Master the NCLEX-RN Exam (2022)

Page 1 of 31

Master the NCLEX-RN Exam (2022) - Page 1 preview image

Page 2 of 31

Master the NCLEX-RN Exam (2022) - Page 2 preview image

DownloadedfromStudyXY.com®+StudyXYSdYe.o>\|iF’prE\3SStudyAnythingThisContentHasbeenPostedOnStudyXY.comassupplementarylearningmaterial.StudyXYdoesnotendroseanyuniversity,collegeorpublisher.Allmaterialspostedareundertheliabilityofthecontributors.wv8)www.studyxy.com

Page 3 of 31

Master the NCLEX-RN Exam (2022) - Page 3 preview image

Page 4 of 31

Master the NCLEX-RN Exam (2022) - Page 4 preview image

MASTERTHE™NCLEX-RN®1STEDITION

Page 5 of 31

Master the NCLEX-RN Exam (2022) - Page 5 preview image

AboutPeterson’s”Peterson'shasbeenyourtrustededucationalpublisherforover50years.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,orfindusonlineatwww.petersons.com.NCLEX",NCLEX-RN*,andNCSBN"areregisteredtrademarksoftheNationalCouncilofStateBoardsofNursing,Inc.(NCSBN),whichdidnotcollaborateinthedevelopmentof,anddoesnotendorse,thisproduct.©2019Peterson’s”ALLRIGHTSRESERVED.Nopartofthisworkcoveredbythecopyrighthereinmaybereproducedorusedinanyformorbyanymeans—graphic,electronic,ormechanical,includingphotocopying,recording,taping,Webdistribution,orinformationstorageandretrievalsystems—withoutthepriorwrittenpermissionofthepublisher.Forpermissiontousematerialfromthistextorproduct,completethePermissionRequestFormatwww.petersonspublishing.com/spa/permissions.aspx.ISBN:978-0-7689-4366-5PrintedintheUnitedStatesofAmerica1098765432212019FirstEditionStudy!

Page 6 of 31

Master the NCLEX-RN Exam (2022) - Page 6 preview image

Peterson’sUpdatesCheckoutourwebsiteatwww.petersonspublishing.com/publishingupdatestoseeifthereisanynewinformationregardingthetestandanyrevisionsorcorrectionstothecontentofthisbook.We'vemadesuretheinformationinthisbookisaccurateanduptodate;however,thetestformatorcontentmayhavechangedsincethetimeofpublication.Study!

Page 7 of 31

Master the NCLEX-RN Exam (2022) - Page 7 preview image

ContentsBeforeYouBeginWhoShouldUseThisBook?HowThisBookIsOrganizedHowtoUseThisBookSpecialStudyFeaturesProvenStrategiestoRaiseYourScoreGiveUsYourFeedbackYou'reWellonYourWaytoSuccess!PARTI:THEREGISTEREDNURSINGPROFESSIONANDTHENCLEX-RN®1AbouttheRNProfessionandtheNCLEX-RN®OverviewRegisteredNursesandTheirCareerOutlookNursingEducationLicensureNCLEX-RN®ExamBasicsProvenTest-TakingStrategiesandStudyTechniquesNCLEX-RN®TestPlanTop10StrategiesforChoosingtheCorrectAnswerSummingItUpPARTII:DIAGNOSINGSTRENGTHSANDWEAKNESSES2PracticeTest1:DiagnosticTestAnswerSheetAnswerKeyandExplanationsDiagnosticTestAssessmentGridPARTIII:NCLEX-RN®REVIEW3SafeandEffectiveCareEnvironmentOverviewClientNeedsforManagementofCareCaseManagementClientRightsConceptsofManagementInformationSecurityandConfidentialityLegalRightsandResponsibilitiesClientNeedsforSafetyandInfectionControlHandlingHazardousandInfectiousMaterialsReportingofIncident/Event/IrregularOccurrence/VarianceSafeUseofEquipmentHomeSafetySummingItUpPracticeQuestions:SafeandEffectiveCareEnvironmentAnswerKeyandExplanations4HealthPromotionandMaintenanceOverviewTheAgingProcessAnte/Intra/PostpartumandNewbornCareDevelopmentalStagesandTransitionsHealthPromotion/DiseasePreventionHealthScreeningHigh-RiskBehaviorsLifestyleChoicesSelf-CareStudy!

Page 8 of 31

Master the NCLEX-RN Exam (2022) - Page 8 preview image

TechniquesofPhysicalAssessmentSummingItUpPracticeQuestions:HealthPromotionandMaintenanceAnswerKeyandExplanations5PsychosocialIntegrityOverviewAbuseandNeglectBehavioralInterventionsCopingMechanismsCrisisInterventionCulturalAwareness/CulturalInfluencesonHealthEnd-of-LifeCareFamilyDynamicsGriefandLossMentalHealthConceptsReligiousandSpiritualInfluencesonHealthSensory/PerceptualAlterationsStressManagementSubstanceUseandOtherDisordersandDependenciesSupportSystemsTherapeuticCommunicationTherapeuticEnvironmentSummingItUpPracticeQuestions:PsychosocialIntegrityAnswerKeyandExplanations6PhysiologicalIntegrityOverviewClientNeedsforBasicCareandComfortAssistiveDevicesEliminationMobility/ImmobilityNonpharmacologicalComfortInterventionsNutritionandOralHydrationPersonalHygiene,Rest,andSleepClientNeedsforPharmacologicalandParenteralTherapiesContraindications,Interactions,SideEffects,andAdverseEffectsDosageCalculationMedicationAdministrationTotalParenteralNutrition(TPN)PharmacologicalPainManagementClientNeedsforReductionofRiskPotentialMonitoringChangesinClientConditionDiagnosticTestsandLaboratoryValuesPotentialforAlterationsinBodySystemsPotentialComplicationsfromDiagnosticTests,Treatments,andProceduresPotentialComplicationsfromSurgicalProceduresandHealthAlterationsSystem-SpecificAssessmentsandTherapeuticProceduresClientNeedsforPhysiologicalAdaptationAlterationsinBodySystemsFluidandElectrolyteImbalancesHemodynamicsIlinessManagementPathophysiologyandMedicalEmergenciesSummingItUpPracticeQuestions:PhysiologicalIntegrityAnswerKeyandExplanationsPARTIV:PRACTICETESTSPracticeTest2AnswerSheetAnswerKeyandExplanationsPracticeTest3AnswerSheetAnswerKeyandExplanationsStudy!

Page 9 of 31

Master the NCLEX-RN Exam (2022) - Page 9 preview image

PARTV:APPENDICESAStateBoardsofNursingBNursingOrganizationsCWebsitesofInterestTStudyX

Page 10 of 31

Master the NCLEX-RN Exam (2022) - Page 10 preview image

.BeforeYouBeginPeterson’sMasterthe™NCLEX-RN™iswrittenforcandidateshopingtopasstheNCLEX-RNexamination,givenbyNationalCouncilofStateBoardsofNursing,Inc.(NCSBN®).Thisbookgivesyouthemostthoroughreviewandtest-likepracticeavailable,coveringallthecategoriesandsubcategoriestestedontheexam.WHOSHOULDUSETHISBOOK?Peterson’sMasterthe™NCLEX-RN"isperfectfornurseswhohavesixmonthsorlessofnursingexperienceandareinterestedinpreparingtobecomearegisterednurse.Usethisbookifyoucananswer“yes”tothefollowingstatements:*Youwanttoprepareonyourowntimeandatyourownpace,butyoudon’thavetimeforapreparationprogramthattakesweekstocomplete.*Youwantaguidethatcoversallthekeypointsyouneedtoknowbutdoesn’twastetimeontopicsyoudon’tabsolutelyhavetoknowfortheexam.*Youwanttoavoidtakingriskswiththisall-importantexambyrelyingon“beatthesystem”guidesthatarelongonpromisesbutshortonsubstance.*YouwantacollectionofpracticeNCLEX-RNexamsthatlooklikethetestsyouwillactuallytaketopasstheexam.Study!

