ROM-based practice exam includes an interactive Computer Adaptive Test (CAT) engine for a meaningful exam experience with approximately 400 questions.


Live and Learn


Educating 100 million people worldwide, Pearson Education is the global leader in integrated education publishing.


Our renowned brands include:
Pearson Prentice Hall
Pearson Longman
Pearson Scott Foresman
Pearson Addison Wesley
Pearson NCS


Pearson Education provides quality content, assessment tools, and educational services in all available media, spanning the learning curve from birth through college and beyond.


CATEGORY: Medicine/Nursing COVERS: Nursing USER LEVEL: Intermediate


NCLEX-RN (R) and NCLEX-PN (R) are registered trademarks of the National Council of State Boards of Nursing, Inc. (NCSBN), which does not sponsor or endorse this product.
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Product details

  • Mixed media product | 1008 pages
  • 213.36 x 274.32 x 58.42mm | 2,245.27g
  • Pearson It Certification
  • Upper Saddle River, United States
  • English
  • 2nd edition
  • 0789745275
  • 9780789745279

Back cover copy

COMPREHENSIVE Succeed with comprehensive learning and practice tests Master the NCLEX-RN(R) exam materials in all tested subject areas Prepare with four comprehensive practice tests Analyze your test readiness and areas for further study with topic-focused chapter tests CD-ROM-based practice exam includes an interactive Computer Adaptive Test (CAT) engine for a meaningful exam experience with approximately 400 questions Learn important test-taking strategies to maximize your score and diminish your anxiety Score Higher on the NCLEX(R)-RN Exam! We provide you with the proven study tools and expert insight that will help you score higher on your exam. Study Tips like the advice and instruction that a personal tutor might provide. Notes, Tips, and Cautions provide you with hints and strategies that will help you reduce your mistakes on the exam. Comprehensive discussion of all subject areas covered on RN Exam. Practice Questions that include detailed explanations of correct and incorrect answers-so you can learn the material from your success and mistakes. Rinehart and Associates is a leading provider of classroom training for students studying for the NCLEX(R) RN Exam. CD Features Nearly 400 Questions! The CD-ROM-based practice exam includes an interactive Computer Adaptive Test (CAT) engine for a meaningful exam
experience with approximately 400 questions. Live and Learn Educating 100 million people worldwide, Pearson Education is the global leader in integrated education publishing.
Our renowned brands include Pearson Prentice Hall Pearson Longman Pearson Scott Foresman Pearson Addison Wesley Pearson NCS Pearson Education provides quality content, assessment tools, and educational services in all available media, spanning the learning curve from birth through college and beyond. CATEGORY: Medicine/Nursing COVERS: Nursing USER LEVEL: Intermediate NCLEX-RN(R) and NCLEX-PN(R) are registered trademarks of the National Council of State Boards of Nursing, Inc. (NCSBN), which does not sponsor or endorse this product.
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Table of contents

Introduction 1



Organization 2



Instructional Features 2



Extensive Practice Test Options 3



Final Review 3



Other Valuable Tools 3



About the NCLEX Exam 4



Advice for Preparing for the Exam 6



Advice for Test Day



Hints for Using This Book 7



Contact the Author 7



Study and Exam Preparation Tips 9



Study Tips 9



Exam Prep Tips 10



Read the Question Carefully 10



Look for Keywords 11



Watch for Specific Details 11



Eliminate Options That Are Clearly Wrong or Incorrect 11



Look for Similar Options 11



Look for Opposite Answers 12







Part I: Exam Preparation



Chapter 1: Pharmacology 15



Three Areas of Pharmacology 15



How Nurses Work with Pharmacology 16



Time-released Drugs 17



Administering Medications 18



The Seven Rights of Administering Medication 18



Understanding and Identifying the Various Drugs 19



Angiotensin-Converting Enzyme Inhibitors 19



Beta Adrenergic Blockers 20



Anti-Infectives (Aminoglycosides) 21



Benzodiazepines (Anticonvulsants/Antianxiety) 23



Phenothiazines (Antipsychotic/Antiemetic) 24



Glucocorticoids 25



Antivirals 27



Cholesterol-Lowering Agents 28



Angiotensin Receptor Blockers 29



Histamine 2 Antagonists 30



Proton Pump Inhibitors 31



Anticoagulants 32



More Drug Identification Helpers 33



Herbals 34



Drug Schedules 35



Pregnancy Categories for Drugs 35



Key Concepts 36



Key Terms 36



Apply Your Knowledge 37



Answer Rationales 39







Chapter 2: Fluid and Electrolyte and Acid/Base Balance 41



Total Body Water Calculation 41



Management of the Client with Imbalances in Fluid and Electrolytes 43



Types of Intravenous Fluids 43



How the Body Regulates Electrolytes 44



How the Body Regulates pH 52



Key Concepts 60



Key Terms 60



Diagnostic Tests 60



Pharmacological Agents Used in the Treatment of Clients with Alterations in Fluids and Electrolytes 60



