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Master The NCLEX-PN (2020)

Master The NCLEX-PN (2020) ensures success with step-by-step guidance and test strategies.

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Master The NCLEX-PN (2020) - Page 2 preview imageDownloadedfromStudyXY.com[=Ww+StudyXYoias.Za\Rr'BE\StudyAnythingThisContentHasbeenPostedOnStudyXY.comassupplementarylearningmaterial.StudyXYdoesnotendroseanyuniversity,collegeorpublisher.Allmaterialspostedareundertheliabilityofthecontributors.|8)www.studyxy.com
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Master The NCLEX-PN (2020) - Page 4 preview imageMASTERTHE™NCLEX-PN®5THEDITION
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Master The NCLEX-PN (2020) - Page 5 preview imageAboutPeterson’sPeterson’s®hasbeenyourtrustededucationalpublisherforover50years.It’samilestonewe’requiteproudof,aswecontinuetoofferthemostaccurate,dependable,high-qualityeducationalcontentinthefield,providingyouwitheverythingyouneedtosucceed.Nomatterwhereyouareonyouracademicorprofessionalpath,youcanrelyonPeterson’sforitsbooks,onlineinformation,experttest-preptools,themostup-to-dateeducationexplorationdata,andthehighestqualitycareersuccessresources—everythingyouneedtoachieveyoureducationgoals.Forourcompletelineofproducts,visitWww.petersons.com.Formoreinformation,contactPeterson’s,8740LucentBlvd.,Suite400,HighlandsRanch,CO80129;800-338-3282;orfindusonlineatwww.petersons.com.Peterson’smakeseveryreasonableefforttoobtainfromreliablesourcesaccurate,complete,andtimelyinformationaboutthetestscoveredinthisbook.Nevertheless,changescanbemadeinthetestsortheadministrationofthetestsatanytimeandPeterson’smakesnorepresentationorwarranty,eitherexpressedorimpliedastotheaccuracy,timeliness,orcompletenessoftheinformationcontainedinthisbook.©2018Peterson’s.Allrightsreserved.Previouseditions©2001,2003,2007,2009ALLRIGHTSRESERVED.Nopartofthisworkcoveredbythecopyrighthereinmaybereproducedorusedinanyformorbyanymeans—graphic,electronic,ormechanical,includingphotocopying,recording,taping,Webdistribution,orinformationstorageandretrievalsystems—withoutthepriorwrittenpermissionofthepublisher.Forpermissiontousematerialfromthistextorproduct,completethePermissionRequestFormatwww.petersons.com/permissions.ISBN:978-0-7689-4240-8PrintedintheUnitedStatesofAmerica10987654321201918FifthEditionStudyXY
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Master The NCLEX-PN (2020) - Page 6 preview imagePetersonspublishing.com/publishingupdatesCheckoutourwebsiteatwww.petersonspublishing.com/publishingupdatestoseeifthereisanynewinformationregardingthetestsandanyrevisionsorcorrectionstothecontentofthisbook.We’vemadesuretheinformationinthisbookisaccurateandup-to-date;however,thetestformatorcontentmayhavechangedsincethetimeofpublication.+Studyxy
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Master The NCLEX-PN (2020) - Page 7 preview imageContentsBeforeYouBeginHowThisBookIsOrganizedSpecialStudyFeaturesHowtoGettheMostOutofYourReviewTop10StrategiestoRaiseYourScoreGiveUsYourFeedbackYou’reWellonYourWaytoSuccess!PARTI:NCLEX-PN®BASICS1AllAbouttheNCLEX-PN®ExamAboutPracticalNursingandtheJobOutlookExamBasicsTheNCLEX-PN®TestPlanPercentageofExamItemsIntegratedNursingProcessesWhattoExpectontheExamTop10StrategiesforChoosingtheCorrectAnswerSummingItUpPARTII:NCLEX-PN®REVIEW2BasicNursingConceptsTheNursingProcessDocumentationRoleofthePN/VNPainManagementNutritionNutritionalAssessmentTherapeuticDietsInfectionControlLegalPrinciplesofPNPracticeIllegalBehaviorRiskManagementEthicalPrinciplesProfessionalOrganizationsSummingItUp
