9201FM.qxd 8/7/08 4:03 PM Page i NCLEX-PN Review ® yy bbll ddii e a d ee mrr cc nn II !! yy ss ® aa EE 9201FM.qxd 8/7/08 4:03 PM Page ii 9201FM.qxd 8/7/08 4:03 PM Page iii NCLEX-PN Review ® yy ll bb dii d e d e a e m r r c c n n I I !! yy ® ss a a E E 9201FM.qxd 9/24/08 4:11 PM Page iv Staff The clinical treatments described and recommended in this publica- tion are based on research and consultation with nursing, medical, and legal authorities. To the best of our knowledge, these procedures Executive Publisher reflect currently accepted practice. Nevertheless, they can't be con- Judith A. Schilling McCann, RN, MSN sidered absolute and universal recommendations. For individual appli- cations, all recommendations must be considered in light of the pa- Editorial Director tient's clinical condition and, before administration of new or infre- David Moreau quently used drugs, in light of the latest package-insert information. The authors and publisher disclaim any responsibility for any adverse Clinical Director effects resulting from the suggested procedures, from any undetected Joan M. Robinson, RN, MSN errors, or from the reader's misunderstanding of the text. Art Director © 2009 by Lippincott Williams & Wilkins. All rights reserved. This book Mary Ludwicki is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means— Electronic Project Manager electronic, mechanical, photocopy, recording, or otherwise—without John Macalino prior written permission of the publisher, except for brief quotations embodied in critical articles and reviews and testing and evaluation Clinical Project Manager materials provided by publisher to instructors whose schools have Kate Stout, RN, MSN, CCRN adopted its accompanying textbook. Printed in the United States of America. For information, write Lippincott Williams & Wilkins, Editors 323 Norristown Road, Suite 200, Ambler, PA 19002-2756. Margaret Eckman, Diane Labus PNREVIE3011008 Copy Editors Kimberly Bilotta (supervisor), Jeannine Fielding, Lisa Stockslager, Dorothy P. Terry, Pamela Wingrod Designer Lynn Foulk Illustrator Bot Roda Digital Composition Services Diane Paluba (manager), Joyce Rossi Biletz, Donna Morris Associate Manufacturing Manager Beth J. Welsh Editorial Assistants Library of Congress Cataloging-in-Publication Data Karen J. Kirk, Jeri O'Shea, Linda K. Ruhf NCLEX-PN review made incredibly easy!. — 3rd ed. p. ; cm. Design Assistant Includes bibliographical references and index. 1. Practical nursing—Outlines, syllabi, etc. 2. National Council Kate Zulak Licensure Examination for Practical/Vocational Nurses—Study guides. Indexer [DNLM: 1. Nursing, Practical—United States—Examination Barbara Hodgson Questions. WY 18.2 N3366 2009] RT62.N3366 2009 610.73076—dc22 ISBN-13: 978-0-7817-9920-1 (alk. paper) ISBN-10: 0-7817-9920-1 (alk. paper) 2008030115 9201FM.qxd 8/7/08 4:03 PM Page v Contents Contributors and consultants vii Advisory board viii Not another boring foreword ix Joy’s NCLEX adventure xi Part I Getting ready 1 Preparing for the examination 3 2 Strategies for success 13 Part II Care of the adult 3 Cardiovascular system 21 4 Respiratory system 69 5 Hematologic & immune systems 113 6 Neurosensory system 169 7 Musculoskeletal system 215 8 Gastrointestinal system 237 9 Endocrine system 277 10 Genitourinary system 303 11 Integumentary system 339 Part III Psychiatric care 12 Essentials of psychiatric nursing 363 13 Somatoform & sleep disorders 373 14 Anxiety & mood disorders 387 15 Cognitive disorders 399 16 Personality disorders 409 17 Schizophrenic & delusional disorders 417 18 Substance-related disorders 429 19 Dissociative disorders 437 20 Sexual disorders 445 21 Eating disorders 453 9201FM.qxd 8/7/08 4:03 PM Page vi Contents vi Part IVMaternal-neonatal care 22 Antepartum care 471 23 Intrapartum care 495 24 Postpartum care 519 25 Neonatal care 531 Part V Care of the child 26 Growth & development 559 27 Cardiovascular system 567 28 Respiratory system 577 29 Hematologic & immune systems 591 30 Neurosensory system 607 31 Musculoskeletal system 629 32 Gastrointestinal system 643 33 Endocrine system 661 34 Genitourinary system 671 35 Integumentary system 683 Part VI Coordinating