Apply Your Knowledge 61



Exam Questions 62



Answers to Exam Questions 64



Suggested Reading and Resources 65







Chapter 3: Care of the Client with Cardiovascular Disorders 67



Hypertension 68



Diagnosing the Client with Hypertension 69



Managing the Client with Hypertension 69



Coronary Artery Disease 71



Atherosclerosis and Arteriosclerosis 71



Conduction System of the Heart 72



Heart Block 73



Cardiac Monitoring 74



Reading an Electrocardiogram 75



Cardiac Dysrhythmias 76



Ventricular Tachycardia 77



Ventricular Fibrillation 78



Internal Pacemaker/Internal Cardiac Defibrillators 79



Cardiopulmonary Resuscitation 80



Angina Pectoris 80



Myocardial Infarction 81



Diagnosis of Myocardial Infarction 82



Management of a Client with Myocardial Infarction 82



Aneurysms 89



Inflammatory Diseases of the Heart 90



Infective Endocarditis 90



Pericarditis 90



Peripheral Vascular Disease 91



Varicose Veins/Thrombophlebitis 92



Raynaud's Phenomenon 92



Buerger's Disease 92



Key Concepts 94



Key Terms 94



Diagnostics 95



Pharmacological Agents Used in the Treatment of Clients with Cardiovascular Disorders 96



Apply Your Knowledge 101



Exam Questions 101



Answers to Exam Questions 103



Suggested Reading and Resources 104







Chapter 4: Care of the Client with Endocrine Disorders 105



Pituitary Gland 106



Hypopituitarism 106



Hyperpituitarism 106



Disorders of the Posterior Pituitary Gland 107



Thyroid Disorders 108



Hypothyroidism 108



Hyperthyroidism 110



Parathyroid Disorders 112



Hypoparathyroidism 112



Hyperparathyroidism 113



Diabetes Mellitus 114



Hyperglycemia 116



Hypoglycemia 117



Managing Hyperglycemia and Hypoglycemia 117



Adrenal Gland 118



Adrenal Gland Disorders 119



Key Concepts 123



Key Terms 123



Diagnostics 124



Pharmacological Agents Used to Treat Clients with Endocrine Disorders 124



Apply Your Knowledge 128



Exam Questions 128



Answers to Exam Questions 130



Suggested Reading and Resources 131







Chapter 5: Care of the Client with Respiratory Disorders 133



Noninfectious Disorders of the Lower Respiratory Tract 133



Chronic Bronchitis 133



Emphysema 134



Asthma 135



Pleurisy 137



Pulmonary Hypertension 138



Interstitial Pulmonary Disease 139



Sarcoidosis 139



Pulmonary Fibrosis 140



Occupational Pulmonary Disease 140



Infectious Disorders of the Lower Respiratory Tract 142



Pneumonia 142



Tuberculosis 145



Influenza 147



Life-Threatening Pulmonary Disorders 148



Acute Respiratory Distress Syndrome 148



Pulmonary Embolus 152



Pneumothorax 154



Hemothorax 155



Emerging Infections 158



SARS 158



Legionnaires' Disease 159



Key Concepts 161



Key Terms 161



Diagnostic Tests 161



Pharmacological Agents Used in the Care of the Client with Disorders of the Respiratory System 162