Page 11 of 31

Master the NCLEX-RN Exam (2022) - Page 11 preview image

HOWTHISBOOKISORGANIZEDPeterson’sMasterthe™NCLEX-RN®isdividedintofourpartstohelpyouunderstandtheroleoftheregisterednurse,thestructureoftheNCLEX-RN,andwhatyouneedtoknowtopasstheNCLEX-RNexaminationandobtainlicensure.Full-lengthpracticetestsareincludedtohelptestyourknowledgeandprovideabasisforcreatingastudyplan.PartI(Chapter1)givesyouaquickoverviewoftheimportantfactsyouneedtoknowabouttheregisterednurseprofession,thecurrentNCLEX-RNTestPlan,andthecomputer-adaptivetestingenvironment.PartII(Chapter2)providesthefirstfull-lengthpracticetest,adiagnostictestdesignedtohelpyouidentifythoseareaswhereyouneedtospendmoretimeinyourreviewsessions.PartITI(Chapters3-6)reviewsthefollowingClientNeedscategoriesandsubcategoriesfoundonthecurrentNCLEX-RNTestPlan:1.SafeandEffectiveCareEnvironmentManagementofCareSafetyandInfectionControl2.HealthPromotionandMaintenance3.PsychosocialIntegrity4.PhysiologicalIntegrityBasicCareandComfortPharmacologicalandParenteralTherapiesReductionofRiskPotentialPhysiologicalAdaptationPartIV(PracticeTests2and3)includestwofull-lengthpracticeteststhatsimulatetheactualexam,soyou'refullypreparedfortestday.PartV(AppendixA—-C)providessupplementalinformationonstateboardsofnursingandprofessionalorganizations,aswellaswebsitesyoucancheckforhealth,education,andjobinformation.Study!

Page 12 of 31

Master the NCLEX-RN Exam (2022) - Page 12 preview image

HOWTOUSETHISBOOKReviewPartItofamiliarizeyourselfwiththeregisterednurseprofession,thearrayofcareeropportunities,andthecareeroutlook.PartIwillalsoprovideyouwiththeopportunitytoreviewtheNCLEX-RNTestPlan.Proventest-takingstrategiesandstudytechniquesareprovidedalongwithourtop10strategiesforchoosingthecorrectanswer.TaketheDiagnosticTestinPartIL.Thisfull-lengthtestisdesignedtoreplicatethetypesofquestionsyouwillfindontheactualNCLEX-RN.We'veprovideddetailedanswerexplanationsforallanswerchoicessothatyoucanreviewwhyananswerwascorrectornotcorrect.UtilizetheDiagnosticTestAssessmentGridattheendofthechaptertohelppinpointwhatyouknow—andwhatyoudon’tknow.Yourresultsprovideyouwithastartingpointtotailoryourstudyplan.ReviewthechaptersinPartIII.Eachreviewchaptercoversoneoftheclientneedscategoriesanditssub-categoriesindepth,reviewingallthemajorconceptsyouwillneedtoknowtopasstheNCLEX-RN.Beforeyoudiveintoachapter,skimthebulletedoverview,whichliststhetopicscoveredinthechapter.Theoverviewwillallowyoutoquicklytargettheareasinwhichyouaremostinterested.Attheendofeveryreviewchapter,youwillfind10practicequestionsalongwithdetailedanswerexplanations.Usethesequestionstotestyourunderstandingandfurtherassesswhereyouwillneedtofocusyourstudyplan.TakethepracticetestsinPartIVundertest-likeconditions.Asyoufinisheachpracticetest,checkyouranswersagainsttheanswerkeysandreadtheexplanationforeachquestionyoumissed.Ifyouhavethetime,readalltheanswerexplanations—theyregreatformorein-depthNCLEX-RNreview.Youcanuseyourresultsfromthesepracticeteststoidentifyyourstrengthsandweaknesses,andthenspendtherestofyourtimeleadinguptoyourexamreviewingtheareaswhereyouneedthemostimprovement.ReferencethesupplementalmaterialinPartVasneededformoreinformationonprofessionalorganizationsandhelpfulwebsitestoenhanceyourlearningexperienceandexpandyourknowledgebase.PrintorOnline?YouDecide!Inadditiontothetwoonlineteststhatareincludedwiththepurchaseofthisbook,Peterson’snowgivesyoutheoptiontotakethediagnosticandpracticetestsinPeterson'sMasterthe™NCLEX-RN"®eitheronpaperoronline.Choosehowyouwanttotakethem:onpaperforamoretraditionalstudyapproach,oronlinetosimulatetheactualNCLEX-RNtest-takingexperience,withautomatedtiming,instantfeedback,andscoringresults.Takeallthetestsonpaper,allonline,orinacombinationofthetwo.Thechoiceisyours.Toaccessyourfreeonlinetests,visitthefollowingURL:www.petersons.com/testprep/nclex/AddtheNCLEX-RNOnlineCompaniontoyourcartandenterthecouponcodeNCLEX1atcheckout.Study.

Page 13 of 31

Master the NCLEX-RN Exam (2022) - Page 13 preview image

SPECIALSTUDYFEATURESMasterthe™NCLEX-RN®isdesignedtobeasuser-friendlyasitiscomplete.Tothisend,itincludesseveralfeaturestomakeyourpreparationmoreefficient.OverviewEachchapterbeginswithabulletedoverviewlistingthetopicsthatarecoveredinthechapter.Thiswillallowyoutoquicklytargettheareasinwhichyouaremostinterested.SummingItUpEachreviewchapterendswithapoint-by-pointsummarythatcapturesthemostimportantinformationinthechapter.Thesummariesareaconvenientwaytoreviewthemainpointsonelasttimebeforetheexam.NotesandTipsAsyoumakeyourwaythroughthisguide,beonthelookoutfortheNOTEandTIPboxes.Thisbonusinformationisdesignedtodrawyourattentiontovaluableconceptsandtest-takingadvice,aswellastohighlightvitaldetailsabouttheNCLEX-RNexamformat.PROVENSTRATEGIESTORAISEYOURSCOREIntakingtheNCLEX-RNexam,somestrategiesaremoreusefulthanothers.Thefollowingtipswillhelpyoupasstheexam.1.Createastudyplanandsticktoit.Therightstudyplanwillhelpyougetthemostoutofthisbookinthetimethatyouhave.2.Reviewkeytestelementsdailyforseveralweeksbeforetheexam.RereadtheTestPlantobesurethatyouunderstandthecategoriesandsubcategories,andrereadtheinformationaboutalternatetestformats.3.Completealltheexercisesinthisbook.Doingsowillhelpyourecognizeyourareasofstrengthanddiscoverwhichareasneedimprovement.4.Ifpossible,visitthetestcenterbeforethedayoftheexam.Thiswillhelpyoubecomefamiliarwiththelocationandhowlongittakestotravelthere.Onthedayoftheexam,leaveplentyoftimetogettothetestcenterincasethebuses/subways/trainsarerunninglate,theweatherisbad,orparkingyourcarisaproblem.5.Avoidcrammingthenightbeforetheexam.Thiswillonlymakeyoufeelmorenervous.Itisnotlikelytohelpyoulearnenoughtomakeadifferenceonyourtestscore.6.Relaxthenightbeforethetest.Trytotakeyourmindofftheexamforawhile.Gotoamovieorhangoutwithafriend—butnotwithsomeonewhowillbetakingthetestwithyou.7.Besuretobringoneacceptableformofidentificationtothetestcenter.Youwillnotbeabletotaketheexamwithouttheproperformofidentification,andyouwillhavetoreregisterandpayanotherexaminationfee.8.Listentowhatthetestadministratortellsyouandpayattentiontothetutorial.Don’tworry,though,becauseyoudon’tneedtobeacomputerwhiztotakethetest.9.Readeverywordofeveryquestionontheexam.Payattentiontodetails.Theyprovidecluesandhelppreventyoufromselectingthewronganswerchoice.10.Don’tspendtoomuchtimeonanyonequestion.Youhaveuptosixhourstocompleteyourexam—butyoustillcan’taffordtospendtoomuchtimeonanyonequestion.Trytomaintainasteadypace.Duetothecomputer-adaptivenatureoftheexam,itismoreimportanttogetthequestionsrightsotheexamisaccuratelyassessingyourabilities.Study!

