Saunders Q&A Review for the NCLEX-RN® Examination SEVENTH EDITION Linda Anne Silvestri, PhD, RN Instructor of Nursing, Salve Regina University, Newport, Rhode Island President, Nursing Reviews, Inc., Henderson, Nevada Elsevier Consultant, HESI NCLEX-RN® and NCLEX-PN® Live Review Courses, Nursing Seminars, Inc. Angela E. Silvestri, PhD, RN, CNE Assistant Professor, University of Nevada, Las Vegas, Las Vegas, Nevada Associate Editor Linda Turchin, RN, MSN, CNE Assistant Professor, Nursing, Fairmont State University, Fairmont, West Virginia 2 Disclaimer This title includes additional digital media when purchased in print format. For this digital book edition, media content may not be included. 3 Table of Contents Cover image Title page Disclaimer Copyright Dedication About the Authors Contributors Reviewers Preface An Essential Resource for Test Success NCLEX-RN® Test Preparation Client Needs Integrated Processes Comprehensive Test Special Features of the Book Special Features Found on Evolve Practice Questions How to Use This Book Climbing the Pyramid to Success 4 Acknowledgments A Few Words From Linda A Few Words From Angela A Few Words From Both Linda and Angela Unit I: Introduction Chapter 1: The NCLEX-RN® Examination The Pyramid to Success The Examination Process Computer Adaptive Testing Development of the Test Plan The Test Plan Types of Questions on the Examination Registering to Take the Examination Authorization to Test Form and Scheduling an Appointment Changing Your Appointment The Day of the Examination Testing Accommodations The Testing Center Testing Time Length of the Examination Pass-or-Fail Decisions Completing the Examination Processing Results Candidate Performance Report Interstate Endorsement Nurse Licensure Compact The Foreign-Educated Nurse Chapter 2: Profiles to Success The Pyramid to Success Developing Control Confidence and Belief in Yourself 5 Chapter 3: The NCLEX-RN® Examination: From a Graduate’s Perspective Chapter 4: Test-Taking Strategies Unit II: Client Needs Chapter 5: Client Needs and the NCLEX-RN® Test Plan Physiological Integrity Safe and Effective Care Environment Health Promotion and Maintenance Psychosocial Integrity Test 1: Physiological Integrity Test 2: Safe and Effective Care Environment Test 3: Health Promotion and Maintenance Test 4: Psychosocial Integrity Unit III: Integrated Processes Chapter 6: Integrated Processes and the NCLEX-RN® Test Plan Integrated Processes Caring Communication and Documentation Culture and Spirituality Nursing Process Teaching and Learning Test 5: Integrated Processes Caring Communication and Documentation Culture and Spirituality Teaching and Learning Nursing Process 6 Unit IV: Comprehensive Test Test 6: Comprehensive Test References 7 Copyright 3251 Riverport Lane St. Louis, Missouri 63043 SAUNDERS Q&A REVIEW FOR THE NCLEX-RN® EXAMINATION, SEVENTH EDITION ISBN: 978-0-323-42872-9 Copyright © 2018 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). Notices 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 2015, 2012, and 2009. NCLEX®, NCLEX-RN®, and NCLEX-PN® are registered trademarks of the National Council of State Boards of Nursing, Inc. 8 International Standard Book Number: 978-0-323-42872-9 Senior Content Strategist: Jamie Blum Senior Content Development Manager: Laurie Gower Senior Content Development Specialist: Laura Goodrich Publishing Services Manager: Jeff Patterson Book Production Specialist: Bill Drone Senior Book Designer: Maggie Reid Printed in Canada Last digit is the print number: 9 8 7 6 5 4 3 2 1 9 Dedication To my father and Angela’s grandfather, ARNOLD LAWRENCE Our memories of his love, support, and words of encouragement will remain in our hearts forever! and To our many nursing students, past, present, and future: their inspiration has brought many personal and professional rewards to our lives! 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 that 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. 10