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Master The NCLEX-PN (2020) - Page 8 preview imagePracticeExercises:BasicNursingConceptsAnswerKeyandExplanations3NursingProceduresVitalSignsHygieneMobilityFeedingtheClientElimination—BowelElimination—UrinaryHotandColdTherapy‘WoundCareAsepsisCollectingSpecimensCareoftheDyingSummingItUpPracticeExercises:NursingProceduresAnswerKeyandExplanations4PharmacologyBasicConceptsMedicationLegislationMedicationNamesMedicationActionsMedicationMetabolism(Pharmacokinetics)MedicationFormsResponsibilitiesofthePN/VNinMedicationAdministrationMedicationInteractionsLegalAspectsofMedicationAdministrationRoutesofMedicationAdministrationCalculationofMedicationDosagesMedicationsthatRequireSpecificNursingActionsorConsiderationsSummingItUpPracticeExercises:PharmacologyAnswerKeyandExplanations5Maternal/NewbornNursingBasicConceptsAnatomyPhysiologyChildbearingMaternalChangesDuringPregnancySignsofPregnancyAntepartumCareLaborandDeliveryPostpartumNewbornSummingItUp
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Master The NCLEX-PN (2020) - Page 9 preview imagePracticeExercises:Maternal/NewbornNursingAnswerKeyandExplanations6PediatricNursingBasicConceptsNursingCareofSickChildrenChildDevelopmentToddlerDevelopmentPreschool-AgedChildDevelopment(3-6years)School-AgedChildDevelopment(6-12years)AdolescentDevelopment(12-20years)RespiratoryDisordersGastrointestinalDisordersGenitourinaryDisordersEndocrineDisordersCardiovascularDisordersHematopoieticDisordersNeurologicalDisordersMusculoskeletalDisordersCognitiveandSensoryDisordersSkinDisordersGrowthandDevelopmentDisordersSummingItUpPracticeExercises:PediatricNursingAnswerKeyandExplanations7PsychiatricNursingBasicConceptsPersonalityandSelf-ConceptAnxietyAnxietyDisordersAssessmentandTreatmentDestructiveCoping:DisordersofAbuseandDependenceAffectiveDisordersThoughtDisturbancesPharmacologicalTreatmentofPsychiatricDisordersSummingItUpPracticeExercises:PsychiatricNursingAnswerKeyandExplanations8TheNeurologicSystemBasicConceptsCentralNervousSystemPeripheralNervousSystemAutonomicNervousSystemNeuronsNeurologicalAssessmentNeurologicSystemDisorders
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Master The NCLEX-PN (2020) - Page 10 preview imageSummingItUpPracticeExercises:TheNeurologicSystemAnswerKeyandExplanations9TheSensorySystemBasicConceptsTheEyeEyeDisordersTheEarEarDisordersSummingItUpPracticeExercises:TheSensorySystemAnswerKeyandExplanations10TheEndocrineSystemBasicConceptsEndocrineGlandsEndocrineDisordersPancreasSummingItUpPracticeExercises:TheEndocrineSystemAnswerKeyandExplanations11TheGastrointestinalSystemBasicConceptsDigestiveSystemAssessmentoftheGISystemGISystemDisordersLiverGallbladderPancreasSummingItUpPracticeExercises:TheGastrointestinalSystemAnswerKeyandExplanations12TheUrinaryandRenalSystemsBasicConceptsAnatomyandPhysiologyUrinaryandRenalAssessmentUrinaryandRenalDisordersSummingItUpPracticeExercises:TheUrinaryandRenalSystemsAnswerKeyandExplanations13TheHematologicandImmuneSystemsBasicConceptsPhysiologyoftheBloodPhysiologyoftheImmuneSystem
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Master The NCLEX-PN (2020) - Page 11 preview imageHematologicalSystemDisordersImmuneSystemDisordersSummingItUpPracticeExercises:TheHematologicandImmuneSystemsAnswerKeyandExplanations14OncologyBasicConceptsCancerDiagnosisCancerTreatmentNursingCareSummingItUpPracticeExercises:OncologyAnswerKeyandExplanations15TheIntegumentarySystemBasicConceptsSkinStructureandFunctionSkinAssessmentIntegumentarySystemDisordersSummingItUpPracticeExercises:TheIntegumentarySystemAnswerKeyandExplanations16TheRespiratorySystemBasicConceptsAnatomyandPhysiologyDiagnosticTestsforRespiratoryFunctionRespiratorySystemDisordersSummingItUpPracticeExercises:TheRespiratorySystemAnswerKeyandExplanations17TheReproductiveSystemBasicConceptsTheMaleReproductiveSystemTheFemaleReproductiveSystemClientAssessmentMaleReproductiveSystemDisordersFemaleReproductiveSystemDisordersOtherReproductiveDisordersSummingItUpPracticeExercises:TheReproductiveSystemAnswerKeyandExplanations18TheCardiovascularSystemBasicConceptsCardiovascularAnatomy