Page 14 of 31

Master the NCLEX-RN Exam (2022) - Page 14 preview image

GIVEUSYOURFEEDBACKPeterson’spublishesafulllineofbooks—testprep,educationexploration,financialaid,andcareerpreparation.Peterson’spublicationscanbefoundathighschoolguidanceoffices,collegelibrariesandcareercenters,andyourlocalbookstoreandlibrary.Inaddition,youcanfindPeterson’sproductsonlineatwww.petersons.com.Wewelcomeanycommentsorsuggestionsyoumayhaveaboutthispublication.Pleasecallourcustomerservicedepartmentat800-338-3282Ext.54229orsendanemailmessagetocustsve@petersons.com.Yourfeedbackwillhelpusmakeeducationaldreamspossibleforyou—andotherslikeyou.YOU'REWELLONYOURWAYTOSUCCESS!Rememberthatknowledgeispower.UsingPeterson’sMasterthe™NCLEX-RN®willhelpyoubecomefamiliarwiththekindofcontentthatappearsintheactualNCLEX-RNexam.WelookforwardtohelpingyouobtainyourRNlicense.Goodluck!Study!

Page 15 of 31

Master the NCLEX-RN Exam (2022) - Page 15 preview image

PART1THEREGISTEREDNURSINGPROFESSIONANDTHENCLEX-RN®

Page 16 of 31

Master the NCLEX-RN Exam (2022) - Page 16 preview image

.AbouttheRNProfessionandtheNCLEX-RN®OVERVIEW+RegisteredNursesandTheirCareerOutlook+NursingEducation«+Licensure+NCLEX-RN®ExamBasics+ProvenTest-TakingStrategiesandStudyTechniques+NCLEX-RN®TestPlan+Top10StrategiesforChoosingtheCorrectAnswer+SummingItUpCongratulationsonyourjourneytobecomingaregisterednurse!Bypickingupthisbook,you'remakingacommitmenttoprephard,passyourNCLEX-RNexam,andstartalongthepathtowardtheexciting,challenging,andvitalcareerofnursing.ThischapterwilllayouttheprofessionasawholeandwillexplainallyouneedtoknowabouttheNCLEX-RNexam.REGISTEREDNURSESANDTHEIRCAREEROUTLOOKAccordingtotheNationalCouncilofStateBoardsofNursing(NCSBN),therearecurrentlymorethan4.8millionactiveregisterednursesintheUnitedStates.Althoughthenumberofemployedregisterednursesperpopulationineachstatevarieswidely,professionalnursesarethelargesthealthcareprofessionintheUnitedStates.AccordingtotheAmericanNursesAssociation(ANA),therewillbemoreregisterednursejobsavailablethrough2022thanforanyotherprofession.TheU.S.BureauofLaborStatistics(2018)projectsthat1.1millionnewRNswillbeneededtoavoidafurthershortage.Theprojectedneedforadditionalnursesisduetotheincreasedemphasisonpreventativecare,increasingchronicconditions,andtheoveralldemandforhealthcareservicesfromtheagingpopulationthatislivinglongerandengaginginmoreactivelives.AccordingtotheU.S.BureauofLaborStatistics,betweenMay2016andMay2017,themajorityofnursesearnedanincomerangingfrom$48,690to$104,100annually,withamediansalaryof$70,000peryear.Thisfigurerepresentsa3.7%increasecomparedtothepreviousyear.Factorsthatinfluencenursingsalariesincludespecifiedareasofpractice,employmentenvironment,lengthofpractice,andeducationallevel.Nursingsalariesalsovaryfromstatetostate.Study!

Page 17 of 31

Master the NCLEX-RN Exam (2022) - Page 17 preview image

NURSINGEDUCATIONProfessionalnursingeducationdidnotbeginuntil1860inEngland,wherenursingeducationwasfoundedontheprinciplesestablishedbyFlorenceNightingale.In1873,thefirstschoolofnursingestablishedintheUnitedStateswasbasedonthosesameprinciples.Inthe1890s,nursesbeganorganizingsignificantprofessionalassociations,includingtheorganizationsnowknownastheNationalLeagueforNursingandtheAmericanNursesAssociation.Duringthatperiod,statenursingassociationswerebeginningtoformandwereinstrumentalinestablishingandpassingstateregistrationacts.Theseactsintendedtoestablishthelegaltitleoftheprofessionalregisterednurse(RN)andtoprovidealicensingsystemforthepracticeofnursing.Currently,prelicensureeducationincludesaccreditednursingprogramsthatofferanassociatedegree,bachelor’sdegree,ormaster’sdegree.Admissionrequirementstoanursingprogramvarybasedontheacademicinstitutionalrequirements.LICENSURETherequirementsforeligibilitytotaketheNCLEX-RNexaminationaredeterminedbythestateboardofnursingforthestateinwhichthecandidateintendstopractice.TheexaminationthecandidatewilltaketoobtainlicensureisdevelopedbytheNCSBN.TheNCLEX-RNisanationalexaminationthatdoesnotcontainstate-specificinformation.AlicensedRNcanonlypracticeinthestateforwhichlicensurehasbeenobtained.ForanRNtoobtainlicensureinanotherstate,heorshemustapplyforendorsementbythedesiredstateboardofnursing.ItisnotnecessarytoretaketheNCLEX-RNexamination;however,requirementsforlicensurevaryfromstatetostate,soitisimportanttocheckwiththespecificstateboardofnursing.Acompactlicense(ormultistatelicense)isterminologythatreferstotheNurseLicensureCompact(NLC).ThenurseincludedinanNLChasaprimarylicenseplustheabilitytopracticeinallNLCstates.TobeeligiblefortheNLC,thenursemustdeclareacompactstateashisorherlegalresidence.Nurseswhoresideinnoncompactstatesmayapplyforlicensurebyendorsement,whichlimitspracticetoasingle-statelicense.Thereisnolimittohowmanysingle-statelicensesanursemayhold.AnenhancedNurseLicensureCompact(eNLC)wasimplementedonJanuary19,2018,with31memberstatesasofJuly2019.TheintentoftheeNLCistoalignlicensingstandardsacrossparticipatingstates,allowingnursestohaveonemultistatelicensewiththeabilitytopracticeinpersonorviatelehealthinhisorherhomestateaswellasothereNLCstates.SeeAppendixAforcontactinformationfortheboardsofnursingforeachstatebelongingtotheeNLC.Itisimportanttonotethattheboardofnursingforeachstatehasrulesandregulationsthatdefinethescopeofpracticewithinthatstate.Study!

