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Also From Kaplan NursingBooksNCLEX-RN PrepNCLEX-RN Content Review GuideThe Basics: A Comprehensive Outline of Nursing School ContentNCLEX-RN Drug GuideAdult CCRN PrepFamily Nurse Practitioner Certification Prep PlusDosage Calculation WorkbookTalk Like a NurseOnlineKaplan NCLEX-RN Qbank

Table of ContentsNCLEX-RN Prep PlusCoverAlso from Kaplan NursingTitle PageCopyrightAbout the AuthorsFor Any Test Changes Or Late-Breaking DevelopmentsReaders’ CommentsHow To Use This BookSign Up For An Online Classroom EventPart 1: NCLEX-RN Exam Overview and Test Taking StrategiesChapter 1: Overview of the NCLEX-RN ExamWhat Is the NCLEX-RN Exam?Content of the NCLEX-RN ExamChapter 2: General and Computer Adaptive Test StrategiesStandardized ExamsWhat Behaviors Does the NCLEX-RN Exam Test?Strategies That Don’t Work on the NCLEX-RN ExamBecoming a Better Test TakerNCLEX-RN Exam Question TypesAlternate Format Test QuestionsMultiple-Choice Test QuestionsCritical Thinking StrategiesReword the QuestionEliminate Incorrect Answer ChoicesDon’t Predict AnswersRecognize Expected OutcomesRead Answer Choices to Obtain CluesChapter 3: NCLEX-RN Exam StrategiesThe NCLEX-RN Exam Versus Real-World NursingStrategies for Priority QuestionsStrategies for Management of Care QuestionsStrategies for Positioning QuestionsStrategies for Communication Questions

Your NCLEX-RN Exam Study PlanPart 2: NCLEX-RN Exam Content Review and PracticeChapter 4: Safe and Effective Care Environment: Management of CareAdvance Directives/Self-Determination/Life PlanningAdvocacyAssignment, Delegation, and SupervisionCase ManagementClient RightsCollaboration with Interdisciplinary TeamsConcepts of ManagementConfidentiality/Information SecurityContinuity of CareEstablishing PrioritiesEthical PracticeInformation TechnologyInformed ConsentLegal Rights and ResponsibilitiesOrgan DonationPerformance Improvement (Quality Improvement)ReferralsChapter QuizChapter Quiz Answers and ExplanationsChapter 5: Safe and Effective Care Environment: Safety and InfectionControlSafety BackgroundInfection Control BackgroundAccident/Error/Injury PreventionEmergency Response PlanErgonomic PrinciplesHandling Hazardous and Infectious MaterialsHome SafetyReporting of Incident/Event/Irregular Occurrence/VarianceSafe Use of EquipmentSecurity PlanStandard Precautions/Transmission-Based Precautions/SurgicalAsepsisUse of Restraints/Safety DevicesChapter QuizChapter Quiz Answers and Explanations

Chapter 6: Health Promotion and MaintenanceAging ProcessAnte/Intra/Postpartum and Newborn CareDevelopmental Stages and TransitionsHealth Promotion/Disease PreventionHealth ScreeningHigh-Risk BehaviorsLifestyle ChoicesSelf-CareTechniques of Physical AssessmentPrinciples of Teaching/LearningChapter QuizChapter Quiz Answers and ExplanationsChapter 7: Psychosocial IntegrityAbuse/NeglectBehavioral InterventionsChemical and Other Dependencies/Substance Use DisorderCoping MechanismsCrisis InterventionCultural Awareness/Cultural Influences on HealthEnd of Life CareFamily DynamicsGrief and LossMental Health ConceptsReligious and Spiritual Influences on HealthSensory/Perceptual AlterationsStress ManagementSupport SystemsTherapeutic CommunicationTherapeutic EnvironmentThe Nursing Process and Psychosocial IntegrityChapter QuizChapter Quiz Answers and ExplanationsChapter 8: Physiological Integrity: Basic Care and ComfortAssistive gical Comfort InterventionsNutrition and Oral Hydration

Personal HygieneRest and SleepChapter QuizChapter Quiz Answers and ExplanationsChapter 9: Physiological Integrity: Pharmacological and ParenteralTherapiesAdverse Effects/Contraindications/Side Effects/InteractionsBlood and Blood ProductsCentral Venous Access DevicesDosage CalculationExpected Actions/OutcomesMedication AdministrationParenteral/Intravenous TherapiesPharmacological Pain ManagementTotal Parenteral NutritionChapter QuizChapter Quiz Answers and ExplanationsChapter 10: Physiological Integrity: Reduction of Risk PotentialChanges/Abnormalities in Vital SignsDiagnostic TestsLaboratory ValuesPotential for Alterations in Body SystemsPotential for Complications of DiagnosticTests/Treatments/ProceduresPotential for Complications from Surgical Procedures and HealthAlterationsSystem-Specific AssessmentsTherapeutic ProceduresChapter QuizChapter Quiz Answers and ExplanationsChapter 11: Physiological Integrity: Physiological AdaptationAlterations in Body SystemsFluid and Electrolyte ImbalancesHemodynamicsIllness ManagementMedical EmergenciesPathophysiologyUnexpected Response to TherapiesChapter Quiz

Chapter Quiz Answers and ExplanationsPart 3: The Practice TestPractice TestYour Practice Test ScoresPractice Test: Answer KeyPractice Test: Answers and ExplanationsPart 4: The Licensure ProcessChapter 12: Application, Registration, and SchedulingHow to Apply for the NCLEX-RN ExamTaking the ExamChapter 13: Taking the Test More Than OnceYou Are Not AloneHow to Interpret Unsuccessful Test ResultsShould You Test Again?How Should You Begin?Chapter 14: Essentials for International NursesNCLEX-RN Exam Administration AbroadThe CGFNS CertificateWork VisasNursing Practice in the United StatesU.S.-Style Nursing CommunicationSample QuestionsSample Questions: Answers and ExplanationsLanguageKaplan Programs for International NursesPart 5: NCLEX-RN Exam ResourcesAppendix A: Summary of Critical Thinking PathsAppendix B: Nursing TerminologyAppendix C: Common Medical AbbreviationsAppendix D: State Boards of Nursing

NCLEX-RN Prep Plus20182 Practice Tests Proven Strategies Online Video

NCLEX-RN is a registered trademark of the National Council of State Boards of Nursing, which neithersponsors nor endorses this book.This publication is designed to provide accurate information in regard to the subject matter covered asof its publication date, with the understanding that knowledge and best practice constantly evolve. Thepublisher is not engaged in rendering medical, legal, accounting, or other professional service. Ifmedical or legal advice or other expert assistance is required, the services of a competent professionalshould be sought. This publication is not intended for use in clinical practice or the delivery of medicalcare. To the fullest extent of the law, neither the Publisher nor the Editors assume any liability for anyinjury and/or damage to persons or property arising out of or related to any use of the materialcontained in this book. 2018 by Kaplan, Inc.Published by Kaplan Publishing, a division of Kaplan, Inc.750 Third AvenueNew York, NY 10017

ABOUT THE AUTHORSBARBARA IRWIN, MSN, RNBarbara is emeritus Executive Director of Nursing at Kaplan Test Prep. Shesupervised development of the Kaplan courses for preparation for the NCLEXRN examination for U.S. nursing students and international nurses, as well asintegrated testing programs implemented by nursing schools. Irwindeveloped the Decision Tree, a framework of innovative test-taking strategiesthat help students achieve success on this high-stakes test. Her seminarsabout how to effectively study to achieve deep learning have guidedthousands of student nurses. Her seminars to nursing faculty have sharedimportant insights about the NCLEX-RN and NCLEX-PN examinations andhow to overcome the challenge of non-self-efficacious nursing students. Irwinreceived a bachelor of science in nursing from the University of Oklahoma anda master of science degree in nursing and nursing education from KaplanUniversity. Her professional background includes experience as a nursingeducator and director of a home health agency.JUDITH A. BURCKHARDT, PhD, MSN, RNDr. Judith Burckhardt is former Dean of the Nursing and Health Programs forKaplan Higher Education Campuses, Vice President of the Kaplan School ofNursing, and head of the Nursing division at Kaplan Test Preparation. UnderDr. Burckhardt’s leadership, Kaplan introduced new methods of programprovision, including online delivery. She is currently Dean of NursingPrograms at American Sentinel University. She also presents test preparation

seminars to students, item-writing workshops to nursing faculty, and careerdevelopment seminars to students, nurses, and healthcare professionals inthe United States and abroad. Dr. Burckhardt received a bachelor of science innursing from Loyola University in Chicago, a master’s degree in educationfrom Washington University in St. Louis, a master of science in nursing degreefrom Kaplan University, and a doctorate in educational administration fromthe University of Nebraska at Lincoln.Kaplan thanks the following nursing professionals for their contributions to thisbook:Barbara Arnoldussen, RN, MBA, CPHQShawna M. Butler, RN, BSN, JDTamara Dolan, RN, MSN, OCNTerri Forehand, RNConstance Krueger, RNRene Jackson, MS, BSN, RN, LHRM, CPHRM

FOR ANY TEST CHANGES OR LATEBREAKING DEVELOPMENTSkaptest.com/publishingThe material in this book is up-to-date at the time of publication. However,the National Council of State Boards of Nursing may have instituted changesin the test after this book was published. Be sure to carefully read thematerials you receive when you register for the test. If there are any importantlate-breaking developments—or any changes or corrections to the Kaplan testpreparation materials in this book—we will post that information online atkaptest.com/publishing.

