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73397 FMxx FINAL.QXD4/8/102:21 PMPage iNCLEX High-Risk The Disaster Prevention Manualfor Nurses Determined to Passthe RN Licensing ExaminationMarian C. Condon, DEd, RN, CNEProfessorDepartment of NursingYork College of PennsylvaniaYork, PennsylvaniaKaren S. March, PhD, RN, CCRN, ACNS-BCProfessorDepartment of NursingYork College of PennsylvaniaYork, Pennsylvania

73397 FMxx FINAL.QXD4/8/102:21 PMWorld HeadquartersJones & Bartlett Learning40 Tall Pine DriveSudbury, MA .comPage iiJones & Bartlett Learning Canada6339 Ormindale WayMississauga, Ontario L5V 1J2CanadaJones & Bartlett Learning InternationalBarb House, Barb MewsLondon W6 7PAUnited KingdomJones & Bartlett Learning books and products are available through most bookstores and online booksellers. Tocontact Jones & Bartlett Learning directly, call 800-832-0034, fax 978-443-8000, or visit our website,www.jblearning.com.Substantial discounts on bulk quantities of Jones & Bartlett Learning publications are available to corporations, professional associations, and other qualified organizations. For details and specific discount information, contact the special sales department at Jones & Bartlett Learning via the above contact information orsend an email to [email protected] 2011 by Jones & Bartlett Learning, LLCAll rights reserved. No part of the material protected by this copyright may be reproduced or utilized in anyform, electronic or mechanical, including photocopying, recording, or by any information storage andretrieval system, without written permission from the copyright owner.The authors, editor, and publisher have made every effort to provide accurate information. However, they are notresponsible for errors, omissions, or for any outcomes related to the use of the contents of this book and take noresponsibility for the use of the products and procedures described. Treatments and side effects described in thisbook may not be applicable to all people; likewise, some people may require a dose or experience a side effectthat is not described herein. Drugs and medical devices are discussed that may have limited availability controlled by the Food and Drug Administration (FDA) for use only in a research study or clinical trial. Research,clinical practice, and government regulations often change the accepted standard in this field. When consideration is being given to use of any drug in the clinical setting, the health care provider or reader is responsible fordetermining FDA status of the drug, reading the package insert, and reviewing prescribing information for themost up-to-date recommendations on dose, precautions, and contraindications, and determining the appropriateusage for the product. This is especially important in the case of drugs that are new or seldom used.Production CreditsPublisher: Kevin SullivanAcquisitions Editor: Amy SibleyAssociate Editor: Patricia DonnellyEditorial Assistant: Rachel ShusterAssociate Production Editor: Lisa CerroneMarketing Manager: Rebecca WasleyV.P., Manufacturing and Inventory Control: Therese ConnellComposition: Paw Print MediaCover Design: Scott ModenCover Image: Taewoon Lee/ShutterStock, Inc.Printing and Binding: Courier StoughtonCover Printing: Courier StoughtonLibrary of Congress Cataloging-in-Publication DataNCLEX high-risk : the disaster prevention manual for nurses determined to pass the RN licensing examination/ Marian C. Condon, Karen S. March.p. ; cm.Includes bibliographical references.ISBN 978-0-7637-7339-7 (pbk.)1. Practical nursing—Examinations, questions, etc. 2. Nursing care—Examinations, questions, etc. I. Condon,Marian C. II. March, Karen S.[DNLM: 1. Nursing—Examination Questions. 2. Nursing—Examination Questions. WY 18.2 N3363 2011]RT62.N3364 2011610.73076—dc2220100080766048Printed in the United States of America14 13 12 11 10 10 9 8 7 6 5 4 3 2 1

4/8/102:21 PMPage iiiDedicationThis book is dedicated to my beloved sons, Patrick and Adam Hooper: Labor was worthit, sweethearts—you are the lights of my life. It is also dedicated to the many graduatenurses I’ve been privileged to assist in their quest to finally pass the NCLEX. I wouldlike to direct special thanks to Betty DeMeester Webster and Michelle Metz Robinson,who were my very first clients, and to the 25 graduate nurses who allowed me to interview them in 1992 and 1993 as part of my doctoral dissertation research: You were myfirst teachers, and it was you who launched me on the journey of understanding that has culminated in the publication of this book. You will always hold a special place in my heart.—M.C.C.iii I would like to dedicate this book to graduate nurses of the past, present, and future,who inspired my commitment to this project, and to Brad and Zach, who have provided love, encouragement, support, and most of all, patience, throughout the weeksand months of writing. I do what I do because of you.—K.S.M. 73397 FMxx FINAL.QXD