Page 18 of 31

Master the NCLEX-RN Exam (2022) - Page 18 preview image

NCLEX-RN®EXAMBASICSTheNCLEX-RNexaminationwasdevelopedtoensuretheminimumknowledge,skills,andabilitiesnecessarytodeliversafe,effectivenursingcarewerepresentatanentrylevel.Entrylevelisdefinedassixmonthsorlessofnursingexperience.Theexaminationisbasedonatestplanthatservesasablueprintoutliningthecontentonwhichthecandidatewillbetested.ThebasictestplanfortheNCLEX-RNisupdatedeverythreeyearstoensurethecompetenciesthataremeasuredarecurrent.AfterreviewingtherequirementsandeligibilitytotaketheNCLEX-RNexaminationasdeterminedbytheboardofnursingforthestateinwhichthecandidateintendstopractice,allcandidatesshouldaccesstheNCSBN’swebsite(www.ncsbn.org)forthemostup-to-dateinformationregardingtheNCLEX-RNexam.TheNCSBNwebsiteincludesinstructionsfortheapplicationandregistrationprocess,designatedtestinglocations,andthecurrentNCLEX-RNTestPlan.Thesitewillalsotellyouwhattodotopreparebeforetheexam,whattodothedayoftheexam,andwhatoccursaftertheexam.ComputerAdaptiveTestingAninteractivesystemcalledcomputeradaptivetesting(CAT)isusedtoadministertheNCLEX-RNexamination.CATusescomputertechnologyandmeasurementtheorytoprovideavalidandreliablemeasurementofnursingcompetence.EachNCLEX-RNexaminationisuniquebecausethetechnologycaninteractivelyselectquestionsthatmatchthecandidatesabilitybasedonthepreviousquestionsthathavebeenanswered.Thechosenquestionsareclassifiedbytestplancategoryandlevelofdifficulty.Thistestingprocesscontinuesuntilthecandidate’sknowledgeandskillsmeettheNCLEX-RNtestplanrequirementsanduntilapassorfaildecisionismade.TheNCLEX-RNtestquestionscanrangefrom75to265items.Thisnumberincludes15itemsclassifiedaspretestitems,whicharenotscored.Thereisamaximumtimelimitof6hoursfortheexamination;thereisnominimumtimelimit.Theallottedmaximumtimeincludestimeallocatedforthetutorialandsampleitems,aswellasalloptionalbreaksduringtheexam.Testquestionsarepresentedoneatatimeonthecomputerscreen.Theitemshownmustbeansweredinordertoproceedtothenext.Onceananswerissubmitted,youwillnolongerhavetheabilitytoreturntothepreviousitem.TheoveralldurationfortheNCLEX-RNexaminationisdeterminedbytheamountofcorrectandincorrectresponsestotheitems.Thecomputer-adaptivenatureoftheexaminationselectsitemsbasedonyourresponses.Eachitemrequiresavariedamountoftimetocomplete.Agoodruleofthumbistospend1-2minutesoneachtestitemtomaintainanadequatepacethroughouttheexam.Thelengthofyourexaminationisnotanindicationofapassorfailresult,asitispossibletofailregardlessofthelengthoftheexamination.ThedecisionforpassingorfailingtheNCLEX-RNexaminationisgovernedinthefollowingthreeways:1.Theexaminationendswhenitcanbedeterminedwith95%confidencethatyourperformanceiseitheraboveorbelowthepassingstandard,regardlessofthenumberofitemsansweredortheamountoftestingtimethathaselapsed.2.Ifyourabilitylevelsareveryclosetothepassingstandard,thecomputerwillcontinuetoadministeritemsuntilthemaximumnumberisreached.Atthispoint,the95%confidenceruleisdisregarded,andthefinalabilityisestimated.Ifthefinalabilityisabovethepassingstandard,thenyouwillpass,andifitisbelow,youwillfailtheexam.3.Ifyourunoutoftimeandthecomputerhasnotdeterminedwith95%certaintywhetheryouhavepassedorfailed,alternativecriteriaareused.Ifatleasttheminimumnumberofrequireditemswereanswered,thecomputerlooksatthelast60abilityestimates.Thisdoesnotmeanthatyouhadtoanswerthelast60questionscorrectly.Eachabilityestimateisbasedonallpreviousanswers.Ifthelast60abilityestimateswereconsistentlyabovethepassingstandard,youwouldpass.Ifyourabilityestimatedropsbelowthepassingstandardevenonceintheprevious60items,youwillfailtheexam.Study!

Page 19 of 31

Master the NCLEX-RN Exam (2022) - Page 19 preview image

PROVENTEST-TAKINGSTRATEGIESANDSTUDYTECHNIQUESAsmentionedpreviously,itisimportanttofamiliarizeyourselfwiththeinformationontheNCSBN’swebsite(www.nesbn.org).Rememberwhenyoudemandedastudyguideinnursingschoolbeforeanexam?Similarly,theNCSBNhasprovidedyouwithadetailedtestplan.Thetestplanistheretohelpguideyouintotheroleofasafe,competentnurse.NOTERememberthatthepracticetestsfoundinthisbookarealsoavailableonlineatwww.petersons.com/testprep/nclex.SincetheNCLEX-RNexaminationisadministeredonacomputer,it’shelpfultopracticeasmuchaspossibleonacomputer.YourkeytoNCLEX-RNsuccessliesintheeffortthatyouputintoyourNCLEX-RNpreparation.Deviseastudyplan,stayorganized,studyconsistently,andbeginreviewingfortheNCLEX-RNearly.Itisessentialthatyoumaketimedailytopreparefortheexaminationinanenvironmentthatisconducivetotesttaking.Makesureyourstudyenvironmentisquiet.Beforeeverystudysessionyoushouldberested,wellnourished,andcomfortable.Ifpossible,getintothehabitofreviewingpracticequestionsonthecomputer.Stickingtoastructuredstudyplanwillmakeyourtestpreparationeffectiveandkeepyoufocusedonreachingyourgoal:passingtheNCLEX-RN.TobeginyourNCLEX-RNtestpreparation,taketheDiagnosticTest(Chapter2),whichisdesignedtoassessyourknowledgestrengthsandweaknesses.Afterscoringyourtestandreadingtheanswerexplanations,usetheDiagnosticTestAssessmentGrid(page57)tohelpyoupinpointyourtroubleareas.Ifyourtestscoreindicatesaneedtofocusonaspecificsubjectarea,yournextstepistoreviewthatsubjectmatterfirst.Afteryouhavethoroughlyreviewedthematerial,besuretoreinforceyourunderstandingoftheconceptspresentedinthechaptersbyansweringthepracticequestionsets.Howwellyoudoonthepracticequestionswillhelpyougaugehoweffectivelyyouarestudyingandretainingtheinformationpresented.Onceyouarefeelingconfidentaboutthematerialyouhavereviewed,retestyourknowledgeusingPracticeTest2,reviewthematerialagainwhereneeded,andfollowthesameprocesswithPracticeTest3.Remember,thesetestsareaccessibleonline,sonotonlycanyoupracticewithtest-likequestions,butyoucanalsogetcomfortabletakingatestonthecomputer.WhenyoureviewNCLEX-RNtestquestions,readeveryexplanationtoeveryanswer,evenifyouselectedthecorrectresponse.Doingsoisagreatwaytoreinforcewhatyouknow,identifyremainingtroubleareas,andclarifyconceptsthatmightstillbeabitunclear.Takethetimetojotdownwhatyouneedtoreview,andthenspendtimedoingso.Then,whenyouhavecompletedyourreviewofthematerial,answermorepracticetestquestionstore-evaluateyourknowledge.Thisdrill-and-reviewapproachwillhelpyoutosoundtheconceptsdeepintoyourmemory;onceyouhavetheconceptswellinmind,theirapplicationontheNCLEX-RNshouldcomeeasily.TIPTheNCLEX-RNexaminationisnotdesignedtoassessyourabilitytomemorize,buttodetermineyourknowledgeofthesubjectsandcontentareas.Takethetimetoreviewthecontent,testyourabilities,identifywhatyouneedtoreview,andthenreviewtoreinforcewhatyoualreadyknow.AsstatedearlierinthediscussionaboutCATtesting,eachitemmustbeanswered,oryouwillnotbeabletoproceedtothenextquestion.Ifyouareunsureofthecorrectanswer,DONOTguess.Everytimeyouansweranitem,thecomputerre-estimatesyourability.Ifyouareunsure,rereadthescenariotoevaluatepreciselywhatthequestionisaskingofyouandthenbegineliminatingWronganswers.Afteryoureviewthescenario,askyourselfthefollowingquestions:Study!

Page 20 of 31

Master the NCLEX-RN Exam (2022) - Page 20 preview image

+WhatexactlyamIbeingaskedtodo?+Wheream[Iinthenursingprocess?+AtwhatlevelofMaslow’shierarchyofneedsistheclient?+Whatisdevelopmentallyappropriatefortheclient?«Isthereasafetycomponent?Beforeeliminatinganswers,askyourselfthefollowingquestions:«Isthisreasonableandappropriateforthesituation?«Isthisthesafestchoicefortheclient?«IsthisthemostimportantthingthatIcandofortheclientatthistime?Ifyouareansweringamultiple-choicequestion,choosethemostcomprehensiveanswerthatencompassesalloftheotherchoicesthatapplytothesituation.Ifyouareansweringamultiple-responsequestion,theanswersareeithertrueorfalseinrelationtothescenario.TIPDoNOTguessifyouareunsureoftheanswertoaquestion.Evaluatewhatthequestionisaskingofyou,andtheneliminatewronganswers.ThisapproachwillresultinamoreaccurateCATassessmentofyourabilitiesontheactualNCLEX-RNexamination.Yourresponsesshouldputtheclientfirstratherthanitemssuchastasks,paperwork,charting,orothermembersofthehealthcareteam.Itisimportanttorememberthatthenursingprofessionisabouttheclient.Thereisnothingelseyoushouldbedoingotherthantakingcareoftheclienttowhomyouareassigned.Inaddition,youranswersshouldbebasedonlyonthequestionasprovidedtoyou;makesureyouarenotreadinganythingintothegivensituationorscenario.TheNCLEX-RNscenariohasprovidedyouwithexactlytheinformationthatyouneedtorespondappropriately.NCLEX-RN®TESTPLANAlltaskstatementsinthe2019NCLEX-RNTestPlanrequirethatyouapplythefundamentalprinciplesofclinicaldecisionmakingandcriticalthinkingtonursingpractice.Youwillintegrateconceptsfromthesocialsciences(psychologyandsociology),biologicalsciences(anatomy,physiology,biology,andmicrobiology),andphysicalsciences(chemistryandphysics).IntegratedNursingProcessesProcessesthatarefundamentaltothepracticeofnursinghavebeenidentifiedbytheNCSBNandareintegratedthroughouttheClientNeedscategoriesandsubcategories.TheprocessesidentifiedanddefinedbytheNCSBNincludethoselistedbelow.*NursingProcessisascientific,clinicalreasoningapproachtoclientcarethatincludesassessment,analysis,planning,implementation,andevaluation.*Caringinvolvestheinteractionofthenurseandclientinanatmosphereofmutualrespectandtrust.Inthiscollaborativeenvironment,thenurseprovidesencouragement,hope,support,andcompassiontohelpachievedesiredoutcomes.«CommunicationandDocumentationincludestheverbalandnonverbalinteractionsbetweenthenurseandtheclient,theclient’sfamily,andtheothermembersofthehealthcareteam.Eventsandactivitiesassociatedwithclientcarearerecordedinwrittenand/orelectronicrecordsthatdemonstrateadherencetothestandardsofpracticeandaccountabilityintheprovisionofcare.*Teaching/Learningreferstofacilitatingtheacquisitionofknowledge,skills,andabilitiestopromoteachangeinbehavior.CultureandSpiritualityinvolvestheinteractionofthenurseandtheclient(individual,family,orgroup,includingsignificantothersandpopulations),whichrecognizesandconsiderstheclient-reported,self-identified,unique,andindividualpreferencestoclientStudy!

Page 21 of 31

Master the NCLEX-RN Exam (2022) - Page 21 preview image

care,theapplicablestandardofcare,andlegalconsiderations.Inadditiontousingthenursingprocess,youwillbeexpectedtoapplyconceptssuchascaring,communication,documentation,teachingandlearning,andcultureandspiritualitythroughoutthefourmajorcategoriesofthetestplan.ThecontentoftheNCLEX-RNTestPlanisorganizedintofourmajorclientneedscategories.Twoofthefourcategoriesaredividedintosubcategories,asshowninthefollowinglist.ClientNeedsCategoriesandSubcategories1.SafeandEffectiveCareEnvironmentManagementofCareSafetyandInfectionControl2.HealthPromotionandMaintenance3.PsychosocialIntegrity4.PhysiologicalIntegrityBasicCareandComfortPharmacologicalandParenteralTherapiesReductionofRiskPotentialPhysiologicalAdaptationSafeandEffectiveCareEnvironmentThisfirstmajorClientNeedscategoryconsistsoftwosubcategories,eachofwhichassessesyourabilitytopromotefavorableclientoutcomesbyprovidinganddirectingnursingcarethatenhancesthecaredeliverysettinginordertoprotectclientsandhealthcarepersonnel.ManagementofCareThissubcategoryisdesignedtoassessyourabilitytoprovideanddirectnursingcarethatenhancesthecaredeliverysettingtoprotecttheclientandhealthcarepersonnel.MANAGEMENTOFCARERelatedActivityStatementsfromthe20/7RNPracticeAnalysis:LinkingtheNCLEX-RNExaminationtoPractice«Integrateadvanceddirectivesintotheclientplanofcare.*Assignandsupervisecareoftheclientprovidedbyothers(e.g.,LPN/VN,assistivepersonnel,otherRNs).*Organizeyourworkloadtomanagetimeeffectively.*Practiceandadvocateforcost-effectivecare.+Initiate,evaluate,andupdatetheclientplanofcare.*Provideeducationtoclientsandstaffaboutclientrightsandresponsibilities.«+Advocateforclientrightsandneeds.«Collaboratewithinterprofessionalteammemberswhenprovidingclientcare.+Manageconflictamongclientsandhealthcarestaff.*Maintainclientconfidentialityandprivacy.*Provideandreceivehandoffofcarereportsonassignedclients.*Useapprovedabbreviationsandstandardterminologywhendocumentingcare.*Performproceduresnecessarytosafelyadmit,transfer,and/ordischargeaclient.*Prioritizethedeliveryofclientcare.*Recognizeethicaldilemmasandtakeappropriateaction.*Practiceinamannerconsistentwithacodeofethicsfornurses.Study.

