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Saunders QandA Review for the NCLEX-RN Examination (2021)

Saunders QandA Review for the NCLEX-RN Examination (2021) is your essential resource for acing certification exams with confidence.

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    Downloaded from StudyXY.com [= Ww + StudyXY oi as . Za \ Rr ' BE \ Stu dy Anything This ContentHas been Posted On StudyXY.com as supplementary learning material. StudyXY does not endrose any university, college or publisher. Allmaterials posted are under the liability of the contributors. | 8) www.studyxy.com

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    SAUNDERS Q&A REVIEW FOR THE NCLEX-RN® EXAMINATION EDITION 8 Linda Anne Silvestri, PhD, RN, FAAN Nursing Instructor University of Nevada, Las Vegas Las Vegas, Nevada President Nursing Reviews, Inc. and Professional Nursing Seminars, Inc. Henderson, Nevada Elsevier Next Generation NCLEX® (NGN) Thought Leader Angela Elizabeth Silvestri, PhD, APRN, FNP-BC, CNE Assistant Professor and BSN Program Director University of Nevada, Las Vegas Las Vegas, Nevada

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    President Nurse Prep, LLC Henderson, Nevada Associate Editor Linda Turchin, RN, MSN, CNE Professor Emeritus Nursing, Fairmont State University Fairmont, West Virginia

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    Elsevier 3251 Riverport Lane St. Louis, Missouri 63043 SAUNDERS Q&A REVIEW FOR THE NCLEX-RN® EXAMINATION, EIGHTH EDITION ISBN: 978-0-323-67284-9 Copyright © 2021 by Elsevier, Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher's permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notice Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds or experiments described herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contributors for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Previous editions copyrighted 2018, 2015, 2012, and 2009. NCLEX®, NCLEX-RN®, and NCLEX-PN® are registered trademarks of the National Council of State Boards of Nursing, Inc. Library of Congress Control Number: 2020943684 Director of Content Strategy: Tamara Myers Director of Content Development: Laurie Gower Senior Content Development Specialist: Laura Goodrich Publishing Services Manager: Julie Eddy Senior Project Manager: Cindy Thoms Senior Book Designer: Maggie Reid StudyXY

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    Printed in Canada Last digit is the print number: 9 8 7 6 5 4 3 2 1 + StudyXy

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    In loving memory of my parents and Angela’s grandparents ARNOLD LAWRENCE AND FRANCES MARY Our memories of their love, support, and words of encouragement will remain in our hearts forever! and To our many brave, courageous, and strong fellow nurses across the world who are at the frontlines caring for so many people suffering with COVID-19—we thank you for protecting all of us and we wish you safety at every moment. May your never-ending hope, strength, courage, and bravery be an inspiration to all of us. Study!

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    About the Authors Linda Anne Silvestri (Photo by Laurent W. Valliere) As a child, I always dreamed of becoming either a nurse or a teacher. Initially I chose to become a nurse because I really wanted to help others, especially those who were ill. Then I realized that both of my

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    dreams could come true; I could be both a nurse and a teacher. So I pursued my dreams. I received my diploma in nursing at Cooley Dickinson Hospital School of Nursing in Northampton, Massachusetts. Afterward, I worked at Baystate Medical Center in Springfield, Massachusetts, where I cared for clients in acute medical-surgical units, the intensive care unit, the emergency department, pediatric units, and other acute care units. Later, I received an associate degree from Holyoke Community College in Holyoke, Massachusetts; my BSN from American International College in Springfield, Massachusetts; and my MSN from Anna Maria College in Paxton, Massachusetts, with a dual major in Nursing Management and Patient Education. I received my PhD in Nursing from the University of Nevada, Las Vegas (UNLV) and conducted research on self-efficacy and the predictors of NCLEX success. In 2012, I received the UNLV School of Nursing Alumna of the Year Award. I am a member of the Honor Society of Nursing, Sigma Theta Tau International, Phi Kappa Phi, the Western Institute of Nursing, the Eastern Nursing Research Society, the Golden Key International Honour Society, the National League for Nursing, and the America Nurses Association. Additionally, I am a Fellow in the American Academy of Nursing. As a native of Springfield, Massachusetts, I began my teaching career as an instructor of medical-surgical nursing and leadership- management nursing in 1981 at Baystate Medical Center School of Nursing. In 1989, I relocated to Rhode Island and began teaching advanced medical-surgical nursing and psychiatric nursing to RN and LPN students at the Community College of Rhode Island. While teaching there, a group of students approached me for assistance in preparing for the NCLEX examination. I have always had a very special interest in test success for nursing students because of my own personal experiences with testing. Taking tests was never easy for me, and as a student I needed to find methods and strategies that would bring success. My own difficult experiences, desire, and dedication to assist nursing students to overcome the obstacles associated with testing inspired me to develop and write the many products that