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Master The NCLEX-PN (2020) - Page 12 preview imageCardiacPhysiologyBloodCompositionAssessmentoftheCardiovascularSystemDiagnosticTestsforCardiovascularAssessmentCardiovascularSystemDisordersVascularDisordersSummingItUpPracticeExercises:TheCardiovascularSystemAnswerKeyandExplanations19TheMusculoskeletalSystemBasicConceptsSkeletonJointsandConnectiveTissueMuscularSystemMusculoskeletalSystemDisordersSummingItUpPracticeExercises:TheMusculoskeletalSystemAnswerKeyandExplanationsPARTIII:TWOPRACTICETESTSPracticeTest1AnswerSheetAnswerKeyandExplanationsPracticeTest2AnswerSheetAnswerKeyandExplanationsAPPENDICESAppendixA:StateBoardsofNursingAppendixB:PN/VNOrganizationsAppendixC:WebsitesofInterest+Studyxy
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Master The NCLEX-PN (2020) - Page 13 preview imageBeforeYouBegin
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Master The NCLEX-PN (2020) - Page 14 preview imageHOWTHISBOOKISORGANIZEDPeterson’sMasterthe™NCLEX-PN®providesareviewofyourpracticalnursingstudiesinoutlineformandasanoverviewoftheTestPlanfortheNCLEX-PNexam.Thisself-tutoringprocesscombinesthemosteffectivepracticewiththecontentthatyoucanexpecttoseeontheactualexam.TakingtheNCLEX-PNisaskill.Itsharessomeaspectswithotherendeavors,suchascompetinginathletics.Itrequiresdisciplineandpracticetosucceed.Theseareskillsthatcanbeimprovedthroughcoaching,butultimately,improvementalsorequirespractice.Peterson’sMaster™theNCLEX-PN®givesyouboth.«“Top10StrategiestoRaiseYourScore”outlinestime-testedstrategiesfordoingyourbestontheexam.«PartIincludesallyouneedtoknowabouttheNCLEX-PNTestPlanandexam.«PartIIprovidesacontentreviewthatwillhelpyoudoyourbestontheexam.«PartIITconsistsoftwocompletePracticeTeststhatsimulatetheactualexam,soyou'refullypreparedfortestday.»Appendicesprovideinformationonstateboardsofnursingandprofessionalorganizations,aswellaswebsitesyoucancheckforhealth,education,andjobinformation.SPECIALSTUDYFEATURESOverviewEachchapterbeginswithabulletedoverviewlistingthetopicsthatarecoveredinthechapter.Theoverviewstellyouimmediatelywheretolookforatopicthatyouneedtoreview.SummingItUp
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Master The NCLEX-PN (2020) - Page 15 preview imageEachreviewchapterendswithapoint-by-pointsummarythatcapturesthemostimportantinformationinthechapter.Thesummariesareaconvenientwaytoreviewthesepointsonelasttimebeforetheexam.BonusInformationThreetypesofbonusinformationarescatteredthroughoutthebook.EachtypehighlightsspecificNCLEX-PNfacts:NOTENoteshighlightcriticalinformationabouttheNCLEX-PNformat.TIPTipsdrawyourattentiontovaluableconceptsandadvicefortacklingtheNCLEX-PNexam.ALERT!AnAlert!warnsyouaboutacommontest-takingerrorormakesyouawareofanimportantnursingprocedure.AccessTwoNCLEX-PNTestsOnlinePeterson’sprovidesyouwithaccesstotwoadditionalpracticetestsfortheNCLEX-PNexam.Thetestingcontentofthesetwopracticetestswascreatedbythetest-prepexpertsatPeterson’s.ThePeterson’sonlinetestingexperienceresemblesthetestingexperienceyouwillfindontheNCLEX-PNexam.Youcanaccessthesetwopracticetestsatwww.petersonspublishing.com/NCLEX-PN.Youwillbeaskedtoenteryoure-mailaddress,andPeterson’swille-mailyouanactivationcodeandthelinkneededtoaccesstheonlinepracticetestsfortheNCLEX-PNexam.HOWTOGETTHEMOSTOUTOFYOURREVIEW