Page 22 of 31

Master the NCLEX-RN Exam (2022) - Page 22 preview image

*Verifytheclientreceivesappropriateeducationandconsentsforcareandprocedures.*Receiveandtranscribehealthcareproviderorders.«Utilizeresourcestoenhanceclientcare(e.g.,evidenced-basedresearch,informationtechnology,policiesandprocedures).*Recognizelimitationsofyourselfandothersandutilizeresources.*Reportclientconditionsasrequiredbylaw(e.g.,abuse/neglect,communicabledisease).*Providecarewithinthelegalscopeofpractice.«Participateinperformanceimprovementprojectsandqualityimprovementprocesses.«Assesstheneedforreferralsandobtainnecessaryorders.Relatedcontentincludes,butisnotlimitedto,thefollowing:+Advancedirectives/self-determination/lifeplanning+Advocacy+Assignment,delegation,andsupervision+Casemanagement«+Clientrights«+Collaborationwithinterdisciplinaryteam«+Conceptsofmanagement«+Confidentiality/informationsecurity+Continuityofcare«+Establishingpriorities«Ethicalpractice«Informedconsent«+Informationtechnology+Legalrightsandresponsibilities+Performanceimprovement(qualityimprovement)*ReferralsSafetyandInfectionControlThisSafeandEffectiveCareEnvironmentsubcategoryassessesyourabilitytoprotectclientsandhealthcarepersonnelfromhealthandenvironmentalhazards.SAFETYANDINFECTIONCONTROLRelatedActivityStatementsfromthe20/7RNPracticeAnalysis:LinkingtheNCLEX-RNExaminationtoPracticeStudy!

Page 23 of 31

Master the NCLEX-RN Exam (2022) - Page 23 preview image

*Assesstheclientforallergiesandinterveneasneeded(e.g.,food,latex,environmentalallergies).*Protecttheclientfrominjury(e.g.,falls,electricalhazards).*Ensureproperidentificationoftheclientwhenprovidingcare.*Verifytheappropriatenessandaccuracyofatreatmentorder.«Participateinemergencyresponseplans(e.g.,internal/externaldisaster,bombthreat,communityplanning).*Useergonomicprincipleswhenprovidingcare(e.g.,safeclienthandling,properlifting).*Followproceduresforhandlingbiohazardousandhazardousmaterials.*Educatetheclientonsafetyissues.+Acknowledgeanddocumentpracticeerrorsandnearmisses(e.g.,incidentreportformedicationerror).*Reportanyunsafepracticeofhealthcarepersonnelandinterveneasappropriate(e.g.,substanceabuse,impropercare,staffingpractices).*Facilitatetheappropriateandsafeuseofequipment.*Followthesecurityplanprocedures(e.g.,newbornnurserysecurity,violence,controlledaccess).«+Applyprinciplesofinfectioncontrol(e.g.,handhygiene,aseptictechnique,isolation,steriletechnique,universal/standardprecautions).*Educatetheclientandstaffregardinginfectioncontrolmeasures.*Followrequirementsfortheuseofrestraints.Relatedcontentincludes,butisnotlimitedto,thefollowing:+Accident/error/injuryprevention+Emergencyresponseplan+Ergonomicprinciples+Handlinghazardousandinfectiousmaterials+Homesafety+Reportingofincident/event/irregularoccurrence/variance«+Safeuseofequipment+Securityplan«+Standardprecautions/transmission-basedprecautions/surgicalasepsis+Useofrestraints/safetydevicesHealthPromotionandMaintenanceThissecondmajorClientNeedscategoryassessesyourabilitytoprovideanddirectthenursingcareoftheclientthatincorporatesknowledgeofexpectedgrowthanddevelopment,preventionandearlydetectionofhealthproblems,andstrategiestoachieveoptimalhealth.HEALTHPROMOTIONANDMAINTENANCERelatedActivityStatementsfromthe20/7RNPracticeAnalysis:LinkingtheNCLEX-RNExaminationtoPracticeStudy.

Page 24 of 31

Master the NCLEX-RN Exam (2022) - Page 24 preview image

*Providecareandeducationforthenewborn,infant,andtoddlerclientfrombirththrough2yearsold.*Providecareandeducationforthepreschool,schoolage,andadolescentclientages3through17years.*Providecareandeducationfortheadultclientages18through64years.*Providecareandeducationfortheadultclientages65yearsandover.*Provideprenatalcareandeducation.*Providecareandeducationtoanantepartumclientoraclientinlabor.*Providepostpartumcareandeducation.«Assessandeducateclientsabouthealthrisksbasedonfamily,population,andcommunitycharacteristics.«Assesstheclient’sreadinesstolearn,learningpreferences,andbarrierstolearning.*Planand/orparticipateincommunityhealtheducation.*Educatetheclientabouthealthpromotionandmaintenancerecommendations(e.g.,physicianvisits,immunizations).*Performtargetedscreeningassessments(e.g.,vision,nutrition).*Educatetheclientaboutpreventionandtreatmentofhigh-riskhealthbehaviors(e.g.,smokingcessation,safesexualpractices,needleexchange).«Assesstheclient’sabilitytomanagecareinthehomeenvironmentandplancareaccordingly.*Performcomprehensivehealthassessments.Relatedcontentincludes,butisnotlimitedto,thefollowing:+Theagingprocess+Ante/intra/postpartumandnewborncare+Developmentalstagesandtransitions+Healthpromotion/diseaseprevention+Healthscreening+High-riskbehaviors«Lifestylechoices*Self-care+TechniquesofphysicalassessmentPsychosocialIntegrityThethirdmajorClientNeedscategoryassessesyourabilitytoprovideanddirectnursingcarethatpromotesandsupportstheemotional,mental,andsocialwell-beingoftheclientwhoisexperiencingstressfulevents,aswellasclientswithacuteorchronicmentalillness.PSYCHOSOCIALINTEGRITYRelatedActivityStatementsfromthe20/7RNPracticeAnalysis:LinkingtheNCLEX-RNExaminationtoPracticeStudy!

Page 25 of 31

Master the NCLEX-RN Exam (2022) - Page 25 preview image

«Assesstheclientforabuseorneglectandinterveneasappropriate.*Incorporatebehavioralmanagementtechniqueswhencaringforaclient.«Assesstheclient’sabilitytocopewithlifechangesandprovidesupport.«Assessthepotentialforviolenceandusesafetyprecautions.*Incorporateclientculturalpracticesandbeliefswhenplanningandprovidingcare.*Provideend-of-lifecareandeducationtoclients.*Assessfamilydynamicstodetermineaplanofcare.*Providecareforaclientwhoisexperiencinggrieforloss.*Providecareandeducationforacuteandchronicpsychosocialhealthissues(e.g.,addictions/dependencies,depression,dementia,eatingdisorders).*Assesspsychosocial,spiritual,and/oroccupationalfactorsaffectingcareandplaninterventions.*Providecareforaclientexperiencingvisual,auditory,and/orcognitivedistortions.*Recognizenonverbalcuestophysicaland/orpsychologicalstressors.«Assesstheclientforsubstanceabuse,dependency,withdrawal,ortoxicitiesandinterveneasappropriate.*Usetherapeuticcommunicationtechniques.*Promoteatherapeuticenvironment.Relatedcontentincludes,butisnotlimitedto,thefollowing:+Abuse/neglect+Behavioralinterventions+Copingmechanisms«Crisisintervention«Culturalawareness/culturalinfluencesonhealth+End-of-lifecare+Familydynamics*Griefandloss+Mentalhealthconcepts«+Religiousandspiritualinfluencesonhealth+Sensory/perceptualalterations*Stressmanagement+Substanceuseandotherdisordersanddependencies+Supportsystems+Therapeuticcommunication+TherapeuticenvironmentPhysiologicalIntegrityThefourthmajorClientNeedscategoryconsistsoffoursubcategoriesthatassessyourabilitytopromotephysicalhealthandwellnessbyprovidingcareandcomfort,reducingclientriskpotential,andmanaginghealthalterations.BasicCareandComfortThissubcategoryisintendedtoassessyourabilitytoprovidecomfortandassistanceintheperformanceofactivitiesofdailyliving.Study!