Apply Your Knowledge 165



Exam Questions 166



Answers to Exam Questions 168



Suggested Reading and Resources 169







Chapter 6: Care of the Client with Genitourinary Disorders 171



Renal Disorders 172



Acute Glomerulonephritis 172



Chronic Glomerulonephritis 173



Goodpasture's Syndrome 174



Nephrotic Syndrome 175



Polycystic Kidney Disease 176



Hydronephrosis/Hydroureteronephrosis 177



Pyelonephritis 178



Acute and Chronic Renal Failure 179



Chronic Renal Failure 180



Peritoneal Dialysis 181



Hemodialysis 182



Continuous Renal Replacement Therapy 183



Renal Transplantation 184



Urinary Disorders 185



Cystitis 185



Urinary Incontinence 187



Urolithiasis 188



Genitourinary Disorders 189



Prostatitis 190



Benign Prostatic Hypertrophy 190



Erectile Dysfunction 191



Epididymitis 193



Priapism 193



Key Concepts 195



Key Terms 195



Diagnostics 195



Pharmacologic Agents for the Client with Genitourinary Disorders 196



Apply Your Knowledge 200



Exam Questions 200



Answers to Exam Questions 202



Suggested Reading and Resources 203







Chapter 7: Care of the Client with Integumentary Disorders 205



Common Infections of the Integumentary System 205



Viral Infections 205



Fungal Infections 207



Bacterial Infections 208



Psoriasis 208



Pressure Ulcers 209



Burns 212



Burn Classifications 212



Burn Measurement with TBSA 214



Nursing Care for Burn Victims 215



Key Concepts 223



Key Terms 223



Diagnostic Tests 223



Pharmacological Agents Used in the Care of the Client with Integumentary Disorders 224



Apply Your Knowledge 226



Exam Questions 226



Answers to Exam Questions 228



Suggested Reading and Resources 229







Chapter 8: Care of the Client with Sensory Disorders 231



Disorders of the Eyes 231



Intraocular Disorders 232



Uveitis 235



Retinal Disorders 236



Refractive Errors 239



Traumatic Injuries 240



Ocular Melanoma 240



Disorders of the Ears 242



Otitis Externa 243



Otitis Media 243



Mastoiditis 244



Meniere's Disease 244



Acoustic Neuroma 245



Otosclerosis 245



Presbycusis 246



Ear Trauma 246



Assisting Clients with Hearing Loss 247



Key Concepts 250



Key Terms 250



Diagnostic Tests 251



Pharmacological Agents Used in the Care of the Client with Disorders of the Eyes and Ears 251



Apply Your Knowledge 253



Exam Questions 253



Answers to Exam Questions 255



Suggested Reading and Resources 256



Chapter 9: Care of the Client with Gastrointestinal Disorders 257



Peptic Ulcer Disease 258



Types of Ulcers 259



Diagnosis of Ulcers 259



Treatment of Ulcers 260



Inflammatory Bowel Disorders 263



Crohn's Disease 263



Ulcerative Colitis 263



Management of the Client with Inflammatory Bowel Disease 264



Diverticular Disease 265



Management of the Client with Diverticulitis 265



Hemorrhoids 266



Appendicitis 266



Peritonitis 268



Intestinal Obstruction 269



Esophageal Disorders 270



GERD 270



Hiatal Hernia 274



Diseases Associated with the Liver 275



Hepatitis 275



Cirrhosis 281



Acute Pancreatitis 285



Diagnosis of Pancreatitis 286



Treatment of Pancreatitis 286



Cholecystitis/Cholelithiasis 287



Symptoms of Cholecystitis and Cholelithiasis 288



Diagnosis of Cholecystitis/Cholelithiasis 288



Treatment of Cholecystitis 289



Treatment of Cholethiasis 289



Clostridium Difficile 290



Food-Borne Illnesses 291



Key Concepts 294



Key Terms 294



Diagnostic Tests 295



Pharmacological Agents Used in the Care of the Client with Disorders of the Gastrointestinal System 295