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Master The NCLEX-PN (2020) - Page 16 preview imageYouwillneedtosetasideatleastthreeweeksofstudytogetthemostoutofyourexamreview.Beginbyreadingthe“Top10StrategiestoRaiseYourScore,”andthenplanyourschedulesothatyoucandedicate1to2hourseverydaytoyourreview.Agoodplanofstudyistoreviewonechaptereachdayandcompletetheexercisesthataccompanyittoseehowwellyouhavemasteredthatmaterial.Whenyouhavefinishedyourreviewofallthesubjects,takethePracticeTests.ThiswillhelpyouassesshowwellyoudooneachPracticeTest.Aftertakingeachtest,reviewanytopicswithwhichyouarestillhavingtroublebeforetakingthenexttest.Thiswillhelpyousharpenyourtest-takingskills.TOP10STRATEGIESTORAISEYOURSCOREIntakingtheNCLEX-PNexam,somestrategiesaremoreusefulthanothers.Thefollowingtipswillhelpyouraiseyourscore.1.Createastudyplanandsticktoit.Therightstudyplanwillhelpyougetthemostoutofthisbookinthetimethatyouhave.2.Reviewkeytestelementsdailyforseveralweeksbeforetheexam.RereadtheTestPlantobesurethatyouunderstandthecategoriesandsubcategories,andrereadtheinformationaboutalternatetestformats.3.Completealltheexercisesinthisbook.Doingsowillhelpyourecognizeyourareasofstrengthanddiscoverwhichareasneedimprovement.4.Ifpossible,visitthetestcenterbeforethedayoftheexam.Thiswillhelpyoubecomefamiliarwiththelocationandhowlongittakestotravelthere.Onthedayoftheexam,leaveplentyoftimetogettothetestcenterincasethebuses/subways/trainsarerunninglate,theweatherisbad,orparkingyourcarisaproblem.5.Avoidcrammingthenightbeforetheexam.Thiswillonlymakeyoufeelmorenervous.Itisnotlikelytohelpyoulearnenoughtomakeadifferenceonyourtestscore.
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Master The NCLEX-PN (2020) - Page 17 preview image6.Relaxthenightbeforethetest.Trytotakeyourmindofftheexamforawhile.Gotoamovieorhangoutwithafriend—butnotwithsomeonewhowillbetakingthetestwithyou.7.Besuretobringoneacceptableformofidentificationtothetestcenter.Youwillnotbeabletotaketheexamwithouttheproperformofidentification,andyouwillhavetoreregisterandpayanotherexaminationfee.8.Listentowhatthetestadministratortellsyou,andpayattentiontothetutorial.Don’tworry,however:Youdon’tneedtobeacomputerwhiztotakethetest.9.Readeverywordofeveryquestionontheexam.Payattentiontodetails.Theyprovidecluestotheanswerandhelppreventyoufromselectingthewronganswerchoice.10.Don’tspendtoomuchtimeonanyonequestion.Youhaveupto5hourstocompleteyourexam—butyoustillcan’taffordtospendtoomuchtimeonanyonequestion.Trytomaintainasteadypace.Butitismoreimportanttogetthequestionsrightasyougothrough—thatishowaCAT(computeradaptivetest)works.GIVEUSYOURFEEDBACKPeterson’spublishesafulllineofbooks—testprep,educationexploration,financialaid,andcareerpreparation.Peterson’spublicationscanbefoundathighschoolguidanceoffices,collegelibrariesandcareercenters,andyourlocalbookstoreandlibrary.Inaddition,youcanfindPeterson’sproductsonlineatwww.petersons.com.Wewelcomeanycommentsorsuggestionsyoumayhaveaboutthispublication.Pleasecallourcustomerservicedepartmentat800-338-3282Ext.54229orsendane-mailmessagetocustsvc@petersons.com.Yourfeedbackwillhelpusmakeeducationaldreamspossibleforyou—andotherslikeyou.YOU'REWELLONYOURWAYTOSUCCESS!
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Master The NCLEX-PN (2020) - Page 18 preview imageRememberthatknowledgeispower.UsingPeterson’sMasterthe™NCLEX-PN®willhelpyoubecomefamiliarwiththekindofcontentthatappearsintheactualNCLEX-PN®exam.WelookforwardtohelpingyouobtainyourPN/VNcertification.Goodluck!