Page 26 of 31

Master the NCLEX-RN Exam (2022) - Page 26 preview image

BASICCAREANDCOMFORTRelatedActivityStatementsfromthe20/7RNPracticeAnalysis:LinkingtheNCLEX-RNExaminationtoPractice*Assisttheclienttocompensateforaphysicalorsensoryimpairment(e.g.,assistivedevices,positioning,compensatorytechniques).«Assessandmanageclientswithanalterationinelimination.*Performirrigations(e.g.,ofbladder,ear,eye).*Performskinassessmentand/orimplementmeasurestomaintainskinintegrityandpreventskinbreakdown.*Apply,maintain,orremoveorthopedicdevices.+Implementmeasurestopromotecirculation(e.g.,activeorpassiverangeofmotion,positioning,andmobilization).*Assesstheclientforpainandinterveneasappropriate.*Recognizecomplementarytherapiesandidentifypotentialcontraindications(e.g.,aromatherapy,acupressure,supplements).*Providenonpharmacologicalcomfortmeasures.*Monitortheclient’snutritionalstatus.*Providenutritiontotheclientthroughtubefeedings.*Evaluateclientintakeandoutput,andinterveneasneeded.«Assessand/orinterveneintheclient’sperformanceofactivitiesofdailyliving.+Performpostmortemcare.«Assesstheclient’ssleep/restpatternandinterveneasneeded.Relatedcontentincludes,butisnotlimitedto,thefollowing:*Assistivedevices«Elimination+Mobility/immobility+Nonpharmacologicalcomfortinterventions+Nutritionandoralhydration+Personalhygiene+RestandsleepPharmacologicalandParenteralTherapiesThissubcategoryassessesyourabilitytoprovidecarerelatedtotheadministrationofmedicationsandparenteraltherapies.PHARMACOLOGICALANDPARENTERALTHERAPIESRelatedActivityStatementsfromthe2017RNPracticeAnalysis:LinkingtheNCLEX-RN"®ExaminationtoPracticeStudy.

Page 27 of 31

Master the NCLEX-RN Exam (2022) - Page 27 preview image

+Administerbloodproductsandevaluateclientresponse.*Assesscentralvenousaccessdevices.*Performcalculationsneededformedicationadministration.+Evaluateclientresponsetomedication.*Educatetheclientaboutmedications.*Prepareandadministermedicationsusingtherightsofmedicationadministration.*Reviewpertinentdatapriortomedicationadministration(e.g.,contraindications,labresults,allergies,potentialinteractions).«Participateinthemedicationreconciliationprocess.«Titratethedosageofmedicationbasedonassessmentandorderedparameters.+Handleandmaintainmedicationinasafeandcontrolledenvironment.«Evaluatetheappropriatenessandaccuracyofthemedicationorderfortheclient.+Handleand/oradministerhigh-riskmedications.*Monitorintravenousinfusionsandmaintainthesite.+Administermedicationsforpainmanagement.+Handleand/oradministercontrolledsubstanceswithinregulatoryguidelines.+Administerparenteralnutritionandevaluatetheclient’sresponse.Relatedcontentincludes,butisnotlimitedto,thefollowing:+Adverseeffects/contraindications/sideeffects/interactions+Bloodandbloodproducts«Centralvenousaccessdevices+Dosagecalculation+Expectedactions/outcomes+Medicationadministration«+Parenteral/intravenoustherapies+Pharmacologicalpainmanagement«+Totalparenteralnutrition(TPN)ReductionofRiskPotentialThissubcategoryassessesyourabilitytoreducethelikelihoodthatclientswilldevelopcomplicationsorhealthproblemsrelatedtoexistingconditions,treatments,orprocedures.REDUCTIONOFRISKPOTENTIALRelatedActivityStatementsfromthe20/7RNPracticeAnalysis:LinkingtheNCLEX-RNExaminationtoPracticeStudy!

Page 28 of 31

Master the NCLEX-RN Exam (2022) - Page 28 preview image

«Assessandrespondtochangesand/ortrendsintheclient’svitalsigns.«Performdiagnostictesting(e.g.,electrocardiogram,oxygensaturation,glucosemonitoring).*Monitortheresultsofdiagnostictestingandinterveneasneeded.*Obtainbloodspecimens(e.g.,venipuncture,venousaccessdevice,centralline).+Obtainspecimensotherthanbloodfordiagnostictesting(e.g.,wound,stool,urine).+Insert,maintain,orremoveanasal/oralgastrointestinaltube.+Insert,maintain,orremoveaurinarycatheter.«Insert,maintain,orremoveaperipheralintravenousline.+Maintainapercutaneousfeedingtube.«+Applyand/ormaintaindevicesusedtopromotevenousreturn(e.g.,antiembolicstockings,sequentialcompressiondevices).«Useprecautionstopreventinjuryand/orcomplicationsassociatedwithaprocedureordiagnosis.*Evaluatetheclient’sresponsestoproceduresandtreatments.*Recognizetrendsandchangesintheclient’sconditionandinterveneasneeded.*Performfocusedassessments.«Educatetheclientabouttreatmentsandprocedures.*Providepreoperativeorpostoperativeeducation.*Providepreoperativecare.+Managetheclientduringaprocedurewithmoderatesedation.+Managetheclientfollowingaprocedurewithmoderatesedation.Relatedcontentincludes,butisnotlimitedto,thefollowing:+Changes/abnormalitiesinvitalsigns+Diagnostictests+Laboratoryvalues«Potentialforalterationsinbodysystems«+Potentialforcomplicationsofdiagnostictests/treatments/procedures«+Potentialforcomplicationsfromsurgicalproceduresandhealthalterations+System-specificassessments+TherapeuticproceduresPhysiologicalAdaptationThissubcategoryassessesyourabilitytomanageandprovidecareforclientswithacute,chronic,orlife-threateningphysicalhealthconditions.PHYSIOLOGICALADAPTATIONRelatedActivityStatementsfromthe20/7RNPracticeAnalysis:LinkingtheNCLEX-RNExaminationtoPracticeStudy!

Page 29 of 31

Master the NCLEX-RN Exam (2022) - Page 29 preview image

«Assistwithinvasiveprocedures(e.g.,centralline,thoracentesis,bronchoscopy).+Implementandmonitorphototherapy.+Maintainoptimaltemperatureoftheclient.*Monitorandcareforclientsonaventilator.+Monitorandmaintaindevicesandequipmentusedfordrainage(e.g.,surgicalwounddrains,chesttubesuction,negativepressurewoundtherapy).*Performandmanagecareoftheclientreceivingperitonealdialysis.*Performsuctioning.*Performwoundcareand/ordressingchange.*Provideostomycareand/oreducation(e.g.,tracheal,enteral).*Providepulmonaryhygiene(e.g.,chestphysiotherapy,incentivespirometry).*Providepostoperativecare.+Managethecareoftheclientwithafluidandelectrolyteimbalance.*Monitorandmaintainarteriallines.+Managethecareofaclientwithapacingdevice.+Managethecareofaclientontelemetry.+Managethecareofaclientreceivinghemodialysisorcontinuousrenalreplacementtherapy.+Managethecareofaclientwithanalterationinhemodynamics,tissueperfusion,and/orhemostasis.«Educatetheclientregardinganacuteorchroniccondition.+Managethecareofaclientwithimpairedventilation/oxygenation.*Evaluatetheeffectivenessofthetreatmentplanforaclientwithanacuteorchronicdiagnosis.+Performemergencycareprocedures.«Identifypathophysiologyrelatedtoanacuteorchroniccondition.*Recognizethesignsandsymptomsofclientcomplicationsandintervene.Relatedcontentincludes,butisnotlimitedto,thefollowing:+Alterationsinbodysystems+Fluidandelectrolyteimbalances+Hemodynamics«Illnessmanagement+Medicalemergencies+Pathophysiology+UnexpectedresponsetotherapiesExamLayoutThepercentageoftestquestionsassignedtoeachClientNeedscategoryandsubcategoryoftheNCLEX-RNTestPlanisbasedontheresultsoftheReportofFindingsfromthe2017RNPracticeAnalysis:LinkingtheNCLEX-RN®ExaminationtoPractice(NCSBN,2018)andexpertjudgmentprovidedbymembersoftheNCLEX-RNExaminationCommittee.Thefollowingreflectsthedistributionofcontentfromeachcategoryandsubcategory.NCLEX-RNTESTPLANBREAKDOWNClientNeedsCategoriesandPercentageofItemsfromEachSubcategoriesCategory/SubcategoryStudy!