Apply Your Knowledge 297



Exam Questions 298



Answers to Exam Questions 300



Suggested Reading and Resources 301







Chapter 10: Care of the Client with Hematological Disorders 303



Anemia 303



Pernicious Anemia 304



Aplastic Anemia 304



Sickle Cell Anemia 305



Iron Deficiency Anemia 309



Thalassemia 311



Polycythemia Vera 312



Hemophilia 313



Transfusion Therapy 315



Transfusion Reactions 317



Key Concepts 319



Key Terms 319



Diagnostic Tests for Review 319



Pharmacological Agents Used in Hematological Disorders 320



Apply Your Knowledge 321



Exam Questions 321



Answers to Exam Questions 323



Suggested Reading and Resources 324







Chapter 11: Care of the Client with Disorders of the Neurological System 325



Neurological Assessment 326



Cranial Nerve Assessment 326



Glasgow Coma Scale 327



Intracranial Pressure Monitors 328



Brain Injuries 329



Epidural Hematomas 332



Subdural Hematoma 332



Intracerebral Hematomas 332



Treatment of Hematomas 332



Increased Intracranial Pressure 332



Brain Tumors 336



Treatment of Brain Tumors 337



Care of the Client with Intracranial Surgery (Craniotomy) 338



Cerebrovascular Accident/Stroke 342



Ischemic Stroke 342



Hemorrhagic Stroke 344



Seizures 347



Types of Seizures 347



Treatment of Seizure Clients 350



Parkinson's Disease 350



Meningitis 352



Autoimmune Neurological Disorders 354



Multiple Sclerosis 354



Myasthenia Gravis 355



Guillain-Barre 357



Degenerative Neurological Disorders 358



Cranial Nerve Disorders 359



Trigeminal Neuralgia 359



Bell's Palsy 359



Spinal Cord Injuries 360



Treatment of Spinal Cord Injuries 361



Potential Complications with SCI Clients 362



Intervertebral Disk Disease 363



Diabetes Insipidus 365



Key Concepts 367



Key Terms 367



Diagnostics 368
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About Clara Hurd

Wilda Rinehart received an associate's degree in nursing from Northeast Mississippi Community College in Booneville, Mississippi. After working as a staff nurse and charge nurse, she became a public health nurse and served in that capacity for a number of years. In 1975, she received her nurse practitioner certification in the area of obstetrics-gynecology from the University of Mississippi Medical Center in Jackson, Mississippi. In 1979, she completed her bachelor of science degree in nursing from Mississippi University for Women. In 1980, she completed her master of science degree in nursing from the same university and accepted a faculty position at Northeast Mississippi Community College, where she taught medical-surgical nursing and maternal-newborn nursing. In 1982, she founded Rinehart and Associates Nursing Consultants. For the past 28 years, she and her associates have worked with nursing graduates and schools of nursing to help graduates pass the National Council Licensure Exam for Nursing. She has also worked as a curriculum consultant with faculty to improve test construction. Ms. Rinehart has served as a convention speaker throughout the southeastern United States and as a reviewer of medical-surgical and obstetric texts. She has coauthored materials used in seminars presented by Rinehart and Associates Nursing Review. As the president of Rinehart and Associates, she serves as the coordinator of a company dedicated to improving the quality of health through nursing education.



Dr. Diann Sloan received an associate's degree in nursing from Northeast Mississippi Community College, a bachelor of science degree in nursing from the University of Mississippi, and a master of science degree in nursing from Mississippi University for Women. In addition to her nursing degrees, she holds a master of science in counseling psychology from Georgia State University and a doctor of philosophy in counselor education, with minors in both psychology and educational psychology, from Mississippi State University. She has completed additional graduate studies in healthcare administration at Western New England College and the University of Mississippi. Dr. Sloan has taught pediatric nursing, psychiatric mental health nursing, and medical surgical nursing in both associate degree and baccalaureate nursing programs. As a member of Rinehart and Associates Nursing Review, Dr. Sloan has conducted test construction workshops for faculty and nursing review seminars for both registered and practical nurse graduates. She has coauthored materials used in the item-writing workshops for nursing faculty and Rinehart and Associates Nursing Review. She is a member of Sigma Theta Tau nursing honor society.



Clara Hurd received an associate's degree in nursing from Northeast Mississippi Community College in Booneville, Mississippi (1975). Her experiences in nursing are clinically based, having served as a staff nurse in medical-surgical nursing. She has worked as an oncology, intensive care, orthopedic, neurological, and pediatric nurse. She received her bachelor of science degree in nursing from the University of North Alabama in Florence, Alabama, and her master of science degree in nursing from the Mississippi University for Women in Columbus, Mississippi. Ms. Hurd is a certified nurse educator. She currently serves as a nurse educator consultant and an independent contractor and has taught in both associate degree and baccalaureate degree nursing programs. She was a faculty member of Mississippi University for Women; Austin Peay State University in Clarksville, Tennessee; Tennessee State University in Nashville; and Northeast Mississippi Community College. Ms. Hurd joined Rinehart and Associates in 1993. She has worked with students in preparing for the National Council Licensure Exam and with faculty as a consultant in writing test items. Ms. Hurd has also been a presenter at nursing conventions on various topics, including itemwriting for nursing faculty. Her primary professional goal is to prepare the student and graduate for excellence in the delivery of healthcare.
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