JoAnn Zerwekh - Illustrated Study Guide for the NCLEX-RN® Exam

ILLUSTRATED Study Guide for the NCLEX-RN EXAM

Seventh Edition

JoAnn Zerwekh, EKH, MSN, EdD, RN

Jo Carol Claborn, MS, RN

Elsevier Inc.

Copyright

3251 Riverport Lane

St. Louis Missouri 63043

ILLUSTRATED STUDY, GUIDE FOR THE NCLEX-RN EXAM ISBN: 978-0-323-05664-9

2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.

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This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods, they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability 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.

NCLEX, NCLEX-RN, and NCLEX-PN are registered trademarks of the National Council of State Boards of Nursing, Inc. Nursing diagnoses from Nursing DiagnosesDefinitions and Classification 2009-2011 2009, 2007, 2005, 2003, 2001, 1998, 1996, 1994, NANDA International. Used by arrangement with Wiley-Blackwell Publishing, a company of John Wiley & Sons, Inc.

International Standard Book Number: 978-0-323-05664-9

Printed in The United States of America

Last digit is the print number: 9 8 7 6 5 4 3 2 1

Contributors

Joanna G. Barnes, MSN, RN, Grayson County Community College
Denison, Texas

Jeannette Gloria Brown, MSN, RNC-OB, C-EFM, RN, Virginia Commonwealth University
Richmond, Virginia

Marianne Call, MN, RN, Geriatric Behavioral Health
East Jefferson General Hospital
Metairie, Louisiana

Sharon I. Decker, RN, PhD, ACNS-BC, ANEF, Professor and Director of Clinical Simulations
Covenant Health System Endowed Chair in Simulation and Nursing Education
Texas Tech University Health Science Center
Lubbock, Texas

Barbara S. Devitt, MSN, RN, Lecturer
Louise Herrington School of Nursing
Baylor University
Dallas, Texas

Ashley Garneau, MS, RN, Nursing Faculty
Gateway Community College
Phoenix, Arizona

, Lt. Col. (Ret.) Michael W. Hutton, MSN, RN, Instructor
Blinn College
Bryan, Texas

Susan B. Priest, MSN, RN, CNS, Director, Health and Medical Programs
Continuing Education Workforce Development
Adjunct Faculty, Associate Degree Nursing
Alvin Community College
Alvin, Texas

Catherine Rosser, EdD, CNA-BC, RN, Undergraduate Program Director
Louise Herrington School of Nursing
Baylor University
Dallas, Texas

Linda Stevenson, PhD, RN, Assistant Professor
Louis Herrington School of Nursing
Baylor University
Dallas, Texas

Mary Ann Yantis, BS, MS, PhD, RN, Associate Professor of Nursing
Louis Herrington School of Nursing
Baylor University
Dallas, Texas

Reviewers

Judy Cole, MSN, RNC, Maternal Child Educator
Saint Francis Hospital, Memphis
Memphis, Tennessee

Faith Darilek, MSN, RN, Nursing Professor
The Victoria College
Victoria, Texas

Mary M. Fabick, MEd, MSN, Associate Professor of Nursing
Milligan College
Milligan College, Tennessee

Cene Gibson, MSN, ARNP, Family Nurse Practitioner
Family Healthcare and Minor Emergency Clinic
Yukon, Oklahoma

Margaret M. Gingrich, MSN, RN, Professor
Harrisburg Area Community College
Harrisburg, Pennsylvania

Sarah M. Howell, MSN, RN, Assistant Professor of Nursing
Mississippi University for Women
Columbus, Mississippi

Jolee M. Preston, MSN, RN, Assistant Professor
Jefferson College of Health Sciences
Roanoke, Virginia

Sharon Redding, MN, RN, CNE, Associate Professor of Nursing
College of Saint Mary
Alegent Bergon Mercy Medical Center
Omaha, Nebraska

Katherine Roberts, Assistant Professor
Joann Gay Dishman Department of Nursing
Lamar University
Beaumont, Texas

Donna Wilsker, MSN, BSN, RN, Assistant Professor
Lamar University
Beaumont, Texas

Connie S. Wilson, EdD, RN, CNE, Professor
University of Indianapolis
Indianapolis, Indiana

Preface

This seventh edition of Illustrated Study Guide for the NCLEX-RN Exam continues to provide an up-to-date review book illustrated with graphics, pictures, and cartoon images to enhance your review and retention of critical nursing information. The book contains information specifically designed to assist you in preparing for the National Council Licensure Examination for Registered Nurses (NCLEX-RN). This text emphasizes the integrated approach to nursing practice that the NCLEX-RN is designed to test. The books primary purpose is to assist you to thoroughly review facts, principles, and applications of the nursing process. It should alleviate many of the concerns you may have about what, how, and when to study.

We have spent a great deal of time studying the NCLEX-RN test format and have incorporated that information into this book. We have included discussion and examples of the alternate format questions. In our review courses, which we have taught across the country, we have identified specific student needs and have correlated this information with the test plan in order to develop this study guide. Study questions are at the end of each chapter to help you check your level of comprehension. In addition, there is a CD-ROM in the back of this text that contains questions for practicing your testing skills.

We have designed graphics that highlight important information to make the book more visually appealing: