NCLEX-PN Content Review Guide,THIS DOCUMENT CONTAIN BEST CONTENT REVIEW FOR PREPARATION OF NCLEX EXAM.GOOD LUCK.
NCLEX-PN® is a registered trademark of the National Council of State Boards of Nursing, Inc.
This book i
...
NCLEX-PN Content Review Guide,THIS DOCUMENT CONTAIN BEST CONTENT REVIEW FOR PREPARATION OF NCLEX EXAM.GOOD LUCK.
NCLEX-PN® is a registered trademark of the National Council of State Boards of Nursing, Inc.
This book is solely intended for use as preparation for the Nursing Licensure Examination,
NCLEX-PN® examination. It is not a guide to the clinical treatment of clients. Neither the authors
nor the publisher shall be responsible for any harm caused by the use of this book other than for
its intended purpose. This book is just a small portion of the Kaplan materials available for you to
prepare for the NCLEX-PN® exam.
This publication is designed to provide accurate information in regard to the subject matter covered
as of its publication date, with the understanding that knowledge and best practice constantly evolve.
The publisher is not engaged in rendering medical, legal, accounting, or other professional service. If
medical or legal advice or other expert assistance is required, the services of a competent professional
should be sought. This publication is not intended for use in clinical practice or the delivery of
medical care. To the fullest extent of the law, neither the Publisher nor the Editors assume any
liability for any injury and/or damage to persons or property arising out of or related to any use of
the material contained in this book.
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Course ISBN: 978-1-5062-1459-7
Judy Hyland, M.S.N., R.N.
Executive DirExecutive Director of Nurector of Nursing
Barbara Arnoldussen, M.B.A., R.N.
Judith A. Burckhardt, Ph.D., R.N.
Barbara Dobish, M.S.N., R.N.
Cindy Finesilver, M.S.N., R.N.
Pamela Gardner, M.S.N., R.N.
Barbara J. Irwin, M.S.N., R.N.
Ellen Mahoney, C.S., D.N.S., R.N.
Marlene Redemske, M.S.N., M.A., R.N.
3
Table Of Contents
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
Chapter 1: The NCLEX-PN® Examination
Unit 1: The NCLEX-PN® Examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Chapter 2: Kaplan’s Review for the NCLEX-PN® Examination
Unit 1: Kaplan’s NCLEX-PN® Course Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Unit 2: How to Use Kaplan’s NCLEX-PN® Review Course. . . . . . . . . . . . . . . . . . . . . . . 13
Unit 3: Kaplan’s PN Decision Tree®. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Unit 4: Guide for Test-Takers Repeating the NCLEX-PN® Examination. . . . . . . . . . . . 21
Chapter 3: Safe and Effective Care Environment
Unit 1: Coordination of Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Unit 2: Safety and Infection Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Chapter 4: Health Promotion and Maintenance
Unit 1: Growth and Development. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Unit 2: Childbearing—Normal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Unit 3: Childbearing—Maternal Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
Unit 4: Childbearing—Neonatal Normal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
Unit 5: Neonatal Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Unit 6: Reproduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Unit 7: Prevention and Early Detection of Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Chapter 5: Physiological Integrity 1: Basic Care and Comfort
Unit 1: Mobility and Immobility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
Unit 2: Conditions Limiting Mobility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
Unit 3: Interventions to Promote Comfort. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215
Unit 4: Musculoskeletal Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
Unit 5: Rest and Sleep Disturbances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231
Unit 6: Nutrition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241
Unit 7: Elimination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259
Chapter 6: Psychosocial Integrity
Unit 1: Coping and Adaptation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 277
Unit 2: Psychosocial Adaptation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299
Unit 3: Psychopathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 301
Unit 4: Chemical Dependency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 313
Unit 5: Abuse and Neglect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321
Chapter 7: Physiological Integrity 2: Physiological Adaptation
Unit 1: Medical Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327
Unit 2: Fluid and Electrolyte Imbalances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355
Unit 3: Alterations in Body Systems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 367
Unit 4: Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 381
Chapter 8: Physiological Integrity 3: Reduction of Risk Potential
Unit 1: Sensory and Perceptual Alterations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 393
Unit 2: Alterations in Body Systems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409
Unit 3: Perioperative Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 441
Unit 4: Diagnostic Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 447
Unit 5: Therapeutic Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 461
Chapter 9: Physiological Integrity 4: Pharmacological Therapies
Unit 1: Blood Component Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 475
Unit 2: Intravenous Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 477
Unit 3: Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 481
Unit 4: Adverse Effects of Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 573
Introduction
Welcome! By using Kaplan Nursing resources, you’ve taken an important step toward passing the
National Council Licensure Examination for Practical Nurses (NCLEX-PN®).
Our many years of experience indicate that your success on the NCLEX-PN® examination is keyed
to two specific factors: your educational background and your exam preparation. The amount and
intensity of study you devote will bring about the greatest benefits from these resources. The best
results come to those who actively participate in exam preparation. We will show you how the
NCLEX-PN® examination works, what you do and don’t need to know, and the smartest way to take
the NCLEX-PN® examination. We provide you with data to help you analyze your practice
performance and determine where you need to make improvements. We will give you all the help,
advice, and encouragement we can—but only you can do the work. Get to know all the benefits that
Kaplan Nursing has to offer so you can make the most of your study time.
After you complete your resources and take the NCLEX-PN® examination, please tell us how you
did. Kaplan’s Research and Curriculum Development Team works hard to ensure that our course
materials employ the most effective and innovative teaching methods. In order to evolve and
improve, we need your help. Please take a few moments to share your thoughts on how the
materials helped you. Thank you in advance for choosing Kaplan for your studies.
KAPLAN
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New York, NY 10017
Attn: NCLEX Curriculum
[email protected] (kaptest.com)
[email protected] (nursing.kaplan.com)
Our best wishes for an interesting and satisfying nursing career.
*NCLEX is a trademark of N.C.S.B.N., Inc.
Please note: All Kaplan lectures, web content, and printed and electronic media are the property of
Kaplan Nursing and are copyrighted under law.
7
Chapter 1
THE NCLEX-PN® EXAMINATION
Units
1. The NCLEX-PN® Examination
Have you talked to LPN/LVNs about their experiences taking the NCLEX-PN® examination? If so, they probably told you it was unlike any nursing test they have
ever taken. How can that be? Let’s talk in detail about the NCLEX-PN® examination.
NCLEX-PN® stands for National Council Licensure Examination for Practical
Nurses and is prepared by the National Council of State Boards of Nursing (NCSBN). The purpose of the exam is to determine if you are safe to begin practice as
an entry-level practical/vocational nurse. The NCLEX-PN® examination is a test
of minimum competency, and is based on the required knowledge and behavior
for the entry-level practice of practical/vocational nursing. This exam tests not
only your knowledge, but also your ability to make decisions.
The NCLEX-PN® examination is a computer adaptive test, which means each test
is assembled interactively based on the accuracy of the candidate’s responses to
the questions. This ensures that the question you are answering will not be “too
hard” or “too easy” for your skill level. The first question will be near the level
of minimum competency (also referred to as the passing line). If you answer the
question correctly, the next question will be slightly higher in critical thinking.
If you miss the question, the next question will be slightly lower. As you answer
questions, the compute