care 36 Management concepts 707 37 Law and ethics 717 Appendices and index Alternate-format questions review 747 Physiologic changes in aging 806 Positioning clients 811 State boards of nursing 813 NANDA nursing diagnoses 818 Selected references 822 Index 823 9201FM.qxd 8/7/08 4:03 PM Page vii Contributors and consultants Carol A. Allred, RN-BC, MSN Nancy M. Glassgow, RN, BSN,BA Noel C. Piano, RN, MS Director, Allied Health Instructor Instructor/Coordinator Uintah Basin Applied Technology College Western Dakota Tech Lafayette School of Practical Nursing Roosevelt, Utah Rapid City, S.Dak. Adjunct Faculty Thomas Nelson Community College Carol A. Buttz, RN, BS, CEN Carol Healey, APRN-BC, MS Williamsburg, Va. Nursing Instructor Associate Professor of Nursing Dakota County Technical College Union County College Sahar Radi, RN, BSN, MSN, PhD Rosemount, Minn. Plainfield, N.J. Nursing Instructor South Seattle Community College Patricia L. Clowers, MSN, APRN-BC Ruth Howell, BSN, MEd Director of Practical Nursing Director of Practical Nursing Alice Raymond, RN, MSN,CRRN East Mississippi Community College TriCounty Technology Center Division Chair, Allied Health Technology Mayhew Bartlesville, Okla. J.F. Drake State Technical College Huntsville, Ala. Kathy Cochran, RN, MSN Lynn Jordan, RN, MSN Director of Practical Nursing Full-time Faculty Kristi Robinia, RNC, MSN Department Chair of Health Carolinas College of Health Sciences Program Coordinator, Practical Nursing Coosa Valley Technical College Charlotte, N.C. Northern Michigan University Rome, Ga. Marquette Kimber Lea Landeck, RN Kim Cooper, RN, MSN Adjunct Faculty Kendra S. Seiler, RN, MSN Nursing Department Chair Cerro Coso Community College Nursing Instructor Ivy Tech Community College Ridgecrest, Calif. Rio Hondo College Terre Haute, Ind. Whittier, Calif. C. Kay Lucas, RN, MSEd Donna S. Davis, RN, BSN Director/Instructor Nursing Education Gina Sirach, RN, MSN Nursing Instructor Giles County Technology Center Nursing Faculty Giles County Technology Center Pearisburg, Va. Southeastern Illinois College Pearisburg, Va. Harrisburg Shirley MacNeill, RN, MSN Cheryl DeGraw, RN, MSN, CRNP, CNE Nursing Faculty Paula M. Smith, RN, ASN Nursing Instructor Lamar State College Staff Nurse Florence-Darlington Technical College Port Arthur, Tex. Ridgecrest (Calif.) Regional Hospital Florence, S.C. Jane V. McCloskey, RN, MSN Tamara Thell, RN, BSN, PHN Lula English, RN, MSN Faculty Nurse Educator PN Instructor Carolinas College of Health Sciences Anoka (Minn.) Technical College Reid State Technical College Charlotte, N.C. Laura Travis, RN, BSN Atmore, Ala. Jennifer McWha, RN, MSN Health Careers Coordinator Assistant Professor Tennessee Technology Center at Dickson Shirley Lyon Garcia, RN, BSN Del Mar College Dickson Adjunct Nursing Faculty, PNE Corpus Christi, Tex. Mcdowell Technical Community College Frances M. Warrick, RN, MS Marion, N.C. Program Coordinator, Vocational Nursing El Centro College Dallas vii 9201FM.qxd 8/7/08 4:03 PM Page viii Advisory board Susan Barnason, RN, PhD, CCRN, CEN, CS Kathy Henley Haugh, RN, PhD Associate Professor Assistant Professor University of Nebraska Medical Center University of Virginia College of Nursing School of Nursing Lincoln Charlottesville Michael A. Carter, DNSC, FAAN, APRN-BC Janice J. Hoffman, RN, PhD University Distinguished Professor Faculty/Course Coordinator University of Tennessee Health Science Center Nursing in Adult Physical Health and Special Topics in Critical College of Nursing Care Nursing Memphis Johns Hopkins University School of Nursing Caroline Dorsen, MSN, APRN, BC, FNP Baltimore Clinical Instructor and Coordinator Adult Nurse Practitioner Program Linda Honan Pellico, APRN, MSN, PhD New York University Assistant Professor College of Nursing Yale University New York School of Nursing New Haven, Conn. Stephen Gilliam, PhD, FNP, APRN-BC Assistant Professor Susan L. Woods, RN, PhD, FAAN, FAHA Medical College of Georgia Professor and Associate Dean for Academic Programs School of Nursing University of Washington Athens Seattle Margaret Mary Hansen, RN, MSN, EdD, NICertificate Associate Professor University of San Francisco viii