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    would foster success with testing. My experiences as a student, nursing educator, and item writer for the NCLEX exams aided me as I developed a comprehensive review course to prepare nursing graduates for the NCLEX examination. Later, in 1994, I began teaching medical-surgical nursing at Salve Regina University in Newport, Rhode Island. I also prepared nursing students at Salve Regina University for the NCLEX-RN examination. Currently, I am a part-time nursing instructor at UNLV. I am the President of Nursing Reviews, Inc, established in 2000, and Professional Nursing Seminars, Inc., established in 1991. Both companies are located in Henderson, Nevada and are dedicated to helping nursing graduates achieve their goals of becoming registered nurses, licensed practical/vocational nurses, or both. Today, I am the successful author of numerous NCLEX review products published by Elsevier. And, I also work with Elsevier as a Thought Leader for the Next Generation NCLEX® (NGN). I am so pleased that you have decided to join me on your journey to success in testing for nursing examinations and for the NCLEX-RN examination!

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    Angela Elizabeth Silvestri Being a nurse is one of the most enriching aspects of my life. It's a career that is multifaceted and complex and allows me to be challenged scientifically, technically, and spiritually. As a nurse educator, I feel honored to impart my knowledge and experience to others who are hoping to serve in this selfless, caring profession. As a nurse scientist, I aim to make an impact on health care delivery methods, quality of care provided, and overall health care outcomes. I earned my Baccalaureate of Science in Nursing at Salve Regina University in Newport, Rhode Island. Upon graduation, I worked in long-term care, subacute care, rehabilitation, and acute care settings. I had the opportunity to serve as a preceptor for new graduate RNs while working in these areas. With the desire to become an educator, I pursued my Master of Science in Nursing with a focus in Education from the University of Nevada, Las Vegas, during which I served as a

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    Graduate Assistant and received formal training as a novice Nurse Educator. I continued my studies in the Doctor of Philosophy program and Family Nurse Practitioner (FNP) post-master’s certificate program at the University of Nevada, Las Vegas. My short-term goals include conducting research focused on nursing education and finding the best student-centered teaching strategies to help students transition to successful nurses in practice. I work as an FNP at the Student Recreation and Wellness Center at UNLV and work with both students and faculty. Working with students while having been a student for quite some time helped me understand and realize the individual needs of each student. This experience, in addition to my experience in item writing and other contributions to nursing textbooks, has helped me coauthor this text. I am very excited to be a part of this opportunity to further assist nursing students in their journey toward becoming professional nurses! I hope you find this resource useful as you move forward in your journey in becoming an RN.

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    Contributors CONSULTANTS Dianne E. Fiorentino Research Coordinator, Nursing Reviews, Inc. Henderson, Nevada James Guibault Jr. BS, PharmD Clinical Pharmacist, Wilbraham, Massachusetts, Pharmacology Consultant, Nursing Reviews, Inc. Henderson, Nevada CONTRIBUTORS Kristen Hickey, RN, BSN Graduate, Salve Regina University Newport, Rhode Island Lisa Nicholas, MSN, RN Clinical Instructor/Lecturer, School of Nursing University of Nevada, Las Vegas Katherine M. Silvestri, BSN, RN Editorial and Reviewer Consultant, Nursing Reviews, Inc. Henderson, Nevada