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73397 FMxx FINAL.QXD4/8/102:21 PMPage vContentsChapter 3:Should You Buy This Book? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xiiForeword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xiiiAcknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xvIntroduction: How to Get the Most Out of This Book . . . . . . . . . .Marian C. CondonWhy You Should Read Most of the Chapters in Order . . . . . . . . . . .Why You Should Keep Track of Your Progress . . . . . . . . . . . . . . . . . .Why You Should Create and Review Nugget Lists . . . . . . . . . . . . . .Why You Should Make Preparing for NCLEX an Absolute Priority . .Why You Should Access a Source of Additional Questions,If Necessary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .How to Know Whether You Need a Tutor . . . . . . . . . . . . . . . . . . . . .xviixviixviiixixxxxxxxAre You at Risk for Failing NCLEX ? . . . . . . . . . . . . . . . . . . . . . . .Marian C. CondonRisk Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .What It’s Like to Fail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Being at Risk for Failing NCLEX Does Not Mean You Will NeverBe a Good Nurse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1Are You Using the Right NCLEX Prep Strategies? . . . . . . . . . . . . .Marian C. CondonIneffective Prep Strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Two Things You Must Do If You Want to Pass the NCLEX . . . . . . . .When to Start Studying for NCLEX . . . . . . . . . . . . . . . . . . . . . . . . . .Review Courses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Test Anxiety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11NCLEX-RN : Purpose, Format, and Scope . . . . . . . . . . . . . . . . . . .Marian C. CondonHow the Exam Is Developed and Administered . . . . . . . . . . . . . . . .17v Chapter 2:xi Chapter 1:Letter to Nursing Students . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .167811131415161617

73397 FMxx FINAL.QXDvi 4/8/102:21 PMPage viContentsChapter 4:Chapter 5:Chapter 6:How the Questions Are Written and Structured . . . . . . . . . . . . . . . .What You Will Be Expected to Know: The NCLEX Test Plan . . . . . . .References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .172223CAT-Anatomy: How Computer-Adaptive Testing Works . . . . . . .Marian C. CondonWhat Computer-Adaptive Testing Is . . . . . . . . . . . . . . . . . . . . . . . . .How NCLEX Is Scored . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Test-Taking Strategies You Should Never Use on NCLEX . . . . . . . . . .References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25Registration, Results, and Test-Center Smarts . . . . . . . . . . . . . . . .Marian C. CondonHow to Register to Take NCLEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Avoiding Pretest Disasters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .What to Expect at the Test Center . . . . . . . . . . . . . . . . . . . . . . . . . . .What You Don’t Have to Worry About . . . . . . . . . . . . . . . . . . . . . . .Getting Your Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29Test Yourself: How Good Are You at Doping Out Test Questions?Marian C. CondonHow Well Do You Analyze Test Questions? . . . . . . . . . . . . . . . . . . . .The Optimal Question-Analyzing Process . . . . . . . . . . . . . . . . . . . . .Chapter 7:Chapter 8:25252627293030313132333334Test Yourself: How Good Is Your Knowledge Base? . . . . . . . . . . . .Marian C. Condon and Karen S. MarchIntroduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Comprehensive Practice Exam 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . .Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43How to Use What You Don’t Know to Pass the NCLEX . . . . . . . . .Marian C. CondonThe Nugget Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Strategies for Enhancing Memory and Retention . . . . . . . . . . . . . . .The Basics of Memorization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Preferred Learning Styles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Using Visualization to Enhance Memory . . . . . . . . . . . . . . . . . . . . .Designing and Timing Your Study Sessions for Maximal RetentionUsing Keep Track Boxes to Monitor Your Progress . . . . . . . . . . . . . .References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .594344535965656868717274

73397 FMxx FINAL.QXD4/8/102:21 PMPage viiContents Chapter 9:Chapter 10:Practice Test: Nursing Management of Patients withCardiac Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Karen S. MarchPractice Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Practice Test: Nursing Management of Patients withVascular Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Karen S. MarchPractice Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Chapter 11:Chapter 12:Practice Test: Nursing Management of Patients with RespiratoryDisorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Karen S. MarchPractice Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Practice Test: Nursing Management of Patients withNeurologic Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Karen S. MarchPractice Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Chapter 13:Chapter 14:Chapter 15:Practice Test: Nursing Management of Patients with Psychiatricand Mental Health Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Karen S. MarchPractice Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Practice Test: Nursing Management of Patients with Renal andUrinary Tract Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Karen S. MarchPractice Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Practice Test: Nursing Management of Patients withHematologic Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Karen S. MarchPractice Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181189189197

73397 FMxx FINAL.QXDviii 4/8/102:21 PMPage viiiContentsChapter 16:Chapter 17:Practice Test: Nursing Management of Patients withMusculoskeletal Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Karen S. MarchPractice Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Practice Test: Nursing Management of Patients with GI andBiliary Tract Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Karen S. MarchPractice Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Chapter 18:Practice Test: Nursing Management of Patients withEndocrine Disorders . . . . . . . . . . . . . . . . .