READERS’ COMMENTSHere’s what our readers have to say about Kaplan’s NCLEX-RN examguide:“I was the classic unsuccessful test taker when I started your book. When I wasdone, I had become a successful test taker. I took my NCLEX-RN exam andpassed on the first attempt. I credit Kaplan with that.”—A. Duane Deyo, Stafford, VA“The questions in the review book were just like the ones on the test. The tips onhow to take the exam really helped me. I took my NCLEX-RN exam and passedthe first time!”—Heather G. Sabott, Egg Harbor Township, NJ“Thank you, Kaplan. This book, test, and strategies really helped me getthrough my boards. I passed on my first attempt with only 75 questions. Yourprogram definitely prepares the student for success.”—Deirdre A. Beasley, Rancho Cucamonga, CA“The book is very user-friendly, well organized, and very comprehensive. It gave me more self-confidence in answering NCLEX-RN exam questions. Twothumbs up!”—G. B. Perdigones, Chicago, IL“After doing all my reviews, I read this book twice and I went to take the testwith confidence. I did it—thank you!”

—Elisabeth Boursiquot, Spring Valley, NY“Out of the 15 NCLEX-RN books I bought, this Kaplan book was the only onethat helped. The critical thinking and test taking skills were very useful instudying for the NCLEX-RN exam. Thank you so much!”—Sherrie Corcuera, Barnegat, NJ“I had taken the NCLEX-RN exam twice and failed, I’d taken courses, etc. Ididn’t need another study book—I needed a book that emphasizes test takingskills for NCLEX-RN exam and test anxiety reduction. I took the test for the thirdtime and passed!”—Beatrice Ordoñez, O’Fallon, MO“I am a foreign-educated nurse On my exam day I was so confident andpassed the first time. Thank you.”—Nimfa C. Garrison, Raritan, NJ“Before I started to prepare for the NCLEX-RN exam, I started with this book(I’m a foreign nurse from Switzerland), and it really helps me to have a criticalthinking strategy and to answer the NCLEX-RN exam question types. Thepractice test and the answer key are extremely helpful, the way it explains everysingle answer. So now, I think I’m ready to start the Kaplan course book. Thankyou.”—Celine Cucchia, San Jose, CA“Special thanks to the creators of this wonderful book and others related toNCLEX-RN exam. It was the best I could ever have gotten. I just feel sorry I didn’ttake your review class due to [the fact that] I didn’t know about you guys untilafter I took another review class. But I was lucky to find this wonderful book.Thanks! I will recommend this book or anything related to Kaplan to the future

generations of my nursing school. You guys are the best! Thank you and keep upwith the good work.”—Elvia Manrique, Port Jefferson Station, NY“My husband gave me this book for Christmas and it was one of the best gifts Iever received. By reading your book cover to cover, I gained some confidence,learned how to reword questions, how to correctly read a question, and how todecrease some of my anxiety. Thank you for a great book that I will definitelyrecommend to anyone taking the boards.”—Nancy D. Zimmerman, South Windsor, CT“This book was a blueprint to the NCLEX-RN exam. I passed the test on the firsttry. Everything that was explained in the book was actually on the test.”—Jacquelyn Claude, Suffolk, VA“I plan to call my school and recommend this book!”—Nicole Sary, East Peoria, IL“Reading the book was like an instructor talking. The book is absolutelyGREAT!”—Lianna Williams, Bronx, NY“Very easy to understand—MADE SENSE. Everything about this book wasexceptional. After my self-esteem dropped when I found out I failed the firsttime, I didn’t know what to do .This book, I felt, was easy to understand, andwhen I went to take my test a second time, I walked out with confidence. Thestrategies in this book are why I am an RN today. Thank you so much!”—Dana Adams, Fort Worth, TX“Truly an indispensable review for every internationally educated nurse!”

—Lamberto F. Valera, RN, MAN, Jordan Valley, Israel“Thank you, Kaplan, for this book!”—Dawn Nicole Lake Prince, Van Nuys, CA“I bought [the] Kaplan textbook when I was preparing for [the] NCLEX-RN examlast month. I was a foreign-trained nurse so I was finding it hard to answerNCLEX-RN exam questions. The book helped me a lot. I recommend thisKaplan study guide to everybody preparing for the NCLEX-RN exam.”—Ngozi Uketui, AR

HOW TO USE THIS BOOK

SIGN UP FOR AN ONLINE CLASSROOMEVENTKaplan’s NCLEX-RN online classroom sessions are interactive, instructor-ledNCLEX‑RN prep lessons that yo