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    Preface “Success is climbing a mountain, facing the challenge of obstacles, and reaching the top of the mountain.” Linda Anne Silvestri, PhD, RN, FAAN “Success is never an accident. To be successful is to have been perseverate, to have sacrificed, and to have loved what you are cultivating to become successful.” Angela Elizabeth Silvestri, PhD, APRN, FNP-BC, CNE Welcome to Saunders Pyramid to Success! An Essential Resource for Test Success Saunders Q&A Review for the NCLEX-RN® Examination is one in a series of products designed to assist you in achieving your goal of becoming a registered nurse. This text and Evolve site package provide you with more than 6000 practice NCLEX-RN test questions based on the current NCLEX-RN test plan. The current test plan for the NCLEX-RN identifies a framework based on Client Needs. The Client Needs categories include Physiological Integrity, Safe and Effective Care Environment, Health Promotion and Maintenance, and Psychosocial Integrity. Integrated Processes are also identified as a component of the test plan. These include Caring, Communication and Documentation, Culture and Spirituality, Nursing Process, and Teaching and Learning. This book has been uniquely designed and includes chapters that describe each

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    specific component of the NCLEX-RN test plan framework and six practice tests that contain NCLEX-style questions specific to each component. NCLEX-RN® Test Preparation This book begins with information regarding NCLEX-RN preparation. Chapter 1 is titled Clinical Judgment and the NCLEX-RN® Examination. It addresses information about clinical judgment and the related cognitive processes/skills as defined by the National Council of State Boards of Nursing (NCSBN) and all of the information related to the NCLEX-RN test plan and the examination testing procedures. This chapter answers all of the questions that you may have regarding this information. Chapter 2, Profiles to Success, discusses the NCLEX-RN from a nonacademic viewpoint and emphasizes a holistic approach for your individual test preparation. This chapter identifies the components of a structured study plan, anxiety-reducing techniques, and personal focus issues. Nursing students also want to hear what other students have to say about their experiences with the NCLEX-RN and what it is really like to take this examination. Chapter 3, The NCLEX-RN® Examination: From a Graduate’s Perspective, is a story of success written by a nursing graduate who recently took the NCLEX-RN and addresses the issue of what the examination is all about. Chapter 4, Clinical Judgment and Test-Taking Strategies, includes information about using clinical judgment and the six cognitive processes/skills to answer questions and all of the strategies that will assist in teaching you how to read a question, how not to read into a question, and how to use the process of elimination and various other strategies to select the correct response from the options presented. Client Needs Chapters 5 through 9 address the NCLEX-RN test plan component, Client Needs. Chapter 5, Client Needs and the NCLEX-RN® Test Plan describes each category of Client Needs as identified by the test plan

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    and lists any subcategories, the percentage of test questions for each category, and some of the content included on the NCLEX-RN. Chapters 6 through 9 contain practice test questions related specifically to each category of Client Needs. Chapter 6 comprises questions related to Physiological Integrity; Chapter 7 contains questions dealing with Safe and Effective Care Environment; Chapter 8 is made up of questions concerned with Health Promotion and Maintenance; and Chapter 9 contains Psychosocial Integrity questions. Integrated Processes Chapters 10 and 11 address the Integrated Processes as identified in the NCLEX-RN test plan. Chapter 10, Integrated Processes and the NCLEX- RN® Test Plan, describes each Integrated Process. Chapter 11 contains practice test questions related specifically to each Integrated Process, including Caring, Communication and Documentation, Culture and Spirituality, Nursing Process, and Teaching and Learning. Comprehensive Test A comprehensive test, Chapter 12, is included at the end of this book. It consists of 265 practice questions representative of the components of the test plan framework for the NCLEX-RN. Special Features of the Book Book Design The book is designed with a unique two-column format. The left column presents the practice questions, answer options, and coding areas while the right column provides the corresponding answers, rationales, priority nursing tips, test-taking strategies, and references. The two-column format makes the review easier because you do not have to flip through pages in search of answers and rationales. A bookmark accompanies this book and you can use it to hide the right column with the answer section as you are practicing questions.