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Master The NCLEX-PN (2020) - Page 19 preview imagePARTINCLEX-PN®BASICSCHAPTER1AllAbouttheNCLEX-PN®Exam
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Master The NCLEX-PN (2020) - Page 20 preview imageChapter1AllAbouttheNCLEX-PN®ExamOVERVIEW*AboutPracticalNursingandtheJobOutlook+ExamBasics»TheNCLEX-PN®TestPlan*»PercentageofExamItems*IntegratedNursingProcesses»WhattoExpectontheExam»Top10StrategiesforChoosingtheCorrectAnswer*SummingItUpABOUTPRACTICALNURSINGANDTHEJOBOUTLOOKThepracticalnursingprofessionbeganinthelate1800s.Womenweretrainedforcareersashome“attendants”caringforinvalids,theelderly,andchildreninhomesettings.TheprofessionmovedoutsidethehomeduringWorldWarsIandII,whenthecountryhadanacuteneedfornursestocareforwoundedsoldiers.Inthe1940s,theNationalAssociationofPracticalNurseEducationwasformed.TheorganizationdevelopedacurriculumforLicensedPracticalNurses(LPNs),andinthelate1950s,theNationalLeagueforNursingbeganaccreditingLPNschoolsinadditiontothosethattrainedregisterednurses(RNs).
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Master The NCLEX-PN (2020) - Page 21 preview imageToday,morethan1,500statenursingboard—approvedtrainingprogramsforpracticalnurses/vocationalnurses(PN/VNs)areofferedthroughvocationalandtechnicalschoolsandcommunityandjuniorcolleges.Somehighschools,hospitals,colleges,anduniversitiesalsoofferPN/VNprograms.Admissiongenerallyrequiresahighschooldiplomaoritsequivalent.Programsaretypicallyone-thirdclassworkandtwo-thirdsclinicalwork,butclasscontentisjustasimportantasgainingclinicalexperience.Coursesusuallycoverbasicnursingconceptsandclient-caresubjects,includinganatomy,physiology,pediatrics,obstetrics,psychiatricnursing,drugtherapy,medical-surgicalnursing,nutrition,andfirstaid.BecomingLicensedAPN’sscopeofpracticeisdefinedbytherulesandregulationsoftheStateBoardofNursingofeachstate.Toobtainalicense,aPN/VNmustpasstheNCLEX-PNexamdevelopedbytheNationalCouncilofStateBoardsofNursing(NCSBN),Inc.Thisisanationaltestwithnostate-specificsections.Topracticeinastateotherthantheoneinwhichyouareoriginallylicensed,aPNmustapplytothenewstate’sBoardofNursingforlicensure.ThroughInterstateEndorsement,thelicenseisusuallygrantedaftercheckingthePN’srecords,withoutthePNhavingtoretaketheNLCEX-PN.Requirementsvaryfromstatetostate,however,sobesuretocheckwithastate’sBoardofNursingforitslicensingconditionsandprocess.TheEnhancedNurseLicensureCompact(eNLC)isanothermeansofgainingmutualrecognitionlicensure.ThroughtheeNLC,anurseholdsalicenseinthestateinwhichheorshelivesbutmaypractice,bothin-personandviatheInternet,inotherstatesthatbelongtotheeNLC.Forthemostup-to-datelistofstatesinthecompact,visitwww.ncsbn.org/eNLC.PN/VNsinterestedinobtaininginformationabouttheeNLCshouldcontacttheBoardofNursinginthestateinwhichtheylive.AppendixAofthisbookprovidescontactinformationfortheBoardsofNursingforeachstateandidentifiesthoseparticipatingintheeNLC.
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Master The NCLEX-PN (2020) - Page 22 preview imageNOTELicensedVocationalNurse(LVN,orVN)isthetitlegiventoentry-levelnursespracticinginTexasandCalifornia.ThesecaregiversareknownasLicensedPracticalNurses(LPNsorPNs)inallotherstates.TheJobOutlookPN/VNsworkinmanydifferentsettings.AccordingtotheU.S.BureauofLaborStatistics(www.bls.gov),about16percentofPN/VNsworkinhospitals,38percentinnursingandresidentialcarefacilities,13percentindoctors’offices,and7percenthavegovernmentjobs.Theremainingworkinplaceslikehomehealthcareservices,employmentservices,communitycarefacilitiesfortheelderly,andoutpatientcarecenters.APN/VN’sjobistoprovidebasiccareunderthesupervisionofdoctorsandRNs.Ingeneral,aPN/VN’sdutiesmayinclude:«gatheringclienthealthinformation«takingvitalsigns+changingdressings+performingroutinelaboratorytests«teachingclientsgoodhealthhabits«teachingfamilymembershowtocareforanillrelative*helpingclientswithbathing,dressing,andpersonalhygieneDutiesmayalsodependonone’sjobsetting.Asahomehealthcareaide,aPN/VNmaypreparemealsforaclient.Inadoctor’sofficeorclinic,aPN/VNmaymakeappointmentsandkeepmedicalrecords.However,asmoreproceduresareperformedindoctor’sofficesandoutpatientfacilities,PN/VNshavebeguntakingondirectcareresponsibilitiesforclients