Page 30 of 31

Master the NCLEX-RN Exam (2022) - Page 30 preview image

SafeandEffectiveCareEnvironment17-23%+ManagementofCare9-15%+SafetyandInfectionControlHealthPromotionandMaintenance6-12%PsychosocialIntegrity6-12%PhysiologicalIntegrity*BasicCareandComfort6-12%*PharmacologicalandParenteral12-18%Therapies9-15%*ReductionofRiskPotential11-17%«PhysiologicalAdaptation‘WhattoExpectontheExamTheNCLEX-RNexamusesconsistentlanguageanduniversalterminologythatisappropriateforanentry-levelnurse.Theexamisnotfocusedonspecificareasofnursing.Remember,theNCLEX-RNexamisacomputeradaptivetestandtheitemsareselectedbasedonyourability.Theexamadherestothetestplan’scontentareapercentages,sotheitemsfallacrossalldifficultylevelstocoveralloftheareasofthetestplan.Youmayreceiveaquestionthatseemstobeverysimilartoaquestionreceivedearlierintheexamination.Thereareavarietyofreasonsforthis,butdonotassumethishasoccurredbecauseaprevioussimilaritemwasansweredincorrectly.Justcontinuetoselecttheanswerforeachquestionthatyoubelievetobecorrect.Alloftheitemsontheexamarewrittenatanapplicationorhigherlevelofcognitiveability,whichwillrequireyoutoutilizeproblemsolvingskillstoselectthecorrectanswer.AccordingtotheNCSBN,theitemstowhichyouwillrespondcomeinvariousformats.Thereisnoestablishedpercentageofquestionsthatwillbeinanalternativeformat.Again,thecomputerselectsitemsbasedonlyonyourability.Theuseofcommonterminologyisimportanttoprovideconsistencyinthelanguageforthetesttaker.Therefore,itisessentialtobecomefamiliarwiththeterminologyusedthroughouttheNCLEX-RNexamination.Thefollowingisaterminologylistwiththedefinitionsthathavebeenobtainedfromthe2019NCLEX-RNTestPlan.«+Client:Individual,family,orgroupthatincludessignificantothersandpopulations+Prescription:Orders,interventions,remedies,ortreatmentsorderedordirectedbyanauthorizedprimaryhealthcareprovider+PrimaryHealthCareProvider:Memberofthehealthcareteam(usuallyamedicalphysicianorotherspecialty[e.g.,surgeonornephrologist],nursepractitioner,etc.)licensedandauthorizedtoformulateprescriptionsonbehalfoftheclient+UnlicensedAssistivePersonnel(UAP):Anyunlicensedpersonneltrainedtofunctioninasupportiverole,regardlessoftitle,towhomanursingresponsibilitymaybedelegated.Need-to-KnowPharmacologyTheNCSBNdoesnothaveaspecificlistofmedicationsavailabletostudy.However,forconsistency,theNCLEX-RNexamprimarilyusesgenericmedicationnamesonly,andsomeitemsmayrefertotheclassificationofmedications.Therefore,itisimportanttofamiliarizeyourselfwiththegenericnamesofthemedicationsandhaveabasicunderstandingoftheclassificationsforcommonlyusedprescriptions.Onapositivenote,theprefixesandsuffixesofgenericdrugstendtofollowapatternthatwillmakeiteasiertoreviewandrememberthem.Anunderstandingoftheirpurpose,expectedaction,routeofadministration,antidotes,adverseeffects,contraindications,sideeffects,andinteractionswillkeepyourclientsafe.Study!

Page 31 of 31

Master the NCLEX-RN Exam (2022) - Page 31 preview image

UnitsofMeasurementsandLaboratoryValuesTheNCLEX-RNexamitemscurrentlyincludeacombinationofinternationalsystemsofunits(SI)andimperialmeasurementoptionsusedinthenursingprofession,sotheunitofmeasurementpresentedintheitemwillbefamiliartothecandidate.Accordingtothe2019NCLEX-RNTestPlan,youmustbeabletoidentifythefollowinglaboratoryvalues:+ABGs(pH,PO,,PCO,,Sa0,,HCO,)+BUN+Cholesterol(total)«Creatinine+Glucose+Glycosylatedhemoglobin(HgbAlc)+Hematocrit+Hemoglobin+INR*Platelets*Potassium«PT+PTT+aPTT+Sodium+WBCItemFormatsTheNCLEX-RNexaminationincludesavarietyofitemformats,including:+Multiple-choice+Multiple-response(selectmorethanonecorrectanswerfromagivenlist)*Fill-in-the-blankcalculation+Hotspots(clickonthecorrectspotonagivenimage)+Exhibits+Ordered-responseitems(sortagivenlistofitemsintothecorrectorder)+AudioandgraphicitemsAllitemtypesmayincludemultimedia,suchascharts,tables,graphics,andaudio.Allanswerstoalternativeitemswillbescoredeitherasrightorwrong—thereisnopartialcreditgiven.TOP10STRATEGIESFORCHOOSINGTHECORRECTANSWER1.FamiliarizeyourselfwiththeinformationontheNationalCouncilofStateBoardsofNursingwebsite(www.nesbn.org).Everythingthatyouneedtounderstand—fromregisteringfortheexamtothestructureoftheexam—isavailabletoyouonline.2.DonotforgetthattheNCLEX-RNisatesttomeasurethecompetenciesneededtoensurepublicprotectionandtoassessyourabilitytoperformsafelyandeffectivelyasanewlylicensedentry-levelRN.Therefore,youmustbefamiliarwiththeuseofprioritizationtechniques.Payattentiontothewordsusedinthequestions.Boldedwordsinthequestionssuchasbest,most,essential,first,priority,immediately,highest,andinitialareasignalthatthisapriorityquestion.AlloftheanswerswillbeStudy.

Preview Mode

This document has 334 pages. Sign in to access the full document!

Report

Learning Tools

Writing Tools

Browse Resources

Master the NCLEX-RN Exam (2022) - Page 1

Study Now!

Document Details

Related Documents

NSG 3160 NCLEX Review Chapter 15

NSG 3160 NCLEX Review Chapter 14

NSG 3160 NCLEX Review Chapter 24

Lippincott Style NCLEX Questions

NCLEX PN Test Practice Questions

Lecture Notes NCLEX

NCLEX Study Guide

Comprehensive NCLEX Review

NCLEX Style Questions Nutrition

Key Concepts for NCLEX

Company

Explore

Study Tools