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    Special Features Found on Evolve Pretest and Study Calendar The accompanying Evolve site contains a 75-question pretest that provides you with feedback on your strengths and weaknesses. The results of your pretest will generate an individualized study calendar to guide you in your preparation for the NCLEX examination. Heart, Lung, and Bowel Sound Questions The accompanying Evolve site contains Audio Questions representative of content addressed in the current test plan for the NCLEX-RN exam. These questions are in NCLEX-style format, and each question presents an audio sound as a component of the question. Audio Review Summaries The companion Evolve site includes three Audio Review Summaries that cover challenging subject areas under the current NCLEX-RN test plan, including Pharmacology, Acid-Base Balance, and Fluids and Electrolytes. Next Generation NCLEX® (NGN) Case Studies and NGN eoieresiene | The accompanying Evolve site contains single-episode case studies and unfolding case studies. These case studies are accompanied by NGN test questions representative of the NGN testing format. The single episode case studies are accompanied by one NGN test question that measures one of the cognitive processes/skills of the NCSBN Clinical Judgment Measurement Model (NCJMM). The unfolding case studies are accompanied by six NGN test questions and the questions measure all six cognitive processes/skills of the NCJMM. These cognitive processes/skills include Recognize Cue, Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Action, and Evaluate Outcomes.

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    Practice Questions Multiple Choice and Alternate Item Format Questions While preparing for the NCLEX-RN, students have a strong need to review practice test questions. This book contains practice questions that are in the multiple-choice format or in alternate item test question formats used in the NCLEX-RN examination. The accompanying Evolve site contains more than 6000 questions: all the questions from the book, plus new questions, including all types of alternate item formats. The alternate item format questions in the book and on the accompanying Evolve site may be presented as one of the following: ® Fill-in-the-blank question ® Multiple response question ® Prioritizing (ordered response) question, also known as a drag- and-drop question ® Figure/illustration question, also known as a hot spot question ® Graphic options question, in which each option contains a figure or illustration ® Chart/exhibit question ® Audio question that includes a heart, lung, or bowel sound * NGN® Case Studies and NGN test questions These questions provide you with practice in prioritizing, decision- making and critical thinking, and strengthening your clinical judgment skills. In addition, each practice question provides a review button that links you to common laboratory values for your reference while studying on the Evolve site. Answer Sections for Practice Questions Each practice question is accompanied by the correct answer, rationale, priority nursing tip, test-taking strategy, question categories, and reference source. The structure of the answer section is unique and provides the following information for every question:

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    ® Rationale: The rationale provides you significant information regarding both correct and incorrect options. ® Priority Nursing Tip: The priority nursing tip provides you with an important piece of information that will be helpful to you when answering practice questions and questions on the NCLEX. ® Test-Taking Strategy: The test-taking strategy provides a logical path for selecting the correct option and helps you select an answer to a question on which you might have to guess. In each practice question, the specific strategy that will assist in answering the question correctly is highlighted in bold blue type. The highlighting of the specific test-taking strategies in the practice questions will provide you with guidance on what topics to review for further remediation in Saunders Strategies for Test Success: Passing Nursing School and the NCLEX® Exam, Saunders Comprehensive Review for the NCLEX-RN® Exam, and the Saunders/HESI Online Review for the NCLEX-RN® Exam. ® Question Categories: Each question in the book and on the accompanying Evolve site is identified based on the categories used by the NCLEX-RN test plan. Both Content Area and Health Problem categories are also provided with each question to assist you in identifying areas in need of review. In addition, Priority Concepts codes are included, which provides you with the specific concept related to nursing practice. The categories identified with each question include Level of Cognitive Ability, Client Needs, Clinical Judgment/Cognitive Skill, Integrated Process, Content Area, Health Problem, and Priority Concepts. All categories are identified by their full names so that you do not need to memorize codes or abbreviations. ® Reference: The reference source and page number are listed for you so that you can easily find the information you need to review in your undergraduate nursing textbooks. How to Use this Book Saunders Q&A Review for the NCLEX-RN® Examination is specially designed to help you with your successful journey to the peak of the