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Master The NCLEX-PN (2020) - Page 23 preview imageundergoingtheseprocedures.PN/VNswhoworkinnursinghomesmayevaluateclientsanddevelopcareplans.Insomestates,PN/VNsmayalsoadministerprescribedmedicationsandintravenousfluids.In2016,employmentopportunitiesforPN/VNsnumbered724,500.TheU.S.BureauofLaborStatistics(BLS)predictsthatPN/VNpositionsareprojectedtogrow12percentby2026.Practicalnursingisnowafast-growingoccupationinpartbecauseofthelong-termcareneedsofagrowingpopulationofolderpeople.Homehealthcareservices,nursingcarefacilities,andhealthcareproviders’officesandclinicsareexpectedtoofferanincreasingnumberofopportunitiesforPV/VNs.SalariesforPV/VNsarealsorising.AccordingtotheBLS,in2016,themedianannualsalaryofPN/VNswas$44,090.AnnualearningsareexpectedtocontinuerisingasthedemandforPN/VNsexceedssupplyinthenextfivetotenyears.EXAMBASICSNCSBNconductsperiodicsurveyseverythreeyearsofthetasksperformedbypracticingPNsandtheknowledgeandskillstheyneedtoperformthem.ThisinformationbecomesthebasisoftheTestPlanandthequestionsfortheexam.BoththeNCLEX-RNandNCLEX-PNexamsarecomputer-basedtests;theyarenotavailableinpaperform.Youdon’tneedtobeespeciallycomputersavvytotakethetest.Thetestadministratorwillshowyouhowtousethecomputer,andyouwillbepresentedwithsamplequestionstohelpyougetalittlepracticebeforeyoustarttheactualexam.Mixedinthefirst85questionsare25questionsthatNCSBNusestogatherdata.Theydonotcounttowardsdeterminationofpass/fail.Theycannotbedistinguishedfromthescoredquestions.NCLEX-PNtestsareadministeredonlyatPearsonProfessionalCenters.Thereisnominimumtimeforcompletingtheexam,butthemaximumtimeis5hours.The5-hourlimitincludestimetotakeatutorial,whichexplainsthealternateitemformatsandprovidessamplequestions.
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Master The NCLEX-PN (2020) - Page 24 preview imageTohelpyoufeelmoreateaseonthedayoftheexam,tryavirtualtourofaPearsonProfessionalTestingCenteronlineatwww.vue.com/nclex.TakingaComputer-AdaptiveTestTheNCLEX-PNexamisacomputer-adaptivetest(CAT).Thismeansthatthecomputerprogramadjuststotheabilitylevelofthecandidatetakingthetest.Asaresult,notwotestsareexactlyalike,buteachwilltesttherangeoftopicsandpercentageoftestitemsintheTestPlan.AllPN/VNcandidatesansweratleast85questions(maximum205).However,thenumberofquestionsyoureceiveonyourexamdoesnotaffectyourscore.Thelengthofyourexamisdeterminedbyyourresponses.Whenaquestionisansweredcorrectly,thenextquestionincreasesincriticalthinkingrequirements.Whenaquestionisansweredincorrectly,thenextquestionisslightlydecreasedincriticalthinkingrequirements.Thecomputercontinueswiththispatternuntilthecomputercanpredictwith95%certaintythatthecandidateisasafeorunsafepractitioner.Thecomputerthencalculateswith95percentcertaintythatyourabilityiseitheraboveorbelowthepassingstandard.WithaCAT,youseeonlyonequestionatatimeonthecomputerscreen.OnceyouselectananswerandpressNEXT,youcannotreturntoaquestiontoreviewit.TounderstandhowaCATworks,watchthevideoatwww.ncsbn.org/356.htm.HowtheNCLEX-PN®IsScoredAccordingtotheNCSBN,thepassingstandardis“theminimumlevelofabilityrequiredforsafeandeffectiveentry-levelnursingpractice.”Thepassingstandardisnotbasedonastandardminimumnumberofquestionsansweredcorrectly.Rather,itisreviewedeverythreeyearsbasedonan+Studyxy