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    Pyramid to Success: becoming a registered nurse. As you begin your journey through this book, you will be introduced to all of the important points regarding the NCLEX-RN examination, the process of testing, and the unique and special tips regarding how to prepare yourself both academically and nonacademically for this important examination. Read the chapter from the nursing graduate who recently passed the NCLEX-RN and consider what the graduate had to say about the examination. The test-taking strategy chapter will provide you with important strategies that will guide you in selecting the correct option or assist you in guessing the answer. Read this chapter and practice these strategies as you proceed through your journey with this book. Once you have read the introductory components of this book, it is time to begin the practice questions. As you read through each question and select an answer, be sure to read the rationale, the priority nursing tip, and the test-taking strategy. The rationale provides you with significant information regarding both the correct and incorrect options. The priority nursing tip provides you with a piece of important information to remember that will help answer questions on the NCLEX, and the test-taking strategy provides you with the logic for selecting the correct option. Use the reference source provided so that you can easily find the information you need to review. Climbing the Pyramid to Success This step on the Pyramid to Success is to get additional practice with a Q&A review product. Saunders Q&A Review for the NCLEX-RN® Examination offers more than 6000 unique practice questions in the book and on the companion Evolve site. The questions are focused on the Client Needs and Integrated Processes of the NCLEX test plan, making it easy to access your study area of choice. For on-the-go Q&A review, you can pick up Saunders Q&A Review Cards for the NCLEX- RN® Examination.

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    As you work your way through Saunders Q&A Review for the NCLEX-RN® Examination and identify your areas of strength and weakness, you can return to the companion book, Saunders Comprehensive Review for the NCLEX-RN® Examination, to focus your study on these areas. The purpose of the Saunders Comprehensive Review for the NCLEX-RN® Examination is to provide a comprehensive review of the nursing content you will be tested on during the NCLEX-RN examination. However, Saunders Comprehensive Review for the NCLEX-RN® Examination is intended to do more than simply prepare you for the rigors of the NCLEX; this book is also meant to serve as a valuable study tool that you can refer to throughout your nursing program, with customizable Evolve site selections to help identify and reinforce key content and health problem areas. Your final step on the Pyramid to Success is to master the online review. HESI/Saunders Online Review for the NCLEX-RN® Examination provides an interactive and individualized platform to get you ready for your final licensure exam. This online course provides 10 high-level content

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    modules, supplemented with instructional videos, animations, audio, illustrations, case studies, and several subject matter exams. End of module practice tests are provided along with several Crossing the Finish Line: Practice Tests and two Test Yourself Quizzes. In addition, you can assess your progress with a pre-test and comprehensive exam in a computerized environment that prepares you for the actual NCLEX-RN exam. At the base of the Pyramid to Success are our test-taking strategies, which provide a foundation for understanding and unpacking the complexities of NCLEX exam questions, including alternate item formats. Saunders Strategies for Test Success: Passing Nursing School and the NCLEX® Exam takes a detailed look at all the test-taking strategies you will need to know in order to pass any nursing examination, including the NCLEX. Special tips are integrated for nursing students, and there are 1200 practice questions included so you can apply the testing strategies. To obtain any of these resources that will prepare you for your nursing exams and the NCLEX-RN exam, visit the Elsevier Health Sciences Web site at elsevierhealth.com. You can also visit the Apple App Store and Google Play to locate the App for both this resource and the Saunders Comprehensive Review for the NCLEX-RN® Examination. Good Luck with your journey through the Saunders Pyramid to Success. We wish you continued success throughout your new career as a Registered Nurse! Linda Anne Silvestri, PhD, RN, FAAN Angela Elizabeth Silvestri, PhD, APRN, FNP-BC, CNE

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    To All Future Registered Nurses, Congratulations to you! You should be very proud and pleased with yourself on your accomplishments in nursing, as well as your well-deserved success in completing your nursing program to become a registered nurse. We know you have worked very hard to be successful and that you have proven to yourself that indeed you can achieve your goals. In our opinion, you are about to enter the most wonderful and rewarding profession that exists. Your willingness, desire, and ability to assist those who need nursing care will bring great satisfaction to your life. In the profession of nursing, learning is a lifelong process, which makes the profession stimulating and dynamic and ensures that your learning will continue to expand and grow as the profession continues to evolve. Your next very important endeavor will be the learning process needed to achieve success in your examination to become a registered nurse. We are excited and pleased to be able to provide you with the Saunders Pyramid to Success products, which will help you prepare for your next important professional goal: becoming a registered nurse. We want to thank all of our former nursing students whom we have assisted in their studies for the NCLEX- RN exam for their willingness to offer ideas regarding their needs in preparing for licensure. Student ideas have certainly added a special uniqueness to all of the products available in the Saunders Pyramid to Success. Saunders Pyramid to Success products provide you with everything that you need to ready yourself for the NCLEX-RN exam. These products include material that is required for the NCLEX-RN exam for all nursing students regardless of educational background, specific strengths, areas in need of

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    improvement, or clinical experience during the nursing program. So let's get started and begin our journey through the Saunders Pyramid to Success, and welcome to the wonderful profession of nursing! Sincerely, Linda Anne Silvestri, PhD, RN, FAAN Angela Silvestri, PhD, APRN, ENP-BC, CNE

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    Acknowledgments A Few Words From Linda There are many individuals who in their own ways have contributed to my success in making my professional dreams become a reality. My sincere appreciation and warmest thanks are extended to all of them. First, I want to acknowledge my parents, who opened my door of opportunity in education and encouraged and supported me through my profession to work hard to reach my goals. I thank my mother, Frances Mary, for all of her love, support, and assistance as I continuously worked to achieve my professional goals. I thank my father, Arnold Lawrence, who always provided insightful words of encouragement. I miss you both so dearly, and my memories of your love and support will always remain in my heart. I also thank my best friend and love of my life, my husband Larry, for always being there for me for whatever I needed; my sister, Dianne Elodia and her husband Lawrence, and my brother, Lawrence Peter, and my sister-in- law, Mary Elizabeth, for all their love and support. And I thank my nieces and nephews: Gina, Karen, Angela, Katie, Gabrielle, Brianna, Nicholas, Anthony, and Nathan, who were continuously supportive, giving, and helpful during my research and preparation of this publication. They were always there and by my side whenever I needed them. I want to thank my nursing students at the Community College of Rhode Island who approached me in 1991 and persuaded me to assist them in preparing to take the NCLEX-RN examination. Their enthusiasm and inspiration led to the commencement of my

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    professional endeavors in conducting review courses for the NCLEX- RN exam for nursing students. I also thank the numerous nursing students who have attended my review courses for their willingness to share their needs and ideas. Their input has certainly added a special uniqueness to this publication. I wish to acknowledge all of the nursing faculty who taught in my review courses for the NCLEX-RN exam. Their commitment, dedication, and expertise have certainly assisted nursing students in achieving success with the NCLEX-RN exam. Additionally, I want to especially acknowledge my husband, Laurent W. Valliere, for his contribution to this publication, for teaching in my review courses for the NCLEX-RN exam, and for his commitment and dedication in assisting my nursing students to prepare for the exam from a nonacademic point of view. I also want to extend a very special thank you to my niece, Angela, for joining me in preparing and authoring these NCLEX resources. Angela is so wonderful to work with. Her ideas and her expertise has certainly added to the content of this publication and all of our NCLEX publications. She is very dedicated to promoting and ensuring student success. Thank you, Angela! And finally, I again want to thank my husband Larry for all of his continuous support as I moved through my personal challenges and professional endeavors; he has been my rock of support! A Few Words From Angela There are many people that contributed to my success in my work on this product. I am very grateful for their continued support in all of my endeavors. First and foremost, I would like to thank my husband, Brent, for his light-hearted and positive attitude. He always knows how to make me laugh, especially when I'm stressed. All of this would not be possible without him! I would also like to thank my parents, Mary and Larry, for their continued support throughout the years. Their words of encouragement and wisdom have been tremendously important to my success. I also don’t know what I would do without their support

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    in caring for my kids! I would like to thank my sister, Katie, who is a wonderful nurse herself. Her ambitions as a nursing student are inspiring and remind me every day about why I'm so passionate about being an educator. Thank you to my brother Nick, who always is positive and encouraging about my work. His wit and sarcasm is always a great way to lift your mood at the end of the day. I want to extend a special thank you to Linda for her collaboration, guidance, and expertise. Without her, I would not be where I am today. Thank you, Linda! A Few Words From Both Linda and Angela First and foremost, we want to thank our Associate Editor, Linda Turchin, for all of her dedicated and hard work in editing and preparing the entire manuscript for this edition. We also want to thank Lisa Nicholas for her many contributions. Their expertise and close attention to details has certainly added to the quality of this resource. Linda and Lisa, thank you so much! We also want to acknowledge and thank Laurent W. Valliere for writing a chapter addressing those important nonacademic test preparation issues. A very special thank you goes to Katherine Silvestri, BSN, RN, for her work in reviewing, editing, and coding practice questions. In addition, we also sincerely thank Kristen Hickey, RN, BSN, for writing a chapter for this book about her experiences with preparing for and taking the NCLEX-RN examination and for her assistance with coding the practice questions. A special thank you and acknowledgment also goes to all of the contributors and item writers who updated and provided many of the practice questions and all of the previous contributors who provided contributions to this book. A very special thank you to all of you! We especially thank Dianne E. Fiorentino for her continuous support and dedication to our work and in her reference support and other secretarial responsibilities for the eighth edition of this book. We thank Jimmy Guibault for reviewing the medication questions and

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    providing medication research support. And, we both thank Dr. Eileen Gray and Allison Bowser for their tremendous assistance whenever we ask for their help. We sincerely acknowledge and thank some very important and special people from Elsevier. We thank Jamie Blum, our former Senior Content Strategist, our Director of Content Strategy Tamara Myers, and Laurie Gower, Director of Content Development, for their continuous support, enthusiasm, and expert professional guidance throughout the preparation of this edition. A very special thank you goes to Cindy Thoms, Senior Project Manager, for her expert work and for anticipating our needs as we prepared this publication. We worked so closely with Cindy throughout the preparation and publication and could not have done it without her expert help and her support and patience with us. Thank you, Cindy! And a very special thank you goes to Laura Goodrich, Senior Content Development Specialist, who provided us with consistent and a tremendous amount of support throughout this publication. Laura generated creative ideas for the book and was outstanding in strategizing and maintaining order for all of the work that we submitted for manuscript production and all of the work submitted by contributors. Thank you, Laura—you are the best! We could not have completed this publication without you! We want to acknowledge all of the staff at Elsevier for their tremendous help throughout the preparation and production of this publication. A special thanks to all of them. We thank Julie Eddy, Publishing Services Manager; Cindy Thoms, Senior Project Manager; and Maggie Reid, Design Direction. You have all played such significant roles in finalizing this publication. Lastly, a very special thank you to all our nursing students: past, present, and future. All of you light up our life! Your love and dedication to the profession of nursing and your commitment to provide health care will bring never-ending rewards!

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    Contents Unit | NCLEX-RN® PREPARATION Chapter 1 Clinical Judgment and the NCLEX-RN® Examination Chapter 2 Profiles to Success Chapter 3 The NCLEX-RN® Examination: A Graduate’s Perspective Chapter 4 Clinical Judgment and Test-Taking Strategies Unit Il CLIENT NEEDS Chapter 5 Client Needs and the NCLEX-RN® Test Plan Chapter 6 Physiological Integrity Practice Questions Chapter 7 Safe and Effective Care Environment Practice Questions Chapter 8 Health Promotion and Maintenance Practice Questions Chapter 9 Psychosocial Integrity Practice Questions Unit lll INTEGRATED PROCESSES Chapter 10 Integrated Processes and the NCLEX-RN® Test Plan Chapter 11 Integrated Processes Practice Questions Unit IV COMPREHENSIVE TEST Chapter 12 Comprehensive Test References

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    NCLEX-RN® Preparation Chapter 1 Clinical Judgment and the NCLEX-RN® Examination Chapter 2 Profiles to Success Chapter 3 The NCLEX-RN® Examination: A Graduate’s Perspective Chapter 4 Clinical Judgment and Test-Taking Strategies

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