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Master The NCLEX-PN (2020) - Page 25 preview imageappraisalofthepreviousthreeyearsoftestsandonsurveysandinformationfromtheeducationandnursingfields.Whetheratest-takerpassesorfailstheexamdependsonwhetherhisorherability,asdemonstratedbyansweringquestions,isaboveorbelowthepassingstandard.RegisteringforYourExamToregisterfortheNCLEX-PN,youmustfirstcheckwiththeStateBoardofNursingofthestateinwhichyouwanttopractice.Youdonothavetotakethetestinthatstate,however.Statesvaryinprocedure.Allstatesrequireregistrationwith PearsonVUE.Youcanregisteronlineatwww.pearsonvue.com/nclex/orbyphone.Test-takerswhohavespecialneedsmustrequesttestingaccommodationbeforeregisteringfortheexam.TheBoardofNursinginthestateinwhichtheexamwillbetakenhandlestheseaccommodations.Afteryouregisterfortheexam,youwillreceiveanAuthorizationtoTest(ATT)forminanemail.BesuretonotetherangeofvaliditydateslistedontheATT.YoumustscheduleandtakeyourexamduringthistimeperiodoryouwillneedtoreapplyforanotherATT.IfyouwanttotaketheexamoutsidetheUnitedStates,youmustpayaninternationalschedulingfee.AValueAddedTax(VAT)mayalsoapply.Tobeadmittedtothetestcenter,youneedonevalidformofidentificationthatincludesarecentphotographandyoursignature.Foralistofacceptableformsofidentification,refertotheNCSBNwebsiteatwww.nesbn.org/1221.htm.IfyourIDdoesnotincludeasignaturebutmeetsallotherIDrequirements,youwillneedtobringasecondaryformofidentification.Ifyouarriveatthetestcenterwithoutacceptableidentification,youwillbeturnedawayandrequiredtoregisterandpayfortheexamagain.Beforeyourexam,youwillbedigitallyfingerprintedandphotographed,andyouwillberequiredtoprovideyoursignature.Thisinformationaccompaniesyourexamresults.THENCLEX-PN®TESTPLAN
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Master The NCLEX-PN (2020) - Page 26 preview imageTheNCLEX-PNexamisbuiltonaClientNeedsstructurethatprovidesauniversalmethodofdefiningcompetencyinallnursingsettingsandthatcorrespondstostatelawsandrules.TheTestPlanincludesthefollowingfourClientNeedscategories:1.SafeandEffectiveCareEnvironmentCoordinatedCare«SafetyandInfectionControl2.HealthPromotionandMaintenance3.PsychosocialIntegrity4.PhysiologicalIntegrity«BasicCareandComfort+PharmacologicalTherapyReductionofRiskPotential«PhysiologicalAdaptationNOTETheNCLEX-PNTestPlandocumentdescribesthescopeandcontentoftheexam.YoucandownloadacopyoftheTestPlanfreefromtheNCSBNwebsite,www.ncsbn.org.CheckouttheDetailedTestPlan(EducatorVersion),too.Itprovidesmoreinformationaboutthetestcontent.SafeandEffectiveCareEnvironmentTheSafeandEffectiveCareEnvironmentcategoryassessesthecandidate’sabilitytoprovide“nursingcarethatcontributestotheenhancementofthehealthcaredeliverysettingandprotectsclientsandhealthcarepersonnel.”Thiscategoryincludesquestionsaboutadvocacy,client-careassignments,continuityofcare,performanceimprovement,andthereferralprocess.
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Master The NCLEX-PN (2020) - Page 27 preview imageTheCoordinatedCaresubcategoryisconcernedwiththePN’sabilitytocollaboratewithhealthcareteammemberstoprovideeffectiveclientcare.Topicsinclude:+advancedirectives«continuityofcare«advocacy«establishingpriorities*client-careassignments«ethicalpractice«clientrights+informedconsent«conceptsofmanagementandsupervision*legalresponsibilitiesandsupervision+performanceimprovement(qualityimprovement)+confidentiality/informationsecurity«collaborationwithinterdisciplinaryteam«referralprocess*resourcemanagement*informationtechnologyTheSafetyandInfectionControlsubcategoryisconcernedwithprotectingteammembers,clients,andclients’familymembersandfriendsfromhealthandenvironmentalhazards.Topicsinclude:*accident/error/injuryprevention*handlinghazardousandinfectiousmaterials*homesafety«safeuseofequipment+emergencyresponseplan*ergonomicprinciples
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Master The NCLEX-PN (2020) - Page 28 preview image*leastrestrictiverestraintsandsafetydevices«reportingofincident/event/irregularoccurrence/varianceHealthPromotionandMaintenanceThiscategoryrelatestothestagesofhumangrowthanddevelopmentandpreventinghealthproblemsandearlydetectionofhealthproblems.TheLPN/VNprovidesnursingcareforclientsthatincorporatestheknowledgeofexpectedstagesofgrowthanddevelopmentandpreventionand/orearlydetectionofhealthproblems.Topicsinclude:«agingprocess*healthpromotion/diseaseprevention*ante-/intra-/postpartumandnewborncare*high-riskbehaviors+communityresources«lifestylechoices«datacollectiontechnique*self-care*developmentalstagesandtransitionsPsychosocialIntegrityPsychosocialIntegrityisconcernedwiththeemotional,mental,andsocialwell-beingofclients.TheLPN/VNprovidescarethatassistswithpromotionandsupportoftheemotional,mental,andsocialwell-beingofclients.Topicsinclude:«abuseorneglect+mentalhealthconcepts*behavioralmanagement«religiousandspiritualinfluencesonhealth«chemicalandotherdependencies
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Master The NCLEX-PN (2020) - Page 29 preview image*sensory/perceptualalterations*copingmechanisms+stressmanagement*crisisintervention*supportsystems+culturalawareness«therapeuticcommunication+end-of-lifeconcepts«therapeuticenvironment«griefandloss«agingprocessPhysiologicalIntegrityThiscategoryisconcernedwithclients’physicalwell-being.TheLPN/VNassistsinthepromotionofphysicalhealthandwell-beingbyprovidingcareandcomfort,reducingriskpotentialforclients,andassistingthemwiththemanagementofhealthalterations.TheBasicCareandComfortsubcategoryisconcernedwiththeactivitiesofdailyliving.Topicsmayinclude:*assistivedevices*nutritionandoralhydration+elimination+mobility/immobility«personalhygiene nonpharmacologicalcomfort«restandsleepThePharmacologicalTherapiessubcategoryconcernstheadministrationofmedications.Topicsmayinclude:
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Master The NCLEX-PN (2020) - Page 30 preview image+adverseeffects/contraindications/interactionsandsideeffects«expectedactions/outcomes«pharmacologicalpainmanagement*dosagecalculations+medicationadministrationTheReductionofRiskPotentialsubcategoryassessestheknowledge,skills,andabilitiesnecessarytopreventclientsfromdevelopingcomplicationsorhealthproblemsrelatedtotreatments,procedures,orexistingconditions.Topicsmayinclude:«diagnostictests«therapeuticprocedures«laboratoryvalues«changes/abnormalitiesinvitalsigns«potentialforalterationsinbodysystems«potentialforcomplications(diagnostictests/treatments/procedures)«potentialforcomplicationsfromsurgicalproceduresandhealthalterationsThePhysiologicalAdaptationsubcategorydealswithacute,chronic,andlife-threateningproblemsrelatedtophysicalhealth.Topicsmayinclude:«alterationsinbodysystems+medicalemergencies*basicpathophysiology«fluidandelectrolyteimbalances«unexpectedresponsetotherapiesPERCENTAGEOFEXAMITEMS
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Master The NCLEX-PN (2020) - Page 31 preview imageOntheNCLEX-PN,percentagesareassignedtoeachcategoryandsubcategoryoftheClientNeedsstructure.ThefollowingtableprovidesthespecificpercentagesasdeterminedbytheNCSBN,whichoverseesthetest:ClientNeedsCategoryPercentageofExamItemsSafeandEffectiveCareEnvironment+CoordinatedCare+18-24+SafetyandInfectionControl+10-16HealthPromotionandMaintenance.6-12PsychosocialIntegrity«9-15PhysiologicalIntegrity«BasicCareandComfort«7-13+PharmacologicalTherapies«10-16*ReductionofRiskPotential*9-15«PhysiologicalAdaptation«7-13NCLEX-PNexampassinglevelquestionsare“applicationandanalysis,”whichmeansthatyouneedtoapplywhatyouhavelearnedinclassandinyourclinicalexperiencetomakedecisionsbasedonreal-lifesituations.INTEGRATEDNURSINGPROCESSESTheNCLEX-PNisdesignedtoassessatest-taker’sknowledgeoftheIntegratedProcessesfundamentaltotheworkofthePN/VNatthesametimeitevaluateshisorherskillsintheClientNeedscategories.Forexample,testitemsthatfallundertheReductionofRiskPotentialsubcategoryofPhysiologicalIntegritymayalsoassessthecandidate’sknowledgeofwaystochangeaclient’sharmfulbehavior(suchasdrinkingalcoholwhilepregnant).1.ClinicalProblem-SolvingProcess(NursingProcess)—Usethescientificapproachtoclientcare.Includesdatacollection,planning,implementation,andevaluation.
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Subject
National Council Licensure Examination

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